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Piecing the Puzzle Together: Addressing Medical Challenges in Older PWH
Episode 189

Piecing the Puzzle Together: Addressing Medical Challenges in Older PWH

Listen to Jonathan Appelbaum, MD, FACP, AAHIVS, discuss the many pieces to the puzzle impacting the aging HIV population, including consequences of early experiences in the epidemic related to late HIV diagnosis, incomplete or short-lived virologic suppression with early regimens, and toxicity associated with early antiretroviral agents, as well as several other medical and psychosocial challenges.

Decera Clinical Education Infectious Disease Podcast · Jonathan Appelbaum MD FACP AAHIVS

August 25, 202213m 3s

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Show Notes

In this podcast, Jonathan Appelbaum, MD, FACP, AAHIVS, summarizes the many medical challenges faced by aging people with HIV, including:

  • Underrepresentation of older patients in medical research
  • Consequences of early experiences in the epidemic such as late HIV diagnosis and low CD4+ cell count nadir, incomplete or short-lived virologic suppression with early regimens, and toxicity associated with early antiretroviral agents
  • Added challenges of multimorbidity and psychosocial challenges, especially mental health issues, loneliness, and social isolation
  • The need to provide care for the aging HIV population using a holistic approach 
  • Gaps in the current healthcare system in providing optimal care for aging people with HIV

Faculty:

Jonathan Appelbaum, MD, FACP, AAHIVS
Laurie L. Dozier Jr, MD, Education Director
Professor of Internal Medicine
Chair, Department of Clinical Sciences
Florida State University College of Medicine
Tallahassee, Florida

Link to full program: 
https://bit.ly/3KkF4iZ


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Topics

clinical trialsearly regimensrenal impairmentagingtolerabilityhepatic impairmentmental healthopportunistic infectionslonelinessholisticpolypharmacymultimorbidityincomplete virologic suppressionhealthcare systemfrailtylate diagnosiscd4 nadirresistancesocial isolationpsychosocialgeriatric caretoxicityhiv