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I found out I had HIV+ on 4-30-09 . I didn't go for help and keep it to myself. I was so despessed and did not eat only drink ensure. On 6-12-09 I go in to get help and do a blood test. On 6-29-09 I have a fever and found out I have aids and my viral load was 35400 and t-cell 112. My doctor give me megestol suspension for my appetite,acetaminophen for my fever,sulfamethoxazole with trimethoprim for antibotics and pneumonia and also chest x-ray. My doctor said, it treatable. My question is how much treatable is it or am I too late for treatment. My fever keep coming back every 4 to 5 hour and should I go to the emergency if the fever keep coming back. My next appointment 8-26-09 and I think it might be too long for treatment. Need help and Thank you
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Response from Dr. Frascino
Hello,
It's indeed unfortunate you waited so long to seek treatment. That, however, is in the past. What's important now is aggressively treating your HIV/AIDS and opportunistic complications. I agree most pneumonias are treatable. Your HIV plasma viral load should decreased on effective antiretroviral therapy. Hopefully your doctor started you on a regimen of antiretrovirals. (You did not list these in your current medication list!) As your HIV viral load decreases your CD4 count should rise.
If you are having persistent fevers, I would suggest you see your HIV physician specialist rather than go to the emergency room. Considering your low CD4 counts, fever and presumed pneumonia, I would anticipate your HIV specialist would want to see you much sooner than 8/26/09! Call and move your appointment up to this week. If your current HIV specialist is uncooperative or too busy to see you, get a second opinion from another HIV specialist without delay. Close follow-up is certainly warranted.
Good luck.
Dr. Bob
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