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It’s not all about sex and drug use, it’s just life !!

It is not the drug addicts fault that he or she needs to get a fix to just feel normal. Nor is it the fault of a young man that he has gonorrhea. And then what about that guy who gets shot in the belly over a drug deal gone bad. In an ideal world […]

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A Nation in Pain

Over the past two decades the United States has experienced an uncontrollable epidemic of drug related deaths. In 2016 sixty-three thousand Americans died of drug overdoses, two out of three of these deaths were due to opioids. In times like this whilst law enforcement and public health services grapple for solutions most may ask the […]

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The war on drugs; who won that war?

I first saw her in my clinic seeking care for HIV but when we first met like most patients with her medical condition she was not an ideal patient. The decision to start her on ART Antiretroviral therapy in those days when the only single tablet regimen was Atripla (Tenofovir/Emtrictabine/Efavirenz) was not an easy one […]

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MARIJUANA USE AND THE EVOLUTION OF MEDICAL MARIJUANA LAWS IN THE USA

Over the years laws on cannabis use have changed. Most of these changes were not based on any strong levels of evidence but were based on social perception. In this article I seek to highlight some of the issues associated with these changes and address the potential benefits of more liberal legislation on cannabis.

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THE OPIOID CRISIS IN AMERICA TODAY – WHAT MUST WE DO AS A NATION ?

President Trump declared a National Public Health Emergency this week; in his statement from the Whitehouse he was not talking about HIV or Hepatitis C nor was he referring to the increased incidence of gun violence in the country. The President’s statements focused on a very different Public Health problem, he was talking about America’s high incidence […]

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Difficult conversations – Talking about sex with your doctor

I recently read a book by Dr. Barbara Natterson-Horowitz a UCLA cardiologist who also happens to be a consultant for the Los Angeles Zoo. In her book ‘Zoobiquity’ Dr. Natterson-Horowitz demystified the story of HIV (Human Immunodeficiency Virus) transmission from monkeys in West and Central Africa to humans. Most doctors today including me have a […]