April #122 : Doctor's Diary-April 2006 - by Neal Rzepkowski, MD

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Table of Contents

Anonymous No More

Editor's Letter-April 2006

Dead Certain?

Tough Breaks

Hepatitis C: New Help Is on the Way

Blowing Smokes

Doctor's Diary-April 2006

Tasty Freeze

Snack Pack

Double Duty

POZ Personals of the Month-April 2006

Toon Darn Hot

Legal Eye-April 2006

Office Politics

Worldwide Web

Up Close and Impersonal

Border Patrol

A Virus in Verse

Oral Fixation

Germ Warfare

Sleeping With the Enemy

The Plot Thickens

Editor's Letter-April 2006

Mailbox-April 2006

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

email print

April 2006

Doctor's Diary-April 2006

by Neal Rzepkowski, MD

Patients help a positive doc treat himself better

My patients occasionally alert me to medical news that I’ve overlooked, making me a better HIV treater. Sometimes, what they share is less technical than practical, making me a better HIV patient.

One patient, Joe Adams, literally gave my HIV therapy a shot in the arm. Like me, he’s been positive for many years. He’s resistant to many meds, and his current combo includes the injected entry inhibitor Fuzeon. He’d had pain and swelling at his injection sites. Since you self-inject Fuzeon twice a day, you can run out of targets if a hard bump arises after each shot. By the time Joe came to tell me his problem, he had solved it. He’d numbed the spot with a cold pack for a few minutes, then injected the Fuzeon more slowly. Result: fewer reactions, more spots to shoot.

Soon after Joe’s visit, I had to change my own combo because my viral load had been rising. My new combo includes Fuzeon.

I injected my first doses; closely following came the site reactions. Ouch! Then I remembered Joe’s tip.

Next time I see him, I’ll thank him for reminding me that sharing experiences makes both patient and provider more savvy to the ins and outs of good treatment—for HIV itself and for all its related problems.

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