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Is it time for me to move on?
Oct 3, 2006

Dear Dr, had a 13+ week EIA test done recently for HIV 1/2, result was negative but was told to come back for the final 6th month test by the specialist as I have a swollen node (below my jaw)which has persisted for weeks. They did a scope test and found nothing that could suggest it as cancerous. Needless to say, my anxiety level skyrocketed so I did a PCR and CD ratio test (after talking to them on the options avail)despite having to pay an arm and a leg for the tests. PCR for HIV 1 came out negative (pheewwww!) but cd test were borderline (cd4 550/32% and cd8 410/24% ratio 1.35). Looks like I may have to hold on till the 6 months timeline to rule out HIV 2 as there is no PCR test for it. Whilst I am going to be counting the stars for the next 12 weeks...could you be kind enough to assess my chances of 1. getting an all clear result come week 26? 2. can HIV 2 be rule out with the 13+week test? 3. is my cd4 count of 550 considered very low? as well as a ratio of 1.35 (btw, if indeed I am being infected, what is the likelyhood of having a ratio 1.35...or would it be more likely that the ratio will be lesser than 1 at weel 13+?)

Lastly, to the nasty ASSHOLE who wrote you a nasty note 2 days ago...F**K off from the site, S.*.B! Dont you ever come to this site and drop such a remark EVER again!

Response from Dr. Frascino

Hi,

If your only symptom is an isolated swollen lymph node, I would not be at all worried about HIV with a 13-week negative EIA, negative PCR and normal CD4 subset analysis.

To specifically answer your questions:

1. Excellent! I can hear the WOOO-HOOO already.

2. Yes.

3. No. T-cell subsets, including CD4 and CD8 cells go up and down for a variety of reasons. They are not HIV specific. That's why I would not suggest getting this test unless there is a specific reason to do so. Your results are not at all concerning.

Finally, thanks for your support!

Good luck. Be well. Stay well.

Dr. Bob



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