Browsing: Ask the Doctor

Rectal douching (an enema) does increase the risk of HIV transmission. The mechanism may be trauma to the rectal lining, opening the gate past the defense of the rectal lining, also some of the liquids have a concentration of chemicals in it which burns away the layer. This lining is super-thin, only 1 cell thick. Most lubes are damaging to the layer also due to the chemical concentrations. One study found these to be less damaging: Good Clean Love and PRÉ. But Summer’s Eve may be damaging due to the vinegar (but it is healthy for vaginas which have thicker…

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As you know, street drugs for injection may have fentanyl added to give a cheaper kick but might cause death since a tiny amount can be fatal. Fentanyl has been found in any injectable street drug. There is a $1 test for any drug you inject that may be contaminated with fentanyl. You can test the syringe it was in or the baggie the powder was stored in. Do a web search for California syringe exchange programs and you will find LA, Orange, and San Diego Counties have them. Sadly, Riverside and San Bernardino Counties do not have them. An…

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22% of providers (including non-prescribing providers such as case managers) in the Midwest USA felt uncomfortable telling their patients not to be concerned about HIV transmission when their viral loads were less than 200. I tell them and also make clear that they can catch gonorrhea, chlamydia, syphilis and other STDs if they are not monogamous and step out of their relationship to have sex with others. More education needs to be done to help providers understand that U=U. VAPING KILLING AND MAIMING Many, many reports are now coming in regarding lung effects of vaping and the death count is…

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A new paper states that the risk of having a health problem from 1 drink a day is ½% and from 5 drinks a day it rises to 37%. Previous studies showed a beneficial effect of a small amount of alcohol on the heart, but if you look at the benefits and risks, you note that the higher risk of cancer, injuries, and infections offsets the beneficial cardiovascular benefits; we used to say that a glass of wine was good for the heart, but you also need the other organs to be alive and functioning well! BLOOD CLOTS AND DEPRESSION…

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An observational study (not the strongest study type) found that older adults on sleeping medication, compared with those who were not, had a 40% more likelihood of developing dementia within 15 years. About 20% of adults in the older age groups take sleeping pills. People like sleeping with the pills rather than having poor sleep, but the sleep from the pills is not natural and doesn’t restore the brain as well as natural sleep. Here are the methods of helping sleep without medication (natural sleep): Strenuous exercise, but not close to bedtimeMeditation, relaxation techniquesA quiet, dark bedroom devoted to sleep…

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This means up to 2.4 million bottles/year which will treat, so this makes 120 patients treated for free which is not that many considering how many who need financial help to prevent HIV. Activists want to bring down the price since it can cost up to $20K/year. HEPATITIS A OUTBREAKS Are happening in many major US cites. Those at risk who are men who have sex with men, are homeless, have been incarcerated recently, and those who use street drugs. If you have one of these risks, please consider asking your health care provider for a blood test to see…

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California is being respected for closing some of the vaccine loopholes after the 2015 measles outbreak starting in Disneyland from a traveler. The latest statistics for 2019 by county, the number of measles cases are: Los Angeles-10, Orangel-2, San Diego, Riverside, San Bernardino, and Imperial all-0. (April, 2019) Those born before 1964 were probably exposed or had measles (like me) and those born after most likely received the vaccination. Remember no vaccine causes immunity in 100% of the patients so if you are concerned, ask your provider for a test for immunity. When we look at large numbers, the risk…

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These recent “free” men are less likely to transmit or receive Sexually Transmitted Infections after attending an educational program in the prison or the parole/probation program. Most gonorrhea and chlamydia infections have no symptoms but can ruin a person’s life if not treated. MEXICO CENTRALIZES FUNDING FOR HIV SERVICES. PROBLEMS RESULT There is a new rule in Mexico that the government will provide the care and medicines now for HIV patients. This stops funds going to community projects for outreach, testing, care, and medicines. The government says they have plenty of medicines. LGBT rights groups are protesting, saying that this…

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We already know that sexually transmitted infections (STIs) is on the rise in PrEP (HIV prevention pill) users, but now there is an indication that Hepatitis C is on the rise too. Be safe! LARGE SURVEY OF TRANSGENDER HIGH SCHOOL STUDENTS Confirms earlier findings that:Compared with cisgender males and cisgender females, transgender students were more likely to report violence victimization, substance use, and suicide risk, and, although the transgenders were more likely to report some sexual risk behaviors, they were also more likely to be tested for HIV infection. These findings indicate a need for intervention efforts to improve health…

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Studies have shown that in countries where selling or buying sex is illegal, sex workers are more likely to face violence, not use condoms and contract HIV, researchers said on Tuesday, calling for prostitution to be decriminalized. The sex takes place in a hurry and in isolated, unsafe places. There is not as much time to negotiate condom use and avoid violence and theft. The HIV and other sexually transmitted diseases transmitted can enter the rest of the population causing individual and public health problems. It is everyone’s problem. LARGE SURVEY OF TRANSGENDER HIGH SCHOOL STUDENTS Confirms earlier findings that:…

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