Episode 11: Let's Talk HPV, Anal Cancer, and High Resolution Anoscopy ft. Jonathan Baker, MPAS, PA-C
History Lesson of the Day
Dr. Josephine Baker (1873-1945) was the first woman to earn a doctorate in public health from New York University and Bellevue Hospital Medical College. Dr. Baker graduated from Woman’s Medical College of the New York Infirmary in 1898 and pursued an opportunity to discover the connection between poverty and ill health at the New England Hospital for Women and Children in Boston. In 1908, Dr. Baker was appointed the director of the city’s new Bureau of Child Hygiene and developed programs for midwife training, basic hygiene, and preventative care. She was instrumental in identifying “Typhoid Mary” and “promoted health education in the city's immigrant communities, distributed milk to children, and created a school health program that was copied in thirty-five states across America. By the time Baker retired in 1923, New York City had the lowest infant mortality rate of any major American city.”
It is well-known that her partner was screenwriter, Ida Wylie. “Although Baker never publicly came out, her relationship with screenwriter Ida Wylie is well-documented. In Wylie’s own autobiography she says she “always liked women better than men”. Together they joined the Heterodoxy, a lunch group made up of feminist women, many of them also lesbian or bisexual. When Baker retired, Wylie and Baker moved to New Jersey with physician Louise Pearce and remained with them until her death in 1945.”
Human Papilloma Virus (HPV) is the most common sexually transmitted infection in the world. It is also the cause of cervical cancer, anal cancers, and oropharyngeal cancers; but disproportionally affects HIV positive individuals. But why? What screening tools can be used to prevent anal cancer? Today, we talk to Jonathan Baker, MPAS, PA-C about anal disease, HPV, anal cancer, and High Resolution Anoscopy (HRA). Jonathan has been a physician assistant since 2009. He started his career working in the Anal Dysplasia Clinic and Research Program, the HIV Prevention/Rectal Microbicide Development Program, and the Multicenter AIDS Cohort Study (MACS)/Pitt Men's Study at the University of Pittsburgh. In 2014, he joined Laser Surgery Care Center in NY where his clinical and research focuses are on anal disease, anal HPV, sexual health, HIV prevention, and preexposure prophylaxis. He is also a clinical research and study coordinator for the ANCHOR study. On top of that, Jonathan is the Director of the NYC District for NY State Society of Physician Assistants, America Academy of Physician Assistants (AAPA) Liason to Gay and Lesbian Medical Association GLMA), Chair of Membership for LBGT PA Caucus, and part of the AAPA House of Delegates from 2015 to present. From social media, he also loves Broadway shows…a lot.
How to Perform a Digital Rectal Exam (***Simulation***)
How to Perform an Anal Pap Smear
Setup for High Resolution Anoscopy
High Resolution Anoscopy (***Warning: video of actual procedure***)
Medical Studies and Publications
Topical application of trichloroacetic acid is efficacious for the treatment of internal anal high-grade squamous intraepithelial lesions in HIV-positive men, et. al.
Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents