Not impressed.one patient came in with a paper stating he had syphilis. He was given 30 days of Descovy with no refills and needed a refill. I ordered an RPR and treated him. RPR turned out non-reactive, however, during the encounter I discussed just coming here for PrEP and it was a good thing because. The following week he developed diverticulitis, and I had to send him for a CT scan then put him on antibiotics. So needless to say, he is my primary care patient now.Another patient was put on Descovy and actually had HIV. He had been on Descovy for a couple of weeks before finding out he was positive. That was a pretty sad ordeal.
There is something to be said about hands on care. It can't be replaced.Sorry
I wanted to chime in. I am the Director of Clinical Operations for Nurx and I oversee our PrEP program.
I appreciate the concerns that you all have posted so I wanted to clarify our process.
All Nurx patients complete a health survey that is evaluated by a clinician. If appropriate a lab kit is sent to the home to test for HIV Hep B sAg creatinine syphilis and GC/CT of all three sites.
Once results are in and if HIV Hep B and creatinine are normal PrEP is prescribed. We prescribe generic Truvada unless there is a renal concern/risk and we move to Descovy. Although some insurances are still using Brand Truvada and Descovy as preferred.
If there is a positive, we treat if it is oral treatment. If injection is required we assist the patient with getting linked to care.
if syphilis is positive we send to locallab for confirmation testing and titers. And then warm handoff
if we find an HIV positive patient we notify via phone and offer rapid start and confirmation labs. We have a case manager that helps to link to appropriate care and we stay connected until they are completely in care and on treatment.Our patients are tested every three months!
Medication and labs are sent directly to their homes. if you are ever having trouble getting records on a patient please let me know.
I am always happy to hear how we can improve so please feel free to reach out.
firstname.lastname@example.orgJosh, thanks for posting the question.
------------------------------Emily Rymland[Director of Clinical Operations Nurx[SF] [CA ]------------------------------