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What does the future hold??
Aug 23, 2006

I guess we'd all like to know the answer to that question, but here's what I mean. I'm 52, diagnosed in February but probably infected long before. Started Truvada/Reyataz/Norvir in May, VL went from 52,000 to undetectable, cd4 from 117 to 295. I have undisseminated MAC, for which I take euthambutol and biaxin. Had a bout of thrush before being diagnosed.

Here's the question: I feel absolutely fine. I've had no side effects from my meds, I'm not depressed, I'm very active and in excellent condition. Work out regularly. HIV at this point is almost a non-issue...it's just something I take a bunch of pills for. But I'm afraid that this is somehow just the calm before the storm...I feel like I should be experiencing symptoms, that it should not be this comfortable. Is it inevitable that my system will crash, that at some point one bad thing after another will start to destroy my body? Is this what will always, eventually, happen to those of us with HIV/AIDS?

Thanks so much for your advice.

Response from Dr. Young

Thanks for your post.

It's great to hear that you're "absolutely fine". Actually, yours is not an unusual situation among persons who have access to HIV medications, good doctors and even better adherence.

I have a number of patients, like you who were diagnosed with active AIDS complications who are also now "absolutely fine". Some have been fine for upwards of 10 years on treatment and have no foreseeable problems.

The future is difficult (if not dangerous) to predict with absolute accuracy; but it's my forecast that your future is one filled with health, not HIV complications.

Best of health, BY



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