 Oh my god, what a stressful day. So I had to schedule this appointment like months in advance so it wasn't really an option to change it and then I ended up having to move on this day as well So like I tried to have everything move this morning Hello. Hi. I'm recording my visit Come on in. I always record my Thank you. Hey Yeah, let's read Okay Yeah, I just I have like I do HIV advocacy so I post all my visits on YouTube and then I've been can see like how like Normal it is Well, cool Oh my god, thank you Figure if I'm getting my blood drawn or you want me to wait till after it looks like actually that we don't we don't check any And then I'm just gonna ask a bunch of background questions just to make sure we haven't missed anything. Okay, any fevers chills sore throat Weight loss night sweats chest pain difficulty breathing imagine vomiting, diarrhea constipation abdominal pain I'm gassed, but I've always been gassy Any rashes or lesions anywhere. No I mean, I do get I mean I've had this ever since I was diagnosed I guess it's like a kind of I don't know if it's psoriasis or what but I'll get like I don't have it now But I'll get flare-ups where it's like bubbly blistery around the edges of my and on my feet, especially around the outside Maybe once every few weeks They might be a little tender, but that's it Yeah, and I noticed sometimes it's after I've had like either a lot of stress or A physical stress like something some sort of pain on my body or something like if I get a wound or get hurt or something I feel like that sometimes causes it to flare up Yeah, he's given me cream to put on it to help And that helped in the past the cream did or nothing. I don't know if I really notice a difference. Okay. Well, but you don't have anything right now But yeah, if you have it again, and it's really bothersome we're not going away And then any burning with your nation blood in your urine Are you sexually active? Yes, I haven't been for a few months, but yes Yeah, I just moved so I'm like I feel disgusting right now. No Moving is really And I got locked out of my unit too with all my stuff in the hallway Okay, um any questions that you have anything that we haven't talked about anything that I Was wondering so my health insurance used to cover going to see chiropractor who was also like a sports therapist Because I had an accident and I might need like was kind of messed up I would go to him to work on that and then other stuff because I bodybuild but Blue shield doesn't cover that anymore chiropractic So I wanted to know if maybe there's a referral to a physical therapist that I can go to or I don't know if you guys specifically have to give a referral or if I can just go How that works And this is for you said you had any injury It's like a year and a half two years ago So typically we do have to give referrals for physical therapy and usually when we give the referral we have Just as a heads up we kind of describe what the problem is So if we we're gonna say like right me since that's where you are yeah issues, but yeah, I would be interested to look into that How often does that pain come? It's been more frequently lately like maybe a couple days a week I just really I just massage it is the only thing I do or stretch I don't know if this is something you know a lot about but my CD4 counts I've talked to a lot of other people and their CD4s go like well about 800 well about a thousand mine peak Have peaked at like eight and then like typically drop back down like 400. It's 500 It's average is that does that usually just indicate a weaker immune system in general? Not necessarily So the CD4 count it depends on what the level was at when you start a treatment for it And so because there's generally A max how high it gets or what it usually gets for most people from the lowest point. Oh, really? Yeah, so so someone who Who CD4 count was? Higher when they first started treatment would therefore reach a higher peak on treatment. Okay, so I guess depending on who you're Exactly, so I think I think around that the average was Is like a 300 rise so it sounds like you're doing pretty good or maybe like kind of float around that level But yeah, so depending on who you talk to they may have had different starting points, you know from So, yeah, so that's why that would be Yeah, but it sounds like you're you've been at a good level for a while. We're gonna repeat all your labs and stuff today So that's good Check your sinuses and your lymph nodes Any sign it's pain You didn't feel anything swollen. Let me check the ones under your arm. Yeah, I remember what that felt like Everywhere Come in I guess you figured out you're teaching young smart doc. Yeah Do you make other videos too? Yeah, like fitness and most of these like blogs Film stuff It's okay, so as I was saying yeah, the appointment and moving coincided on today and I Was like well if I'm going to if I have to be done anyway in the morning for the doctor's appointment And I'm scheduled to work at night. Well, I might as well just go to work because Albeit have been done moving. There's won't be anything more to do and That was dumb. That was not the brightest idea to do all of that in one day But you know say la vie and and my DMV appointments at 8 a.m. Tomorrow morning to handle my car salvage title So Man I've been scrambling all morning. I got I got locked out of my apartment while I was trying to move all my stuff Was in the hallway. It was such a nightmare. I couldn't get ahold of anybody and I finally Based on a neighbor's recommendation was able to break into my own apartment using a credit card So I'll definitely be dead bolting my apartment from that one But I'm so glad that I was able to do that and then I rushed back to my old apartment picked up my Camera and then rushed here. I got here just in time for my appointment And here we are So, yeah, that was enlightening some of the stuff she said I Didn't know and now you know too. So that's cool and We'll see what my doctor says when he comes in and and I want to do a follow-up of This round because now I've taken big tarvy since January and this will be my first lab work that I'm doing After having taken big tarvy for that whole period and I'll be able to see the direct impact on my My body and I'll be able to let you guys know how it was for me Because I already told you in a previous video that I don't have any symptoms no noticeable symptoms I fucking love big tarvy. It's great. It's worked wonders for me and Now I'll be able to see in a like blood panel Specific internal type of way how big tarvy has been with my body And now we wait for a glass team my awesome sauce doctor and I will eat these in the meantime So hungry. Oh, and I didn't feel like passing out after I give files and files of blood I got my own little table. Yeah, so cool fancy I probably Soar I'm so sore the mover was making fun of me because I was being such a baby moving stuff Because I did legs yesterday. I know I know not brilliant on my part I'm so sore And my core sore and my back sore and my biceps are sore and I was cramping trying to move things and I was just like Not doing well It's been a rough morning. Yeah That's good Cool Now that you have what is it more space and stuff? You can do that No more space. We can do it and it's important that they fix those Parts of medical care that they don't otherwise see yeah in the hospital. Yeah So, you know, they learn about HIV they learn about HIV prevention They learn about STD. They learn how to talk about sex. They learn about gay men's health Because you know, my favorite topic here is running. I mean, excuse me Pardon me delete that Actually joking aside, if you're gonna take care of patients, you do have to learn how to talk about sex in a way that Is not awkward. Not awkward Doctors awkward talking about sex People are not going to Tell you what's going on. So your knees bugging you I mean Wearing shorts It wasn't planned. I just was moving this morning. Please scoot back a little to you. Yeah, and Point to the part that bugs you Well, it's it depends like a lot of times. It's just general burning It feels like it's here under the kneecap. Okay, sometimes it's on this side. Sometimes it's like so relax your leg. I Went any pain in here? Okay, that's good Okay, good What sort of things aggravated? It's hard to say because a lot of times I feel the pain when I'm like in the driver's seat and my foot's just like Okay, I'm gonna start burning. Okay, or if I'm sitting in a chair, which starts burning Does it limit you from doing I have to like put it straight and if I can't it just builds up more and more, okay? Does that pain limit you or that burning sensation limit you from doing anything like exercise wise usually not exercise Sometimes yeah, and I have to go easy But mostly it's just if I'm sitting in a confined space and I can't fully it'll just get worse and worse Okay, and you stand a lot of work, right? Yeah, does it bother you when you're standing? Do you do any running? No, okay But walking doesn't seem to bother you Can you pop off the table for a second? Yeah Take your Foot and touch your butt Okay, now can you do it with the other leg? Okay, does one side feel tighter than the other you're good when I went when they actually worked on it They said this band out here is really really tight Yeah, I'm a lot of people poke the bunch of holes right here poke the bunch of holes You know acupuncture. No, I went in for a procedure and they I think they injected it with PRP Oh, I see and then the actual band the actual band There there was like a after I woke up There was like maybe like 20 holes there and they put it in the band so that it would okay When did you have PRP a year and a half ago? Did that help? Yeah Okay, but it's worn off PRP usually is gonna wear off like in a year. Yeah So you were seeing a chiropractor was the chiropractor helping? Yeah It was yeah, he's like a sports therapist as well. Okay Sports therapists like physical therapist But your insurance changed and it no longer covers. Yeah, cuz he's technically a chiropractor. Got it So you can't see him at all. No, you were great on TV. Thank you It was weird because she didn't tell me she was starting to film She's like, what's your name and then she started asking you questions. I was like, oh, no, it started probably yeah I can give you a prescription for physical therapy because that's all you need Tight ligaments or telephemeral syndrome can be painful. It can be annoying But it's slowly treatable and I'll recommend a few physical therapy places. Okay, and there you have it So, you know, okay with Victoria. Yeah So it's still I think in my opinion The best HIV medication we have ever seen I think it will continue to be the best we have available for about the next probably three to five years There will be new things coming out there have been new things that have already come out. Yeah There's a new thing. I don't know how much on top of this stuff you you stay But there's a new thing called Devato Which is one pill once a day also very very good. I'm not convinced that it has any advantages over Okay, but I think in three to five years We might have some things that you just inject into your skin as opposed to into your muscle and skin injections are much less Ideally, it would be like one injection every three to six months that to me It's worth paying attention to but I don't think we're gonna have anything earth-shaking until then. Okay. Um, any other questions comments concerns for me Get a flu shot in the fall when they're available Okay, so let me get you a prescription for physical therapy. I'll give you the names of some physical therapy places to go There you have it Yeah Yeah Are you the only one doing this a lot of people? Yeah, I've never seen another video of someone doing that No, that's it