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PubMed2000

HAART and medical management: the realities of clinical care. Interview with Keith Henry, M.D. Interview by John S. James.

In many outpatient HIV clinics the medical staff is so poorly funded that over 95% of the cost of patient care goes to drugs and laboratory tests--and less than 5% to physicians, nurses, other staff, clinic overhead, medical records, patient education, adherence monitoring, and other costs of care. This misdirection of resources results in patients not receiving the professional time and attention they need, and drug being taken incorrectly, leading to unnecessary drug failure and other medical problems. Keith Henry, M.D., who recently called for more cautious use of antiretroviral therapy, describes the realities of inadequate funding for medical care, and some needed steps for improvement. Also, we asked him to explain how his clinic has consistently performed leading-edge research without the major funding usually available at research institutions.

Antiretroviral Therapy, Highly Active↗
PubMed2000

Treatment models from India: interview with Shashank Joshi, M.D. Interview by John S. James.

An HIV specialist in India describes an evolving standard of care, when only a few patients can afford the antiviral regimens common in richer countries. Dr. Joshi's approach include nutritional support for the immune system, intermittent HAART for some, herbal treatment, de-worming, and sometimes drugs to reduce intestinal inflammation and therefore possibly lower viral load.

Antiretroviral Therapy, Highly Active↗