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  1. #2140

    Updates for Connecticut Physicians, APRNs, PAs, RNs, and RTs

    From a resource from the State (scary stats):

    In recognition of National STD Awareness Week this April, the Connecticut Department of Public Health (DPH) will provide a weekly series of updates regarding STDs for clinicians' awareness. The first in this series is an update on STD surveillance.

    2021 STD Epidemiological Update.

    The Centers for Disease Control and Prevention (CDC) 2021 STD Surveillance Report indicates that STIs increased across the United States in 2021 – more than 2. 5 million cases of chlamydia, gonorrhea, and syphilis were reported.

    Connecticut's 2021 data demonstrate the same concerning trends:

    • Gonorrhea kept its pace with 5,404 cases reported, reflecting a 22.3% increase since pre-pandemic 2019. Of concern is the increasing antimicrobial resistance of and. Gonorrhoeae.

    • Chlamydia infections are returning to pre-pandemic levels with 14,819 cases reported compared to 15,290 in 2019.

    • Disparities in the prevalence of gonorrhea and chlamydia persist:

    O Highest prevalence in persons aged 15–24 years old.

    O More cases are reported in females than in males.

    O Non-Hispanic Black / African Americans are disproportionately affected.

    • The syphilis epidemic surged ahead, increasing 59.8% since 2019, with 606 cases of infectious syphilis (primary, secondary and early latent, non-primary, non-secondary) being reported in 2021.

    O The surge is due in part to an increase in heterosexual transmission, which has been observed since 2019.

    • Congenital syphilis has increased exponentially in the past five years, with 6 cases reported in 2021, the most ever reported for Connecticut. Preliminary data indicate 8 cases reported in 2022, showing a troubling, steady increase in this entirely preventable infection.

    What can you do?

    • Are you asking your patients about their sexual health? Normalize sexual health by taking a sexual health history on all patients, regardless of risk factors or presumption of sexual activity.

    • Follow the 2021 CDC STI Treatment Guidelines which include key changes to previous clinical practices. Notable changes include:

    O Updated treatment recommendations for uncomplicated gonorrhea, chlamydia, trichomoniasis and pelvic inflammatory disease.

    O Expanded risk factors for syphilis testing in pregnant women.

    • The STI Treatment Guidelines are now available in a mobile app for Apple and Android devices. Please visit https://www.cdc.gov/std/treatment-gu...es/default.htm.

    • REPORT AND SUBMIT A STD-23 FOR ALL CHLAMYDIA, GONORRHEA, AND SYPHILIS CASES. Do not assume that another health care provider has already reported. Provider reports of diagnosis and treatment status are critical to public health prevention activities. Laboratory results alone are not sufficient to stop the spread of these preventable infections.

    • Stay up to date with STD Continuing Education.

    O Learn about how to recognize, test for, and treat STIs at your own pace using the National STD Curriculum, https://www.std.uw.edu/.

    O Looking for free continuing education credits? Check out the National STD Curriculum to learn more about STIs and Mpox: https://www.std.uw.edu/.

    Connecticut DPH STD Prevention and Control Program is available for help with the following:

    • Clinical consultation on complex cases is available by contacting Acting State Epidemiologist, Lynn Sosa, MD at (860) 509-7920 or the STD Clinical Consultation Network to consult online with expert STD faculty.

    • Record searches on prior syphilis test titers and treatment history can be obtained by calling the CTDPH STD Prevention Program main phone line at (860) 509-7920.

    • Partner services including case follow-up for STDs is available by calling (860) 509-7920 and asking to speak with a Disease Intervention Specialist Supervisor.

    Lynn Sosa, MD 8239;.

    Acting State Epidemiologist 8239;.

    Connecticut Department of Public Health .

  2. #2139

    US territories

    Anyone know the best sites to look for providers in the PR? Skip is limited andother sites don't include non-states.

  3. #2138
    Quote Originally Posted by Xelajo  [View Original Post]
    Nope. I went to Planned Parenthood. They send the report in mail to home. Wifey opened the report. Should I say more?
    Nitwits. That happened to me in about 2009. I kind of ripped them a new one. Sloppy to release that.

  4. #2137
    Quote Originally Posted by RMcLovin  [View Original Post]
    So, let me tell you the story of my friend who suspected he might have contracted an STD (probably the clap) from one of our ladies in CT. He did indeed try to make an appointment with Planned Parenthood, but the only available appointment was more than a month out! So, he said he went to the PP and asked for an immediate appointment. They said he could wait, but it might be an hour. He was OK with that, but then they asked him to fill out a bunch of paperwork with info he did not want to share. The subject of Mychart came up and he decided that PP was not at all right for him.

    After a lot of research he then found an online site that he thought might work. https://www.callondoc.com/en/consultation He said that he only needed to fill out some info online. There was no video or phone consultation. He did have to enter his real data but was able to check a box to not reveal his diagnosis. He said a prescription was called in (for which he needed his real name, dob, address) to a pharmacy out of town. He has been on the drugs for a few days and is feeling better.

    Now, he also showed me the STG profile of the lovely lady. https://skipthegames.com/posts/bridg...y/521703615942 Be warned..
    I use stdcheck.com. Pay the fee, print the order, take it to the lab, get the results in 24-48 hours later.

  5. #2136
    Quote Originally Posted by SROnly  [View Original Post]
    Tell your "friend" to go to Planned Parenthood. They will support a good organization and keep the results discreet. Do NOT give them your / his insurance info. Pay cash. Not that I would know about this sort of thing. : ^ )
    Nope. I went to Planned Parenthood. They send the report in mail to home. Wifey opened the report. Should I say more?

  6. #2135
    Good advice. Glad you were "asking for a friend. " I haven't used Planned Parenthood Services for a few years now, but it does trouble me the tie in with mychart.

    Quote Originally Posted by RMcLovin  [View Original Post]
    So, let me tell you the story of my friend who suspected he might have contracted an STD (probably the clap) from one of our ladies in CT. He did indeed try to make an appointment with Planned Parenthood, but the only available appointment was more than a month out! So, he said he went to the PP and asked for an immediate appointment. They said he could wait, but it might be an hour. He was OK with that, but then they asked him to fill out a bunch of paperwork with info he did not want to share. The subject of Mychart came up and he decided that PP was not at all right for him.

    After a lot of research he then found an online site that he thought might work. https://www.callondoc.com/en/consultation He said that he only needed to fill out some info online. There was no video or phone consultation. He did have to enter his real data but was able to check a box to not reveal his diagnosis. He said a prescription was called in (for which he needed his real name, dob, address) to a pharmacy out of town. He has been on the drugs for a few days and is feeling better.

  7. #2134

    STD test / treatment / warning

    Quote Originally Posted by SROnly  [View Original Post]
    Tell your "friend" to go to Planned Parenthood. They will support a good organization and keep the results discreet. Do NOT give them your / his insurance info. Pay cash. Not that I would know about this sort of thing. : ^ )
    So, let me tell you the story of my friend who suspected he might have contracted an STD (probably the clap) from one of our ladies in CT. He did indeed try to make an appointment with Planned Parenthood, but the only available appointment was more than a month out! So, he said he went to the PP and asked for an immediate appointment. They said he could wait, but it might be an hour. He was OK with that, but then they asked him to fill out a bunch of paperwork with info he did not want to share. The subject of Mychart came up and he decided that PP was not at all right for him.

    After a lot of research he then found an online site that he thought might work. https://www.callondoc.com/en/consultation He said that he only needed to fill out some info online. There was no video or phone consultation. He did have to enter his real data but was able to check a box to not reveal his diagnosis. He said a prescription was called in (for which he needed his real name, dob, address) to a pharmacy out of town. He has been on the drugs for a few days and is feeling better.

    Now, he also showed me the STG profile of the lovely lady. https://skipthegames.com/posts/bridg...y/521703615942 Be warned.

    He wanted me to thank you all for your help and share his story as he says he is out. My advice to him. You play stupid games, you win stupid prizes.

    Ron.

  8. #2133

    Interesting

    Quote Originally Posted by PlanetEarth  [View Original Post]
    Heard on the radio a statistic in USA of about 10 sex partners in lifetime. Did some quick surfing and found this. Connecticut is 2nd to Washington in being quite horny.
    I would say the average number based on guys on here is closer to 1 K.

  9. #2132

    Survey Says: Connecticut is EXTREMELY Horny

    Heard on the radio a statistic in USA of about 10 sex partners in lifetime. Did some quick surfing and found this. Connecticut is 2nd to Washington in being quite horny.
    Attached Thumbnails Attached Thumbnails Bespoke_WhatsYourNumber_1_HighestLowestNumber-555x1024-min.jpg‎  

  10. #2131
    Quote Originally Posted by RMcLovin  [View Original Post]
    So gents,

    Let's say that you think you might have been exposed to an std. Where would you go for anonymous testing and treatment? Keyword. Anonymous. Asking for a friend.

    Ron.
    I've used stdcheck.com. $139 for the order for a full panel. Results in 24-48 hours after.

  11. #2130
    Quote Originally Posted by RMcLovin  [View Original Post]
    So gents, Let's say that you think you might have been exposed to an std. Where would you go for anonymous testing and treatment? Keyword. Anonymous. Asking for a friend. Ron.
    Tell your "friend" to go to Planned Parenthood. They will support a good organization and keep the results discreet. Do NOT give them your / his insurance info. Pay cash. Not that I would know about this sort of thing. : ^ )

  12. #2129
    Senior Member


    Posts: 1212
    Quote Originally Posted by RMcLovin  [View Original Post]
    So gents,

    Let's say that you think you might have been exposed to an std. Where would you go for anonymous testing and treatment? Keyword. Anonymous. Asking for a friend.

    Ron.
    Never been to one but always figured Quest Diagnostics would be a good bet.

  13. #2128

    Home testing

    Quote Originally Posted by RMcLovin  [View Original Post]
    So gents,

    Let's say that you think you might have been exposed to an std. Where would you go for anonymous testing and treatment? Keyword. Anonymous. Asking for a friend.

    Ron.
    You can do a home test. https://www.healthlabs.com/std-testi...saAswfEALw_wcB.

    Good luck I hope your test are negative. If it turns positive please share the donor.

    Stay safe.

    PA.

  14. #2127

    Testing

    So gents,

    Let's say that you think you might have been exposed to an std. Where would you go for anonymous testing and treatment? Keyword. Anonymous. Asking for a friend.

    Ron.

  15. #2126

    IP Address Check

    Quote Originally Posted by Woody50  [View Original Post]
    Some clarification.

    All devices using the same home WiFi will have the same external (Wide Area Network / WAN) IP address. This address is in the router. Log into your router, also called a gateway, to see it.

    Each device on the same WiFi will have a LAN. Local Area Network address, often 10.0. 0.xxx or 192. 168.xxx.xxx, doled out by the router as devices connect. This address is not visible to the world.
    Thanks Woody, I was just trying to keep it simple.

    For those in need, try running.

    https://whatismyipaddress.com/blacklist-check

    Displays your externally facing IP, and then click button to scan black lists.

    Should be able to run on mobile browser too.

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