Hey, Mark!
Wow, many surgeons have asked me if they should cancel a scheduled surgery but don't think any have asked to do a PrEP / PEP hybrid. Do you know what kind of surgery is being done? How many hours, how much anticipated blood loss? Does the surgeon really understand universal precautions, born out of the HIV/AIDS epidemic? Meaning we learned to treat everyone as if they had an infectious disease.
Do you know how elevated the viral load is...1,000....100? An elevated VL doesn't necessarily correlate to transmission.
I don't want to insult a colleague and perhaps someone you know well, but I'm not willing to endorse this and don't think this is a good idea or necessary.
Tell his first assist. don't stick him : )
That's my 2 cents.
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Michelle Ogle
Bronx NY
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Original Message:
Sent: 03-13-2020 09:44
From: Mark Goodman
Subject: PrEP/PEP
Good Morning fellow warriors!
A surgery colleague wrote to me this week: planned surgery on a patient with an elevated viral load: the surgeon wants to go on PrEP (as does her surgery first assist) before the operation: kind of a combined PrEP/occupational PEP combo. She is quite thoughtful and insistent about this. Thoughts from the group? Mark Goodman
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Mark Goodman
Omaha NE
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