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Sick and Tired

Aug 14, 2003

I'm really sick and tired of your bullshit answers. To say that starting the "aids" meds is like stopping the clock of disease is outrageous. Take your head out of your a*s (and out of the pharmaceutical piggybank) and realize that liver failure is now the number one killer of hiv'ers on the meds.

Response from Dr. Pierone

You are mistaken. Taking HIV medications when indicated, leads to reversal of the CD4 count deficit and immune dysfunction that characterize this disease. Using the clock analogy, treatment with HIV meds don't stop the clock of this disease, they reverse it. Evidence the dramatic reduction in AIDS death rates in the developed world where people have access to HIV meds.

These meds have potential side effects and a large part of treating HIV infection is looking out for and managing potential medication associated problems. However, death from medication related liver damage is extremely rare. Liver failure is far from the "number one killer" of HIV-infected persons. The higher death rates now from liver disease in HIV infected populations are related to liver cirrhosis caused by hepatitis B and C. The overall numbers of deaths from liver failure have increased modestly, although the percentage has increased substantially as the death rate from opportunistic infections have taken a nose-dive. We used to not worry about hepatitis B and C in the era before effective HIV medications because few of our patients lived long enough to develop complications from these conditions.

Obviously, you have no conception of how desperate and miserable it was before we had these antiretrovirals to treat AIDS. These HIV medications have saved innumerable lives and the scientists and pharmaceutical companies that developed them did a tremendous service to humanity. Where we have tragically failed as a global community is getting these treatments to the millions living with AIDS in undeveloped parts of the world.

Life Expectancy
Night sweats?

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