>> So I'm guessing that people take that risk?
>> Some people do.
[LAUGH] But again, we, we don't counsel people to, to go that route.
Because there is that, still that small chance that transmission can occur.
>> So there's a lot of counselling that goes on in that first session.
>> Mm-hm. >> A lot of response to anxieties.
>> Mm-hm.
>> What else happens in, in that examining room?
>> Yeah, and so, you know, of course initially we take the history and
find out what other medical problems the person may have and
address the issues of mental health which is very important.
anxiety, depression sometimes other mental illness can be coexistent at the time.
In addition to just a reactive, you know, grief related to the diagnosis.
And then we want to address all the other medical problems the person may have.
You know we're seeing people who are diagnosed with HIV at all stages of life.
So from young, you know, teenage kids all the way up to older adults.
And what we're seeing now with an aging HIV population are these other
core morbidities sort of interacting with how we manage HIV infection and so,
trying to find out about all the different health problems the person may have.
[LAUGH] >> Back to your.
They're training in general medicine.
>> Exactly.
[LAUGH] Yeah, it all plays a role.
>> Uh-huh.
>> So after we've collected all that information we also discuss issues of
substance use, which are also very important and some,
again, can sometimes interplay.