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Author Topic: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors  (Read 9775 times)

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Offline Rev. Moon

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  • Smart ass faggot ©
Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #50 on: May 13, 2011, 02:10:50 PM »
But cock worshipping syndrome works also. ;D

Cock Worshipping Specialist... Hmmm, I've been practicing in that field for nearly two decades, how do I get my certification?
"I have tried hard--but life is difficult, and I am a very useless person. I can hardly be said to have an independent existence. I was just a screw or a cog in the great machine I called life, and when I dropped out of it I found I was of no use anywhere else."

Offline Hellraiser

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #51 on: May 13, 2011, 02:11:37 PM »
Cock Worshipping Specialist... Hmmm, I've been practicing in that field for nearly two decades, how do I get my certification?

Inorite?

Offline wolfter

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #52 on: May 13, 2011, 02:21:18 PM »
Cock Worshipping Specialist... Hmmm, I've been practicing in that field for nearly two decades, how do I get my certification?

Oral exam at my place.
Complacency is the enemy.  ;)  Challenge yourself daily for maximum  return on investment.

Offline Ann

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #53 on: May 13, 2011, 02:21:57 PM »
Inorite?

Inorite?




edited to fix abominable formatting
« Last Edit: May 13, 2011, 02:37:37 PM by Ann »
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Hellraiser

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #54 on: May 13, 2011, 02:35:49 PM »
Inorite[/color=]?

How long have you been sitting on that waiting to link to it, missy?

Offline Ann

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    • Num is sum qui mentiar tibi?
Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #55 on: May 13, 2011, 02:38:27 PM »
How long have you been sitting on that waiting to link to it, missy?

For about ten seconds before I posted it. Why, was it warm?
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Hellraiser

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #56 on: May 13, 2011, 02:39:38 PM »
For about ten seconds before I posted it. Why, was it warm?

and moist

Offline Solo_LTSurvivor

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #57 on: May 13, 2011, 05:28:44 PM »
Inorite?

A little birdie told me that it's a derivative of inodatsrite   ;)
don't equate intelligence with lack of masculinity
Jim Phelps, Mission Impossible
____________________________

Seroconverted: Early 80s
Tested & confirmed what I already knew: early 90s

Current regimen: Atripla. 
Last regimen:  Epzicom, Sustiva (since its inception with NO adverse side effects: no vivid dreams and NONE of the problems people who can't tolerate this drug may experience: color me lucky ::))
Past regimens
Fun stuff (in the past):  HAV/HBV, crypto, shingles, AIDS, PCP

Jan 2012: 818/21%
Apr 2012: 964/22%
Jul. 2012: 890/21%
Oct. 2012: 920/23%

Still UD after all these years

Offline buginme2

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #58 on: May 13, 2011, 05:35:46 PM »
So do others here actually have two doctors one they see for their HIV and another for everything else? 

Prior to HIV I have a GP that I had been going to for years.  She was great and I wish I could see her still.  Once the HIV came into my life she referred me to another doc who specializes in HIV care, but he is also my new GP.  I see him for everything.

Offline mecch

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #59 on: May 13, 2011, 06:23:08 PM »
Yes, more than one doc here.
An HIV doc.
A GP.
not to mention other specialists for other care.
ďFrom each, according to his ability; to each, according to his needĒ 1875 K Marx

Offline bufguy

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #60 on: May 17, 2011, 11:46:13 AM »
My PCP is my an HIV specialist...the best of both worlds. I go to him for the flu, or other non HIV related items. There are many examples where patients will seek out PCP's that are specialists in certain fields....heart, diabetes, geriatric, OBGYN. I would just make sure that the PCP one chooses is an HIV expert.
5/29/08 confirmed HIV+
6/23/08 Vl 47500  CD4 511/29% CD8 .60
start atripla
8/1/08 Vl 130  CD4 667/31% CD8 .70
9/18/08 Vl un  CD4 not tested
12/19/08 Vl un CD4 723/32% CD8 .80
4/3/09 Vl un CD4 615/36% CD8  .98
8/7/09 vl un CD4 689/35% CD8 .9
12/11/09 vl un CD4 712/38% CD8 .89
4/9/10 vl un CD4 796/39% CD8 1.0
8/20/10 vl un CD4 787/38% CD8 1.0
4/6/10 vl un CD4 865/35% CD8 .9
8/16/10 vl un CD4 924/37% CD8 1.0
12/23/10 vl un CD4 1006/35% CD8 .9
5/2/10 vl un CD4 1040/39% CD8 .9
8/7/13 vl un CD4 840/39% CD8 .9

Online Miss Philicia

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #61 on: May 17, 2011, 12:41:07 PM »
My last doctor when I lived in NYC was not an infectious disease specialist.  His degree was actually internal medicine, hematology and oncology, but as he was gay he had been treating HIV since the earliest days and that was the bulk of his patient load, notably having once been Keith Haring's physician.  He was also a contributing editor for AmFAR's treatment directory, editor of AIDS Clinical Care and the author of a book on HIV treatment, though not quite ancient as it was published in 1992.

Once I moved to Philadelphia my first doctor was a straight woman and an actual Infectious Disease specialist, but also my PCP. I saw her for only two years and when she moved her practice to the suburbs I switched to my current physician, also an ID specialist but also the Medical Director of the entire HIV clinic, and this specific HIV clinic is also the largest one in the city. He also has an Internal Medicine certification in addiction to ID so he's quite skilled in comprehensive care and I'm very fortunate to have him.  

As an aside, plenty of times I've seen people come on this board asking for HIV infectious disease doctor recommendations, and when I've googled the recommendations I've often found that the doctor in question is actually not an ID specialist but an Internal Medicine doctor, but obviously with a large HIV patient load.  If you read the HIV Medicine Association web site you will see that the issue is more complex than many patients realize.

The bottom line for me is that I want to see ONE doctor (aside from oddity specialist situations), but I want that doctor to have a large case load of patients -- you only get the experience of all that is weird about treating HIV by seeing a lot of patients, it's not just the ID degree framed on the wall.
"Iíve slept with enough men to know that Iím not gay"

Offline MarcoPoz

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Re: HIV Experts Recommend Shifting HIV Care To Primary Care Doctors
« Reply #62 on: May 17, 2011, 04:11:28 PM »
I'm genuinely happy that some here have had decent HIV care from GPs and others who were'nt ID docs.  However, I think its a bad and dangerous trend, especially for those of us who do not have the plethora of provider choices.

I too would rather have ONE care provider, but, as a LTSr, my medical needs are legion it seems sometimes, and beyond the expertise of one provider.  Currently I am able to utilize my ID doc as a 'primary'.  I think this is a good model.  I'd rather have an ID decide what was and wasn't related to HIV and make required referrals, instead of some GP trying to figure out what was HIV related and what wasn't.

But what the hell do I know--I just started on xanax  :o 

 


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