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Less than 2 weeks since positive diagnoses

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Jeff G:

--- Quote from: actonye on March 05, 2013, 01:36:53 PM ---I just had to tell my bosses at work that I'm positive. Seeing as I perform chest drains as part of my job in the Ed. I am now not allowed to perform any more exposure prone procedures. I don't know what to do now. I can't even go back into work. The shame is killing me. I'm so ashamed of myself. I don't want to go on living. Now every new job as part of my training I need to let a senior doctor know so I can be excluded from that one function.
My life has just become a whole lot more difficult.
I'm not sure where to go from here.

--- End quote ---

Things may be changing for you but its not the end of the road . It gets better in time .
Many of us that are HIV positive have had to alter our lives and make changes accordingly to accommodate living a full life despite HIV , you can do this too in time .

If one of your patients faces an illness and they feel life is over and they cant adjust in a psychological healthy way , what would you advise them to do ? I think you know what I'm suggesting and that's get the help you need , make a new plan and make it happen .

Ann:
Actonye, dump the shame overboard. You did something just about every other adult on the planet has done at some time or other - you had unprotected intercourse. Big deal.

As you're still a student, why don't you specialise in hiv? Hiv positive doctors make great hiv specialists.

anniebc:

--- Quote from: Ann on March 05, 2013, 01:58:16 PM ---Actonye, dump the shame overboard. You did something just about every other adult on the planet has done at some time or other - you had unprotected intercourse. Big deal.

As you're still a student, why don't you specialise in hiv? Hiv positive doctors make great hiv specialists.

--- End quote ---

Actonye here in NZ the only place a Medical student is not allowed to work is in theater, but there is nothing stopping you from doing other things, Chest drains are not the only procedures you can perform surely, and not every procedure you do is invasive, or is it? and if you stick with the Universal Procedures then you are safe to carry out your work, your superiors should know this, but if they insist then there are many other areas where you can work, but trust me it won't be your status that will ruin your profession it will be you, so get over the guilt trip, if you don't then you will have nothing to look forward to.

There are fields you can specialise in, as Ann suggested, so why not become a consultant.

A very wise women once said " the more you feel ashamed the more they will think you should be ashamed".

This wise women also said "Dump the shame overboard"..that's good advise Actonye.

Aroha
Jan

actonye:
Thanx Ann, Jeff, aroha, I should probably clarify I'm an emergency physician. I'm only one step from becoming and emergency consultant. It might mean me taking up infectious diseases and leaving emergency medicine.  Although I would miss emergency medicine it's such a thrill rush for me. But if I do start meds my ID consultant doesn't think atripla, the once a day regimen I so hope for will be a good idea cos of shift work and working nights.
It's making me think I might need to consider a field of medicine with regular hours so I can look after my own health.
Does anyone know anything about the side effects of these drugs and if atripla can be taken with shift work?
I'd really like to have a once a day pill will help with my compliance too. The idea of 3 pills a day scares me.

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Jeff G:
Hi Actonye . Its good to hear you are in better spirit and thinking about moving forward , I knew you had it in you .

As for choosing an HIV regimen that best for you ... My advice is to keep an open mind about what combos you are willing to try . Its my personal feelings that Atripla should be taken before bedtime , its the only way I tolerate it .

Prezista isn't a one pill a day combo but you can take them all at the same time . Its easily tolerated by most and a very effective regimen . I encourage all people who begin ART to not get to hung up on a one pill a day mentality because most all the new meds have low side effect profiles compared to what used to be available , so whats the difference on wether its once or twice a day dosing if it keeps you healthy and gives you many more regimen choices to choose from .       

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