An ongoing dialogue on HIV/AIDS, infectious diseases,
December 30th, 2014
Common Curbsides: The Patient with “Recurrent Zoster”
Just in time for the New Year celebration, here’s a curbside consult I’ve received several times, probably because the answer isn’t in most textbooks. As usual, the actual question is slightly edited, as well as lightly (and affectionately) annotated: Hey Paul — Quick question [of course] — I have a patient with a history of irritable bowel, otherwise well, […]
November 8th, 2012
Steroids for Bell’s Palsy and the ID Doctor
OK, let’s imagine you’ve just gotten a call/email/text from one of your colleagues about Bell’s palsy; he/she is a busy PCP who periodically asks you very reasonable ID questions. I suspect it went something like this: COLLEAGUE: Hi Friendly ID Doctor, quick question — I have a patient with Bell’s palsy — wondering whether to give him […]
December 28th, 2009
Holiday Surprise: Generic Valacyclovir
Last week one of my patients went to refill a Valtrex prescription, and was offered generic valacyclovir for the first time. It made him nervous, so he requested I write a “brand-name only” script. I confess the existence of a generic formulation of valacyclovir — which according to the PharmD here has been available for several […]