KevinMD July 26, 2024
American College of Physicians

It was 2018. Previously, “Max” had steadfastly refused all vaccines. Despite his HIV infection, which was well controlled, and my pleading with him over multiple years to get a flu shot, he was firmly opposed. He was intelligent and very matter-of-fact, and we had discussed this often. It was obvious that he did not want to be vaccinated, despite the clear recommendations and benefits for a patient with his diagnosis. He often said, “I’m not ready yet.” I was in the trenches with Max.

In our fall visit in 2018, he opened with, “You’ve been talking with me for a long time about vaccines, and I’ve been giving it a lot of thought. I’ve read a little more about the...

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