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Hep C Treatment in Primary Care - Shared screen with speaker view
Jen Hastings (jen/jen)
25:03
Welcome everyone to Hepatitis C in Primary Care!
Sandra Orozco
25:07
Hi, Sandra Orozco, she/her. Santa Cruz County Public Health
Jen Hastings (jen/jen)
25:22
Thanks Sandra. Please share your name, organization and role!
Rahshan Williams
25:56
Rahshan Williams (He, him, his) S.C. County SSP Coordinator
Jill Allen
25:57
Martin Alvarez Dorothy's Place Program Director
Ana Marquez
25:59
Karla Quiroga - Program Manager - SLO/SB County - Access Support Network
Geno Santillano, MD Provider Champion MAT @SPLG
26:04
Geno Santillano, MD, Provider Champion MAT @SPLG
Ashley Silva
26:08
Ashley Silva Dorothy's Place Social Worker
Venessa Villa-Martin
26:19
Venessa Villa-Martin, Dorothy's Place, Program Manager
Emily Levin-Rosenshine
26:20
Emily Levin-Rosenshine, AmeriCorps VISTA Member at HIP (SafeRx program)
Claire Masters
26:51
Claire Masters, she/her SC County Public Health Investigator
Madison Hickey
27:01
Hi, my name is Madison Hickey (She, her, hers) S.C. County HSA intern (& UCSC student)
sandra velasquez
27:14
Sandra, Dorothy's Place, CHW
Ana Marquez
27:22
Ana Marquez, she/her, HCV Patient Navigator at Access Support Network in SLO/SB County
Jill Allen
27:42
Jill Allen from Dorothy's Place in Salinas.
Jen Hastings (jen/jen)
28:58
This is such a lovely offering Salla. Thank you Ali and Salla.
Sandra Orozco
30:21
Thanks Salla!
Margaux Lazarin
30:25
Sorry for the delay- Margaux Lazarin, Associate Medical Director, Primary Care at Planned Parenthood Mar Monte
Jen Hastings (jen/jen)
35:00
priscila, do you want to share the slides as slide who? then the slides will be larger.
Jen Hastings (jen/jen)
35:13
oops, apologies. that was just for Priscila.
Jessica Moreno
35:15
Jessica Moreno CHW from Dorothy’s Place
Ali Hayes
38:04
Priscila and I can send the link to get connected with the ECHO chats with our follow up materials.
Jen Hastings (jen/jen)
44:19
That is fascinating! Coffee!
Priscila Bacio
49:08
For folks who have just joinedTo view the HCV toolkit and glossary, please visit the CAReTeam Webpage: https://www.santacruzhealth.org/HSAHome/HSADivisions/PublicHealth/CAReTeamIntegratedServices.aspx
Priscila Bacio
49:57
Please feel free to ask questions, verbally or drop them in chat. Dr. Diamond welcomes questions anytime during the presentation.
Geno Santillano, MD Provider Champion MAT @SPLG
59:25
Genotype still optional for Co-infection with HIV and Hep B?
Ali Hayes
01:13:37
We can include info on the apps Dr Diamond referenced when send follow up materials.
Jason Johnston
01:16:33
Do you add AFP testing to US HCC screening?
Geno Santillano, MD Provider Champion MAT @SPLG
01:17:05
I think they are being sent out of county (Stanford)
Eliko Bridgewater
01:17:08
I'm hearing that folks are referred to Stanford.
Anniken Hansen
01:17:32
Los Palos GI does the FibroScan
Anniken Hansen
01:17:42
in watsonville
Ali Hayes
01:18:43
Good to know Anniken Hansen! Thank you
Geno Santillano, MD Provider Champion MAT @SPLG
01:26:32
OKAY, so if Hep B DNA Quant NEG, okay to initiate treatment for Hep C
Ali Hayes
01:26:59
questions are welcomed!
Geno Santillano, MD Provider Champion MAT @SPLG
01:30:35
co-infection not being treated as a low risk for treatment in primary care clinic
Jen Hastings (jen/jen)
01:31:45
We can stretch as we listen!
Ali Hayes
01:42:35
We have confirmed Los Pallos GI in Watsonville, does offer Fibroscan and accept MediCal. So Stanford does not have to be our primary option. Good FYI! https://lpgsi.com/
Ali Hayes
01:47:21
We will send the list of Dr D's favorite apps with the other materials she has provided us.
Sharon Gehringer
01:47:49
Can you speak patients don't take the medications consecutively. I inherited a patient who comes in about every 2 weeks and picks up a week of meds and then is lost again...what is your advice for determining treatment "success"? Thanks so much!
Sharon Gehringer
01:53:47
Thank you!
Eliko Bridgewater
01:57:48
If the viral load is undetectable prior to end of treatment (and there's no concerns of reinfection) does the viral load ever come back? Why SVR 4 or 12?
Ana Marquez
02:05:16
What about ideas on how to cover labs for uninsured folks?
Anniken Hansen
02:06:22
They can come to the county clinic for Medi-cruz
Ana Marquez
02:06:27
We are slo county
Anniken Hansen
02:06:49
that is santa Cruz
Anniken Hansen
02:07:44
can get PRUCOL medi-cal for undocumented with hep C
Ali Hayes
02:08:29
Thank you Anniken. We will add this info to the follow up materials we send. Appreciate it.
Jen Hastings (jen/jen)
02:12:01
The same experience with providing transgender health care and hormone suport.
Jen Hastings (jen/jen)
02:12:05
support.
Ali Hayes
02:15:17
Reminder- we have a evaluation tool we will share at 3pm. Dr Diamond will probably finish at 3:15 and will stay on a few more minutes for any further questions.
Priscila Bacio
02:23:37
You can access the calculator that is being used to calculate the FIB4 score here: https://www.hepatitisc.uw.edu/page/clinical-calculators/fib-4
kevin Coldwater
02:24:48
Cases are good thanks
maureen cahill
02:24:59
I think it’s helpful
Priscila Bacio
02:35:23
You can access HCV evaluation survey here: https://forms.gle/SqeHoXgzNfPxiJRUA
Jen Hastings (jen/jen)
02:41:10
This was wonderful. I learned so much. I apologize for not being more engaged. I am on the east coast and I am juggling extended family and multiple requests. I greatly appreciate your experience and being so available to Santa Cruz providers! Many thanks.
Priscila Bacio
02:41:25
You can access HCV evaluation survey here: https://forms.gle/SqeHoXgzNfPxiJRUA
Emily Levin-Rosenshine
02:41:31
Thank you Dr. Diamond!
Margaux Lazarin
02:44:54
Thank you! This has been helpful
maureen cahill
02:46:17
Thank you for a helpful and informative presentation!
Priscila Bacio
02:46:18
Please expect a calendar invite to the monthly HCV Chat on Monday, August 22!
Ali Hayes
02:49:01
We have 14 evaluations so far! Please complete the survey for us. You can access HCV evaluation survey here: https://forms.gle/SqeHoXgzNfPxiJRUA
Jen Hastings (jen/jen)
02:51:12
Thank you so much Ali and Priscila and Jan Diamond!
Jen Hastings (jen/jen)
02:51:18
Please do the evaluations!
Ana Marquez
02:51:25
Thank you so much!
Rahshan Williams
02:51:39
Thank you
kevin Coldwater
02:51:39
Thank you all, great info!
Claire Masters
02:51:50
Thank you!
Sharon Gehringer
02:52:20
Thankyou!
Jason Johnston
02:52:24
Will we be able to get copies of the slides by email?
Jason Johnston
02:52:58
Thanks!
sandra velasquez
02:53:27
Thank you for all the information