Blogs.jwatch.org

Yes, Many People Are "Pleasant" or "Delightful," Even "Lovely"

WebWhen writing medical notes, some clinicians include an appreciation of their patient’s personality and disposition in their opening line (the “Chief Complaint”), or when …

Actived: Just Now

URL: https://blogs.jwatch.org/hiv-id-observations/index.php/yes-many-people-are-pleasant-or-delightful-even-lovely-but-should-that-be-in-the-medical-note/2019/02/18/

Time to Fix the HIV Testing Algorithm -- and Here's How to Do It

WebRemember the revised HIV testing algorithm that debuted in 2014? The one that was supposed to solve all our problems? First, it included a “highly sensitive” screening test that started with a “4th Generation” combination antibody/antigen test. This decreased the window period between acquiring HIV and having a positive test, thanks to the …

Category:  Health Go Health

What is the Future of HIV Primary Care

WebHere’s a figure I’ve made for an upcoming talk, which is entitled “The Future of HIV Care.”. It summarizes several eras in HIV treatment, finishing up with the current …

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Our HIV Testing Algorithm Has a Major Problem -- Here's How to …

WebMostly, HIV testing works great. It’s long been so accurate that we can strongly support HIV testing even in relatively low-risk people. The 2014 revised lab testing guidelines made it even better, recommending a combined antigen/antibody screening test (called the 4th generation test), and replacing the Western blot with the HIV-1/2 …

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Is It Time to Eliminate Outdoor Mask Mandates

WebIt’s fine to tell people to continue wearing masks outside especially if they are unvaccinated and are about to engage in a sustained interaction at close distance, …

Category:  Health Go Health

HIV and ID Observations

WebForgive the autobiographical nature of this post, but here’s a recap on how I started down the the path to becoming an ID doctor. To begin, understand that my first …

Category:  Health Go Health

HIV and ID Observations

WebThe second part of point 4 is critical. Influenza can last 7-10 days, as can many common colds. To stay out for the duration of the illness would put considerable …

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Insights from the AAFP Physician Health and Well-Being Conference

WebMay 4th, 2022 Insights from the AAFP Physician Health and Well-Being Conference Mikita Arora, MD

Category:  Health Go Health

HIV and ID Observations

WebA recent study confirms what every busy clinician already knows. Many patients seeking care for respiratory infections expect to receive an antibiotic. When they …

Category:  Health Go Health

Medicare for All: The Healthcare Our Nation Needs

WebAdam: Medicare for All would be a different way of paying for healthcare in this country. Right now, we pay for healthcare in a few different ways. A lot of healthcare …

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Cases of SARS-CoV-2 Reinfection Highlight the Limitations

WebIn case you didn’t notice, or perhaps were “off the grid” taking some well-earned time away from COVID-19 news, this past week we heard about several cases of …

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Medical Masks vs. N95 Respirators for Preventing COVID-19 …

WebAs promised, the end of 2022 saw a trio of controversial COVID-19–related publications. First up is something that always causes a stir — a study on …

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What Should “PA” Stand For

WebHere they are: Arguments for keeping the name “physician assistant”: Regardless of what “PA” stands for, patients will still need to be educated on what a PA …

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What Should We Do About Persistent Low-level Viremia

WebHere’s a most entertaining email about a tricky case (some details changed for the usual reasons), with my annotations in brackets: Subject: Regimen intensification? Hi …

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Revascularization in New York State: High Questionable Rates for …

WebCardioExchange Archive CardioExchange, an NEJM practice community for medical professionals dedicated to improving cardiac patient care, was active from 2009 …

Category:  Medical Go Health

Our Public Hospital Leads Massachusetts in Caring for Coronavirus

WebCambridge Health Alliance (CHA), where I work, is a small hospital system serving the north Boston-metro area across two campuses in Cambridge and Everett but, despite its modest scale, it has arguably become the center of Massachusetts’ fight against COVID-19. This is no small feat, given that Massachusetts has the third largest number …

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As the Public Health Emergency Comes to an End, How Are We …

WebAs you no doubt heard, on Friday, May 5, 2023, the WHO declared the end of the global health emergency from COVID-19. Here in the U.S., the federal public health …

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Study Finds Inverse Correlation Between HDL and Alzheimer’s

WebHigh levels of HDL are linked to a lower risk for Alzheimer’s disease (AD), according to a new study published in Archives of Neurology. Researchers at Columbia …

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AHA with Some Perspective « CardioExchange

WebSeveral Cardiology Fellows who are attending AHA.12 in LA this week are blogging together for CardioExchange. The Fellows include Tariq Ahmad, Reva …

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Why Experienced HIV/ID Doctors Leave Clinical Practice

WebThree of my good friends — they’re way more than just colleagues after all this time — in the HIV/ID world have left clinical practice recently. Abigail (Abbie) Zuger, Joel Gallant, and Chuck Hicks, each of them brilliant in different ways, won’t be caring for people with HIV anymore, something they’ve all been doing since the […]

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The Pandemic Through a Rearview Mirror

WebTelehealth. According to the WHO, health inequity is defined as systematic differences in the health status of different population groups.As internal medicine …

Category:  Medicine Go Health

Engaging with History: Why Do the Actions of Nazi Physicians …

WebEnhancing patients’ right to healthcare. The Nazis had a warped view of “public health” that centered on “racial hygiene,” a concept that represented the …

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