iiinova — where your digital self keeps evolving

Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Alternative agents for PJP and side effects of treatment that require consideration when prescribing #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Updated guidelines for imaging in pregnancy. Abdominal shielding no longer recommended. MRI safe but avoid IV Gadolinium #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Differentials for SOL and management of patients including Toxoplasmosis work up. #HIVMasterclass2025 @hivta.bsky.social @bhiva.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Next up we have Lisa Hamzah to discuss interesting cases of opportunistic infections. #HIVMasterclass2025 @bashhuk.bsky.social @bhiva.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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 👏🏿

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Important to consider the way in which guidelines may be used by both the defence and prosecution in legal cases. #HIVMasterclass2025

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Stuart Flanagan summarises the excellent resources that every HIV clinician be aware of #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

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

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Keep a few mutations on your phone. We can’t keep it all in our heads. #HIVMasterclass2025 @hivta.bsky.social @bashhuk.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Credit to Monica Gandhi but these are the key mutations every HIV clinician should be aware of. #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Have you ever wondered what resistance nomenclature is?! Excellent summary of why we use the terminology used when discussing HIV resistance #HIVMasterclass2025 @bashhuk.bsky.social @hivta.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Stuart Flanagan reminding our delegates to go back to basic principles when interpreting resistance in the context of HIV MDT. #HIVMasterclass2025 @bashhuk.bsky.social

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Stuart Flanagan recaps the importance of multi-drug therapy used to treat PLWHIV to prevent the emergence of drug resistance. #HIVMasterclass2025

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Dr Liz Okecha @libokecha.bsky.social · 28/03/2025

Back for day 2 and we are kicking off with Stuart Flanagan providing an update on HIV resistance. Introducing our Trainee Rep Zoe Ottaway who will be Chairing this morning. #HIVMasterclass2025

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Dr Liz Okecha @libokecha.bsky.social · 23/12/2024

Baby yoda wishes everyone a Merry Christmas

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Dr Liz Okecha @libokecha.bsky.social · 21/12/2024

Is it even Christmas without a Ted Lasso jumper?

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Dr Liz Okecha @libokecha.bsky.social · 06/12/2024

Lovely moment from this Doctor Mum doing English homework with my Son. I felt very seen. Thank you for the representation CGP books! #Womeninmedicine

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Dr Liz Okecha @libokecha.bsky.social · 26/11/2024

A big thank you to @SophiaForum and @GileadSciences for the opportunity to comment on maximising HIV prevention and research opportunities for WLWHIV. Loved the networking today and looking forward to seeing the final report. #WomenLifeFreedom #Proudandpositive

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