I think if I were a police officer and spoke about how I was abused by those I served, people would understand. It’s tough being a cop. You are not appreciated, you are vilified, and you are viewed as corrupt, yet all you ever wanted to do was to serve, protect, and help. If I […]
The Care of the Patient (Peabody)
I recently attended an excellent Grand Rounds on Palliative Medicine. The speaker quoted Dr. Francis Peabody’s “…for the secret of the care of the patient is in caring for the patient” while apologizing for using a quote that “we’ve all heard over and over, I’m sure”. Well, I’m guess I’m one of those in medicine who […]
When Grandma/Grandpa Cannot Go Home
I was consulted on an elderly patient who had developed an infection after surgery. The infection required intravenous antibiotic therapy for a long period. The patient required rehabilitation after discharge from the hospital. The intravenous antibiotics were given there. On follow-up in the office three weeks later I determined the patient still needed intravenous antibiotics. […]
Official HIVMA stance on PrEP for HIV (iPrEx study)
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 […]
Irresponsible Journalism – PrEP for HIV
The New England Journal of Medicine today reported the results of a trial in which 2499 HIV-seronegative men or transgender women who were at high risk for HIV acquisition were enrolled to either receive daily emtricitabine plus tenofovir or placebo. The results were that those who received the anti-retroviral medications had a 44% reduction in HIV […]