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Author Topic: PCP San Marcos/Austin area  (Read 2085 times)

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Offline statichope

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PCP San Marcos/Austin area
« on: June 23, 2012, 08:53:18 PM »
Anyone have any recommendations for a good PCP around San Marcos/Austin Texas? I don't have 1 now and just want to get full std testing and some itching checked out and would prefer a DR. that has at least been around it before. I have been sort of "checking out and testing" some Dr.s but I keep getting the ones that tell me o well I just started 6 months ago or O you have that huh, well I will just agree with whatever you say about it then since you know more than I would and then laughs. These things make me really uncomfortable with him checking other places.

I have contacted the ASO in Austin and they told me that by law they cannot recommend any Dr.s or gives names for Dr.s like that...only IDs, this was nothing new since every single time I have called that worthless place they have never been of any help. San Antonio did give me a name of a Dr. there but I would prefer not to drive 50+ miles 1 way.

So anyways, any help would wonderful!

Offline buginme2

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Re: PCP San Marcos/Austin area
« Reply #1 on: June 23, 2012, 09:34:08 PM »
The American Academy of HIV Medicine only lists one doctor certified as an HIV Specialist in Austin.  So your choices seem rather slim.

You can search for HIV specialist on their website at
http://aahivm.org/Default.aspx





Offline phildinftlaudy

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  • sweet Ann what you think babe...
Re: PCP San Marcos/Austin area
« Reply #2 on: June 23, 2012, 09:51:36 PM »
Many times you can find ads for doctors who may meet your needs in various local gay publications/newspapers/magazines in your area. Here in Miami, I have seen ads for gay, gay-friendly, or HIV and STD specialist and PCPs through publications such as Hot Spots or The Express. See if you have similar publications in Austin - they should have ads from docs looking for patients. Many times these publications are also available online....

I found this in the Gay Yellow Pages for Austin - these docs are not necessarily gay but are gay-friendly and are also PCPs:
http://www.glyp.com/default.aspx?c=197&city=Austin+*

and the direct link to the physician section:
http://www.informationpages.com/sys/pageserver.dll?b=1011&f=hhd624&z=1000

Here is the link to Central Family Practice in Austin:
http://www.centralfamily.com/

Hope the above info helps.
-Phil
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline Ann

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    • Num is sum qui mentiar tibi?
Re: PCP San Marcos/Austin area
« Reply #3 on: June 24, 2012, 09:37:13 AM »
Have you tried asking your hiv/ID doctor? He or she should be familiar with general practitioners who have experience with hiv in your area.

Otherwise, if you cannot find one who does have hiv experience, you may be able to find one who is willing to work with your hiv doctor. This is the compromise I've worked out with my own GP. If there is anything that may be related to my hiv that he is unsure about, he rings my hiv doc up and discusses it with him before proceeding. It works well for me/us.

Good luck.

Ann
Condoms are a girl's best friend

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"...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 statichope

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  • Posts: 19
Re: PCP San Marcos/Austin area
« Reply #4 on: June 24, 2012, 10:58:38 AM »
Ann, yes I have and he said there is just too many for him to list and really any Dr. would be fine, I guess he doesn't get the whole I want someone I am comfortable with or someone who has at least some experience with people needing their backside checked for say itching or swelling or minor bleeding.

Thank you Phil! I thought I had been to Central Family but maybe not because I am not seeing the DR. listed on their staff list. That guy was both a PCP and an ID and when I told him I had an ID and was not interested in switching to him to have both covered he became very short and upset with me and told me, well do you have puss anywhere? no, do you itch? no, do you have blisters or warts showing? no, well then you don't have any stds and so there is no reason to check you. As for your anal/rectum itching, I guess drop your pants and bend over the table and let me look....lol needless to say I never went back there.

Offline buginme2

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Re: PCP San Marcos/Austin area
« Reply #5 on: June 24, 2012, 11:08:51 AM »
I may have missunderstood your post.  In my area, and the medical center I go oo, you HIV doctor IS your primary care provider.

As far as th nal itching, have you had an anal pap done or High Rez Anosopy? 

Offline statichope

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Re: PCP San Marcos/Austin area
« Reply #6 on: June 24, 2012, 11:20:01 AM »
O ok, it may be different with with different IDs, mine will only see me for my hiv nothing else. Nope, I originally thought o its hemorrhoids and started using the creme, but it has not gone away after a few months I have started to worry but to get into any of the special tests I was led to believe I would have to have a referal from a Dr. which I can't get since no pcp yet. And to top it off now I have an ulcer and am taking Dexilant for that I have now noticed that I have some blood when I use the restroom only, so that has me scared maybe its not a bleeding ulcer or hemorrhoids and has progressed into something much worse. So that is why I am wanting to find someone for a PCP to have that checked and start whatever needs to be done.

As Dr. Oz says taking care of your tukish is very very important and anything out of the ordinary you should take very serious!

I will call the place that Phil linked in the morning and see if I can get in asap. Thank you guys very much

Offline buginme2

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Re: PCP San Marcos/Austin area
« Reply #7 on: June 24, 2012, 12:01:48 PM »
Good, have them do an anal pap and ask for a referral for a high resolution Anosopy.  I am being treated for anal dysplasia.  With the higher than average rate of anal cancel of HIV positive folk it is definitely something everyone should be screened for.

Offline Buckmark

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  • Would you like to tie me up with your ties, Ty?
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Re: PCP San Marcos/Austin area
« Reply #8 on: June 24, 2012, 07:13:51 PM »
I sent you a PM with the name of my physician who handles both primary care, and HIV.  Tons of experience.  Spends more time with me in my appointments than any doctor ever has.

Regards,

Henry
"Life in Lubbock, Texas, taught me two things:
     One is that God loves you and you're going to burn in hell.
     The other is that sex is the most awful, filthy thing on earth and you should save it for someone you love."
- Butch Hancock, Musician, The Flatlanders

Offline statichope

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Re: PCP San Marcos/Austin area
« Reply #9 on: June 25, 2012, 09:14:31 AM »
Well the Central Family doesn't take private insurance and they do it basically on per visit pricing lol.

Offline Ann

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Re: PCP San Marcos/Austin area
« Reply #10 on: June 25, 2012, 11:25:24 AM »
Stat, before you get too worried about anal dysplasia (don't get me wrong, I'm not saying don't get a pap/anoscopy, that's important to do regardless), there are other things it could be as well.

One is a fungal infection. You can get an OTC cream called clotrimazole (trade name Canesten or Lotrimin) that will help ease the itching if it is indeed a fungal problem. It's usually marketed towards women for vaginal thrush/yeast infections, but it can also be used for what's commonly called "jock itch" and also for athlete's foot.

If you have an overgrowth of the common fungus called Candida albicans in your digestive tract, you can get anal itching from it. Eating live culture yogurt or a pro-biotic drink can help keep Candida growth in check. (We all have candida in and on our bodies, but antibiotic use, for example, can kill off the friendly bacteria we also have in and on us that keeps candida in check.)

Anal itching can also be caused by a parasite infection and if you do any rimming, you're susceptible to picking something like that up. If the cream doesn't relieve the itch, you may want to get checked out for gut infections.

Your doctor really shouldn't be ignoring this - regardless of what type of doctor he is. This stuff is elementary doctoring.

Good luck. I hope you're not dragging your butt across the carpet like our canine friends do! ;)  ;D
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 statichope

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  • Posts: 19
Re: PCP San Marcos/Austin area
« Reply #11 on: June 25, 2012, 05:50:22 PM »
The dragging my butt thing is something I really needed it brought a smile.. I am scared and nervous and embarrassed and ashamed of myself. Who would have ever thought that being lonely and depressed and experimenting would lead to this.

After some help from Henry I have decided to suck it up, man up about it and I have a normal Dr. appointment tomorrow morning (the guy who told me he has only been there 6 months and that told me, well I will believe whatever you have to say about HIV since you know more about it than I would and laughed). I also set up a colorectal dr. appointment for next week.

I am just trying to get all this done so I can move back home to be around family  and get stuck with cobra for a bit until new insurance would kick in.

Ann, the itching thing I would try but the introduction of blood only during very hard bm's leads me to believe its something far worse than a possible fungal infection.. I have a feeling its going to be something more of a fissure possibly? or god I don't know what else..

Anyways, thank you all for the help and I guess I will let you know the outcome.

Offline Ann

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  • It just is, OK?
    • Num is sum qui mentiar tibi?
Re: PCP San Marcos/Austin area
« Reply #12 on: June 26, 2012, 11:37:27 AM »
The itching could still very possibly be due to a fungal infection even if there's something else going on. Most drug stores will carry Canesten and/or Lotrimin and it shouldn't be expensive. If you can't find it, ask someone who works there where they're hiding it. It won't do you any harm, but it just may ease the itch - and save your carpets. ;D

I'm glad to hear you booked appointments. Give your new PCP (and the colorectal guy) your hiv doctor's details so he can get in touch if there's anything he's unsure about. As I said, that's what my GP does and it has worked very well.

BTW, my GP also admits that I probably know more about hiv than he does and he laughs about it too, but in a nice way. I admire his honesty. I'd much rather have a doctor who admits to gaps in his or her knowledge than one who pretends to know it all.

Oh, and knock it off with feeling embarrassment and shame. Everyone gets butt issues at some point in their life and doctors are used to it. Believe me, they've seen it all.
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 statichope

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  • Posts: 19
Re: PCP San Marcos/Austin area
« Reply #13 on: June 26, 2012, 01:08:28 PM »
ok so that was as big of a waste of time and money as I thought it would be with this guy. I told him about the itching and the bleeding and explained that it only happens on hard large stools and that it streaks the stool and does not drip or bleed on its own that I have seen and when it does happen that it feels like something is tearing. So he thinks its external and internal hemrrhoids and said "even if I looked and found something or not I have end up sending you to a specialist" so then I told him about the appointment with the colo-rectal surgeon next week. He said good and be sure they get me in for a colonoscopy and get a scope in there to see what is going on.

So, without checking or looking after the complete embarrassment of me telling nothing was done to verify lol.
« Last Edit: June 26, 2012, 01:11:15 PM by statichope »

Offline Torchwood

  • Member
  • Posts: 51
Re: PCP San Marcos/Austin area
« Reply #14 on: July 03, 2012, 06:45:59 PM »
You have a PM.
Discovered 4/2006
VL: 1600
CD4: 1005
Started Complera 10/2011
VL: 48,500
CD4: 570
1/17/12
VL: Undetectable
CD4: 890
4/12
VL: Undetectable
CD4: 895
11/12
VL: Undetectable
CD4: 1193
4/12
VL: Undetectable
CD4: 1461
11/13
CD4: 1273
VL: Undetectable
5/14
CD4: 1788
VL: Undetectable

 


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