Rephonic
Artwork for Viremic – Cases in HIV
HIV
Antiretroviral Therapy
Mpox
Biktarvy
Viral Suppression
HIV/AIDS
Medical Adherence
Resistance Mutations
Weight Gain
Elite Controllers
Cabotegravir
Cryptococcal Meningitis
Substance Use Disorder
Statins
Hiv-Associated Nephropathy
Anti-Retroviral Therapy
Immune Reconstitution Inflammatory Syndrome
Drug Resistance
Clinical Guidelines
Hiv-2

Hosted by Eileen Scully, MD, PhD, and Christopher Hoffmann, MD, MSC, MPH, both HIV specialists at Johns Hopkins, Viremic explores quandaries in adult HIV care. Each case discussion includes medical history and diagnoses, challenges in care and treatment, and key evidence and guidelines that informed clinical decision making. Cases are presented as a composite from the hosts’ clinical practice, wit... more

PublishesTwice monthlyEpisodes27Foundeda year ago
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MedicineHealth & FitnessScience

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Artwork for Viremic – Cases in HIV

Latest Episodes

Hello Viremic listeners. We are taking a break for the month of July. Please check out our past episodes and catch up on any cases you may have missed.

We love hearing from our listeners, so please send us comments or potential case topics to virem... more

A new-to-you patient—51-yr-old man with HIV since the early 2000s—has spotty vaccine records. How to educate, make recommendations, and avoid too many vaccinations at once? Listen as Chris and Eileen from Johns Hopkins make the case argue for their f... more

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A 42-yr-old man with AIDS presents feeling unwell, with white spots in his mouth, and scattered violaceous macules on his upper extremities; he has never taken ART. Listen as hosts Eileen Scully and Chris Hoffmann from Hopkins describe their initial ... more

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Chris presents a 62-yr-old man with HIV for >30 yrs, with viral suppression and many drug resistance mutations, whose ART must be changed due to a drug-drug interaction, but also for simplification. As part of their discussion, Chris and Eileen revie... more

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Recent Guests

Jeremy Kidd
Psychiatrist, addiction medicine specialist, and authority on the intersection of mental health, substance use, and HIV
ICANN School of Medicine; Medical director of outpatient addiction treatment at Mount Sinai West, New York City
Episode: Case 22. Sex with Drugs: Talking About Chemsex and Harm Reduction
Joel Blankson
HIV immunologist, physician-scientist at Johns Hopkins
Johns Hopkins University
Episode: Case 21. If You’ve Seen One, You Haven’t Seen Them All: Elite Controllers
Margie Urban
Infectious diseases clinician and STI guidance lead
University of Rochester School of Medicine
Episode: Case 20. New Options for Treating Pharyngeal Gonorrhea
Sanjiv Shah
Chief Medical Officer of Metro Plus Health in New York; infectious disease specialist
Metro Plus Health, New York
Episode: Case 19. Similar, but Not the Same: HIV-2 Diagnosis and Treatment
Paul Sax
Clinical Director of the Division of Infectious Diseases, Brigham and Women's Hospital; Bruce A and Robert L Beale Endowed Chair; Professor at Harvard Medical School
Brigham and Women's Hospital; Harvard Medical School
Episode: Case 18. What’s New from CROI 2026 with Dr. Paul Sax
Asa Radix
HIV clinician and a leader in advocacy research and policy for transgender people
Kellan-Lorde Clinic, New York City
Episode: Case 17. Trans Lives Matter: Affirmative HIV Care
Shauna Gunaratne
Assistant Professor of Medicine, Division of Infectious Diseases, Columbia University Medical Center; Associate Program Director for the Infectious Disease Fellowship Program
Columbia University Medical Center
Episode: Case 16. Mpox After the Outbreak
Bruce Hirsch
Infectious diseases and HIV specialist
Northwell Health, New York
Episode: Case 15. A Pain in the Butt: Anal Cancer Screening and Prevention
Jean Anderson
Obstetrician and gynecologist, pioneer in care for women living with HIV, founder of HIV Women's Health Program at Johns Hopkins
Johns Hopkins University
Episode: Case 14. “AIDS Is Not My Worst Problem”: Caring for Women with HIV

Hosts

Eileen Scully
Co-host of Viremic; HIV specialist at Johns Hopkins University
Christopher Hoffmann
Co-host of Viremic; HIV specialist at Johns Hopkins University

Reviews

5.0 out of 5 stars from 16 ratings
  • Educational

    Excellent podcast. Learned a lot.

    Apple Podcasts
    5
    Meg Chuck
    United States6 months ago
  • Excellent Expert Teaching

    Drs. Scully and Hoffman offer insightful and high yield teaching around practical modern HIV treatment questions. Informed by both data and clinical practice, these podcasts are invaluable and accessible to any listener interested in HIV ranging from learner through seasoned clinician. The best podcast for HIV treatment learning that I’ve found.

    Apple Podcasts
    5
    MikeRoseMDMPH
    United States8 months ago
  • Thank you so much for starting this podcast. I'm a physician who is trying to learn the nuances of HIV. These three episodes have taught me a lot which will also help me teach my fellows/residents

    Podcast Addict
    5
    preranaroth
    a year ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Listeners praise the educational depth and practical HIV treatment insights.
Content is accessible to a broad clinical audience while staying firmly rooted in guidelines and evidence.
Hosts offer high-yield, data-informed teaching useful for learners and seasoned clinicians.
Guests and case variety are a strong selling point for sponsorship or guest appearances.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Talking Points

Recent interactions between the hosts and their guests.

Case 19. Similar, but Not the Same: HIV-2 Diagnosis and Treatment
Q: What are the things that you think about as you choose a regimen for HIV-2?
We consider which antiretrovirals work against HIV-2, avoid those that do not (like NNRTIs and certain PIs), prefer regimens that include two NRTIs with an integrase inhibitor, ensure activity against HIV-2 while also noting co-infections such as hepatitis B and the potential for HIV-1/HIV-2 co-infection, and prioritize regimens that are safe in pregnancy when conceiving.
Case 18. What’s New from CROI 2026 with Dr. Paul Sax
Q: What makes CROI 2026 particularly important for shaping HIV treatment strategies going forward?
CROI 2026 provides new data on long-acting injections, resistance patterns, and the real-world performance of emerging regimens, which helps clinicians think beyond traditional oral therapy and plan monitoring and transitions more effectively.
Case 17. Trans Lives Matter: Affirmative HIV Care
Q: Do you discuss gender-affirming care with your patients and how to broach this topic, including options for hormonal therapy?
Yes, integrated care is key; discuss hormone goals, formulation options, and monitoring, and reassure that HIV treatment can be continued safely alongside gender-affirming therapy, with ongoing hormone level monitoring.
Case 17. Trans Lives Matter: Affirmative HIV Care
Q: Do you have a go-to ART regimen when there's not complex drug resistance mutations?
The goal is a regimen that is effective, easy to take, well tolerated, durable, and suitable for once-daily single-tablet use, with consideration for ongoing hormonal therapy and potential interactions.
Case 17. Trans Lives Matter: Affirmative HIV Care
Q: What else would you like to know before discussing a care approach with her, especially in regards to recommending an antiretroviral therapy regimen?
We gather medical basics like prior ART exposure, PrEP use, kidney function, hepatitis serologies, STI results, medication list, and social context such as housing and insurance to tailor an ART plan.

Audience Metrics

Listeners, social reach, demographics and more for this podcast.

Listeners per Episode
Gender Skew
Location
Interests
Professions
Age Range
Household Income
Social Media Reach

Frequently Asked Questions About Viremic – Cases in HIV

What is Viremic – Cases in HIV about and what kind of topics does it cover?

Viremic presents clinical case discussions in adult HIV care, with hosts Eileen Scully and Christopher Hoffmann guiding conversations through real-world scenarios, patient histories, and treatment decisions. Episodes emphasize how evidence, guidelines, and clinical judgment inform choices around antiretroviral therapy, drug interactions, comorbidities, and patient-centered care. The format highlights the hosts' lived clinical experience, encourages critical thinking, and aims to translate complex HIV care into practical takeaways for practitioners while maintaining patient privacy and contextual nuance.

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How many listeners does Viremic – Cases in HIV get?

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Which podcasts are similar to Viremic – Cases in HIV?

These podcasts share a similar audience with Viremic – Cases in HIV:

1. Infectious Disease Puscast
2. Breakpoints
3. NECA in the Know
4. This Week in Virology
5. The Curbsiders Internal Medicine Podcast

How many episodes of Viremic – Cases in HIV are there?

Viremic – Cases in HIV launched a year ago and published 27 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Viremic – Cases in HIV?

Recent guests on Viremic – Cases in HIV include:

1. Jeremy Kidd
2. Joel Blankson
3. Margie Urban
4. Sanjiv Shah
5. Paul Sax
6. Asa Radix
7. Shauna Gunaratne
8. Bruce Hirsch

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