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Author Topic: Issues with elective and emergency surgeries if HIV+?  (Read 2593 times)

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Offline TGun

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Issues with elective and emergency surgeries if HIV+?
« on: March 07, 2021, 11:38:47 pm »
Just curious if anyone thats been positive for sometime has run into any problems with having surgery at all.  Im getting up in the years and realize that this may be a possibility at some point,, so im wondering houw best to navigate the situation.  Would you elect to NOT disclose????  I know that ethincally this isn't the best choice, although I also understand that sometimes you have everything to lose and they have nothing to really gain by actually knowing your status.... any help would be appreciated.

Offline Jim Allen

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Re: Issues with elective and emergency surgeries if HIV+?
« Reply #1 on: March 08, 2021, 01:49:07 am »
I've had several fairly minor surgeries over the years, and my HIV status has never been an issue when having surgeries. I have had minor issues when dealing with ignorant nurses in A&E (ER) and on the wards, not with surgeons or the hospital itself.

That's just my own experience, and healthcare rules/policies here might also play a part and be very different in other parts of the world.

I have heard other people having issues, so not saying it does not happen. I can recall hearing from people here and other places about having problems related to elective surgery, but that might differ from having urgent surgery etc.
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Offline bocker3

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Re: Issues with elective and emergency surgeries if HIV+?
« Reply #2 on: March 08, 2021, 06:58:34 am »
I would never NOT disclose to someone who is medically caring for me.  If for no other reason, because it is important that they know what medications you are taking.  There are some sedatives/anesthesia that should not be given if on certain HIV meds.
There may be other points during your care where NOT knowing your status and medications could be dangerous for you too.

Mike

Offline Loa111

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Re: Issues with elective and emergency surgeries if HIV+?
« Reply #3 on: March 08, 2021, 10:54:36 am »
I have had minor issues when dealing with ignorant nurses in A&E (ER) and on the wards

Has that been in recent years here in Ireland Jim?

Disappointing if there's nurses who are uninformed about this health condition in 2021.

Offline Jim Allen

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Re: Issues with elective and emergency surgeries if HIV+?
« Reply #4 on: March 08, 2021, 11:30:02 am »
Has that been in recent years here in Ireland Jim?

Disappointing if there's nurses who are uninformed about this health condition in 2021.

Yeah, pretty recent.

Although the only nurse incident that still bugs me somewhat was from a while back, some 5 years ago +-. Two nurses refused to take my blood in A&E.  The majority of nurses are great, though, in their defence.

(OP. Sorry for the Hijack)
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Offline mikejh

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Re: Issues with elective and emergency surgeries if HIV+?
« Reply #5 on: March 08, 2021, 10:05:42 pm »
Have had several surgeries and minor procedures for pain relief and are always upfront with my status, have never been treated differently. A few of my physicians actually donít mention my status in their reports and when I asked why it was not there they said that as long as they know nobody else that donít treat me need to know.
CD4   %
22 Sep 06   37     5  Started Atripla
5   Oct 06   82     9
1   Dec 06  258   13
25 Jan  07  263   14
1   May 07  403   18
6   Aug 07  438   22
7   Nov 07  417   19
30 jan   08  310   19
7   May  08  285   20
6   Aug  08  472   27
12  Nov 08  444   26
11  Feb  09 335    19
10  May  09  460  25
Jan 10 575 u/d
Feb 11 590 u/d
June 12 625 u/d
2013 646  u/d
2014 580 u/d
2015 590 u/d
2016 635 u/d
2017 620 u/d change to Genuvia
Jan 2018 580 u/d changed Triumeq
Feb 2019 620 u/d
March 2019 change

Offline mikejh

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  • Posts: 42
Re: Issues with elective and emergency surgeries if HIV+?
« Reply #6 on: March 08, 2021, 10:06:11 pm »
Have had several surgeries and minor procedures for pain relief and are always upfront with my status, have never been treated differently. A few of my physicians actually donít mention my status in their reports and when I asked why it was not there they said that as long as they know nobody else that donít treat me need to know.
CD4   %
22 Sep 06   37     5  Started Atripla
5   Oct 06   82     9
1   Dec 06  258   13
25 Jan  07  263   14
1   May 07  403   18
6   Aug 07  438   22
7   Nov 07  417   19
30 jan   08  310   19
7   May  08  285   20
6   Aug  08  472   27
12  Nov 08  444   26
11  Feb  09 335    19
10  May  09  460  25
Jan 10 575 u/d
Feb 11 590 u/d
June 12 625 u/d
2013 646  u/d
2014 580 u/d
2015 590 u/d
2016 635 u/d
2017 620 u/d change to Genuvia
Jan 2018 580 u/d changed Triumeq
Feb 2019 620 u/d
March 2019 change

Offline harleymc

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Re: Issues with elective and emergency surgeries if HIV+?
« Reply #7 on: March 10, 2021, 05:32:42 am »
My last surgery was 1986 or 87.  I was the first surgical case in that hospital of someone known to have HIV.  The poor surgeon was instructed to wear a a 'spacesuit'.

He got the policy changed after that surgery as the fogging up of the faceshield didn't allow him to see what he was doing.

I went back daily to get packing of the wound changed. No hassle from the nurses.

Offline wardp

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  • Posts: 208
Re: Issues with elective and emergency surgeries if HIV+?
« Reply #8 on: March 15, 2021, 02:29:52 pm »
I'm planning double jaw surgery with genioplasty for my Obstuctive sleep apnea and narrow airway i always disclose because of ARV interactions with other meds etc
Diagnosed 20,July 2017. Cd4 289, 21% vld .3,462 Started atripla 4 Aug 2017 5oct 2017 cd4 384 21%, vl ud less than 20. Switch to complera 4 Nov 2017 switched to stribild 15 the Nov. Switched to truvada efavirence 200mgx2 14 Dec 2017, 2 Feb 2018, us cd4  466, 25%  CD 8 ,595, 32%..1 may 2018
switched  to instgra truvada.7th june switched to truvada  nevirapine stavudine. .21 june switched to truvada nevirapine. X 2 a day...9 aug 2018 ud. 2n Nov 2018 CD 4. 455..22.70% 13th Nov switched  to lamivir and nevirapine  due to kidney issues...jan 10,2019 UD..may 13 2019 ud  cd4 482 28% 14th nov 2019 ud. Cd4 414 .27% cd8 444 29%,may 16 2020,ud ,cd4 741"19.62. Dec 2020.ud.jan21 cd4 453. 25.7% June 5 2021.UD. cd4 621;{27.21%}

 


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