Conversations with Clinical Education Initiative (CEI) features clinical experts in HIV Primary Care and Prevention, Sexual Health, Hepatitis C and Drug User Health. Our episodes feature CEI clinicians’ experience and insight on the current health issues, alongside the latest news and guidelines on our areas of expertise. This podcast is produced by the CEI, a New York State Department of Health AIDS Institute program.
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Clinical Guidelines Program Podcasts
Hosted by Eileen Scully, MD, PhD, and Christopher Hoffmann, MD, MSC, MPH, both HIV specialists at Johns Hopkins, Viremic explores quandaries in adult HIV care. Each case discussion includes medical history and diagnoses, challenges in care and treatment, and key evidence and guidelines that informed clinical decision‑making. All clinical discussions presented on Viremic are for informational purposes only and are not offered as medical or clinical practice advice for patients or clinicians. ...
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Earn CME credits while learning about trending clinical topics and research advances from UF Health Shands Hospital experts.
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The Bowel and Bladder Matters Podcast is brought to you by Coloplast® Professional. We believe clinician education related to ostomies and continence, as well as your professional growth and development, matters. Bowel and bladder issues impact the lives of those you care for. We are pleased to bring you more education about these conditions. Join us in conversations with thought leaders to gain insights about ostomies, continence and professional growth and development. Together, let’s expl ...
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Case 4. Under Pressure: Cryptococcus, ART Initiation, and the Threat of IRIS
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40:55After brief mention of an HIV vaccine, the hosts turn to the challenges of treating cryptococcal meningitis in a 46-year-old woman with profound immune suppression after being off ART for 6-12 months. Emphasizing the high potential for morbidity and mortality, Chris and Eileen focus on the complexities of cryptococcal meningitis medical management,…
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The demographics of HIV care are rapidly changing, and with them, the clinical needs of patients aging with HIV. In this episode, host Dr. Tony Urbina, Medical Director for CEI's HIV Primary Care and Prevention Center of Excellence, sits down with geriatrician Dr. Angela Condo to explore the unique intersection of geriatric medicine and HIV care. D…
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Case 3. Preserving the Beans: New Renal Failure and New HIV
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30:24
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30:24After presenting with fatigue, malaise, and muscle cramps, a 28-yr-old man with history of STIs is diagnosed with new renal failure (Cr >9 mg/dL) and HIV (VL ~3 mil. copies/mL). Drs. Scully and Hoffmann note the missed opportunities for HIV prevention, then review HIV-associated kidney disease and evaluate regimens safe for rapid ART initiation. Re…
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Case 2. How Low Can You Go? A Case of Non‑Suppressible Viremia
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32:02Mid-50s-yr-old man with HIV since the early 1990s presented for evaluation of persistent low-level viremia, despite consistent engagement in care and ART. Genotypic testing found only a variety of minor mutations. The patient and his care provider were concerned about the health consequences, including the risk of inflammatory diseases in the futur…
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Highlights and Perspectives from the 11th Annual NYS Sexual Health Conference
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16:36Live from Canandaigua…it’s the 11th Annual NYS Sexual Health Conference! The CEI Sexual Health Center of Excellence hosted the 11th Annual NYS Sexual Health Conference in-person on Friday May 2, 2025, in beautiful Canandaigua, NY. This was the Center’s second in-person conference since the COVID-19 pandemic and was the Center’s largest in-person ev…
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Case 1. Returning to Care – Is Biktarvy Always the Answer?
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37:03
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37:0348-yr-old man with HIV for 12 years presented 1 year after his last visit with a history of methamphetamine use, inconsistent engagement in care, and a new diabetes diagnosis. He reported no recent ART and no meth use for about 8 months. On returning to care, his viral load was 250,000 copies/mL, the CD4 count was 230 cells/mm3, creatinine levels w…
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Xylazine & Medetomidine & Nitazines, Oh My! An Update on New York State’s Drug Supply
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29:38New York drug overdose deaths and death rates are on the decline, but with significant disparities and the current, toxic drug supply is partially to blame. Harmful additives like fentanyl analogues, xylazine and medetomidine, among others, have been found in cocaine, heroin, MDMA and pressed into pills. Additives are undetectable by sight, taste a…
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CEI…we got you! Evolving with the Science
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38:16In this episode of Conversations with CEI, we engage with CEI’s clinicians, researchers, and public health experts to explore current and emerging issues in HIV primary care, sexual health, Hepatitis C, and drug user health. From the early days of the HIV epidemic to today’s complex syndemic approach, our experts share valuable insights and practic…
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Navigating Measles Vaccine Recommendations for Patients with HIV
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20:06In light of the increase in measles cases within the United States, this episode features Dr. Steven Fine, an infectious disease expert, who offers a comprehensive exploration of the history and progress of measles eradication efforts. Dr. Fine delves into the factors contributing to the resurgence of measles, particularly the role of misinformatio…
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In this episode, we dive into the importance of bone health for patients undergoing spinal surgery, emphasizing how osteoporosis can impact surgical outcomes. We explore the benefits of establishing a bone health clinic where endocrinologists and spinal neurosurgeons collaborate to provide comprehensive care, improving both bone strength and recove…
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In May 2024, the Centers for Disease Control and Prevention (CDC) released its annual HIV surveillance reports. The new data show a continuation of year-over-year reductions through 2022 in the estimated number of new HIV infections in the United States. But disconcerting trends among Latino people — the country’s second-largest racial or ethnic gr…
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In this episode, Dr. Lewis discusses the difference between acute urinary retention and chronic urinary retention. Guest bio: Dr. Jennifer Lewis graduated from the DNP program at the University of Oklahoma in 2015. She received her MSN and FNP from Graceland University in 2011. Since that time, she has been practicing as a Nurse Practitioner in the…
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Updates in Syphilis: Looking Back to Look Forward
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34:19Let’s dive in! This month, we welcome new hosts Patrick Passarelli, MD, an infectious diseases fellow at the University of Rochester, and Nicholas Gerbino, a public health professional at the Monroe County Sexual Health Clinic, who take a deep dive into all things syphilis. Dr. Passarelli and Nick discuss history, epidemiological trends, updates an…
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Amaka discusses her approach to managing peristomal skin and wound care for ostomy patients. Amaka Akinade is a board-certified Advance Practice Nurse, Adult Health Clinical Nurse Specialist, and Certified Wound Ostomy Nurse. She graduated from the University of Texas at Arlington with a Bachelor of Science in Nursing, obtained her Master of Nursin…
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The Role of Opioid Treatment Programs in Hepatitis C Care: A Path to Elimination
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20:58Between 2010 and 2022 (the latest year for which data are available), 194,375 New Yorkers were diagnosed with hepatitis C (HCV) and of those, 53% (103,213 individuals) are known to have cleared their infection either through treatment or spontaneously. This statistic is worth celebrating, but also highlights the ongoing need for action – the goal o…
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Preventing Overuse Injuries: What Parents Need to Know This episode dives into the critical issue of overuse injuries in adolescent baseball pitchers. Dr. Ryan Roach discusses key risk factors, the importance of proper mechanics, and actionable advice for parents and coaches to help keep young athletes safe.…
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In this episode, Drs. Friedman and Bova help listeners understand the radiosurgery paradigm, discuss the kinds of tumors that can be treated with radiosurgery, and explain the role that UF Health has played in the development of radiosurgery.By UF Health Shands Hospital
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Dr. Wiegand joins us today with a closer look into the female urethra and lower urinary tract when there is a clinical need for intermittent catheterization. Incomplete bladder emptying associated with urinary retention in females presents a unique set of challenges, teaching opportunities, and potential complications. Dr. Wiegand addresses each of…
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The panelists review common conditions leading to pediatric intestinal failure. They will also discuss the importance of multidisciplinary care that children receive as patients of the UF Pediatric Intestinal Rehabilitation Program.By UF Health Shands Hospital
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Results of Endovascular Graft Aortic Repair in Mixed Connective Tissue Disease (Heritable Aortic Disease) Patients: Is it Time to Change the Guidelines: In What Circumstance is Endovascular Repair Indicated ...
In this interview, Drs. Scali and Spratt discuss how the historical norms are being challenged for connective tissue disease patients (CTD) and endovascular repair.By UF Health Shands Hospital
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In this episode, Drs. Beaver and Xiang provide an introduction of new treatment options for IST: Inappropriate Sinus Tachycardia.By UF Health Shands Hospital
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Use of Injectable Cabotegravir for HIV PrEP in Pregnancy
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9:28This podcast outlines some of the data presented at the 25th International AIDS Conference from HPTN 084 as it pertains to using injectable cabotegravir for HIV PrEP during pregnancy. Related Content: https://www.hptn.org/research/studies/hptn-084 https://programme.aids2024.org/Programme/Session/349 CEI toll free line for NYS providers: 866-637-234…
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Untreated obstructive sleep apnea in children can be associated with growth, developmental, and cardiopulmonary complications. Surgical options to treat OSA in children are constantly evolving, from not only new techniques on the traditional adenotonsillectomy to newer surgical techniques in older children.…
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In this podcast, Tarik Benidir, M.D., a urologic oncologist at UF Health, argues that focal therapy is revolutionizing the treatment of prostate cancer. He emphasizes the importance of patient selection criteria, potential risks and benefits, and optimal treatment pathways. Stay ahead of the curve with the latest updates on focal therapy techniques…
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In this episode, Drs. Konecny and Syed discuss state of the art treatments of sleep apnea and heart disease at UF Health, including identifying high rates of sleep apnea in patients with cardiovascular disease, understanding the difference between obstructive sleep apnea and central sleep apnea, identifying the limitations of traditional treatments…
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In this episode, Drs. Ataya and Justice provide an overview of diagnostic criteria, workup evaluations, and medical treatment, including surgical options, for HHT nosebleeds. They also discuss future direction of HHT research and treatment options.By UF Health Shands Hospital
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Compassionate Care for LGBTQ+ Individuals Struggling with Substance Use Disorder
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28:22Research suggests that LGBTQ adults have higher rates of substance use and mental health issues, compared to their heterosexual cisgender peers. These health disparities are often related to minority stress—the chronic psychological and emotional strain that people experience due to being part of a marginalized social group. For example, some LGBTQ…
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In this interview, Dr. Norrell provides key information about children with neuromuscular disorders, such as cerebral palsy, spina bifida, hereditary spastic paraplegia, chromosomal disorders, and children with gait abnormalities, such as toe-walking. This is great content for physical therapists, primary care physicians and neurologists who may be…
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Dr. Austin Lam identifies considerations to employ when assessing reconstructive options for aerodigestive tract defects and other soft tissue defects within the head and neck, describing advantages and drawbacks of various commonly employed free tissue options and how to select the most ideal free flap for a given defect.…
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Cardiac amyloidosis used to be a disease with no treatment and poor outcomes. Now we have new treatment options, new ways to make the diagnosis, and much improved outcomes. Unfortunately, this disease is still very under-diagnosed, often until patients are in the late stages of the disease. Dr. Parker shares a brief update on how cardiac amyloidosi…
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Jonahtan Wright, MD reviews the effect of smoking on functional outcomes and implant survival of anatomical total shoulder arthroplasty. He and his team sought to compare functional outcomes and survival between non-smokers, former smokers, and current smokers who underwent anatomical total shoulder arthroplasty (aTSA) in a large cohort of patients…
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Reflections from the 2024 CDC STI Prevention Conference
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22:11For the first time since 2018 and since the COVID-19 pandemic, the Centers for Disease Control and Prevention hosted their biennial STI Prevention Conference in-person in Atlanta, GA from September 16 – 19, 2024. This event brought together international leading researchers with government experts, clinical sexual healthcare providers, and state an…
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We discuss some of the main urologic goals for our pediatric patients with spina bifida. In addition to different treatment options and management considerations, we address the importance of multidisciplinary care.By UF Health Shands Hospital
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Amaka shares her expertise on the use of convexity with ostomy patients along their pre-op and post-op journey. Amaka Akinade is a board-certified Advance Practice Nurse, Adult Health Clinical Nurse Specialist, and Certified Wound Ostomy Nurse. She graduated from the University of Texas at Arlington with a Bachelor of Science in Nursing, obtained h…
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Thomas Schrepfer, M.D., discusses what sialendoscopy is, how it works as a minimally invasive technique, and the benefits and limitations in treating salivary gland disorders.By UF Health Shands Hospital
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Perspectives on Aortic Surgery Training Among Vascular Trainees– Barriers and Opportunities for the Future
Salvatore Scali, MD, provides a contemporary perspective on aortic surgery training will be discussed highlighting current case volumes and future projections among training programs in the United States. The barriers to open aortic surgical training and potential opportunities that are available to offset these challenges longitudinally will be di…
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ECPR is a treatment option for patients who otherwise would face near-certain death. It involves the use of a machine that temporarily takes over the function of the heart and lung.By UF Health Shands Hospital
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The Case for Chronic Pain Management among People Who Use Opioids
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46:50Are current guidelines failing chronic pain patients with a history of substance-use disorders? Find out why Dr. Wang and Dr. Kelly are calling for urgent policy changes and how updated guidelines can support effective pain management. Join us for a compelling discussion on the intersection of chronic pain and substance use disorders with insights …
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Jeffrey Friedman, MD, FACS, FASMBS, discusses gastroparesis, a challenging condition where the stomach’s delayed emptying triggers discomforting symptoms like nausea, vomiting, bloating, and abdominal pain. He explores how precise diagnostic tests and a range of treatment options, from dietary changes to advanced surgical solutions, can offer relie…
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An Exciting New Twice-yearly Option for HIV PrEP
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13:35“This podcast discusses the recent presentation of data for lenacapavir, a potent capsid inhibitor for HIV that was 100% effective in preventing HIV infection in cis-gender woman at risk for HIV. If approved, it will offer an exciting new option to prevent HIV which should dramatically improve our chances of reaching the goal of totally eliminating…
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As a result of participation in this activity, participants should be able to: 1. Discuss UF neurosurgery research 2. Discuss importance of research 3. Discuss goals of UF neurosurgery researchBy UF Health Shands Hospital
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Elias Sayour, M.D., discusses the challenges of creating therapeutic cancer vaccines, advantages for mRNA vaccines and how to adapt mRNA to treat patients with cancer.By UF Health Shands Hospital
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When HIV Tests Perplex: Expert Insights on Ambiguous and Discordant Results
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29:08Providers calling into our CEI hotline often ask me what to do when their patient's HIV test results are unclear. These ambiguous or discordant test results can be a source of anxiety and confusion for both patients and healthcare providers alike. To provide additional insight into this complex issue, Dr. Tony Urbina, Professor of Medicine from Mt.…
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Thiago Beduschi, MD, converses UF Health’s leading liver transplant program, highlighting innovations such as MARS, an artificial liver, and NRP. He explains liver failure, patient support, and how the UF Health program became Florida’s top-ranked liver transplant center as evidenced by the Scientific Registry of Transplant Recipients (SRTR). Dr. B…
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By UF Health Shands Hospital
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By UF Health Shands Hospital
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Ashraf El-Hinnawi, MD, and Georgios Vrakas, MD, MSc, PhD, FRCS, are directors of UF Health’s pancreas transplant program, focusing on performing 15 to 20 transplants annually for selected patients, primarily those with type 1 diabetes and end-stage renal disease. The program emphasizes early referrals, robust patient management, and a multidiscipli…
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Ashraf El-Hinnawi, MD, and Georgios Vrakas, MD, MSc, PhD, FRCS, discuss advancements in kidney transplantation at UF Health, highlighting their success in increasing transplant volume and improving outcomes. They emphasize the importance of expanding living-kidney donations, managing waitlists, and exploring future research in xenotransplantation t…
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Clinical exploration of the urethra and bladder mucosa by a urologist
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16:15In this episode, Dr. Wiegand focuses on the urethra for males and females and provides an understanding of intermittent catheterization of the bladder, associated with incomplete bladder emptying. He highlights the importance of patients remaining compliant with bladder emptying protocol. Dr. Wiegand discusses different treatment options for urinar…
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It’s Complicated…but Necessary! Navigating Confidential Sexual Healthcare for Adolescents
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22:05“Nobody goes into adolescent medicine or into a field of medicine that serves adolescent patients because it’s simple and straightforward, right?” In May 2024, the New York State Department of Health AIDS Institute Clinical Guidelines Program published an update to the guidelines, “Guidance: Adolescent Consent to HIV and STI Treatment and Preventio…
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