May 16, 2004
I was diagnosed hiv in 1986 and have been on a regiment of med's since that time. Viral Load has been -50 with T-4's ranging from 178 - 765. December Dr.s appt prompt that I wasn't elibible for medications anymore, but wanted to do monthy tests for three months to evaluate not being on meds. My Jan labs indicate 11000 viral load. No T-4 count was done.
I'm really concerned that this Dr. is "playing with my life" given I've been on meds for so long and they have seemed to be working. The system I use is a VA hospital with military benefits - but I do have medicare B available if necessary.
Do I go back on meds? See a civilian physician for a second opinion?
| Response from Dr. Holodniy
A CD4 count here is critical. If your CD4 count is > 350 with that viral load, many experts would recommend waiting to restart. On the other hand, if the CD4 count is less, many would recommend restarting treatment.
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