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Dr. Andrew P. Jameson, MD

Infectious Disease Specialist

Dr. Andrew P. Jameson MD is a top Infectious Disease Specialist in Grand Rapids, . With a passion for the field and an unwavering commitment to their specialty, Dr. Andrew P. Jameson MD is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Andrew P. Jameson MD is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Andrew P. Jameson MD is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Grand Rapids, MI, Dr. Andrew P. Jameson MD is a true asset to their field and dedicated to the profession of medicine.
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Dr. Andrew P. Jameson, MD
  • Grand Rapids, MI
  • Accepting new patients

Possible HIV exposure

No risk to pick up HIV from random contact. It has to be blood to blood contact. HIV also does not live outside the body for more than a few minutes so you are not at risk. Andrew READ MORE
No risk to pick up HIV from random contact. It has to be blood to blood contact. HIV also does not live outside the body for more than a few minutes so you are not at risk. Andrew Jameson, MD, FACP, FIDSA, AAHIVS Specialty Medical Director Trinity Health Medical Group Section Chief-Infectious Diseases Trinity Health Saint Mary's Hospital Associate Professor of Medicine Clerkship Director- Internal Medicine Michigan State University- CHM Email: andrew.jameson@trinity-health.org W 616.685.8200 P 616.397.3097 310 Lafayette Suite 410 Grand Rapids, MI 49503

Hiv

With almost all of the meds we use for PEP, there is minimal risk to your kidney or liver over a month. It is okay to keep on the PEP.

Can I get rabies from bodily fluids on car (if any) after running over dead raccon?

Good morning, you cannot get rabies from a type of contact you describe. I think you are not at risk of rabies.

Antibiotic for STD?

Greetings, you cannot use cefuroxime for the treatment of gonorrhea or chlamydia. We typically recommend an injection of antibiotic for a high dose to treat the gonorrhea and an READ MORE
Greetings, you cannot use cefuroxime for the treatment of gonorrhea or chlamydia. We typically recommend an injection of antibiotic for a high dose to treat the gonorrhea and an oral antibiotic for seven days to treat the chlamydia. I would encourage you to get tested to be sure. You also should probably be tested for other sexually transmitted infections including syphilis and HIV. Those are infections that can be asymptomatic initially but cause significant problems later.

Take care.


Andrew Jameson, MD, FACP, FIDSA, AAHIVS
Section Chief-Infectious Diseases
Medical Director-Infection Control
Trinity Health Saint Mary's Hospital

Associate Professor of Medicine
Clerkship Director- Internal Medicine
Michigan State University- CHM
andrew.jameson@mercyhealth.com<mailto:tannera@mercyhealth.com>
W 616.685.8206 P 616.397.3097
310 Lafayette Suite 410
Grand Rapids, MI 49503

Does this look like a staph infection?

I am not certain it is staph infection but I would say they need to see a physician soon. That definitely could be a severe soft tissue infection that is dangerous to leave untreated. Andrew READ MORE
I am not certain it is staph infection but I would say they need to see a physician soon. That definitely could be a severe soft tissue infection that is dangerous to leave untreated.


Andrew Jameson, MD, FACP, FIDSA, AAHIVS
Section Chief-Infectious Diseases
Medical Director-Infection Control
Trinity Health Saint Mary's Hospital

Associate Professor of Medicine
Clerkship Director- Internal Medicine
Michigan State University- CHM
andrew.jameson@mercyhealth.com<mailto:tannera@mercyhealth.com>
W 616.685.8206 P 616.397.3097
310 Lafayette Suite 410
Grand Rapids, MI 49503

I want another medical personal advice?

Oral cefixime is not longer a recommended therapy for gonorrhea treatment. There is an alternative dose of 800mg x 1 dose of oral cefixime if intramuscular treatment is not available. READ MORE
Oral cefixime is not longer a recommended therapy for gonorrhea treatment. There is an alternative dose of 800mg x 1 dose of oral cefixime if intramuscular treatment is not available. Protecting yourself and your baby is not a bad idea at all. Gonorrhea has been associated with complicating pregnancies. If his symptoms are gone, there is a good chance that he was treated, but I agree with retesting. If he/you were not tested for chlamydia, that should be done as well.

Andrew Jameson, MD, FACP, FIDSA, AAHIVS

Covid question?

This is probably too late, but this is a scenario where I do think it is likely safe to see the recently positive family for the holidays. If someone is 10 days out from symptoms READ MORE
This is probably too late, but this is a scenario where I do think it is likely safe to see the recently positive family for the holidays. If someone is 10 days out from symptoms and is recovered already, they are very unlikely to be still infectious. The husband with a cough 3 weeks out is also very likely free from the ability to infect others. The only exception to this is if he was hospitalized with a critical illness or he takes medicines that suppress his immune system. I would not recommend retesting as it will complicate the picture rather than provide clarity. The tests for covid stay positive long after an individual can spread the infection.

Andrew Jameson, MD, FACP, FIDSA, AAHIVS

Vaccine in-between vaccines?

It is definitely okay to get the vaccines that close together, although you do increase your risk of feeling worse because of the vaccine combination. I personally received influenza READ MORE
It is definitely okay to get the vaccines that close together, although you do increase your risk of feeling worse because of the vaccine combination. I personally received influenza and the booster at the same time. I did fine with it. Separating the vaccines by a couple days is completely reasonable. If you were looking to prioritize one of the vaccines, I would absolutely get the booster. Omicron is spreading quickly throughout the US and that is the best way to avoid any serious illness from that particular variant.

Andrew Jameson, MD, FACP, FIDSA, AAHIVS

COVID-19 vaccine - 2 boosters after J&J?

There is no medical downside to this, but there is no data on efficacy or interval. I do personally favor getting 2 doses of an mRNA after J&J. The big issue is that it will not READ MORE
There is no medical downside to this, but there is no data on efficacy or interval. I do personally favor getting 2 doses of an mRNA after J&J. The big issue is that it will not be under the EUA for boosters, so you will have to get Pfizer where it can be given under the full FDA approval that allows off label use. Not a significant issue, but a logistics detail. You may run into some pharmacies or vaccine centers that will not vaccinate outside the EUA rules.

Andrew Jameson, MD, FACP, FIDSA, AAHIVS

What are the chances of another Ebola spread in the U.S.?

Very low risk. There is certainly a possibility of our citizens bringing Ebola back from abroad but the chance of it spreading locally is extremely low. Many of the factors that READ MORE
Very low risk. There is certainly a possibility of our citizens bringing Ebola back from abroad but the chance of it spreading locally is extremely low. Many of the factors that contribute to the outbreak in Congo are not issues in the US. Our public health infrastructure and healthcare system in general will protect our population very well.

Andrew Jameson, MD, FACP, AAHIVS
Division Chief-Infectious Diseases
Medical Director-Infection Control
Mercy Health Physician Partners
A Member of Trinity Health

Assistant Professor of Medicine
Clerkship Director- Internal Medicine
Michigan State University- CHM
andrew.jameson@mercyhealth.com<mailto:tannera@mercyhealth.com>
W 616.685.8206 P 616.397.3097
310 Lafayette Suite 410
Grand Rapids, MI 49503

Is HPV considered an STD?

HPV is sexually transmitted and is considered an STD. It sometimes can be cleared without the ability to transmit to a partner, but other times it stays in the body. I would encourage READ MORE
HPV is sexually transmitted and is considered an STD. It sometimes can be cleared without the ability to transmit to a partner, but other times it stays in the body. I would encourage you to get screened, and your OB/GYN can do this. Some HPV is high risk and can lead to oral/rectal/cervical cancer, so screening is important. Gardasil is also a vaccine that can help prevent getting HPV moving forward and I would encourage you to get vaccinated.

Andrew Jameson, MD, FACP, AAHIVS

How is HIV treated?

Thank you for the question! Certainly HIV is a very manageable disease now and it can certainly be controlled with medications. The biggest issue we still have is people that either READ MORE
Thank you for the question! Certainly HIV is a very manageable disease now and it can certainly be controlled with medications. The biggest issue we still have is people that either do not know they have HIV or they do not take their medications as recommended. The treatment itself is many times a 1 or 2 pill regimen that combines the medications together. It is well tolerated and very safe.

Andrew Jameson, MD, FACP, AAHIVS

Does a cold sore mean herpes?

Typically, cold sores do mean Herpes simplex virus type 1. This is a routine cold sore virus that is not inherited, but is transmitted relatively easily. If they run in the family, READ MORE
Typically, cold sores do mean Herpes simplex virus type 1. This is a routine cold sore virus that is not inherited, but is transmitted relatively easily. If they run in the family, then they likely transmitted the virus to your daughter.

Andrew Jameson, MD, FACP

How dangerous is herpes?

Good morning, Herpes simplex virus can causes a wide spectrum of diseases. It can cause a simple skin outbreak only causing discomfort all the way to a severe brain infection READ MORE
Good morning,

Herpes simplex virus can causes a wide spectrum of diseases. It can cause a simple skin outbreak only causing discomfort all the way to a severe brain infection or meningitis. The manifestation of the disease is dependent on what type of Herpes your friend has. It can be transmitted, but it tends not to be transmitted by casual contact. Your friend should likely just have routine visits with a primary care doctor to assess risk and to stay healthy.

Andrew Jameson, MD, FACP, AAHIVS

Can my CPAP machine aggravate my sinus infection?

Absolutely. There is the risk of bacterial overgrowth that can cause both allergic reactions and infection. It should be cleaned regularly according to the manufacturer recommendations. READ MORE
Absolutely. There is the risk of bacterial overgrowth that can cause both allergic reactions and infection. It should be cleaned regularly according to the manufacturer recommendations.

Can a shingles infection come on the buttocks and thighs?

Shingles can reactive anywhere on the body. It lays dormant in the doral root ganglion of your spinal cord and can come out anywhere. Shingles should prompt a presentation to the READ MORE
Shingles can reactive anywhere on the body. It lays dormant in the doral root ganglion of your spinal cord and can come out anywhere. Shingles should prompt a presentation to the doctor though as it can be treated with antivirals and you may be a candidate for vaccination.

If my daughter has a viral infection, why did the doctor prescribe antibiotics?

You are absolutely correct that antibiotics should be used only to treat probable bacterial infections. Unfortunately, many doctors feel that patients are always asking to be given READ MORE
You are absolutely correct that antibiotics should be used only to treat probable bacterial infections. Unfortunately, many doctors feel that patients are always asking to be given a prescription rather than taking the time to truly dig into what is actually going on. I am not recommending that you get a new doctor but it is very reasonable to ask this question to your doctor. I think if your doctor feels that it is consistent with a viral syndrome then antibiotics are not indicated. It is important to know that nothing we do is without risks or potential side effects. Therefore we must have a good indication to proceed with a specific treatment.

Zika virus?

Zika is still a definite concern. https://wwwnc.cdc.gov/travel/page/zika-travel-information This is a great resource for finding out where Zika transmission is active and where READ MORE
Zika is still a definite concern. https://wwwnc.cdc.gov/travel/page/zika-travel-information

This is a great resource for finding out where Zika transmission is active and where it has been previously.

Take care!