So yesterday I fell asleep before I got a chance to update so today should be a double entry, but I have places to be tonite. After all the patients in the morning were done, we talked a little about acute infectious diarrhea. Interestingly, there are local outbreaks of Giardia in the local area so this isn't just limited to traveling in the woods and such. Sadly, there had been one pt in the past that was being given local spring water by his mother in the thoughts that it would be healthier. Having HIV, he wasn't able to fight off Giardia and passed away. There was also an interesting case in the past where a patient was playing with the crabs in a tank and developed M. marium. More on infectious diarrhea later.
Today was a short day in clinic. There was one patient that stood out, though. He had a history or having erosions on his face because he just picked at itchy spots. He was the only patient this week that I did not shake hands with because he had dried blood on his hands. His face had an erosion that looked pretty raw, so I was a little more careful given all the exposed HIV positive blood.
Yesterday I saw a newly diagnosed HIV patient that I liked a lot. Unfortunately, it seems that he had contracted HIV from his last partner who started avoiding him since he told him about the diagnosis. What's interesting is that if a person who knows s/he is HIV positive has unprotected sex and the partner contracts HIV, they cannot be sued. It's only in cases where someone had a malignant intent to infect other people that they have ruled in favor of the case.
More about infectious diarrhea in 2009!
Wednesday, December 31, 2008
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