Clinical tip: Descovy has not been studied yet for 2-1-1, so skip it until the data is out Descovy also is not FDA approved for AFAB. While Purpose 1 showed it works, the lack of FDA approval makes getting it covered by insurance very difficult.
Joseph Cherabie MD MSc (They/He)
@jncherabiemd.bsky.social
Infectious Disease Doc - WashU HIVMA Board of Directors LGBT+ Health, STI, HIV Queer and Proud
F*** HIV stigma, if you can't handle being with someone who is HIV positive, then you need to educate yourself and understand that undetectable, without any doubt in my soul, means untransmittable.
HIV Clinic Tip: you will be asked frequently if the "HIV med" is causing a plethora of lab findings or symptoms. HIV medications are generally well tolerated for treatment and prevention. Do a workup for other causes, and then, if nothing else, consult ID docs and we can look into it.
1,700 H.I.V. Treatment Sites Closed After Trump Aid Cuts, a Study Finds www.nytimes.com/2026/07/21/h...
1,700 H.I.V. Treatment Sites Closed After Trump Aid Cuts, a Study Finds
New research also shows that children and high-risk adult populations have been particularly affected.
nytimes.com
🚨 Funding cuts to #PEPFAR have caused “severe & devastating” disruption globally, threatening decades of hard-won progress. Ahead of #AIDS2026, these findings underscore the urgent need to protect the global #HIV response & prevent further rollbacks. 📰 Read the full story in @theguardian.com.
Trump’s HIV funding cuts having ‘severe and devastating’ impact around the world
The President’s Emergency Plan for Aids Relief has saved 26m lives globally, but slashing of funds and dismantling of USAID have forced clinics to shut in dozens of countries
theguardian.com
Clinical nuggets from HIV clinic: we had a patient with a Hep B viral load > 1 billion from rebound after stopping HIV medications. A reminder to screen for Hep B and counsel patients about stopping meds without talking to their provider first. The treatment for Hep B and HIV often overlap #IDSky
Things I am relearning in my new clinic: FQHCs are how we fix a broken healthcare system Gender neutrality in all settings for sexual health works wonders Primary care is amazing and more docs should go into it Outpatient ID is also amazing and more ppl should do it full time #IDSky
Quick and more terrifying question here, how are they going to "check" the gender of these youths? That is the most terrifying prospect of this decision and one that we need to talk about
Kyle Griffin@kylegriffin1.bsky.social · last mo.Reuters: U.S. SUPREME COURT RULES IN FAVOR OF IDAHO, WEST VIRGINIA LAWS BANNING TRANSGENDER ATHLETES FROM PARTICIPATING ON FEMALE SPORTS TEAMS
Pride month isn’t even over and @nytimes.com is out here with this opinion piece below about being “gay not queer”. To be clear the heteronormification of gay identity runs deep. For these ppl, marriage was the peak of what we could accomplish, and now that it’s threatened they have to blame someone
A reminder, #Pride month is to commemorate the Stonewall riots and community fighting for community. It’s not about rainbow gear or parades or parties. Pride is resistance Pride is joy Pride is a fight Pride is community (And true allyship is more than just wearing a flag pin, show up!)
Ppl asking me about PrEP belly…it’s not real. PrEP works very well when taken correctly, some prep medications actually help ppl lose weight, and acquiring HIV because you didn’t take PrEP means you’re going to take those meds anyways as treatment. So don’t stop PrEP for fear of a belly…
STI Tests you should never (or very rarely under the guidance of experts) order: Ureaplasma PCR Mycoplasma hominis PCR HSV IgG/IgM Trichomonas vaginalis for MSM (it needs a vagina) Gonorrhea culture (unless looking for treatment failure)
Yay! Another drug name I can’t pronounce! This one shall come with an Italian accent #HIVSky
Contagion®@contagionlive.bsky.social · 4mo agoThe FDA has given the nod for Doravirine/Islatravir (Idvynso), a once-daily, two-drug HIV treatment that demonstrated non-inferior efficacy to standard three-drug regimens in phase 3 trials, expanding options for virologically suppressed adults. #HIV www.contagionlive.com/view/fda-app...
@doctorcarlton.bsky.social apparently you blocked me on Instagram simply for sharing some facts about MenB vaccination. DoxyVax trial- no effect GoGoVax trial - no effect I was just trying to be helpful and always happy to discuss and collaborate as am a sexual health doc as well.
Ok so here’s the deal, we now have TWO large randomized control trials that show no effect of MenB vaccination in protecting against gonorrhea, but influencers in the LGBT+ community continue to tout it as a viable option. The NHS clearly jumped the gun here but please top promoting this #STISky
PSA: while butt eczema may occur (I defer to my Derm colleagues), if on sexual history you find out this person has anal sex, it may be worth looking at TMVII as a diagnosis, as steroids may worsen the condition. I've seen 2 cases eczema treatment for years, when they needed was antifungal #IDSky
@americanair.bsky.social canceled our flight due to weather and gave us hotel and meal vouchers. The hotel was supposed to have free shuttles per the choices AA gave but after waiting 45 mins in the rain, no shuttle ever came and had to spend 50$ to get to hotel at 1am.
I shared why I chose to go into the field of HIV medicine along with some of my amazing @hivma.bsky.social colleagues. Check it out below #HIVSky #IDSky @idsainfo.bsky.social
HIVMA@hivma.bsky.social · 4mo agoWhy HIV? HIVMA members share what inspired them to enter the field and what continues to motivate their work today. Learn more about a career in HIV: https://www.hivma.org/
Long time no post, been busy wrapping up work and moving but here is a brilliant article about the power of community during the ICE raids in Minnesota that you all should read: projects.propublica.org/why-minneapo...
Trump Called My Neighbors “Paid Agitators.” This is Who They Really Are.
After ICE came to Minneapolis, ProPublica journalist Peter DiCampo saw his community step up to patrol the streets, drive strangers to work and provide aid to families in hiding. These are his neighbo...
projects.propublica.org
Proud of this piece. Got to write a review with my fellow on Mpox stigma and how it facilitated disease spread. Check it out here: journals.lww.com/co-hivandaid... #Mpox #STISky #IDSky
journals.lww.com
This is when every single hospital in the country needs to say no. Shut down all the hospitals and see what happens.
Joseph Cherabie MD MSc (They/He)@jncherabiemd.bsky.social · 8mo agoThe news of HHS potentially pulling funding for any hospital that provides gender affirming care for youth should terrify everyone. This means the govt can decide what care any of us can receive and hold funding hostage for any hospital that doesn’t bend to its will.
The news of HHS potentially pulling funding for any hospital that provides gender affirming care for youth should terrify everyone. This means the govt can decide what care any of us can receive and hold funding hostage for any hospital that doesn’t bend to its will.
Hey instead of focusing on ruining healthcare for the majority of Americans because hospitals provide care for less than 1% of the population, why don't you actually MAKE HEALTHCARE AFFORDABLE AND STOP CULTURE WARS!
The New York Times@nytimes.com · 8mo agoBreaking News: New Trump administration rules, if finalized, would pull funding from hospitals that provide gender-related care to minors.
In a new piece for Positively Aware, HIVMA Board members @jncherabiemd.bsky.social and Julia C. Rosebush, DO, FAAP, FPIDS, also a @pidsociety.bsky.social liaison, outline how federal funding cuts are putting PrEP access and core HIV prevention efforts at risk. #SaveHIVFunding bit.ly/4p25kBG
HIV prevention on the brink—A call to save HIV funding
bit.ly
PrEP is an effective—if not the most effective—HIV prevention modality. But the actions of this administration risk all the gains we’ve made, at a time when HIV rates are rising, say @jncherabiemd.bsky.social & Dr. Julia Rosebush. #SaveHIVFunding www.positivelyaware.com/hiv-prevention-on-the-brink
PrEP is an effective—if not the most effective—HIV prevention modality. But the actions of this administration risk all the gains we’ve made, at a time when HIV rates are rising, say @jncherabiemd.bsky.social & Dr. Julia Rosebush. #SaveHIVFunding www.positivelyaware.com/hiv-prevention-on-the-brink
Summary of what happened at Temu ACIP this morning: As expected, they overturned the 30+ year recommendation for the birth dose of HepB vaccine, which has reduced the incidence of pediatric HepB by 99%. They provided no credible evidence to support this decision.
#ACIP just voted to scrap the universal hepatitis B birth-dose recommendation. There is no new safety signal. No scientific rationale. We are dismantling a 30-year-old, cancer-preventing policy that has nearly eliminated hepatitis B in U.S. children. 1/2
Helen Branswell 🇨🇦@helenbranswell.bsky.social · 8mo agoA panel that advises #CDC on vaccine policy votes to do away with the recommendation all babies should be vaccinated against #hepatitisB at birth. "We are doing harm," said panel member Cody Meissner, who voted against this #ACIP recommendation. www.statnews.com/2025/12/05/c...
Let’s be clear here, the panel did not consider any new evidence. There is no new trial that showed this change was needed or beneficial. This is not gold standard science and is based off the opinions of the new panel, not science
Helen Branswell 🇨🇦@helenbranswell.bsky.social · 8mo agoA panel that advises #CDC on vaccine policy votes to do away with the recommendation all babies should be vaccinated against #hepatitisB at birth. "We are doing harm," said panel member Cody Meissner, who voted against this #ACIP recommendation. www.statnews.com/2025/12/05/c...