Webinar: Ask an HIV Expert – Q & A Session

Presentation

This session is intended for healthcare providers who have BASIC questions about HIV. There are no stupid questions. If you have an advanced question, or would like expert input on a particular case, email [email protected] and she will refer you to one of our AETC faculty. Please do not put private health information in an email.

Questions in the presentation:

• What is the current expected lifetime after a person is diagnosed with HIV?
• Why does anal sex pose the highest risk of HIV infection? Are there other infections that are more likely to occur with anal sex?
• If a person’s CD4 count is below 200, what is the recommendation as far as dental procedures? Should the case manager who is authorizing dental work get approval from the individual’s Infectious Disease provider?
• What can patients do to prevent discrimination? Should they lie about their status? Are there legal steps they should take to prevent this discrimination from happening?
• If you know you are HIV positive and you go into a facility, where there is a potential for you to bleed. Is there a legal obligation to tell?
• Why can’t saliva transmit HIV? If saliva can’t transmit HIV, then how do oral swab tests detect HIV?
• Does your blood type affect your chances of being infected with HIV?
• I often do STI testing for people living with HIV. While taking their sexual history, many people report that they have an undetectable viral load and therefore they cannot pass the virus. They state that they do not need to use condoms except to prevent other STIs. Is this accurate?
• How can Ryan White benefit patients, specifically in relation to paying for medications and patient visits? Who qualifies, and what is the process for getting that assistance?
• Under what circumstances will a HIV test come back as false positive or false negative? (i.e. mother to baby transmission, difference in window periods, etc.)
• With regards to mother to child transmission and antibodies being present in the child, how often does the child have to be tested? Will the child develop HIV as they grow older? At what point could transmission happen to the child?
• Some patients are “elite controllers,” which means that they are undetectable even without taking antiretrovirals. Can these elite controllers pass on the virus? Should they still be taking ART?
• Do elite controllers remain elite controllers throughout their lifespan or is there a possibility of them fluctuating and becoming a non-elite controller?
• What about breastfeeding and transmission HIV?
• Please explain the types of pain experienced by HIV patients, the various origins of pain and the most effective treatments.
• Is there a legal obligation to tell someone that you’re going to have sex with that you have HIV? Especially if you’re undetectable.
• What are the best strategies for people with HIV who are on dialysis?
• What’s the deal with Medicare?
• Are there any “best practices” or strategies to offset, or help prevent elevated cholesterol and glucose levels that are a result of medication? Is there a way to get in front of the problem before it actually does raise the cholesterol or glucose?
• What is your opinion on using BMI as a marker instead of waist circumference when looking for metabolic syndrome in people living with HIV? Do you measure waist circumferences of DXA fat measurements?
• Why is HIV so hard to cure?

Facilitated by

• Steve Raffanti, MD
• Sean Kelly, MD
• Anna Person, MD
• Raven O’Rourke, LCSW

Presentation

This session is intended for healthcare providers who have BASIC questions about HIV. There are no stupid questions. If you have an advanced question, or would like expert input on a particular case, email [email protected] and she will refer you to one of our AETC faculty. Please do not put private health information in an email.

Questions in the presentation:

• What is the current expected lifetime after a person is diagnosed with HIV?
• Why does anal sex pose the highest risk of HIV infection? Are there other infections that are more likely to occur with anal sex?
• If a person’s CD4 count is below 200, what is the recommendation as far as dental procedures? Should the case manager who is authorizing dental work get approval from the individual’s Infectious Disease provider?
• What can patients do to prevent discrimination? Should they lie about their status? Are there legal steps they should take to prevent this discrimination from happening?
• If you know you are HIV positive and you go into a facility, where there is a potential for you to bleed. Is there a legal obligation to tell?
• Why can’t saliva transmit HIV? If saliva can’t transmit HIV, then how do oral swab tests detect HIV?
• Does your blood type affect your chances of being infected with HIV?
• I often do STI testing for people living with HIV. While taking their sexual history, many people report that they have an undetectable viral load and therefore they cannot pass the virus. They state that they do not need to use condoms except to prevent other STIs. Is this accurate?
• How can Ryan White benefit patients, specifically in relation to paying for medications and patient visits? Who qualifies, and what is the process for getting that assistance?
• Under what circumstances will a HIV test come back as false positive or false negative? (i.e. mother to baby transmission, difference in window periods, etc.)
• With regards to mother to child transmission and antibodies being present in the child, how often does the child have to be tested? Will the child develop HIV as they grow older? At what point could transmission happen to the child?
• Some patients are “elite controllers,” which means that they are undetectable even without taking antiretrovirals. Can these elite controllers pass on the virus? Should they still be taking ART?
• Do elite controllers remain elite controllers throughout their lifespan or is there a possibility of them fluctuating and becoming a non-elite controller?
• What about breastfeeding and transmission HIV?
• Please explain the types of pain experienced by HIV patients, the various origins of pain and the most effective treatments.
• Is there a legal obligation to tell someone that you’re going to have sex with that you have HIV? Especially if you’re undetectable.
• What are the best strategies for people with HIV who are on dialysis?
• What’s the deal with Medicare?
• Are there any “best practices” or strategies to offset, or help prevent elevated cholesterol and glucose levels that are a result of medication? Is there a way to get in front of the problem before it actually does raise the cholesterol or glucose?
• What is your opinion on using BMI as a marker instead of waist circumference when looking for metabolic syndrome in people living with HIV? Do you measure waist circumferences of DXA fat measurements?
• Why is HIV so hard to cure?

Facilitated by

• Steve Raffanti, MD
• Sean Kelly, MD
• Anna Person, MD
• Raven O’Rourke, LCSW

Presentation

This session is intended for healthcare providers who have BASIC questions about HIV. There are no stupid questions. If you have an advanced question, or would like expert input on a particular case, email [email protected] and she will refer you to one of our AETC faculty. Please do not put private health information in an email.

Questions in the presentation:

• What is the current expected lifetime after a person is diagnosed with HIV?
• Why does anal sex pose the highest risk of HIV infection? Are there other infections that are more likely to occur with anal sex?
• If a person’s CD4 count is below 200, what is the recommendation as far as dental procedures? Should the case manager who is authorizing dental work get approval from the individual’s Infectious Disease provider?
• What can patients do to prevent discrimination? Should they lie about their status? Are there legal steps they should take to prevent this discrimination from happening?
• If you know you are HIV positive and you go into a facility, where there is a potential for you to bleed. Is there a legal obligation to tell?
• Why can’t saliva transmit HIV? If saliva can’t transmit HIV, then how do oral swab tests detect HIV?
• Does your blood type affect your chances of being infected with HIV?
• I often do STI testing for people living with HIV. While taking their sexual history, many people report that they have an undetectable viral load and therefore they cannot pass the virus. They state that they do not need to use condoms except to prevent other STIs. Is this accurate?
• How can Ryan White benefit patients, specifically in relation to paying for medications and patient visits? Who qualifies, and what is the process for getting that assistance?
• Under what circumstances will a HIV test come back as false positive or false negative? (i.e. mother to baby transmission, difference in window periods, etc.)
• With regards to mother to child transmission and antibodies being present in the child, how often does the child have to be tested? Will the child develop HIV as they grow older? At what point could transmission happen to the child?
• Some patients are “elite controllers,” which means that they are undetectable even without taking antiretrovirals. Can these elite controllers pass on the virus? Should they still be taking ART?
• Do elite controllers remain elite controllers throughout their lifespan or is there a possibility of them fluctuating and becoming a non-elite controller?
• What about breastfeeding and transmission HIV?
• Please explain the types of pain experienced by HIV patients, the various origins of pain and the most effective treatments.
• Is there a legal obligation to tell someone that you’re going to have sex with that you have HIV? Especially if you’re undetectable.
• What are the best strategies for people with HIV who are on dialysis?
• What’s the deal with Medicare?
• Are there any “best practices” or strategies to offset, or help prevent elevated cholesterol and glucose levels that are a result of medication? Is there a way to get in front of the problem before it actually does raise the cholesterol or glucose?
• What is your opinion on using BMI as a marker instead of waist circumference when looking for metabolic syndrome in people living with HIV? Do you measure waist circumferences of DXA fat measurements?
• Why is HIV so hard to cure?