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Posts Tagged ‘primary care’

Who Should Care For The Aging HIV Patient? Everything Old is … Oh You Know

Paul Sax • November 20th, 2011

Categories: Health Care, HIV, Patient Care

(3 votes, average: 3.33 out of 5)

Over in Journal Watch AIDS Clinical Care, Carlos Del Rio reviews a couple of remarkable studies on HIV and aging. From one of them: Compared with the controls, the HIV-infected patients had a higher prevalence of renal failure, bone fracture, and diabetes in every age range evaluated, as well as a higher prevalence of cardiovascular disease [...]

For Suspected H1N1, Get Out the N95 Masks?

Paul Sax • September 4th, 2009

Categories: Infectious Diseases, Patient Care, Policy

(No Ratings Yet)

So says the Institute of Medicine’s recommendations for protection of health care workers: Healthcare workers (including those in non-hospital settings) who are in close contact with individuals with nH1N1 influenza or influenza-like illnesses should use fit-tested N95 respirators … Employers should ensure that the use and fit testing of N95 respirators be conducted in accordance [...]

Just Out: Primary Care HIV Guidelines

Paul Sax • August 5th, 2009

Categories: Health Care, HIV, Infectious Diseases, Patient Care

(2 votes, average: 5.00 out of 5)

Over on the CID web site, they have the revised version of the “IDSA Primary Care Guidelines for the Management of Persons Infected with Human Immunodeficiency Virus”. It’s a great document, filled with useful references and a particularly strong table where to find other consensus guidelines (diabetes, hyperlipidemia, mental health, others). My vote for what [...]

Working While Contagious: Why Do We Do This?

Paul Sax • May 13th, 2009

Categories: Infectious Diseases, Medical Education, Patient Care

(No Ratings Yet)

File this under, “physicians behaving badly”:  The nearly universal MD practice of going to work while sick. The ironic thing is we think we’re being selfless — after all, if we don’t show up, our patients will need to be rescheduled, or someone will need to cover, or some administrative/teaching task will not get done [...]

Swine Flu Curbsides: Anthrax, SARS Redux?

Paul Sax • April 26th, 2009

Categories: Health Care, Infectious Diseases, Patient Care, Policy

(1 votes, average: 5.00 out of 5)

In my email in-box yesterday AM from a primary care doc: A patient of mine, 40 year old woman totally healthy, is going to Cancun on Tuesday for a conference.  She’ll be there for 6 days. I know there are no cases of swine flu in Cancun yet, and the situation is evolving, but here’s [...]

Meningococcal Resistance to Ciprofloxacin

Paul Sax • February 26th, 2009

Categories: Infectious Diseases, Misc

(No Ratings Yet)

Ciprofloxacin-resistant Neisseria meningitidis has now been documented in the United States. Here’s a nice summary in Journal Watch, with two different perspectives. I suppose we shouldn’t be surprised, but it did take a while.  (At least compared to that other famous neisseria-bug, Neisseria gonorrhoeae.) Oh well. Why is this important?  As every practicing ID doc/primary [...]

Back to School, Day 1

Paul Sax • October 15th, 2008

Categories: Health Care

(No Ratings Yet)

We offer two post-graduate courses each year, one entitled Infectious Diseases in Primary Care, and the other AIDS Medicine:  An Intensive Case-Based Course.  The Primary Care one started today, the AIDS course starts on Monday. (Both are equally fascinating.  I am entirely unbiased.) What is so striking is that the participants — and content — [...]