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Saturday, July 9, 2016

Once a year prescription

Once a year prescription
This paper was originally published here, in French. We provide this translation for your convenience. Some practical aspects may differ where you live.

Annual prescription ... Finally !!!
By Charles Edouard!

This entry pertains to the pescription rules in France. Things may be very different where you live
From a clearly lost patient ...



Doctors are paid per visit, so visits have a tendency to be multiplied.
In the video below, read at the 44:30 (Pr Even sequence is also interesting).
Prof. Grimaldi speaks at Minute 45:00 www.youtube.com/watch?v=Gx3CL-zTTnk
Pr. Grimaldi explains the mechanism, for chronic diseases: "at the Hospital we are forced to increase activity".

En route for a 12 months prescription


Now that I am at MiniDolu, is here anything better I can hope for?

This is what bothers me:
- No prescription for higher frequency Viral Loads
- Pharmacy Rx is valid for only six months

This last point is not too annoying ... Under MiniDolu six months of stock = 2 years of treatment.

But I still have go to the doctor for otherthings every 6 months, etc. etc. The pharmacist explained me that the drugs are regulated, yet, can be prescribed for 12 months. If the doctor says it's only 6 months for technical and administrative reasons: this is not true. This is 12 months [in France...]. If the physician decides so, he/she must write 'valid 12 months' or 'repeat 11 times'. "

It's the same for biology Rx: they are valid for 6 months, unless the physician specifies a longer validity (which may not exceed 12 months). That is worth knowing!

Since there was room for progress: let's go! With the following objectives:

- Get a prescription for higher frequency Viral Loads (for 12 months)
- Get a pharmacy Rx valid for 12 months

The substitute Dr and the 'Protocol'


No appointment with my specialist in a suitable time frame: I accept the substitute Doctor.
I start head-on for her opinion concerning Dual Therapy ... And here comes the teddy-bear-throwing temper-tantrum:


What preliminary and insurmountable 'protocol' is she talking about? ...

We will never know ... She looks furiously against, but now ... meanwhile, she sees that my doctor has already prescribed, dual therapy with Tivicay ®. Strained silence ...

undetectable VL , everything else OK ...

First round knockout: frequent VL = OK


But I take the leap: noone ever ever told me about the 'protocol'.

Then, I know I'll win the game: There is no such thing as the so-called protocol ... I put the frequent VL back to the table. Isn't it abnormal that I can't do frequent VL?



Let's cool down, she takes her motherly tone, especially as I show big concern. But here comes the catch, as you will see ...

I won the script for regular VL tests, valid for 1 year: it is written, I make sure it written ...

Kapitulation! Kapitulation! Rx valid for 1 year



You go to the Doctor with personnal ideas, but FRAU DOKTOR writes the script!

Berlin, August 30, 1945, the enemy is in ruins; he does not lose faith ... (Warning: German humor ...)

The door is open: small talk, cool down, she resumes her motherly castrating style, I let her go at it, I cajole, she coos: it would be ideal to also have a pharmacy script for 12 months, as this expands to next year and visit her next year, and I suggest that I will continue with her ...)

There, she understands that I know that she can write the script for 12 months: she capitulates!

So here I am with my all new script meds 12 months: Tivicay ® + Lamivudine

And with the 1/4 Tivicay regime (Minidolu), the next time is ... in 4 years ... Well... I will have to come for the biological monitoring script. (Once Minidolu is validated this will be eased also ...)

During the holidays: More Results of curent trials

While you wil be on vacation, there will be much activity with trial results:
- BREATHER has just been published
- ANRS-4D: That's very soon: September 15 CRIPS will hold a PUBLIC meeting on 4D results (more info soon)
- Katlama EACS-2015 is also published. Publication in line with what I have already presented
- Tivicay Mono as first treatment: I have already published. We also expect more results from Salpêtrière
- DOMONO (Mono Tivicay® as maintenance): results are scheduled for October

Happy holidays and good fuck!

This paper was originally published here, in French. We provide this translation for your convenience. Some practical aspects may differ where you live.

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