Clinical Case Vlogs: Practical Insights on Managing HIV in Our Aging Patients

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In this series of video logs, expert faculty discuss their experiences caring for aging patients with HIV. Each short Vlog focuses on a specific case that highlights challenges rendered by a select comorbidity in an older patient living with HIV. Watch the faculty review relevant patient information and walk through considerations that inform best management practices of the patient’s HIV infection and comorbid conditions.
Jonathan Appelbaum, MD, FACP, AAHIVS
Joseph J. Eron, Jr., MD
Monica Gandhi, MD, MPH
Rajesh T. Gandhi, MD
Howard Grossman, MD
Karine Lacombe, MD, PhD
Josep M. Llibre, MD, PhD
Jens D. Lundgren, MD, DMSc
Cristina Mussini, MD
Bisola Ojikutu, MD, MPH
Chloe Orkin Photo
Chloe Orkin, MBChB, FRCP, MD
Jürgen K. Rockstroh, MD
Paul E. Sax, MD

Clinical Case Vlogs

Hear expert insight and guideline-based recommendations for assessing the causes of weight gain in PWH and learn how to work with patients to develop a plan for managing weight.

Karine Lacombe, MD, PhD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: May 27, 2021 Expired: May 26, 2022

In this short vlog, Dr. Bisola Ojikutu discusses how racial disparities and social determinants of health affect an aging patient with HIV, including a discussion of strategies to address stigma and to strengthen efforts to link and retain older individuals in care.

Bisola Ojikutu, MD, MPH Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: April 29, 2021 Expired: April 28, 2022

In this short vlog, Monica Gandhi, MD, MPH, and her guest and patient, Lisa, discuss HIV and bone health as well as newly updated HIVMA primary care guidance for aging people with HIV.

Monica Gandhi, MD, MPH Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: March 4, 2021 Expired: March 3, 2022

In this short Vlog, Howard Grossman, MD, discusses how he prioritizes vaccination in his older patients with HIV, reviewing the guidelines on recommended vaccines and dosing schedule considerations.

Howard Grossman, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: March 12, 2021 Expired: March 11, 2022

In this short vlog, Monica Gandhi, MD, MPH, discusses the special considerations in caring for older persons with HIV and the Golden Compass Program in San Francisco, California.

Monica Gandhi, MD, MPH Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: January 28, 2021 Expired: January 27, 2022

In this short Vlog, Rajesh T. Gandhi, MD, discusses how he counsels his older patients with HIV on COVID-19 vaccination and reviews the efficacy and safety data on recently authorized COVID-19 vaccines in older persons and persons with HIV.

Rajesh T. Gandhi, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: January 21, 2021 Expired: January 20, 2022

In this short Vlog, Rajesh T. Gandhi, MD, discusses the data on COVID-19 risk in older persons with HIV, the potential implications for vaccine prioritization, and how he counsels an older patient with HIV on COVID-19 vaccine recommendations.

Rajesh T. Gandhi, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: January 20, 2021 Expired: January 19, 2022

In this short Vlog, Professor Josep Llibre discusses considerations for selecting among recommended ART for an older patient newly diagnosed with HIV; he covers ART efficacy, polypharmacy considerations, and weight gain in older patients.

Josep M. Llibre, MD, PhD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: December 21, 2020 Expired: December 20, 2021

In this short Vlog, Professor Cristina Mussini discusses treating a menopausal woman with HIV who has suffered a minor fracture, including considerations for osteoporosis screening and possible ART switching to improve bone health.

Cristina Mussini, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: December 3, 2020 Expired: December 2, 2021

In this short Vlog, Jürgen Rockstroh, MD, discusses treating an older man with HIV who is suspected of recent reinfection with HCV.

Jürgen K. Rockstroh, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: November 10, 2020 Expired: November 9, 2021

In this short Vlog, Dr. Howard Grossman discusses his approach to caring for an aging transgender woman with virologically suppressed HIV who wishes to initiate gender-affirming hormone therapy.

Howard Grossman, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: October 22, 2020 Expired: October 21, 2021

In this short Vlog, Jürgen Rockstroh, MD, discusses treating an older man recently diagnosed with HIV/HBV coinfection, including considerations for switching therapy and recommendations on HCC screening.

Jürgen K. Rockstroh, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: October 20, 2020 Expired: October 19, 2021

In this short Vlog, Dr. Jonathan Appelbaum discusses his approach to managing ART and reducing polypharmacy in an older woman with HIV who presents with frailty and multiple other comorbidities.

Jonathan Appelbaum, MD, FACP, AAHIVS Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: September 24, 2020 Expired: September 23, 2021

In this short Vlog, Professor Jens. D. Lundgren discusses approaches to reduce the risk of cardiovascular disease in an older woman with HIV, including ART modification, smoking cessation, and hypertension management.

Jens D. Lundgren, MD, DMSc Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: September 14, 2020 Expired: September 13, 2021

In this short vlog, Joseph J. Eron, Jr., MD, discusses care of an older man with symptoms suggestive of COPD. He walks through the details of this patient case and considerations for referral to a pulmonologist and ART management.

Joseph J. Eron, Jr., MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: August 28, 2020 Expired: August 27, 2021

In this short Vlog, Dr. Paul Sax discusses care of a patient with HIV and fatty liver disease. He walks through the details of the patient case and highlights key points for regimen selection, including weight gain and metabolic considerations with ART initiation.

Paul E. Sax, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: August 12, 2020 Expired: August 11, 2021

In this short vlog, Joseph J. Eron, Jr., MD, discusses care of an older man with PTSD-like symptoms related to the recent COVID-19 situation. He walks through the details of this patient case and considerations for mental healthcare in persons living with HIV in general and during the current stressful situation.

Joseph J. Eron, Jr., MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: July 28, 2020 Expired: July 27, 2021

In this short Vlog, Professor Chloe Orkin discusses care of a migrant woman from Zimbabwe living in the UK. She walks through the details of the patient case and highlights key points for optimal care of aging patients with comorbidities living in difficult social circumstances.

Chloe Orkin Photo Chloe Orkin, MBChB, FRCP, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: July 23, 2020 Expired: No longer available for credit

In this short Vlog, Dr. Paul Sax discusses care of a patient with HIV who developed COVID-19 pneumonia. Dr. Sax walks through the details of the patient case and highlights key points for optimal care of patients with HIV during the evolving COVID-19 pandemic, including risk factors and treatment options.

Paul E. Sax, MD Physicians: maximum of 0.25 AMA PRA Category 1 Credits Registered Nurses: 0.25 Nursing contact hours Pharmacists: 0.25 contact hours (0.025 CEUs) Released: July 1, 2020 Expired: No longer available for credit
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