HIV Specialist - March 2021 - 47

patients developed rectal cancer as a second
primary cancer approximately six years after
completion of RT for the first primary pelvic
cancer. Rectal cancer is also often diagnosed
with a higher Tumor Node Mets (TNM)
stage. Our patient completed whole pelvic RT
and vaginal brachytherapy in 2014 following
a hysterectomy for a primary endometrial
stromal sarcoma. Subsequently, she was diagnosed with stage IV rectal cancer in 2020.

CONCLUSION

Patients are infrequently screened for HIV as
recommended by the CDC despite opportunities during healthcare encounters. This
failure to diagnose HIV leads to delays and/or
a lack of treatment. Even with ART, PLWHA
have a higher incidence of developing certain
cancers. These patients often present with
more advanced cancers at a younger age and
have worse outcomes.18 Healthcare providers
who care for persons with HIV should consider cancer screenings earlier than in those
individuals who uninfected, although we
also need more data from PWH to help guide
these recommendations. HIV
This research was supported (in whole or in part)
by HCA Healthcare and/or an HCA Healthcare
affiliated entity. The views expressed in this
publication represent those of the author(s) and
do not necessarily represent the official views of
HCA Healthcare or any of its affiliated entities.

MEGAN GAINES, PA-C, is a physician
assistant in the Emergency Department
and the CARE Initiative clinical coordinator
at HCA/Memorial Health University
Medical Center in Savannah, Georgia. Her
passion for providing care to uninsured and
underinsured patients has led to HIV linkage rates that
are more than double the linkage rates of years prior.

JEAN WIGGINS is a senior
administrator in Graduate Medical
Education and the manager of the CARE
Initiative at HCA/Memorial Health
University Medical Center in Savannah,
Georgia. Her passion for reducing health disparities
within her community led to an institutional-wide
initiative for HIV and HCV screening and linkage to
care program in the Emergency Department as well as
several hospital-based clinics. Her research interests
include HIV, HCV, and academic medicine.

WILLIAM HANNAH, MD, is the
Designated Institutional Official of the
HCA Healthcare/Mercer University
School of Medicine Sponsoring
Institution. He also serves as the
Executive Director of Medical Education for Memorial
Health University Medical Center. Dr. Hannah is an
associate professor of medicine for Mercer University
School of Medicine and is a core faculty member for
the internal medicine residency program. He research
interests include nonalcoholic fatty liver disease, HIV,
and academic medicine.

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