Sunday, 29 January 2012
Evan, Jason, Andrew, Jobert, Dave, Sean, Austin, Steve, Ron, Eric
Announcements
Prometherine 5% is out.
Rob ordered on 25January. It should arrive shortly. Shift coordinator should inform that a particular Rx is not available. Today, we had a client with scabies. It was not announced that Permetherine was out. Alternative Rx had to be used.
Special thanks
To Sean and Austin for extra help in cleaning.
Charts
31yo, no sex with anyone (in past years) - treated for genital warts that continue to return
54yo, MSW - worried that his sex with prostitute. Concerned that his GF would get an STD. Had a bump. Dr Oliver indicated to observe. Lots of condom education.
41yo MSW - rash on genitals. Dr Oliver said exima. Steroid cream was prescribed by client's past doctor.
43yo MSW - female partner complained of vaginal irritation. Client was told to get tested by partner to ensure he was clean. Client asked about bump. Determined that it was a wart.
38yo MSM - discharge. urine was 6wbc first catch; 0wbc second, no GNIDS; treated for NSU
20yo MSW - long discussion regarding STDs and
32yo MSW - itching and burning diagnosed with scabies. Some irritation in folds of skin. No permetherine...so alternative Ibermectin was prescribed by Dr Oliver. WBC count was high; no GNIDS in gram stain. Treated for NSU
41yo MSM - Steamworks client. Complained about foot pain. Bumps in torso. Dr Oliver indicated cellulitis, but not sexually transmitted cellulitus. Dr Oliver worked with client to get his regular doctor to get right prescription for cellulitus. Torso bumps were folliculitus
45yo MSW - client had warts treated at West Oakland Clinic (WOC). Client wanted added treatment with acid. The freeze treatment from WOC created intense skin irritation around the penis. Dr Oliver told the client to have the area heal prior to added treatment. Told the client to return to WOC for follow. Gave option to return to GMHC after 1/2weeks.
29clients
-------------------- Until you can predict your future, you cannot promise anything truthfully about it - The Gospel according to Ronald