The Wohl Street Journal

A blog by NCATEC Director, David Wohl, MD

David Wohl, MD
David Wohl, MD

Welcome to the NCATEC blog, The Wohl Street Journal. Here you will find a mixed bag of medical mystery solving, shout-outs to important new information, and semi-philosophical ruminations from a NC HIV health care provider/HIV clinical researcher who often types faster than he thinks. The blog is intended to educate but also to be provocative, as we best learn by sharing our ideas with one another. Sharing ideas is what the NCATEC is about, so read on, and check out our site and what we offer.

 

Dear AIDS Activist

by David Alain Wohl, MD Professor, Division of Infectious Diseases, The University of North Carolina at Chapel Hill Director, North Carolina AIDS Training and Education Center Site Leader, The University of North Carolina Chapel Hill AIDS Clinical Research Site Dear AIDS Activist, Thank you for your dedication to improving the lives of people living with … Continued

National Transgender HIV Testing Day – Guest Blog

Guest blog by Joaquín Carcaño, Project Coordinator, Enlaces por la salud, Behavior and Technology Lab (BATLab), Institute for Global Health & Infectious Diseases, UNC Chapel Hill Intro I want to pose a few questions to you – what is the difference between surviving and thriving? Have you encountered this struggle for yourself? How do we, … Continued

HIV Care, Youth, & Gender: Breaking The Binary

NC ATEC National Youth HIV/AIDS Awareness Blog Post by Andrew McGee, Joaquín Carcaño, & Helene Kirschke-Schwartz It’s 8:45am, you’re sitting in the waiting room of your provider. A familiar name is called, one you’ve long since distanced yourself from. It’s a name you no longer embody or use, but it remains on your legal documents … Continued

CROI 2017: Better Living with HIV Infection

by David Alain Wohl, MD Professor, Division of Infectious Diseases, The University of North Carolina at Chapel Hill Director, North Carolina AIDS Training and Education Center Site Leader, The University of North Carolina Chapel Hill AIDS Clinical Research Site Each medical conference has a vibe. The data, the venue, and even the host city, can … Continued

Top 10 HIV Stories of 2016

by David Alain Wohl, MD Professor, Division of Infectious Diseases, The University of North Carolina at Chapel Hill Director, North Carolina AIDS Training and Education Center Site Leader, The University of North Carolina Chapel Hill AIDS Clinical Research Site 1. Trump 2. Switch Frenzy 3. 2-Drug ART: Paddling Against the 3-Drug Current 4. Is HIV … Continued

Not So Fast: Your Patients Can Be HIV-Positive, Older, and Healthy

By David A. Wohl, MD. This article was published in the May/June 2016 issue of Positively Aware. Introduction Recent talk about HIV and aging has almost all been scary. A number of studies tell us that people living with HIV have so-called “accelerated aging” — meaning they will suffer heart attacks, strokes, cancers, and osteoporosis … Continued

Guest Blogger: Erik Valera on National Latino AIDS Awareness Day

October 13, 2015 You and I will defeat AIDS: North Carolina, we will eliminate unmet need! Erik Valera Program Director Latinos in the Deep South Latino Commission on AIDS evalera@Latinoaids.org National Latino AIDS Awareness Day (NLAAD) is October 15th and the theme is, You and I Will Defeat HIV/AIDS. The notion of defeating anything is … Continued

START Making Sense

By David A. Wohl, MD – June 12, 2015 Last week investigators conducting the Strategic timing of Anti-Retroviral Treatment, or START, trial comparing the initiation of antiretrovirals earlier versus later in the course of HIV infection, announced that an independent data and safety monitoring board had found significantly higher rates of progression to AIDS or … Continued

Making a Case for PrEP Personal

June 2, 2015 Read the blog post from Adam Ward on the UNC IGHID website. Adam Ward is a 26-year-old gay, white, cisgender male. He currently holds a Master of Science in Comparative Biomedical Sciences, and a Graduate Certificate in LGBT Health Policy & Practice. He is passionate about working to eliminate health disparities impacting … Continued

Becoming Less Super as a Specialist

By David A. Wohl, MD – January 28, 2015 There are specialists and then there are the super-specialists. The ‘super’ here should be taken less as a superlative and more as a suggestion of beady-eyed focus and a lack of breadth. Instead of knowing a lot about something special, super-specialists know a lot about a … Continued

Whose Job is it? Hint: Look in the mirror.

By David A. Wohl, MD – September 19, 2014 The two most recent seismic developments in the management and prevention of HIV, respectively, are the advent of super-highly active, inferferon-free HCV therapy (SHAFT – you heard that acronym here first, folks) and pre-exposure prophylaxis (PrEP). But in North Carolina one would hardly know it by … Continued

There’s No Shame in Being PrEPared: Embracing Pre-Exposure Prophylaxis

Guest Poster: Christopher B. Hurt, MD – Clinical Assistant Professor, Institute for Global Health and Infectious Diseases, The University of North Carolina – Chapel Hill – April 15, 2014 Imagine if there was a pill that you could take every day to protect you from having a life-changing medical diagnosis. Imagine if it was readily … Continued

National Women and Girls HIV/AIDS Awareness Day 2014

March 7, 2014 Guest Poster: Kristine Patterson, MD, Associate Professor, School of Medicine, The University of North Carolina – Chapel Hill March 10, 2014 marks the National Women and Girls HIV/AIDS Awareness Day–a day for communities across the nation to educate women and girls on how to protect themselves from becoming infected with HIV and … Continued

Where Have All the Activists Gone? And, Why We Need Them Back

By David A. Wohl, MD – December 11, 2013 At a time when we celebrate advances in HIV therapeutics and nearly miraculous cures for HCV, I wonder why there are so few activists at the party. One reason, of course, is that many did not make it to see the day of one-pill wonders. Yet, … Continued

Aging with HIV: Where do we stand after CROI 2013?

By David A. Wohl, MD – July 25, 2013 Getting old may be tough, but it sure beats the alternative. More and more I am reminding my HIV+ patients, and myself, of this truism as together we reach the milestones of middle age: knee braces, colonoscopies, and misplaced car keys. However, these men and women, … Continued

Can a Single Phone Call Really Make a Difference?

May 14, 2013 Guest Poster: Cindy Gay, MD – Professor of Medicine, The University of North Carolina – Chapel Hill In an era of one-pill regimens and natural life-span expectations, we HIV providers still work in a world with a huge, heart-breaking gap between those who are HIV+ and those who are in treatment. In … Continued

Triumph, Complacency, and How to Survive a Plague

By David A. Wohl, MD – March 6, 2013 When I was in prison last week (no, I am not a former Governor of Illinois), seeing patients in the state maximum-security facility, I strode in with more than the usual ‘don’t mess with me’ swagger – my eyes focused ahead of me with a dragon … Continued

Year 2 Message from NCATEC Director, David Wohl, MD

By David A. Wohl, MD – November 16, 2012 Dear NCATEC Community, As we move towards the end of 2012 and the mid-point of our second year of training work, we want to look back – and look forward. Although guilty of employing a cliché, I can say we have run with it. Out of … Continued

An AIDS-Free Generation: A Rallying Cry or Really Just Hype?

By David A. Wohl, MD – August 27, 2012 Each International AIDS Society Conference (aka: IAS, IAC, World AIDS Conference, WAC, AIDS [fill in the year]) has its own semi-official theme. More than slogan-ism, these motifs can be useful in setting agendas as well as expectations for the global HIV community. We will always have … Continued

In-Home HIV Testing: Could You Be a Little More Sensitive, Please?

June 18, 2012 Guest Poster: Christopher Hurt, MD – Assistant Professor, Division of Infectious Diseases, The University of North Carolina – Chapel Hill This month we have a guest poster to our site, Dr. Christopher Hurt. Here at UNC, Dr. Hurt is considered a thoughtful and careful thinker about many of the most pressing contemporary … Continued

Coming Out of the Closet to My Patients

By David A. Wohl, MD – March 2, 2012 It was inevitable. Someone would find out and then the news would spread faster than you could say, ‘tweet’. It’s not like I was hiding anything, but, then, I was not actively denying either. When my patient, John, asked me point blank if it was it … Continued

Two Lives Lived Well

By David A. Wohl, MD – January 18, 2012 The well-lived life is one worth not only recognizing but also emulating. This month we lost two people who lived lives that were filled with smiles and laughter, determination, altruism and love. Lives that were grand, not now in reflection, but were clearly spectacular while they … Continued

Happily Ending The HIV Epidemic

By David A. Wohl, MD – January 9, 2012 In 2008, the Centers for Disease Control and Prevention (CDC) adjusted their estimate of the annual number of new HIV infections in the US from approximately 40,000 to 56,000 after applying improved methods for detecting and extrapolating HIV incidence. It was the adjustment heard around the … Continued

On Difficult Patients

By David A. Wohl, MD – November 18, 2011 Those of us who provide care to people with HIV infection have a sneaky suspicion that our jobs and lives are not like those of health care workers attending to other diseases. Partly it is HIV itself. The sudden emergence, the activist response, the celebrity attention … Continued

Message from NCATEC director, David Wohl, MD

Dear Colleagues, As you know, the Ryan White Care Act-funded North Carolina AIDS Training and Education Center (NCATEC) has been successfully educating the HIV treating community for well over a decade. Under the leadership of our colleagues at Duke University, the ATEC has made a deep and enduring mark on the care of HIV in … Continued