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HIV Transmission and Education >> Am I Infected?

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Shane
Unregistered

Quest Diagnostics??? no...it's not them
      #19186 - 07/12/01 03:15 PM

Although Jocko's info, as-far-as the validity of a PCR DNA is correct, his "source" of where that info is
coming from is wrong.

Quest Diagnostics contracts with a lot of "draw stations" and "organizations" such as "AIDS Specialized
testing aka HIV Testing Center - Next Day Results", which is listed, not as "Specialized testing" but as
"HIV Testing Center" next day results. This is a CDC site, therefore "AIDS Specialized testing aka HIV
Testing Center" is legit BUT it does NOT PERFORM THE TEST, it only orders it. When you call
800-584-8183 (tollfree) YOU ARE NOT TALKING TO Quest, you are talking to Specialized testing aka
HIV Testing Center - Next Day Results. Now...here is the issue I have with them...they claim they get
their info from Quest...I called Quest, and talked to a head lab person and administrator there...they
CANNOT and WILL NOT MAKE SUCH CLAIMS! They do not "dispute" the claims, but they do not
"confirm" them. they will say, that the current data shows that the tests should be performed after 1
month, BUT LEGALLY and o ethically cannot make claims to its sensitivity or specificity. Call Quest
yourselves to verify. Unfortunately, when I called Specialized testing aka HIV Testing Center - Next
Day Results back, I talked with the supervisor and she confirmed that they DO NOT GET THEIR INFO
FROM Quest or THE MANUFACTURER!...so where do they get their claim?...she cited me ONE
doctor on Medline on an article back in 97', unfortunately I can't remember her (the dr. name but it was a
woman)...but that was it! You can call them and ask for the same info...ask to speak wit hthe supervisor
and then ask for the documentation ...it's your money you are spending on their claims.

Now before everyone panics, this does NOT MEAN that a PCR test is not valid at 30 days...because
most research and even Dr. Holodniy believes it is...I would trust him more than anyone...you should look
at his background and groups and studies he's been involved with regarding PCR for diagnosis, it's
impressive...but I think we need to be honest when it comes to "who is saying what".

I'm sorry if this put anyone in a tailspin BUT if we really want the facts...then we really want them.

If anyone can shed more light, or if I'm incorrect in any way...PLEASE post it...it's important!

Peace
Shaner



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Jocko-j
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19189 - 07/12/01 03:36 PM

Good info., Shane ..... Boy, have you done some footwork! As far as the PCR goes, call UCSF Options Project in San Fran. This is a Primary Infection study being done in the city, and the counselors there will tell you that a viral load will show pos. within two weeks. This research is being done under doctors who are studying the benefits of early treatment and Primary Infection. Also, on aidsmeds.com some VERY informed HIV pos. people will tell you that a viral load PCR will usually show pos. within a few days of infection ..... and that the 28 day mark will cover ALL of the bases. In fact, if you read their bios .... these dudes have some pretty good credentials. Anyhow ..... check into it ..... I'd be interested to hear your feedback. Talk to you soon ...
jocko



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Shane
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19191 - 07/12/01 03:48 PM

You have done some work too! Thanks...

I have a question, maybe you could help.

RNA is different than DNA...RNA is freee virus and DNA is found in the WBC (cell)..again it's NOT the DNA in the RNA they look for in PCR DNA TESTS as RNA has no DNA. Anyway they are two seperate things...now from what I hear, a couple fo infected WBC with HIV DNA can create hundreds of free floating HIV RNA, all of which look to infect (but only a few can) healthy WBC. Therefore, would a RNA PCR test be better for ARS and not a DNA test? Since theer might be more RNA than r DNA to detect...or do they say that after a month or so there would be enough DNA cells to be detected...good question right?

Peace
Shaner



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Jocko-j
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19193 - 07/12/01 04:37 PM

Well, Shane ..... here's my feedback: All three HIV specialists (Infectious Disease M.D.'s) that I personally saw (each of whom ordered an Elisa and PCR) definitely prefer to use the viral load test. One of these guys is THE head-honcho in Primary HIV Infection research (very good friend with Dr. Holodniy from the Body). And, the other two are, no doubt, some of THE top dudes in L.A. Couple this with the facts that ALL of the Primary Infection research studies (that I've read about) use the viral load, AND the blood banks just incorporated NAT (viral load) testing in their blood testing ........ I would have to say that PCR viral load (RNA) is the test of choice for recent HIV infection. Although Quest and some other labs do seem to prefer the DNA, the doctor's choice seems to be viral load.



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Anonymous
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19197 - 07/12/01 05:14 PM

You two have way too much time on your hands.
At least you use it for good.
Try to enjoy the summer and thanks.



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Jocko-j
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19198 - 07/12/01 05:46 PM

Thanks for the feedback ..... it's people like yourself who inspire me to work on myself. Think I'll go buy some Tony Robbins tapes.



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Anonymous
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19218 - 07/13/01 11:35 AM

Shane and Jocko,
Thanks for the thorough research you've been doing! I had a DNA PCR recently and it was negative (thankfully). I was considering following up with another proviral test (DNA) when I have my Elisa. Dr. H here on The Body does not think it's useful after three months, but I was going to do it to rule out any possibility, providing all is negative.

I'd be interested to know your thoughts. Thanks.
Amy, 28 year-old female



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Jocko-j
Unregistered

Re: Quest Diagnostics??? no...it's not them new
      #19237 - 07/13/01 02:39 PM

If you already had a negative PCR/DNA after a month, then there's no need to combine it with your 3 month Elisa. By the way, did you have a risky exposure?



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Amy
Newbie

Reged: 04/24/01
Posts: 8
Re: Quest Diagnostics??? no...it's not them new
      #19356 - 07/16/01 01:16 PM

No, not super risky...kissing, but the person had recently had a root canal. There could have been blood and I did not know his status. I know, very OCD, but I've been trying so hard to keep myself safe from HIV since I became sexually active. I've decided after this that I'm waiting until I meet someone I really like, be friends first, and be certain to have a frank discussion about HIV in particular.

Are you still in the window period? You seem to know a lot about the testing process, how far along are you?
Best of luck and thanks for responding.
Amy



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