Thanks! I didn't scroll down to Lucy's comment.
Theresa M Schwartz NP
Anal Dysplasia Screening and Treatment
Rochester Colon and Rectal Surgeons
We have packaged up self collection kits which contain 2 tubes and a screw top urine container along with self swab graphic instructions. We have them available for patients to pick this up at our clinic (Quest) lab, or from the department (internal med, ob/gyn or Pedi. Picking them up at the department could eliminate your lab problem not dispensing the supplies.
Hi RachaelFor the past month (seems like a whole lot longer) I have been treating HCV patients without ever laying a hand on them. I am comfortable with serum markers helping distinguish Cirrhosis from non-cirrhotics, and I am getting meds delivered to the patients. A real upside to telemedicine has been my ability to start treatment while patients are in substance use treatment programs and recovery houses. In the past most would have had to wait to finish their program before finding their way to my clinic. I think post-Covid-19- is there such a thing?- I will continue using telemedicine to reach vulnerable populations who might otherwise not make it to my clinic.
I am new at HIV treatment and I am using Telehealth.
Thank you for sharing the Telehealth prep protocol information.
Kathy Davis, FNP-BC
Hi ChristineOther than a physical exam which would be done in the office and which would be very unlikely to change starting ART, starting a newly diagnosed patient with HIV and then having them go to the lab for baseline lab tests is really little different. I Would have no hesitation to do a rapid start via telemedicine. Your patient wants to start and we know the benefits of starting ART as soon after diagnosis as possible.
Hello,I'm treating HCV via video and phone and following the AASLD expedited treatment guidelines. These guidelines are largely (pretty much entirely) lab based. I do not see the patient in clinic ever, but they do need to go to a lab near them.
I also start PrEP via phone or video. Self collected swabs at the lab, blood draws and urine.
I to star PreP via telemedicine, self collected swabs at the labs. Which lab is providing swabs for self collection? IN Louisiana we have worked with Labcorp and CPL who will provide clients swabs at PSC for self collection, but quest will not. I am working with group in Fl who did not know of any "lab" that was offering swabs to pt for self collection. So if there is this would be very helpful. Did any one listen to New England AETC Telehealth for PreP,,I was surprised by the number of providers that push back regarding self sti swab collection.
Christine S. Brennan PhD RN NP-BC
Hi Christine. I attended the NEAETC event as well. I am convinced that each of our practices will need to make our own decisions, but self swab for STIs has been validated for accuracy. Quest accepts selfies-swabs, and my Quest rep even sent me the Aptima self swab instructions for patients, though I have found far better graphic instructions elsewhere. I'm giving the AAHIVM webinar this Thursday on Tele-PrEP and I hope to hear other thoughts on what folks are doing to maintain HIV prevention efforts in time of Pandemic.