My name is Bruce Walker; I'm a professor of medicine at Harvard Medical School and
at Massachusetts Institute of Technology and
the director of the Ragon Institute of MGH, MIT, and Harvard.
I'm a physician-scientist and have been
involved in caring for patients since the very beginning in the epidemic
and involved in doing research, also, to
learn from those patients ever since I finished medical school.
I want to start this talk by connecting it back to the patients that were really
the harbinger of what was to become the global HIV epidemic.
This is really my own personal experience.
My first experience with this disease was when
I was working in the emergency room at Mass General Hospital.
A 19-year-old man was transferred in from
a chronic care hospital where he was being cared for tuberculosis.
He had profound weight loss, had been diagnosed
by detection of tuberculosis in the sputum, and was on therapy
at this chronic care hospital when he had
an acute change in mental status leading them to
the presumptive diagnosis that this was
probably pulmonary tuberculosis with TB meningitis.