Fear is a primal emotion, and to pretend that the medical staff are any less susceptible than the general public is folly. I sometimes feel as though we need to negotiate an armistice of sorts with our fears. There is a certain amount of salutary fear we need to accept, the kind that keeps us respectful of the high stakes in caring for patients. But we also have to recognize that there are irrational fears, the kinds that are not necessarily allayed by data. More
The beginning of the end of AIDS? Could it really be?For those of us who did our medical training in the late ’80s and early ’90s, AIDS saturated our lives. The whole era had a medieval feel, with visceral suffering and human decimation all around. More
Mr. S received the unwelcome news that he was H.I.V. positive, though his T-cell count was still in the normal range. His T-cell count stayed high enough to protect him from opportunistic infections. He seemed to be one of the rare, lucky “nonprogressors.†But after several years of consistently robust T-cell counts, one of the nurse practitioners had a hunch. More