The Future of HIV Care

In the United States, some of our most innovative steps forward in HIV care and research are taking place at one of the oldest HIV care facilities in the world. Humbly named Ward 86, this unassuming wing of San Francisco General Hospital opened 40 years ago as the first U.S. clinic dedicated specifically to the treatment of people living with HIV. Since then, it has been at the forefront of a host...

This month, we speak with Kathie M. Hiers and Jean Hernandez of AIDS Alabama about how to overcome barriers to care for vulnerable people -- and how administrators and clinicians alike can better ensure that everyone accesses the services they need.     Read the transcript: https://www.thebodypro.com/article/future-hiv-care-podcast-16-aids-alabama     This month's episode is hosted by Juan Michael...

This month, we're going to explore a significant set of recent changes to U.S. HIV clinical guidelines. These changes are momentous in and of themselves, but they also reveal an important ongoing shift in how we fundamentally approach the clinician-patient relationship, especially when it comes to pregnant and infant-feeding people who are living with HIV.     Joining us for this conversation are...

It's Black History Month, the shortest month of the year. It's not enough to simply talk about racism in health care as an issue or to acknowledge that the house is on fire; at a certain point, one has to formulate a game plan for addressing the issue effectively beyond analyzing data and conducting studies.     We speak with Susan Cole-Haley, an incredible HIV advocate and Black woman who is livi...

This month, we take stock of the most notable developments in 2022 that affected HIV medicine and clinical practice in the U.S. — and we'll also take a glimpse at the highlights that 2023 may hold in store. Our guide on this journey is David Alain Wohl, M.D., a professor of medicine in the Division of Infectious Diseases at the University of North Carolina. He's the author of an annual opus on The...

Over the long term, successful HIV treatment is not about addressing a single issue; it requires a full continuum of care. Anita Ravi, M.D., M.P.H., the founder and medical director of the PurpLE Clinic, shares how clinicians can best address the small-but-critical moments in the patient-provider relationship that make the difference between optimal outcomes and people falling out of care.     Rea...

Drug use is highly stigmatized not only within U.S. society, but within our health care system as well. This is all the more concerning in the context of HIV care, given the stigmas already associated with HIV. But it's within our power as health care providers to change that. In this month's episode, Joshua Barocas, M.D., of University of Colorado School of Medicine, explains how -- and why it's...

For providers of HIV-related care and services in the U.S., the legal landscape has grown more fraught in recent years. Despite protections baked into the Affordable Care Act, acts of medical discrimination are on the rise -- and are sometimes even encouraged by a provider's institution. We speak with Valerie Blake, J.D., of West Virginia University about these current realities, and how providers...

This month, we talk with Joseph Cherabie, M.D., M.Sc., of the Washington University School of Medicine about the keys to successfully taking a sexual history and discussing sex with your patients.   Though sexuality is an essential aspect of our humanity, taking a sexual history can often be a challenging experience for providers and a traumatizing one for patients. But to provide effective HIV ca...

We talk with Gregorio (Greg) Millett, M.P.H., a longtime HIV and public health advocate, about the implicit (and explicit) stigmas that harm our ability to fully tackle the new monkeypox epidemic—and about how we can do better as a clinical community. We'll also dispel a few medical misconceptions about monkeypox along the way.     Read the full transcript, which includes links to the many studies...

This month, gastroenterologist Jessica Korman, M.D., joins us to discuss one of the more common, yet underscreened, comorbidities that an HIV care provider can encounter in their patient: anal cancer and its precursors. Korman is a co-author of the newly published ANCHOR study, which explores the value of treating (versus simply observing) high-risk, pre-cancerous anal lesions. In this episode, sh...

Please note that this episode discusses depression and suicide, which some listeners may find triggering. IF YOU NEED HELP: The peer counseling service we discuss within this episode is called the Physician Support Line; it can be reached at 888-409-0141. It is a free service available every day between 8 a.m. and 1 a.m. Eastern Time.     For this podcast, we are stepping away from the discussion...

For this episode, we are looking at the provision of trauma-informed care to people who have experienced sexual assault. This includes, but is not limited to, helping survivors regain a feeling of control, effectively communicating with patients, and offering STI testing. Amanda Reames Pitelli, ANRP, M.S.N., the director of clinical services at Planned Parenthood of Metropolitan Washington, D.C.,...

There have been quite a few moments from our prior interviews that felt powerful and important, but which didn't make the cut for the final podcast audio, usually due to time constraints. These are moments that embrace the essence of this podcast, which is to go beyond the data to discuss where HIV medicine and services are changing in the United States, and to talk about how we can learn and adap...

We talk with Chloe Orkin, M.D., about one aspect of our future that in some very concrete ways has already arrived, and yet is currently out of reach for millions: long-acting medical interventions for HIV, the first of which were approved in the U.S. and Europe for treatment over a year ago and approved in the U.S. for prevention late last year. The beginning of the long-acting era has revealed a...

For our second episode, we tackle structural racism and power differentials in HIV care and services within the U.S. We focus on acknowledging current issues and identifying potential solutions that providers can employ in their daily work. Our staff writer Juan Michael Porter II takes the host chair.    We have two guests in store this month: Michael Chancley, M.S.W., and Deb Cohan, M.D., M.P.H....

We review some of the most important clinical developments in HIV that we've witnessed in 2021, with an eye toward how those developments will inform and alter our response to HIV in 2022 and beyond.   Our guest: David Alain Wohl, M.D., a professor of medicine in the Division of Infectious Diseases at the University of North Carolina and the site leader of the HIV Prevention and Treatment Clinical...