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A Piece of My Mind
June 13, 2007

Small Victories

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Editor.

JAMA. 2007;297(22):2455-2456. doi:10.1001/jama.297.22.2455

As we were coming to the end of a brief office visit, my patient, a 56-year-old former injection drug user with HIV, turned to me with a smile as he stood and said, “Hey, Doc, I bet you didn't used to have these kinds of conversations with people when this all started, did you?” We both laughed, and I realized how profound, in fact, this simple observation was. We had just passed the 25th anniversary of the first reported cases of AIDS in the United States—June 1981, fast forwarded to June 2006—and I recalled in that one panoramic moment how much had changed in those 25 years.

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