Date   
Even Moderate Drinking Puts Many Older Adults at Risk Regular alcohol use may harm those over 60 with health issues

Nelson
 

Darn...when I was starting to enjoy my wine!

Even Moderate Drinking Puts Many Older Adults at Risk
Regular alcohol use may harm those over 60 with health issues, prescription meds, research shows
www.life-extension-drugs.com/
_________________________

Although one to two alcoholic drinks a day is often considered safe or possibly even beneficial for health, this habit may put many older adults at risk, a new study has found.

Older adults are considered "at risk" if they have at least one of the following drinking behaviors: they consume more than two drinks a day; they consume one to two drinks on most days and have certain health problems, such as gout, hepatitis or nausea; they consume one or two drinks on most days and take certain medications, such as antidepressants or sedatives.

University of California, Los Angeles researchers analyzed data from more than 3,300 patients aged 60 and older who went to primary care clinics near Santa Barbara, Calif., and found that:

34.7 percent of the patients were at risk due to drinking alone or drinking in combination with existing health problems or medications, and 19.5 percent fell into multiple risk categories.

Of those at risk, over 56 percent were in at least two risk categories, and 31 percent were in all three risk categories.
At-risk drinking was 2.5 times more likely among patients who had not graduated from high school than among those who had completed graduate school.

Patients with annual household incomes between $80,000 and $100,000 were 1.5 times more likely to be at risk than those with incomes under $30,000.

Those 80 or older were about half as likely to be at risk as patients between 60 to 64 years old.

At-risk drinking was less than half as common among Asians as among whites.

The study was published online in the Journal of General Internal Medicine.

"In summary, even among our relatively advantaged study patients, as many as one in three who continued to consume alcohol into older adulthood were at risk of harm from drinking," lead study author Andrew Barnes, a researcher in the UCLA School of Public Health's department of health services, and colleagues wrote.

"Physicians may be less aware of other alcohol-related risk factors common among the elderly (e.g., interactions with select medications and comorbidities) than the risks associated with heavy drinking," they concluded.
 
Regards,

Nelson Vergel
powerusa dot org

Drug interaction report from last conference in Italy

Nelson
 

For the geeky ones in this list who like to know about interactions and pharmacology
Regards,

Nelson Vergel
powerusa dot org

Low Testosterone Raises Heart Death Rates in Impotent Men

Xion Xion
 

Low Testosterone Raises Heart Death Rates in Impotent Men


THURSDAY, April 29 (HealthDay News) -- Among men with erectile dysfunction, those who also have low testosterone levels face a higher than normal risk of dying from cardiovascular disease, a new study has found.

In a second study, the same team of researchers also found a link between obesity and impairment of blood flow to the penis, which, in turn, is linked to cardiovascular disease in erectile dysfunction patients.

In the first study, researchers led by Dr. Giovanni Corona, of the University of Florence, examined the testosterone levels of 1,687 men seeking treatment for erectile dysfunction. After an average follow-up period of 4.3 years, 137 of the men had had a heart attack or other major heart problem, and 15 had died.

Those who had lower levels of testosterone were the most likely to die of heart problems, the study authors found.

"Our work shows that screening for testosterone deficiency in men with erectile dysfunction may help clinicians identify those at higher risk from cardiovascular events," Corona said in a news release from the European Society of Endocrinology. "However, at the moment we can't say whether low testosterone levels are the cause or the consequence of this higher risk."

A second study looked at the same group of men and found a link between clinical obesity, which means a body-mass index of greater than 30, and reduced blood flow to the penis. This reduced blood flow was significantly related to an increased incidence of major cardiac events, such as heart attacks, in obese men but not in leaner men.

The findings were scheduled to be presented at the European Congress of Endocrinology, held April 24 to 28 in Prague, the Czech Republic.


Bone Mineral Density

Philip DiPasquale
 

 

I think that what you are doing differently as a result of your DEXA scan is exactly the same thing I am doing as the result of my DEXA scan.  You are taking measures that might keep you from having to roam into biophosphate and osteonecrosis territory.

 

In my case, I  am now taking a prescription dose of Vitamin D and keeping up with testosterone treatment more vigilantly and I have an endocrinologist who is on top of it.  This is different than without a diagnosis.

 

As we all know... for insurance companies...having a DIAGNOSIS is pretty important for treatment. 

 

I also think that for HIV’ers, getting a bone density baseline makes more sense than not.

 

This is not a terribly expensive procedure. 

 

Phil

 

 

Having said that, I’m not a big fan of universal DEXA testing.

·         My bottom line is, what would we do differently with a DEXA result? And my conclusion is, not much!

 

 

In my own case, I got a DEXA scan and the results show that I have osteoporosis. I discussed the results with my doc and my endocrinologist. They both agree on supplementing calcium and Vitamin D but neither one of them thinks it’s time to start a bisphosphonate (the most common anti-osteoporosis drugs, think Sally Field and Boniva!) So at least for the time being, I’m not doing anything different based on the DEXA results.

 

Help save ADAP programs!

Bob Munk
 

Hello all,

 

This message is originally from Ryan Clary at Project Inform, San Francisco.

 

Bob

 

Hi everyone:

There is a big push this week to get calls and emails to the White House urging President Obama to provide emergency funding for ADAPs that are unable to provide treatment to those in need. Please take a few minutes to read through the Alert below and make a phone call and/or send an email - and spread the word! Time is running out and we need to act now.

Thanks!

Ryan Clary
Project Inform

Urge President Obama to Provide Emergency Funding for ADAPs in Crisis

AIDS Drug Assistance Programs provided medications to over 166,000 individuals in FY2009. Unfortunately, many ADAPs have put in place barriers to access such as reducing the eligibility, changing the formulary, and closing enrollment. Nearly 1,000 individuals in nine states are on waiting lists to receive their life-saving and life-sustaining medications through the AIDS Drug Assistance Programs (ADAP). We need your help to ensure that the Obama Administration takes action to help those in need!

How you can help:

There are two ways you can help. By the end of the week please call or email (or both) the White House.

1. Call the White House at 202-456-1111 begin_of_the_skype_highlighting              202-456-1111      end_of_the_skype_highlighting and leave the following message:
My name is and I am calling today to urge President Obama to provide $126 million in emergency funding for the AIDS Drug Assistance Programs. These programs provide life-saving medications to HIV-positive individuals who have no other access to care. However, nearly 1,000 HIV-positive individuals are on waiting lists to receive their medications. Please take action to address the crisis.

2. Email the Office of National AIDS Policy with a similar message.
Please email AIDSpolicy@... with the following message:

My name is and I am writing today to urge President Obama to provide $126 million in emergency funding for the AIDS Drug Assistance Programs. These programs provide life-saving medications to HIV-positive individuals who have no other access to care. However, nearly 1,000 HIV-positive individuals are on waiting lists to receive their medications. Sixteen other states have instituted additional cost containment measures that are barriers to their programs.

Please take action to help these ADAP clients.
Sincerely,
Your Name and City, State

Talk to your doctor about improved wakefulness. FREE offer inside!

Nelson Vergel <PoWeRTX@...>
 

Free 30 day supply of Nuvigil...a great drug for those with fatigue

Regards,

Nelson Vergel


-----Original Message-----
From: Info@...
To: powertx@...
Sent: Wed, Apr 28, 2010 3:17 pm
Subject: Talk to your doctor about improved wakefulness. FREE offer inside!

Visit us at www.NUVIGIL.com
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In patients with OSA, NUVIGIL is used along with other medical treatments for this sleep disorder. NUVIGIL is not a replacement for your current treatment. Consult your doctor about the importance of continuing your current OSA treatment while taking NUVIGIL.
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Please sign-on to free HIV educator Maksim Povov. Please forward widely.

Jeanne Bergman <wheedle@...>
 

April 29, 2010
 
Dear colleague,
 
I am forwarding the attached letter calling for the release of Maksim Popov, an HIV educator in Uzbekistan who was convicted on false charges and sentenced to seven years imprisonment. Please read the letter for more details on his case.
 
We have been advised by people familiar with the situation in Uzbekistan that the best first step is to publicly call on the organizations that funded his organization to work for his release.  So we're asking for additional organization sign-ons by May 10th, when we will send the letter to the addressees listed.
 
Please help us right this horrible injustice!  Send your organization's sign-on to releasepopov@... by May 10, 2010.
 
The letter is posted on the web at http://s172851359.onlinehome.us/popov.html
 
Sincerely,

Jeanne Bergman and Mark Milano, for The International Committee for the Release of Maksim Popov
 
 
AN OPEN LETTER CALLING ON INTERNATIONAL AGENCIES
TO SUPPORT AMNESTY FOR MAKSIM POPOV
 
April, 2010
 
Nemat Shafik, Director General Country Programmes, DFID
Michel D. Kazatchkine, Executive Director, Global Fund to Fight AIDS, TB and Malaria
Karl Hofmann, President and CEO, PSI
Michel Sidibé, Executive Director, UNAIDS
Helen Clark, Administrator, UNDP
Anthony Lake, Executive Director, UNICEF
Rajiv Shah, Administrator, USAID
Robert B. Zoellick, President, World Bank
Hillary Rodham Clinton, U.S. Secretary of State
Robert Blake, Assistant U.S. Secretary of State for South and Central Asian Affairs
Representative Howard Berman, U.S. House Committee on Foreign Affairs
 
Dear colleagues:
 
We, the undersigned, are writing to express our deep concern over the imprisonment of Maksim Popov, an HIV prevention educator, psychologist, and director of a small NGO in Uzbekistan who was falsely convicted in June 2009 of charges including “evasion of taxes and other compulsory payments” and “the involvement of minors in the use of narcotic drugs.” He was sentenced to seven years imprisonment as a result of his HIV prevention efforts.
 
Mr. Popov was the director of the non-governmental organization IZIS, which was funded by the USAID, UNICEF, UNAIDS, the Global Fund, the U.N. Development Programme, and the Department for International Development (UK). IZIS conducted activities such as counseling services, provision of sterile injection equipment, training for an AIDS education hotline, and anti-drug education for youth. These services are desperately needed in Uzbekistan, which has the highest HIV prevalence in Central Asia, and where over half of those living with HIV are between the ages of 15 and 30.
 
The court cited Healthy Lifestyles. Teacher’s Guide XXI, a booklet funded by UNDP, UNAIDS and USAID, and imported into Uzbekistan by Population Services International (PSI), stating it was used “with the aim of committing indecent acts against people he knew to be under age 16…bearing propaganda promoting homosexuality and prostitution, as well as pornographic images, among youth.” HIV and AIDS Today, a brochure written and funded by UNICEF and PSI that included a discussion of same-sex relations and the use of condoms, was also cited. All copies were seized by authorities and burned.  The court’s verdict stated that HIV and Men who have Sex with Men in Asia and the Pacific – a publication of UNAIDS – was “categorically in contradiction with the mentality, the morality and moral foundations of society, religion, customs and traditions of the people of Uzbekistan.”
 
We find it unconscionable that the bilateral donors who funded his work have abandoned him, and we are calling for concerted diplomatic efforts to secure his immediate release.  The bilateral agencies, international donors, and NGOs that supported and encouraged Mr. Popov’s work must take steps to protect him and win his amnesty.  The international fight against AIDS cannot succeed if local partners are forsaken when the political winds shift.
 
We request a report on what steps your organization is taking to get Mr. Popov released as quickly as possible. Please contact us at releasepopov@.... We must all work together to right this horrible wrong!
 
Sincerely,
 
The International Committee for the Release of Maksim Popov:
 
cc:
 
Representative Gary Ackerman
Representative Tammy Baldwin
Senator Bob Casey
Representative Joe Crowley
Howard Diamond
Christopher Bates, Office of AIDS Policy
William Clinton, CHAI
Representative Barney Frank
Senator Karen Gillibrand
Eric Goosby, U.S. Global AIDS Coordinator
Paul Hunt, U. N. Special Rapporteur on Health
Senator John Kerry
Representative Nancy Pelosi
Representative Jared Polis
Senator Harry Reid
Senator Charles Schumer
 
Signers (list in formation):
 
ACT UP/NY
ACT UP/Philadelphia
ACRIA – AIDS Community Research Initiative of America
African Services Committee
AREA – American Run for the End of AIDS
Association for Human Rights in Central Asia, France
ATAC – AIDS Treatment Activists Coalition
AXIOS Eastern Orthodox Christian AIDS ministry
CHAMP – Community HIV/AIDS Mobilization Project
CitiWide Harm Reduction
CIVICUS – World Alliance for Citizen Participation – Sonia Zilberman
Comité IDAHO, Paris
Committee for the Release of Prisoners of Conscience, Uzbekistan – Bahadir Namazov
ECAB – European Community Advisory Board
The Expert Working Group, Uzbekistan
Fiery Hearts Club, London – Mutabar Tadjibaeva
Global Network of PLWHA/North America
Harm Reduction Coalition
Health GAP (Global Access Project)
Housing Works
Human Rights in Central Asia – Nadejda Atayeva
International Crisis Group
Mothers Against Death Penalty and Torture, Uzbekistan – Tamara Chikunova
NAPWA – National Association of People with AIDS
NYCAHN – NYC AIDS Housing Network
Program for Wellness Restoration
Topeka AIDS Project
TAC – Treatment Action Campaign, South Africa 
TAG – Treatment Action Group
Unitarian Universalist United Nations Office
Uzbekistan Initiative, London
"Veritas" Youth Human Rights Movement of Uzbekistan
VOCAL – Voices of Community Advocates & Leaders 
 
 

Providers trained in high resolution anoscopy

rolyatffej@...
 

Hello all--

Below is the list of providers  changed  in HRA from the currently offline UCSF  Anal Cancer Info website.  I've been asked to  post  this with the caveat that it is not  up-do-date, but does include  providers who have been  trained in HRA by UCSF.  They are working to get their website  back up ASAP (The stae of California  is beset  by budget cuts  and staff layoff/furloughs, so nothing is happening quickly)  In the meantime, CATIE has a great  anal dysplasia info sheet with good basic info

Hope this helps.

Jeff in Palm Springs.

HRA Providers by Location
 
Australia
 
Sydney
 
Richard Hillman, MD
Internal Medicine
University of Sydney
+61-2-8382-3707
 
United States
 
California
 
Los Angeles
 
Robert Bolan, MD
Family Medicine
LA Gay and Lesbian Center
(323) 993-7500
 
Alen Voskanian, MD
Family Medicine
UCLA
(310) 584-6625
 
Oakland
 
David Bitar, MD
Colorectal Surgeon
East Bay AIDS Center
Please call EBAC at (510) 869-8400 and ask to see Dr. Bitar for HRA; or call his office at (510) 845-4638.
 
Palm Springs
 
Joe Dahman, NP
Primary Care and HIV
Desert AIDS Project
(760) 323-2118
 
John Stansell, MD
Internal Medicine and Pulmonary Disease
(760) 327-2277
 
San Diego
 
Edward Cachay, MD
Internal Medicine and Infectious Diseases
UCSD
(619) 543-3995
 
Joseph Caperna, MD
Internal Medicine
UCSD
(619) 543-3995
 
Christopher Mathews, MD
Internal Medicine
UCSD
(619) 543-3995
 
San Francisco
 
J. Michael Berry, MD
Oncologist
UCSF
(415) 353-7100
 
Naomi Jay, NP
Women’s Health
UCSF
(415) 353-7100
 
Joel Palefsky, MD
Internal Medicine and Infectious Diseases
UCSF
(415) 353-7100
 
Mary Rubin, NP
Women’s Health
UCSF
(415) 353-7100
 
San Mateo
 
David Gershan, MD
Family Medicine
San Mateo County Health Department
 
 
Georgia
 
Atlanta
 
Eric Boyette, NP
Infectious Diseases
Grady Health System
No self-referral; patient’s primary must provide written referral through the Infectious Diseases Program to see Eric for HRA.
 
Illinois
 
Chicago
 
James Tom Barrett, MD
Family Practice
Howard Brown Health Center
(773) 388-8660
 
Maryland
 
Baltimore
 
Monique Tello, MD
Internal Medicine and Women’s Health
Johns Hopkins School of Medicine
Please call the Johns Hopkins Moore Clinic at (410) 955-1725 and ask to see Dr. Tello in the Anal Dysplasia Clinic for HRA.
 
Massachusetts
 
Boston
 
Daniel Cohen, MD
Infectious Diseases
Fenway Community Health Center
Please call Fenway Community Health at (617) 927-6000 and ask for the HPV Clinic; patient’s primary must provide referral.
 
Jerry Feuer, PA
Primary Care
Fenway Community Health Center
Please call Fenway Community Health at (617) 927-6000 and ask for the HPV Clinic; patient’s primary must provide referral.
 
Elizabeth Stier, MD
Obstetrics and Gynecology
Boston Medical Center
(617) 414-6375
 
Minnesota
 
Minneapolis
 
Jason Baker, MD
Infectious Diseases
University of Minnesota
Hennepin County Medical Center
(612) 873-2700
 
Robert Madoff, MD
Colorectal Surgeon
University of Minnesota
(612) 625-3615
 
James Ogilvie, MD
Colorectal Surgeon
University of Minnesota
(612) 625-3615
 
New Hampshire
 
Dartmouth
 
Diane Harper, MD
Gynecologist and Family Medicine
Dartmouth College
(603) 448-5886
 
New York
 
New York City
 
Renaldo Barrios, NP
Adult Nurse Practitioner
Callen-Lorde Community Health Center
(212) 271-7145
 
Stephen Goldstone, MD
Surgeon
Mt. Sinai School of Medicine
(212) 242-6500
 
Jeff Huyett, NP
Primary Care
Callen-Lorde Community Health Center
(212) 271-7200
 
Gal Mayer, MD
Internal Medicine
Callen-Lorde Community Health Center
(212) 271-7200
 
Rochester
 
Theresa Schwartz, NP
HIV Specialist
Patients with private insurance:
Rochester Colon Rectal Surgeons PC
(585) 244-5670
Patients with Medicaid:
Strong Memorial Hospital
(585) 275-5129
 
Ontario
 
Toronto
 
Jill Tinmouth, MD
Gastroenterologist
Sunnybrook Health Sciences Centre
Please call Marie Sano at (416) 340-4800 x 8172
 
Quebec
 
Montreal
 
Alex Ferenczy, MD
Gynecological Pathologist
SMBD – Jewish General Hospital
(514) 340-7521
 
Texas
 
Fort Worth
 
Stephen Weis, DO
Internal Medicine
Tarrant County Health Department
(817) 321-4850
 
Houston
 
Elizabeth Chiao, MD
Infectious Diseases
Baylor College of Medicine
(713) 873-4115
 
Eric Haas, MD
Colorectal Surgeon
Colorectal Surgery Associates
(713) 790-0600

Fw: Drug Interactions Frequently Unrecognized by Health Care Providers

Nelson
 

Sent via BlackBerry by AT&T


From: "AIDSmeds.com" <news@...>
Date: Wed, 28 Apr 2010 09:20:00 -0400
To: <nelsonvergel@...>
Subject: Drug Interactions Frequently Unrecognized by Health Care Providers



Treatment News

April 27, 2010
Study Finds Low Vit. D Levels in Most People With HIV
Up to 52 percent of people with HIV in a Swiss study had dangerously low vitamin D levels. The study, published in the May 15 issue of AIDS, also found that people taking non-nucleoside reverse transcriptase inhibitors (NNRTIs) or the drug Viread (tenofovir) were more likely to have low vitamin D levels.
April 26, 2010
Drug Interactions Common, Frequently Unrecognized by Health Care Providers
Not only are significant drug-drug interactions common among people living with HIV taking antiretroviral (ARV) therapy, but they are frequently overlooked by health care providers. These important findings were reported by a team of Liverpool researchers in the May 15 issue of Clinical Infectious Diseases.
April 23, 2010
Rilpivirine Comparable to Sustiva for First-Time Treatment
Gilead Sciences and Tibotec Pharmaceuticals announced earlier this week that two Phase III clinical trials have found rilpivirine (TMC278) to be non-inferior to Sustiva (efavirenz) in people living with HIV beginning antiretroviral (ARV) therapy for the first time.

Knowledge, hope, support and care for those with mental illness.

Web Exclusive


HIV and Aging: The Potential Role of Inflammation


The good news is we’re living longer with HIV. The bad news is we’re aging faster than those not infected HIV. The body’s hyperactive response to the virus, even among those being successfully treated with antiretrovirals, is being eyed as the culprit. Fortunately, researchers already have potential anti-aging and anti-inflammatory treatments in sight.

16th CROI

Featured Video from CROI
Heard in the Blogs

Richard's BlogFrom Richard's Blog

Throb

The room I write in is dark tonight. I can see a slight reflection of my face in the monitor. As I adjust the screen what stands out is that my right temporal artery is throbbing. I can feel the blood punish its way through the vessel in my head. My breathing is becoming a little more difficult than I imagined it should. I feel remarkably calm and I sit here and take my blood pressure again as see it bound up to 190/130. I try not to think about it. But it is all I can think about.

I have made sure my desk drawer with all my important legal papers are in order. I know I am being over dramatic but it feels like some drama is called for here.

My blood pressure has been on a slow assent to cerebral annihilation for several weeks. The medications are not working. I don't have any room for lifestyle changes in my world. I am a sober jock that works out 5 days a week and eat an excellent diet. I don't smoke, drink or drug. My only downfall is taking HIV medications for nearly 20 years. I am a long-term AIDS survivor nervously waiting to be fallen by my once athletic heart.

Read more and post a comment...

Heard in the Forums

Long story short, 3 months ago I found out that my Partner of 23 years had spent the last 10 years cheating to the tune of 120 different guys. After insisting that he get tested for all STDs, he was diagnosed as HIV+. I was just reading another thread where someone talks about buffalo hump. I'm really foggy on the whole side effect, can anyone explain?

—Bookguy708's "How Do I Stay Negative?"


What causes it? Is it just the HIV meds, or is it like a combination of meds, lifestyle, etc.? Which meds usually cause this type of reaction? Is it something that occurs after years of taking meds?

—Tokyodance's "Buffalo hump"

 

 




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Re: How to Survive an Earthquake

Barrowster
 

"9) People inside of their vehicles are crushed when the road above falls in
an earthquake and crushes their vehicles; which is exactly what happened
with the slabs between the decks of the Nimitz Freeway... The victims of
the San Francisco earthquake all stayed inside of their vehicles. They were
all killed. They could have easily survived by getting out and sitting or
lying next to their vehicles. *Everyone killed would have survived if they
had been able to get out of **their cars and sit or lie next to them*. All
the crushed cars had voids 3 feet high next to them, except for the cars
that had columns fall
directly across them."

So, the lesson is:  Don't be near the earthquake.   Does this moron really believe you can just decide "not to be in their car" when driving home and the highway collapses?

Don't know about the others, but this one is so absurd as to put the whole thing in doubt.


JB

HPV Test Detects More Pre-Cancerous Cells Than Conventional Smear Test

Nelson
 

Re: imprisonment of Maksim Popov, an HIV prevention educator and human r

Jeanne Bergman <wheedle@...>
 

The version of the letter posted here yesterday about amnesty for Maksim Popov is a draft, with the preliminary list still in formation. The final version will be released later today (April 28), along with information about how additional organizations and individuals can sign on. Please don't forward the old version.
Thanks, especially to Nelson for his support.
Jeanne Bergman

Re: WARNING: Save your own email in your email address book

edward t <ect9148@...>
 

Yhis has been happening to me as well. I already have my own email in my contacts. What I have noticed these messages are being sent to contacts that I eliminated some time ago. They are not going back in to collect your contacts but they are shared.
Ed

--- In PozHealth@..., Nelson Vergel <nelsonvergel@...> wrote:



I am getting at least 5 spam emails a day now from members in this list that got their emails hacked like mine two weeks ago. The number of hacked email addresses is increasing every day. Most are from aol and yahoo.

EVERYONE in this list should add their own email address to their email adress book. If you get hacked, you will get a weird email from your own email address. That will alert you to change your password ASAP.
Regards,


Nelson Vergel
powerusa dot org

WARNING: Save your own email in your email address book

Nelson
 


I am getting at least 5 spam emails a day now from members in this list that got their emails hacked like mine two weeks ago.  The number of hacked email addresses is increasing every day.  Most are from aol and yahoo.

EVERYONE in this list should add their own email address to their email adress book. If you get hacked, you will get a weird email from your own email address. That will alert you to change your password ASAP.
 
Regards,

Nelson Vergel
powerusa dot org

Fw: Hot Topics at The Body's "Ask the Experts" Forums

Nelson
 


 

If you have trouble reading this e-mail, you can see the online version at: www.thebody.com/topics.html


April 27, 2010 Visit the Forums "Hot Topics" Library Change/Update Subscription


HIV/AIDS & BODY SHAPE CHANGES


 What Can Be Done About a "Mixed Pattern" of Lipodystrophy?
I've been taking Epivir (3TC, lamivudine), Sustiva (efavirenz, Stocrin) and Zerit (d4T, stavudine) since 2006. I have a big belly and a buffalo hump on my neck, and the rest of my upper body is also big; but my hips are completely gone and my legs are thinning. I look shapeless. What can I do?


 What Do You Think About Artefill for Lipoatrophy?
What are some of the benefits and drawbacks to Artefill (polymethyl-methacrylate, also known as PMMA, Articol or Metacrill) for treating lipoatrophy?


 Is It Possible to Remove Bio-Alcamid From My Wife's Lips?
My wife had Bio-Alcamid (polyalkylimide) injections done in her lips in her native country, Turkey. She now wants the Bio-Alcamid removed. Is it safe to have it removed? If so, how would it be done?


LIVING WITH HIV/AIDS


 What's Age Got to Do With HIV Disease Progression?
Does older age at the time someone becomes HIV positive mean faster progression of the disease -- especially without treatment?


 Dear Dr. Bob: Is It "Cool" to Be HIV Positive Nowadays?
Do you think that the "fear HIV" method of prevention is still working after decades of this epidemic? Don't you think it's the same as putting warning messages on cigarette packages, which never proves effective in lowering the actual number of smokers? I regularly meet people who are not concerned about HIV, and others already infected who claim to feel great. Don't you think that some prevention messages serve to keep the stigma around HIV?


Image from the April 2010 Visual AIDS Web Gallery
"Good Humor" 2001; Michael Golden

Visit the April 2010 Visual AIDS Web Gallery to view our latest collection of art by HIV-positive artists! This month's gallery, entitled "Help! Hold Me!," is curated by Emily Nepon.
EXERCISE & NUTRITION


 Too Weak to Exercise: How Can I Strengthen the Muscles in My Legs?
I received an AIDS diagnosis in 2005. I had a CD4 count of 7 and my viral load was over 600,000. During that time I couldn't get out of bed due to depression, and my legs became so weak I lost the ability to walk. Now, five years later, I still can't walk and have gained over 100 pounds. Can you recommend any exercises or supplements to build strength in my legs so I can exercise like I used to and lose some weight?


 What's Wrong With Low-Calorie Diets?
I'm HIV positive with a CD4 count in the mid-300s and a nearly undetectable viral load (189 when last I checked). This is an improvement in just the past year from a CD4 count of 124, a viral load over 1 million and severe fatigue and pain. I now take Atripla (efavirenz/tenofovir/FTC), but I've put on a lot of weight since getting better. What do you think of the "HCG diet" (a very low-calorie diet combined with hormone treatments) and other calorie-cutting diets?


MIXED-STATUS COUPLES


 Could Non-HIV Blood Work Detect That My Partner Is HIV Positive?
After I was diagnosed with HIV about 14 months ago, my partner got tested twice and was HIV negative, thankfully. He insists on performing unprotected oral sex on me as he believes the risk of his becoming infected is very low. I know that, too, but I still worry. Anyway, he had a physical for his job and many of his blood-level tests came back low. Could these blood test results indicate HIV infection?


HIV/AIDS TREATMENT


 We Want to Get Pregnant: How's Our Regimen?
My wife and I are both HIV positive with undetectable viral loads and CD4 counts in the 300 range, and we're both taking Sustiva (efavirenz, Stocrin) and Truvada (tenofovir/FTC). Would it be possible for us to have an HIV-negative baby? Is our HIV med regimen good for a pregnant woman?


 Is There Another Triglyceride-Friendly Med Besides Expensive Isentress?
I am currently on a regimen of Combivir (AZT/3TC) and Sustiva (efavirenz, Stocrin). My viral load is undetectable and my CD4 count is around 600, but my triglyceride level has gone through the roof! My doctor has suggested that I switch from Sustiva to Isentress (raltegravir) to help lower my triglyceride level. However, my insurance co-pay for Isentress is about 10 times that of Sustiva. Are there any alternatives to Isentress for lowering my triglycerides?


More Questions About HIV/AIDS Treatment:


OTHER HEALTH ISSUES


 How Can I Tell if My Rash Is Due to Atripla?
I've been taking Atripla (efavirenz/tenofovir/FTC) since I was diagnosed with HIV. I came down with shingles and my doctor gave me Valtrex (valacyclovir) for it, which seems to be working. However, I've noticed small bumps on my body that don't look like shingles. How can I tell if it's Atripla, shingles or something else causing this rash?


 If I Start HIV Meds, Will My Neutrophil Count Improve?
I recently received my latest lab results. My viral load is 70,000, my CD4 count is 926 and my doctor also informed me that my neutrophil (a type of white blood cell) levels have dipped lower than he would like to see them. He wants me to start HIV meds as a result. I'm not sure I want to start meds yet, but I will if it means better overall neutrophil levels. What do you think?


More Questions About Other Health Issues:


Do I Need to Detox Before I Start HIV Meds Again?
(A recent post from the "Living With HIV" board)

I got infected in 1996 and was confirmed HIV positive in 1997 and was at the same time labeled with AIDS. I have been off and on treatments over the years. I have had four children and was on treatments throughout my pregnancies. My last baby is two now and I have not been on treatment for two years. I have tried a few combos but I was not able to tolerate the side effects. I am wondering if it would help for me to try to detoxify my body before trying to start meds again. I drink a lot of sodas and sweets and don't get enough exercise. If I cut out the sodas and sweets as much as possible and start walking daily, would that help with the side effects? I was also wondering about alternative and complementary treatments I could do along with the meds. I am really worried because my last T cells were 124. I would really like to get that number up as much as possible. Does anyone have any advice? -- cdhaileyp7
Click here to join this discussion thread, or to start your own!

To do this, you'll need to register with TheBody.com's bulletin boards if you're a new user. Registration is quick and anonymous -- click here to get started!


UNDERSTANDING HIV/AIDS LABS


 What Are Some Ways to Raise My CD4 Count?
I am a 50-year-old man and I was diagnosed with HIV in June 2008. At that time my CD4 count was around 36 and my viral load was well over 350,000. I finally got to see an HIV specialist here in Mississippi and was started on Atripla (efavirenz/tenofovir/FTC) and Bactrim (co-trimoxazole). I have never missed a single dose, and my viral load dropped to undetectable after about nine months. However, my CD4 count seems to have peaked at around 260 and at my last doctor visit it was back down to 175. Is there anything else I can do to raise my CD4 count?


 How Do I Find Out Which Lab Tests My Insurance Covers?
I have health insurance through my employer and I see the doctor four times a year. I thought my insurance covered my lab tests, but a few months ago I got four large bills in the mail for lab work dating back to January 2009. Shouldn't I have been informed if my insurance doesn't cover lab work? How could I have avoided this situation?


HIV TRANSMISSION, TESTING & DISCLOSURE


 How Do I Tell My Ex She Might Have HIV?
I recently tested HIV positive. I think I may have become infected while I was married. How do I tell my ex-wife that she might be HIV positive as well?


 Possible Exposure to Rare Types of HIV: Are the Usual Tests Reliable?
I have had unprotected sex with people from all over the world. I've tested HIV negative twice for HIV-1 and HIV-2, but I'm extremely concerned about rare strains of HIV from other parts of the world. How are cases of HIV types N and O detected if there aren't tests for those strains in the first place?


 Stepdaughter and Her Boyfriend Recently Diagnosed: Who Was Infected First?
My stepdaughter and her boyfriend both recently tested HIV positive. His CD4 count was 540 and his viral load was 6,000. Her CD4 count was 280 and her viral load was 30,000. He also had some flu-like symptoms, and she had them about a month later. Are there any reliable clues here to determine which of the two of them was infected first?


STRANGE BUT TRUE


 Family Picnic -- on the HIV-Sprinkled Grass?
My family recently went on a picnic. When we were done I was walking back to the car, dragging the cooler behind me on wheels. The cooler tipped over; some potato salad fell to the ground and the lid came off on the grass near where some men were playing soccer. I turned it back over and was going to deal with it when I got home. Before I was able to do so, I caught my daughter eating out of the potato salad bowl. If one of the soccer players was HIV positive and bled on the grass where the salad fell, and my child then ate that salad, what are the chances my child could have HIV?



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Activist Central

 China: Release Activist on Medical Parole


 Women Living With HIV: Take a Survey on Sexual and Reproductive Health Services


 Tell HHS That Black Women Openly Living With HIV/AIDS Should Be Represented on PACHA


 Action Alert: Tell Congress You Support a Permanent Fix to Ryan White Housing Policy!


 Volunteer Doctors and Nurses Needed in Haiti Thru April 30, 2010


Re: APS Pharmacy continues low-cost Nandrolone and Testosterone Gel/Cream offer...

jasenbruce
 

APS Pharmacy would like to recommend poz patients to complete an anonymous survey at CureTogether.com…

CureTogether helps people anonymously track and compare health data, to better understand their bodies and make more informed treatment decisions. Curetogether.com collects data from all possible treatment options including; pharmaceuticals, compounded pharmaceuticals, holistic medicines, herbs/supplements, and many more. These treatment options will be rated based on their effectiveness by patients who have used them. Treatments are then ranked from best to worst for all members to see.



APS Pharmacy is not affiliated with CureTogether.com and is not providing CureTogether.com with any patient data. APS Pharmacy is wanting an impartial organization to collect data on the effectiveness of various treatments including compounded medications. APS Pharmacy is always striving to provide the most effective and affordable to treatments to the community.



http://www.curetogether.com/human-immunodeficiency-virus/survey/treatments/



Regards,



JB

--- In PozHealth@..., "jasenbruce" <jasenbruce@...> wrote:

FYI- APS Pharmacy in FL, is still offering the following for POZ patients:



1) Nandrolone 200mg/ml 10ml vial $50.00

2) Sermorelin

3) Tri-Mix

4) Some patients with HIV do not reach optimum testosterone blood levels with the currently available 1% testosterone gels. Some have copays for these products that average $30/month. And many who need help but have no insurance do not have ADAP (AIDS Drug Assistance Programs) coverage of testosterone products. Out-of-pocket cost for currently commercially available 1% testosterone like Testim or Androgel is $500 a month for those with no coverage, this is why APS Pharmacy would like to provide some cost relief to the poz community, and at the same time introduce the benefits of higher dose Testosterone and our clinical services. We have developed a program to offer a free one month supply (30 grams) of Testosterone 10% Compounded Gel or Testosterone 20% Compounded gel to poz patients. This is a normal retail value of $25.000 and $35.00 respectively. This higher concentration gels require very small amounts to be applied and can easily help patients increase their testosterone to levels that improve their quality of life. APS gels have no smell and leave no residue. A valid prescription is required, and can be mailed to us or phoned in by your physician. A phone consult with one our Clinical Pharmacy Customer Care staff is also required before dispensing. Our clinical staff will provide additional medication information, treatment goal setting, and administration instructions. Please feel free to contact us with any questions: 888-547-2654 8:30 – 5pm EST. Mention that you saw this information on Pozhealth so that we know what program you are interested in. Offer extended July 1st 2010, one free dispensing per patient.

Regards,

JB

imprisonment of Maksim Popov, an HIV prevention educator and human rights advocate in Uzbekistan

Nelson
 




AN OPEN LETTER CALLING ON INTERNATIONAL AGENCIES
TO SUPPORT AMNESTY FOR MAKSIM POPOV
 
April, 2010
 
Dear colleagues:
 
We, the undersigned, are writing to express our deep concern over the imprisonment of Maksim Popov, an HIV prevention educator and human rights advocate in Uzbekistan who was falsely convicted in June 2009 of charges including “evasion of taxes and other compulsory payments” and “the involvement of minors in the use of narcotic drugs.” He was sentenced to seven years imprisonment as a result of his HIV prevention efforts.
 
Mr. Popov was the director of the non-governmental organization IZIS, which was funded by the USAID, UNICEF, UNAIDS, the Global Fund, the U.N. Development Programme, and the Department for International Development (UK). IZIS conducted activities such as counseling services, provision of sterile injection equipment, training for an AIDS education hotline, and anti-drug education for youth. These services are desperately needed in Uzbekistan, which has the highest HIV prevalence in Central Asia, and where over half of those living with HIV are between the ages of 15 and 30.
 
The court cited Healthy Lifestyles. Teacher’s Guide XXI, a booklet funded by UNDP, UNAIDS and USAID, and imported into Uzbekistan by Population Services International (PSI), stating it was used “with the aim of committing indecent acts against people he knew to be under age 16…bearing propaganda promoting homosexuality and prostitution, as well as pornographic images, among youth.” HIV and AIDS Today, a brochure written and funded by UNICEF and PSI that included a discussion of same-sex relations and the use of condoms, was also cited. All copies were seized by authorities and burned.  The court’s verdict stated that HIV and Men who have Sex with Men in Asia and the Pacific – a publication of UNAIDS – was “categorically in contradiction with the mentality, the morality and moral foundations of society, religion, customs and traditions of the people of Uzbekistan.”
 
Mr. Popov is a human rights defender working to combat AIDS in Uzbekistan. We find it unconscionable that the bilateral donors who funded Maksim Popov’s work have abandoned him, and we are calling for concerted diplomatic efforts to secure his immediate release.  The bilateral agencies, international donors, and NGOs that supported and encouraged his work must take steps to protect him and win his amnesty.  The international fight against AIDS cannot succeed if local partners are forsaken when the political winds shift.
 
We request a report on what steps your organization is taking to get Mr. Popov released as quickly as possible. Please contact us at popovdefense@.... We must all work together to right this horrible wrong!
 
Sincerely,
 
The International Committee for the Release of Maksim Popov:
 
ACT UP/NY
ACT UP/Philadelphia
AIDS Community Research Initiative of America (ACRIA)
CIVICUS: World Alliance for Citizen Participation
European Community Advisory Board, Brussels, BE
National Organization of People With AIDS, USA
Treatment Action Campaign, South Africa

 
Regards,

Nelson Vergel
powerusa dot org

How to Survive an Earthquake

Christophe
 

A refresher course here in what to do in an earthquake. DO NOT make the classic mistake and go into doorways or under tables.  Lie down next to a large piece of furniture.  Get outside your vehicle but not under it.  Feel free to forward.  Blessings, Tusk

My name is Doug Copp. I am the Rescue Chief and Disaster Manager of the American Rescue Team International (ARTI), the world's most experienced rescue team. The information in this article will save lives in an earthquake. 
    
I have crawled inside 875 collapsed buildings, worked with
 rescue teams from 60 countries, founded rescue teams in several countries, and I am a member of many rescue teams from many countries...
    
I was the United Nations expert in Disaster Mitigation for two
 years. I have worked at every major disaster in the world since 1985, except for simultaneous disasters.
    
The first building I ever crawled inside of was a school in
 Mexico City during the 1985 earthquake. Every child was under its desk. Every child was crushed to the thickness of their bones. They could have survived by lying down next to their desks in the aisles. It was obscene, unnecessary and I wondered why the children were not in the aisles. I didn't at the time know that the children were told to hide under something. 
    
Simply stated, when buildings collapse, the weight of the
 ceilings falling upon the objects or furniture inside crushes these objects, leaving a space or void next to them. This space is what I call the "triangle of life". 
 
The larger the object, the stronger, the less it will compact. The less the object compacts, the larger the void, the greater the probability that the person who is using this void for safety will not be injured. The next time you watch collapsed buildings, on television, count the "triangles" you see formed. They are everywhere. It is the most common shape, you will see, in a collapsed building. 
    
                      TIPS FOR EARTHQUAKE SAFETY 
    
1) Most everyone who simply "ducks and covers" WHEN BUILDINGS
 COLLAPSE are crushed to death. People who get under objects, like desks or cars, are crushed. 
    
2) Cats, dogs and babies often naturally curl up in the fetal
 position. You should too in an earthquake... It is a natural safety/survival instinct. You can survive in a smaller void. Get next to an object, next to a sofa, next to a large bulky object that will compress slightly but leave a void next to it. 
    
3) Wooden buildings are the safest type of construction to be in
 during an earthquake. Wood is flexible and moves with the force of the earthquake.  If the wooden building does collapse, large survival voids are created. Also, the wooden building has less concentrated, crushing weight. Brick buildings will break into individual bricks. Bricks will cause many injuries but less squashed bodies than concrete slabs. 
    
4) If you are in bed during the night and an earthquake occurs,
 simply roll off the bed. A safe void will exist around the bed. Hotels can achieve a much greater survival rate in earthquakes, simply by posting a sign on The back of the door of every room telling occupants to lie down on the floor, next to the bottom of the bed during an earthquake.
    
5) If an earthquake happens and you cannot easily escape by
 getting out the door or window, then lie down and curl up in the fetal position next to a sofa, or large chair.
    
6) Most everyone who gets under a doorway when buildings
 collapse is killed. How? If you stand under a doorway and the doorjamb falls forward or backward you will be crushed by the ceiling above. If the door jam falls sideways you will be cut in half by the doorway. In either case, you will be killed! 
    
7) Never go to the stairs. The stairs have a different "moment
 of frequency" (they swing separately from the main part of the building).  The stairs and remainder of the building continuously bump into each other until structural failure of the stairs takes place. The people who get on stairs before they fail are chopped up by the stair treads - horribly mutilated. Even if the building doesn't collapse, stay away from the stairs. The stairs are a likely part of the building to be damaged. Even if the stairs are not collapsed by the earthquake, they may collapse later when overloaded by fleeing people. They should always be checked for safety, even when the rest of the building is not damaged. 
    
8) Get Near the Outer Walls Of Buildings Or Outside Of Them If
 Possible - It is much better to be near the outside of the building rather than the interior. The farther inside you are from the outside perimeter of the building the greater the probability that your escape route will be blocked. 
    
9) People inside of their vehicles are crushed when the road
 above falls in an earthquake and crushes their vehicles; which is exactly what happened with the slabs between the decks of the Nimitz Freeway... The victims of the  San Francisco earthquake all stayed inside of their vehicles. They were all killed. They could have easily survived by getting out and sitting or lying next to their vehicles. Everyone killed would have survived if they had been able to get out of their cars and sit or lie next to them. All the crushed cars had voids 3 feet high next to them, except for the cars that had columns fall
directly across them. 
   
10) I discovered, while crawling inside of collapsed newspaper offices and other offices with a lot of paper that paper does not compact.  Large voids are found surrounding stacks of paper.
  
In 1996 we made a film, which proved my survival methodology to
 be correct. The Turkish Federal Government, City of  Istanbul, University of  Istanbul Case Productions and ARTI cooperated to film this practical, scientific test. We collapsed a school and a home with 20 mannequins inside. Ten mannequins did "duck and cover," and ten mannequins I used in my "triangle of life" survival method. After the simulated earthquake collapse we crawled through the rubble and entered the building to film and document the results. The film, in which I practiced my survival techniques under directly observable, scientific conditions, relevant to building collapse, showed there would have been zero percent survival for those doing duck and cover. 
    
There would likely have been 100 percent survivability for
 people using my method of the "triangle of life." This film has been seen by millions of viewers on television
.
    
Spread the word and save someone's life... The entire world
 has always experienced natural calamities so be prepared!

--
http://tusk.posterous.com
-- a new project

Bad habits can age you by 12 years, study suggests

Nelson
 

I'm curious to know

Lily Rose
 

If anyone in here has or knows anyone that has been diagnosed with a lower back degeneration of the disc???? I have 2 pintched nerves at/on
L-2 and L-3. Plus they said thier is a joint that is pincing on the left of L-5. I have already had a steroid shot about 7 yrs ago for the same thing...however the problem is that is the disc that is degenerating and I am afraid if i get another shot it will degerate faster!!!!! So what am I going to do in 10 yrs if it completly goes out??? I am checking all my options...still have a few Dr's to check out. I have been doing decompesion therapy for about a year now and it really works..just still some issues. I cant really excersise or walk for every long and...um sex is painfull....UGGGGG!!!! HELP!?

Like I said I am checking all my areas and options..if anyone has any info or Dr's to suggest I would be forever grateful:)

Thanks again everyone
lily:)