Dr Liz Okecha
libokecha.bsky.social
Dr Liz Okecha
@libokecha.bsky.social
GUM & HIV Consultant. Mum. Lover of headbands.
MAI/MAC is a very rare OI presentation but it is an important consideration in an OI work up. #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 2:42 PM
Alternative agents for PJP and side effects of treatment that require consideration when prescribing #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 2:37 PM
Patients presenting with breathing difficulties - important to do a Pneumocystis work up and Lisa Hamzah indicates what to include. #HIVMasterclass2025 @hivta.bsky.social @bashhuk.bsky.social
March 28, 2025 at 2:32 PM
What about CMV disease in the context of PLWHIV. Thankfully seen rarely but important considerations when managing patients #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 2:24 PM
CD8 encephalitis is a rare presentation but and often responds to high dose steroids. If significant side effects then consider using steroid sparing agents (evidence for this limited to case reports) #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 2:16 PM
What is the data for brain biopsies in PLWHIV when managing complex OI - significantly increased risk including haemorrhage. #HIVMasterclass @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 2:11 PM
Updated guidelines for imaging in pregnancy. Abdominal shielding no longer recommended. MRI safe but avoid IV Gadolinium #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 2:05 PM
Differentials for SOL and management of patients including Toxoplasmosis work up. #HIVMasterclass2025 @hivta.bsky.social @bhiva.bsky.social
March 28, 2025 at 1:59 PM
What to include in an OI screen? Really helpful summary here of what to include as part of screening protocol. #HIVMasterclass2025 @bhiva.bsky.social @bashhuk.bsky.social
March 28, 2025 at 1:54 PM
Next up we have Lisa Hamzah to discuss interesting cases of opportunistic infections. #HIVMasterclass2025 @bashhuk.bsky.social @bhiva.bsky.social
March 28, 2025 at 1:49 PM
Let’s be clear, without the hard work and dedication of @nationalaidstrust.bsky.social @bashhuk.bsky.social @bhiva.bsky.social there might not be children who would exist without this change. #HIVMasterclass2025. Truly amazing work 👏🏿
March 28, 2025 at 11:32 AM
March 28, 2025 at 11:30 AM
March 28, 2025 at 11:24 AM
CALL TO ARMS - Clinicians can be activists! Nicola Mackie and @tristanjbarber.bsky.social we’re fundamental in changing fertility treatment for the law in PLWHIV. @bhiva.bsky.social @bashhuk.bsky.social @nationalaidstrust.bsky.social
March 28, 2025 at 11:21 AM
Adam Freedman gives us a summary of his role in supporting the legal change in HIV and fertility treatment #HIVMasterclass2025 @bashhuk.bsky.social @bhiva.bsky.social
March 28, 2025 at 11:16 AM
March 28, 2025 at 11:09 AM
Important to consider the way in which guidelines may be used by both the defence and prosecution in legal cases. #HIVMasterclass2025
March 28, 2025 at 11:08 AM
Important to consider that if a guideline is not followed you may be able to use a defence that there are a reasonable number of clinicians that would have made the same decision. #HIVMasterclass2025 @bashhuk.bsky.social @fsrh.org @bhiva.bsky.social
March 28, 2025 at 11:05 AM
IBase resources are brilliant for clinicians but also patients. The pill table allows patients to see what medication they might be started or switched to. #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 9:35 AM
Stuart Flanagan summarises the excellent resources that every HIV clinician be aware of #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 9:33 AM
Always remember even for experienced clinicians, you are never alone and it is important to reach out to not just local but also regional MDTs for advice. Stuart Flanagan’s wise words “the best clinicians always ask for help.” #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 9:14 AM
Stuart Flanagan highlights the real benefit of DOL as a high genetic barrier drug for patients with extensive drug resistance #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 9:11 AM
What about proviral DNA testing? Often the reports generated can be difficult to interpret but always helpful to discuss with your virologist if this is being considered for patients where no history resistance #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 9:07 AM
What about TAMs? Although this is less of an issue, it is important to have an awareness especially for patients who have previously been treated with AZT #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social
March 28, 2025 at 9:02 AM
Keep a few mutations on your phone. We can’t keep it all in our heads. #HIVMasterclass2025 @hivta.bsky.social @bashhuk.bsky.social
March 28, 2025 at 8:52 AM