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Re: Manageable chronic disease
Apr 11, 2005

Dear Dr. Young,

I appreciate your candor and honesty it is rare. I too was told by my ID Dr this is a chronic disease like diabetes. My theory however is that perhaps it is for those who start out with high cd4, are non symptomatic. They would live 10+ yrs ayway.

For others like myself who start out with low CD4 and are symptomatic (i.e. hypogonadism) shortly after infection with a high VL, the drugs maybe extend your life a few years.

So my question to you is if a person starts out in bad shape just how long do they have? 2,3,4 years?

Response from Dr. Young

I'm with your ID doc. Even for persons who are initially diagnosed with symptomatic disease and low CD4 count, I believe that the prognosis can be excellent. This requires that the patient receives good medical care and has access to medications.

I'd think that your life expectancy should be no different (especially if you get started on medications) than the person with a higher CD4 count. BY



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