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Vexing Microbes

Musings of an Infectious Disease Specialist

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HIV Transmitted from Living Organ Donor

18 March, 2011 by GAggreyMD Leave a Comment

This weeks CDC MMWR reports an unfortunate case where a patient with kidney failure who received a kidney transplant from a living donor also acquired HIV/AIDS.  The case, the first of its kind since 1989,  is remarkable not because we don’t know that organ transplantation come with risks but rather it highlights the inadequacies of […]

Filed Under: Infectious Diseases Tagged With: HIV, In The News, Transplant

Life as an Infectious Disease Consultant

1 March, 2011 by GAggreyMD 2 Comments

It’s been almost two years since I pondered over my career path.  The job search was just something else. Juggling different priorities to see which opportunity would meet all the needs and most of the desires was not easy.  2009 was just so miserable. Truly.  *Shudder* When I signed that three-year contract to work “in […]

Filed Under: Infectious Diseases Tagged With: Clinical Practice, Hand Hygiene, Why ID

C-section Before the Holidays

22 December, 2010 by GAggreyMD Leave a Comment

I work in a hospital that does not have a huge maternity ward. When a baby is born, a short lullaby (~ 10 seconds) is played overhead on the intercom.  I usually hear that lullaby once maybe a few times a week. So why did I hear that lullaby about five times on Monday, and […]

Filed Under: Musings Tagged With: Financial Medicine, Healthcare

JCAHO Descends Upon Us

8 December, 2010 by GAggreyMD Leave a Comment

Sometime in the past couple of months JCAHO paid an unannounced visit to my hospital. I should have known something was up when I saw our Chief Medical Officer up on one of the medical floors talking excitedly to an old man in a suit. My naïve self assumed he was interviewing a new physician…no […]

Filed Under: Medicine Tagged With: Angry Patients, Bureaucracy, Financial Medicine, Medical Residency

Official HIVMA stance on PrEP for HIV (iPrEx study)

2 December, 2010 by GAggreyMD Leave a Comment

Last week, I blogged my opinion on the media’s reception and response to the iPrEx study that showed that in a trial of 2499 HIV negative men and transgendered women who were at high risk for HIV acquisition, those that received daily emtricitabine plus tenofovir (a combination drug) had a 44% reduction in HIV incidence […]

Filed Under: Infectious Diseases Tagged With: HIV, Personal Responsibility, PrEP, Prevention

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