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© 2017 by HepCareStream

My father, Richard Slepin, was a bit of a madman. Born in 1923 into an affluent Jewish family fraught with secrets and emotional drama, the resultant blurred boundaries influenced every part of his life.  His chaotic childhood and unbridled brilliance yielded a kind-hearted, scattered, undisciplined, misdirected adult. He had a genius IQ, a kind and generous heart, a wildly funny, intelligent, and deeply thoughtful sense of humor, and a crippling lack of self-confidence. Of t...

Lake County is aptly named, as the largest clearwater lake in California sits in its center.

The water is blue, with mountain like volcanic structures rising in the distance.  The lake is beautiful, but plagued with an overgrowth of green algae that will begin to kill the fish as the summer temperatures rise.  When this happens, the dead fish rise to the top and the air is filled with their stench.  Some years are worse than others.  Surprisingly, you won't see a lot of water...

May is Hepatitis Awareness Month.  There are all kinds of hepatitis- A, B, C, D, E- maybe even more.  Each of them is different.  None of them are good, and some are worse than others.  The CDC has a great website where you can go to learn about each different type.  

Awareness or a lack thereof, is a problem.  Once we become aware, however, is that enough?  In my mind, the answer is NO!  Awareness requires that we act accordingly.  If we don't, we are stat...

It's not that I don't think about writing a post for my blog.  I do.  A lot.  In fact, there are 5 posts queued up in various states of edit waiting to be published.  But there's some sort of writers block going on, and as I continue deeper into the work of visiting our targeted counties, my energy is focused on building relationships and recruiting primary care providers into ECHO  so they can learn to treat and cure HCV. Busy-ness is one of the reas...

Of the 13 counties our ECHO project is targeting over 3 years, Humboldt County was the first I visited. The objective of the Project ECHO program is to build infrastructure to treat hepatitis C (HCV) by teaching primary care providers to treat, locally, rather than refer out to an academic medical center to see a hepatologist.

When I arrived in Eureka, in January of 2018, I didn't know how long I'd be there. I only knew that Humboldt had the highest rate of HCV in the entire s...

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