Time: 11 AM
Location: POSSIBLY IN-PERSON??? (Jason has offered his place for small gathering if interested)
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Facilitator: Joe
Timekeeper:
Speakers List:
Note Taker: John
Announcements:
1) San Lorenzo Library discussion (Joe)
2) Doxy PEP availability at Magnet (Scott)
3) Rapid syphilis tests and controls available for practice and training (Scott)
4)
Agenda:
1) New Coord (Joe)
2) CSC Rep (Joe)
3) Medic Training (Krish and Cam)
4) Sample prep? (joe?)
5)
Meeting Minutes:
Announcements:
1) San Lorenzo Library discussion (Joe)
Coords got an email from a longtime client at the San Lorenzo library and they asked if anyone is willing to speak at the library. Part of their every month is pride month series. They are still in the brainstorming stages but think they want one of us to come answer questions.
2) Doxy PEP availability at Magnet (Scott)
Use of double-dose PEP Doxy once withing 72 hours after a sexual encounter. Currently offered at magnet. Might be something for us to consider.
DG: The sun exposure thing has been debunked in terms of Doxy-PEP. Would be good to talk to SP’s about that. Doxy PEP is great and people should talk to their doctors about it. Doxy PEP is being done at AHS. Emphasize the difference between Doxy PEP and Doxy PrEP. Be cautious about implementing new services that are primary care services. Requires a lot of administration and follow-up with clients.
Jason: Yeah the easy of conflation between Doxy PEP and Doxy PrEP
3) Rapid syphilis tests and controls available for practice and training (Scott)
The city of Berkeley had a bunch of rapid syphilis tests that we were given. We can use them for training purposes or in special cases.
4) DG: Announcement about talk of meningitis vaccines on dating apps. Folks are seeking it out for gonorrhea prevention. Just bringing it up to our awareness.
5) DG: Raised the point of offering rapid HIV on an opt-out basis and shared a drafted rapid ART protocol.
John: It would be great to offer rapid HIV tests to every client but would worry about potential false negatives due to false negatives b/c of the window period.
DG: Spoke about the function/role of each type of HIV test.
Krish: Offered to work with DG on the HIV protocol and the new training
DG: Happy to provide guidance and try to find time to work on it, but we have existing protocols that we could look back on.
Joe: Might be worth talking to Todd about this and how we would approach drawing blood at each shift.
Scott: Phleb is totally on board for upping our presence if needed.
On the topic of rapid ART:
Joe: is there any downside to starting rapid ART with a false positive?
DG: Certain types of autoimmune disorders/medical history can cause false positives, however, there is not really going to cause any harm unless they have a chronic liver/kidney condition possibly. You can screen for risk and there may be a rationale to not start ART if there is a risk for a false positive.
Joe: Are there any labs we need to add on for ART like a hep panel?
DG: Yes, however, they’re going to get that at their PCP wherever their linked to care. Its only relevant to rapid ART if they start the ART and then they stop. In that case they put themselves at risk for a liver flare up. What we can tell them is that you’re going to get additional labwork done as part of where you’re linked to care, and one of those labs will ensure you’re not living with hep B. If you are living with hep B, its important that you don’t stop this medication as it can also treat hep B. etc. something like that.
Agenda:
1) New Coord (Joe)
Joe calls a motion to vote in Vincent as a GMHC coord
John Seconds
Ayes: John, Jason, Krish, Stuart, Cam, Joe, Scott
PNV: David G, Vincent
The motion passes to make Vincent a new GMHC coord.
2) CSC Rep (Joe)
Scott described the role of CSC rep
Joe asks if anyone is interested.
Stuart says he could potentially do it short term but is unsure of his ability to keep up the role long term. He says he could do it for a few months.
John seconds
Joe puts forth a motion to make stuart our CSC rep until someone else can take over.
Ayes: John, Cam, Scott, Jason, Krish, Joe, Vincent
PNV: David, Stuart
3) Medic Training (Krish and Cam)
Krish: Medic app is live ( we have 1 response). We still need to talk about some lectures and who is going to give them. We still need instructor for urethritis (deeper dive into examples/cases of what we’d see in the clinic). Intro to Athena, power and privilege, and mock instructors are also needed. If you are interested, please contact Cam and Krish.
Scott: I’m happy to help with mocks
Joe: Todd is great at recruiting during appointments. Let’s follow his example and let them know we’re recruiting medics at the moment.
Scott: I went to steamworks on Friday for outreach and will get the word out there as well. What can we do if we don’t get enough applications?
Krish: we have a little wiggle room to push it back.
Scott: If we don’t have a hard deadline, we can push it back until we have a strong cohort put together.
Krish: We can probably push it back by a month at most if we need to.
4) Sample prep? (joe?)
Joe: This was more like an inquiry, we’ve stayed more than 30 mins later than we need to because we are waiting for the blood to spin. Do we even need to spin it? Open question.
Scott: I think its because you don’t want your cells to lyze or split. Also, if we do our blood draws earlier on the appointment it may be a nonissue.