Jun 14, 2008
Hi Dr, thanks for your immediate response to my "cd4<50 and terrified" question yesterday... My big concern right now is that i remember the dr telling me almost 2 weeks ago, -when he started my case, blood work, etc- that in case of finding an emergency he would call me right away...but he never did, intstead, while at the clinic for other reasons, the nurse approached me the cd4<50 news and the prop prescriptions... i know my next appointment with him is next monday 16, but still, isnt such a low count already an emergency and wasnt he supposed to put me on HAART the moment he found out my tragic labs? i know my next appointment with him is next monday 16, but still... after this i cant help to be a litttle paranoid and think that either i have something terminal and theres no bothering in complicating with HAART, or I tested resistant for all posible treatment, which i have been reading is possible, but how common is this? any other possible reasons im not aware of? as a doctor do you see this as normal? should i tell him my concern on monday? or does he know what he is doing? please tell me!...once again thanks for being there..
| Response from Dr. Young
Thanks for your follow up.
Starting HIV medications is never an emergency-- there are just too many factors that need to be considered and education/counseling to be done.
At the very least getting the results of resistance testing is highly recommended-- having resistance to an important component of first-line treatment is found in as many as 10-15 percent of US patients. It's also important to get results of other tests, like hepatitis antibodies, liver, kidney function tests before selecting (and starting treatment); hence I'd express your interest to start medications as soon as possible, but overall, I don't see any reason to suspect that your doctor is doing anything out the ordinary.
Best of luck, BY
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