Nov 6, 2005
I am just newly diagnosed, and missed my seroconversion apparently. I only just recently was able to get labs done by the doctor who first discovered it, and then got labs done a little more than a month afterwards. (9/1) VL 9567 cd4 429 cd4% 26.8. (10/25) VL 9422 (11/2) cd4 308 cd4%42. Okay, so the doc that just had my numbers pulled from my past doc, said that the Abs cd4 count mattered more, and that I was still in the lower range of normal, which was good. The percentage, which was a bit below, wasn't as important. Now again, later when being retested, there was a problem the first time around with the sample, so they only could get a viral load count, and they then drew more blood to check the cd4. Before the results again, a doc said absolute numbers were more important than percentage for cd4, and that below 375 was the point when medication would start to be considered. Ok, so I call to get the results of my cd4. They tell me it is at 308 but the percentage shot up to 42. Now the doc says the percentage is really good and more important than the actual count itself. I am really confused, and slightly suspicious that all the docs are just obscuring by only focusing on the positive. But irregardless, my numbers don't really make much sense to me. Is it good or bad to have such a loss of WBC, I mean the numbers imply that I lost cells, but a lot more cells other than the cd4. But my viral load has stayed pretty much the same, and at a lower level too. I am confused.
| Response from Dr. Holodniy
I can understand your confusion here. The viral load results are remarkably consistent between the two tests, whereas the CD4 count and percentage is not. It sounds like two doctors were involved and could signify two different testing labs for CD4 counts. Although the doctor is correct about treatment milestones, I would favor getting another CD4 count/percentage or two from the same lab to know where you really are. I would never make any decision based on the last set of numbers, particularly since they are so different from the first set.
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