Monday, July 13, 2009

Choosing a Healthcare Provider for Your HIV Treatment


Choosing a Healthcare Provider for Your HIV Treatment

There are a number of things that you must consider when searching for the right healthcare provider for your HIV treatment. "Healthcare Provider" can mean a physician, a Nurse Practitioner, or a Physician's Assistant (Nurse Practitioners and Physician's Assistants are not doctors, but they have received extensive education and training and in most states they are allowed to treat patients with only a minimum amount of physician supervision). You and your provider must work together as a team- and remember, you are the most important member of that team. Take an active role in planning your healthcare by reading and learning all that you can about the disease; ask your healthcare provider for written information or read information on reputable web sites. I would suggest starting with the Ceters for Disease Control or your state's health department, and broaden your search by following the links on those sites. Work in partnership with your provider to make decisions about you health care - this will make it much easier for you to stick to your treatment plan and remain healthy.

If you are newly diagnosed with HIV, you are most likely feeling overwhelmed, and may tend to avoid and procrastinate when it comes to seeking treatment. These behaviours are understandable, but may also be detrimental to your health. Early treatment will help you to understand what is going on in your body, and will also allow your provider to assess whether or not you need life-saving medications immediately. It can prevent or delay the progression of your disease to AIDS and prevent you from getting sick. You will also need a place to turn for emotional support, information, and education. Early in treatment, you will receive information regarding preventing the spread of HIV infection, safer sexual practices, and needle exchange programs if you are an intravenous drug user. You will also be directed to a counsellor or your local Health Department to discuss notification of any sexual or needle-sharing partners of their possible exposure to HIV.

If you are relocating to a new city, you will want to research the healthcare options where you have moved, and make the best decision for continuing your care in a timely manner.

You may also want to change providers as time goes on. You always have the right to stop seeing a provider and change to another at any time, for any reason. If you don't like your provider or you feel uncomfortable with him or her, or if you feel that your health care needs are not being addressed or your ideas about your treatment are now different from your provider's, then it is time to search for another provider.

Following are some important things to consider when choosing a provider:

Training and Experience: HIV treatment is very complicated and changes quickly, and there are many things to consider at all stages of the disease. It is essential that you see an HIV specialist (someone who treats a significant number of HIV infected patients and who is certified as a specialist by the American Academy of HIV Medicine (http://www.aahivm.org/). Your provider must be committed to staying current and up-to-date with the field. Ask how many HIV patients the provider has treated, and how many they currently see. Ask if he or she has experience treating patients at all stages of the disease.

Availability: Ask the office staff how long it usually takes to get an appointment, or to reschedule an appointment if you have to cancel. Also inquire about being able to get an appointment quickly if you are sick or are having a problem. You can see a general internist for other primary care needs, but I would recommend that you search for an HIV specialist who is also willing to provide primary care services. Every time another provider treats you, there is the potential for a possible HIV-related problem to be overlooked, or for a medication to be prescribed that has interactions with your HIV medications. You also need to find out how easy it is to have your provider return phone calls to you when you have questions that cannot be answered by the nursing staff.

Office Staff and Environment: You will most likely have complex problems and issues that will require expert assistance from support staff such as nurses, insurance and billing specialists, mental health and substance abuse counsellors, social workers, and case managers. The support staff is there to help you to get the benefits and help that you need. Although your initial visit to the office will be frightening and intimidating, you should be able to come out of the visit with a feel for whether or not it is a good fit for you and will provide you with the services that you need and allow you to develop trust and confidence in your care.

The Patient-Provider Relationship: Your relationship with your provider is perhaps the most important aspect of your care. During the initial visit with the provider, you will be able to assess if you will be able to develop trust and confidence in the provider. Most people do not want a "canned" approach to their healthcare, where every patient must do the same thing. Remember, this is a partnership, not a dictatorship. Discuss your goals and ideas about treatment to make sure that the provider is willing to be somewhat flexible and adjust to your needs, while still providing you with high-quality care. You will get a feel for the provider's overall outlook and approach during this initial visit - is it optimistic and hopeful? In order for you to get the best care, you must be comfortable discussing anything with your provider. He/she must be comfortable and non-judgemental about sensitive lifestyle issues such as sexual practices and drug use, to name just a few.

These are just a few things to consider when making this all-important decision. Take your time, and do your research. Choose a provider who is well-qualified, but who will also respect and listen to you. Remember, this is all about YOU!!!!!

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Saturday, July 11, 2009

Human Growth Hormone - HGH to Reduce HIV Patients' Fat Deposits

In recent times there have been multiple uses of Human Growth Hormone (HGH). This has led to its use in multiple applications in science and medicine. More recently it has been used and tested as a possible option in the treatment of HIV fat deposits.

HIV Treatment Side Effects

Studies have shown that HIV treatments have resulted in the unwanted side-effect of resulting fat deposits in the body. These fat deposits are called visceral fat, and greatly increase the occurrence of cardiovascular diseases in the body. The fat deposits are usually found in areas in the stomach, neck, and cheeks. The levels of cholesterol, triglycerides and blood sugar also shoot up because of these fatty deposits hence the increase in risk of heart disease.

Testing HGH on Fatty Deposits

A study was therefore made with the help of small doses of HGH. An experiment was conducted with 55 patients who were HIV positive. These patients naturally had low levels of natural HGH, which is a common factor in HIV patients with abnormally high fat deposits.

The results of the experiment have shown a marked reduction in the fat buildup in the body, particularly in these problem areas enumerated earlier. The amount of reduction especially in the abdominal area amounted to as much as a 10% reduction. This means that there is less risk of cardiovascular disease for patients such as these.

Unwanted Side Effects for Diabetes Patients

However, for patients with diabetes problems there have been side-effects. The side-effects were most especially seen in the abnormal rise of blood sugar levels in the bodies of these patients. It was also noted that although there was a rise in the blood sugar levels, there was however a significant decrease in blood pressure. Another general side effect seen in higher levels of HGH dosage was some abnormal inflammation of both tissues and joints.

This experimentation with HGH and fat levels in the body has led scientists to believe that the treatment could be used only with patients who have normal blood sugar levels. Treatment using HGH cannot be applied to those with diabetes problems as it becomes too much of a health risk.

Further Research Required

Further research must be made, and other treatments secured as this application of HGH to fatty deposits is too limited in scope. This leads scientists to further experimentation on other possible treatments for the fatty deposits resulting from continued HIV treatments.

What the Future Holds

It is refreshing to note that Human Growth Hormone has now had some noteworthy practical applications, especially this treatment of fatty deposits in HIV patients. If only HGH was used in more constructive ways, then the stigma that comes with it and its' abuse can be lessened. Scientists have shown that HGH can be an asset in the continuing fight against HIV and the complications that result from it. We can only wish them all the luck in further experiments for the future.


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Sunday, July 5, 2009

AIDS Treatment - HAART Method

According to medical experts, HIV/AIDS can be the cause of the most dreadful epidemic mankind has ever witnessed. Human immunodeficiency virus is a sexually transmitted infection that does not have any cure till date. All the available treatment options for this disease are capable of suppressing the symptoms. Best among these treatment options is the one that suppresses AIDS-related symptoms for as long as possible. As per the recommendations made by a panel of leading AIDS specialists, highly active retroviral therapy or HAART is one such treatment option.

The basic objective of HAART method is to improve the life expectancy of a HIV-infected person by reducing the amount of virus present in the blood to very low or almost undetectable levels. This objective is achieved by means of administrating more than 2 different kinds of anti-retroviral drugs as a combination therapy. These anti-retroviral drugs are medications used for the treatment of infections caused by retroviruses like HIV. There are six different classes of antiretroviral drugs available in the market whose function is to act as potent inhibitors at different stages of HIV lifecycle and prevent the growth, replication and proliferation of the virus.

Combination of antiretroviral drugs belonging to different classes helps in creating multiple obstacles for the virus at each stage of its lifecycle thus reducing the ability of the virus to replicate. This strategy has also been effective against drug-resistant strains of HIV. Drug-resistant strains arise as a result of mutations occurring in the viral genome. The most favored combination of antiretroviral drugs in a HAART method is the triple-cocktail approach where two nucleoside-analogue RTIs and one non-nucleoside-analogue RTI or a protease inhibitor are used.

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