“A Regime’s Tight Grip on AIDS”– My Reaction to the NY Times Article on HIV in Cuba

I read the article about HIV in Cuba (www.nytimes.com/2012/05/08/health/a-regimes-tight-grip-lessons-from-cuba-in-aids-control.html) with great interest.  In the 1980s patients who had HIV in Cuba were put into quarantine.  Prison, only nicer. I … [Continue reading]

What the Heck is Narrative Medicine?

Well, it’s an obvious question, I guess.  What is Narrative Medicine?  I’m asked this question fairly often when I say I have a masters degree in the topic.  And a one-line answer is that Narrative Medicine recognizes and values the importance of … [Continue reading]

One Pill a Day?

I recently upgraded my old cell phone to an iPhone.   My old phone could not send a text without me punching all of the various numbers buttons lots of times to get the correct letter to show up.  My texts tended to be very short.  As I learn to use … [Continue reading]

Why didn’t the patient return?

I saw a new patient today.  He came to the emergency room short of breath.  He told the doctors and nurses in the ER that he didn’t have HIV, or that he was unaware that he had it. A review of his chart showed a visit to a doctor at our medical … [Continue reading]

Patients and Social Media: Do We Google?

 In a session with a small group of medical students we talked about patient relationships and social media. We read a piece that appeared in the NY Times Magazine in 2010 in which a resident “friended” one of her patients on Facebook.  The patient … [Continue reading]

All the words had been spoken, but somehow the feeling still wasn’t right (Jackson Browne)

Sometimes one of the hardest aspects of caring for patients with HIV is getting the patient to take their medication. We spend a lot of time and effort in our clinic supporting the patients who need to be on medications.  The doctors, nurses, … [Continue reading]