Lauren V. Wood, MD
Disclaimer: The commentary and opinions expressed herein are solely those of the author and do not reflect the official position of the National Cancer Institute or the National Institutes of Health.
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Author Contributions: Conception and design: L.V. Wood.
Analysis and interpretation of the data: L.V. Wood.
Drafting of the article: L.V. Wood.
Final approval of the article: L.V. Wood.
Wood LV. Why I Voted “No” to Truvada PrEP. Ann Intern Med. 2012;157:519-520. doi: 10.7326/0003-4819-157-7-201210020-00511
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Published: Ann Intern Med. 2012;157(7):519-520.
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Fernando L. Cuadra, MD.
Internal Medicine, private practice Humble, Texas.
October 22, 2012
Regarding wrong doctors and FDA interventions
As doctors caring for mostly the sick, but also in the prevention of diseases, we must be compassionate. We unfortunately tend to forget this compassion, and everything becomes about the “business” of medicine. Examples are so abundant, so part of every hourly practice of our profession.And now we have misguided compassion. FDA just approved Truvada, antiretroviral medication, for pre-exposure prophylaxis to avoid sexually transmission of the HIV virus. This just reflects a lenient attitude, an unacceptable tolerance to an abominable human behavior. The only intervention to avoid acquire the HIV virus sexually, seen from the absolute commandment of God which is above any human law or humanistic approach, is to abstain of such sexual practices, being this heterosexual in which there is a knowledge of the infectivity of one of the couple, or completely avoid homosexual intercourse, which is indeed an abomination.This misguided compassion will keep leading into more mistakes, as one sin carries into another and multiple sins. Doctors emphasize frank discussion with the affected sexual partners. What more honest than to tell them the truth, that man was not created to have sex with man, a purposeless, abominable action? Three-fifths of the new HIV infections come from this population.When I studied medicine homosexuality was classified as a psychiatric disorder, disorder of sexual identity. As with most of human diseases, except many infections and some cancers, no cure is known, but diseases can be controlled. A misguided tolerance (compassion?) or giving up to a pressure from homosexual people led to a wrong acceptance of this abomination. No condemnation of homosexual people is promoted as this is a human weakness, a disease as just classified before, and these people are subject to our compassion and help (but not a dishonest help, not blinded, or misguided, opinions like that use of Truvada for prophylaxis does not disinhibits this aberrant sexual behavior-it is already aberrant), but condemnation of the homosexual practices which is pure abomination without any reproductive purpose, which is the commandment of God, to multiply through the marriage.As doctors we must direct the people to which is the best for their body and mind health. Otherwise we are just another business, like the tobacco industry, that knows about the damage of smoking, but keeps doing it and disguises his uncaring for persons health promoting different low nicotine cigarettes. Let the tobacco lords face our God at their time as this is what they freely choose to do, we will pray for them, as let the pharmaceutical lords face Him, we will also pray for them, but we doctors have received the gift to help people, our judgment will be more severe, so let’s do it correctly.
Fernando L. Cuadra, MD.
Internal Medicine, private practice
Infectious Disease, HIV, Prevention/Screening.
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