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Capstone nursing students

Capstone nursing students write for me capstone approach for outlook email mit sloan essay 100 ´╗┐well I'm an infectious disease specialist in Toronto I specialize in women and HIV and I do research in women and HIV in Toronto and about three years ago I was invited to that by the Saskatchewan prevention Institute to talk in Saskatchewan with a group of colleagues on HIV and pregnancy and so we did that by that talk was televised and I gave a nice talk on HIV in pregnancy but very much from an Ontario model where everyone all my patients come to each each clinic visit every month they take antiretroviral drugs viral loads are suppressed they have vaginal deliveries we have they have free access to formula and that was that was how I was giving my talk then the question period started and I can still remember the question from Clarence who asked we know what if you have a case where things are a little bit more challenging where there's no prenatal care or what if you don't have free access to formula what if a client doesn't want to get access to care because there's fears of child protection agency you know all right what what would you do in those cases so that's when I decided I had to come out and see what was going on in Saskatchewan I did a preceptorship two and a half years ago with dr. lanois in in Prince Albert and what I realized was that there was a problem happening with HIV in Saskatchewan though the incident rates of sis cow in Saskatchewan were the highest in the country so back back then they were about 20 per hundred thousand and what I realized in Prince Albert was that forty percent forty to fifty percent of the patients I saw were women which is different from the rest of the country where it's about 20 percent of the cases are women so that the HIV epidemic in Saskatchewan was also a women's health issue and that that was important to me there weren't a lot of female physicians caring for HIV positive female patients in Saskatchewan so was at that point that I got my license to practice medicine in Saskatchewan and I had the pleasure by withs2 Skinner and Clarence to start practicing an attack a coupe and with dr. lanois and the nurses there to start practicing in Prince and Prince Albert for about nine months now I have about 25 patients in attack coupe and 10 patients in Prince Albert and the way I practice is a little bit different and i'd like to share that with you it i try to practice from a women centered HIV care model and i'm trying to pass this on to stew a little bit you have the patient in front of you only for let's say 10 to 15 minutes and as a woman patient they want everything taken care of in one visit they want they want help with their housing they want help with their children their children can wit with in my practice can come to the visit if their child is sick i'll also see their children i see couples together i see half my patients as couples because then they support each other I look after the the the partners I go to the treatment centers to see the patients because that's where they are that's where they want to be seen Clarence and I take the vaccine there and we give we give the vaccine there I do i do pop testing Clarence I think we should start to do pop testing in the treatment center where the patients are do as much as we can in the short visit so that seems to be working i hope we can continue it and expand it and I just and I and now that I've been here for the last three years I have seen the successes in Saskatchewan with HIV care it's been happening so in when I first started the incidence rates were 20 in a hundred thousand and now they're down and as of 2013 211 in a hundred thousand so things are working and but however we have to continue and it's going to take us all working together and and the HIV peace is just the tip of the iceberg and HIV is scary to people okay and what HIV does is it allows us to get public forums because and to teach about HIV okay and because see in Ontario with my patients I'm able to start antiretroviral therapy and my patients and counsel them that their life expectancy now is near that of the general population with life expectancies out to 50 60 years from diagnosis and that they can plan safe pregnancies beyond the antiretroviral therapy with no transmissions to their babies and live healthy lives and that's possible here too and it's starting so and and use those stories use the power of the fear of HIV but also the hope of HIV to start also addressing the other issues where HIV is coming from there's a hepatitis C that we haven't started to address and that we need to there's the addictions issue that we need to address the mental health issues the poverty the housing issues the violence against women the violence against all people the racism that we haven't started to address the missing women we net we haven't necessarily started to address HIV can actually be used as a tool to address all of those issues because it captures people's attentions and minds and people will listen so I I call out on you to do that to use HIV to answer a lot of different questions and as Ryan started with a patient story I'm going to end with one so throughout two and a half years ago when I came out to do a preceptorship with dr. Lanois i was there was a couple who had two who had to hitchhike from sturgeon lake to get their methadone in in PA every every day the woman was HIV positive and pregnant and had to hitchhike every single day to get her methadone and antiretroviral treatment because of dr. Lanois and lots of other work sturgeon lake now has a bus that actually brings their clients to Prince Albert to get their methadone so positive positive stories like that are very important when I was in Prince Albert on Monday a client that I had seen for the last six months who was pregnant on antiretroviral therapy gave birth on Monday and the outreach worker took me to the hospital to go visit her and she was in the in the room it was mine it was there were 70 kilometres and the wind with the snow with blowing everywhere but we made it to the into the hospital and I went up to the room and the sun was shining and and she was there in bed and she was glowing and her partner and and father of the baby were there and he was glowing and the baby was sleeping for hours old there's nothing more special than a newborn baby and I I almost cried I felt so happy I knew that baby was HIV negative and just to look at that that family together not just is that child the future of this province but that whole families the future of our province and I really do feel that we can have an aids-free world and HP Saskatchewan so thank you very much I'd first like to thank elder Lillian pi upon first starting off our our day in such a good way so thank you I'd also like to thank chief promise for giving some opening remarks for a public session today so thank you and I'd like to thank the Minister Minister Dustin Duncan also came this morning to open our session so that was that was fantastic for us also I'd like to thank our sponsors which are all listed here which the day today wouldn't have been possible without the day and this session wouldn't have been possible also without the leadership of share the Saskatchewan hiv/aids Reese research endeavor striker calvez who did a lot of the work and and Ryan me lay and and Miley Ryan Miley and Chris Stewart Michael Shuang Steve sanch from share whoo-hoo really who has been who made it this day possible and have it did I miss anybody and also for our speakers tonight and for the day so thank you to Ryan to who dr. julio Montana Thank You Margaret and thank you for to all of you for coming today have a good night capstone hedge fund Mohawk Valley Community College.

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