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Author Topic: What the hell?  (Read 1129 times)

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Offline racingmind

  • Member
  • Posts: 236
What the hell?
« on: September 19, 2007, 05:39:24 PM »
OK, just got back from the latest ID doctor visit...

CD4: 273

VL: +100,000 (The doctor is  gonna get me a more accurate number because it was an ultrasenstive VL test.)

and here is the weird part:
32% ???

My history of numbers are below if you want to see the trend.

I just don't get how the percentage can be at an all time high and my CD4 be at an all time low.

The doctor said that he was not overly concerned about it and wants to retest in about 3 weeks.  But I am sure as hell am concerned about it!

Does this sound familiar to anyone?  I know that there can be blips the first couple of years...I am just semi-freaking out...the only good thing was the percentage...which doesn't seem match the numbers.

Any thoughts you guys have would be greatly appreciated!

RM
« Last Edit: September 19, 2007, 06:14:38 PM by racingmind »
Tested Negative: 5/06
Tested Positive: 9/06 
9/06: CD4: 442 (28%) VL: +100,000
10/06: CD4: 323 (25%) VL: 243,440
11/06: CD4: 405 (28%) VL: 124,324
12/06: CD4: 450 (29%) VL: 114,600
1/07: CD4: 440 (27%) VL: 75,286
3/07: CD4: 459 (30%) VL: 44,860
5/07: CD4: 353 (24%) VL: 50,852
7/07: CD4: 437 (29%) VL: 39,475
9/07: CD4: 237 (32%) VL: 372,774
10/07: CD4: 324 (27%) VL: 115,454 
Started Atripla: 10/07
11/07: CD4: 524 (?%) VL: Undetectable!
2/08: CD4: 653 (35%) VL: undetectable
5/08: CD4: 822 (40%) VL: undetectable
8/08: CD4: 626 (35%) VL: undetectable
12/08: CD4: 619 (36%) VL: undetectable
3/09: CD4: 802 (38%) VL: undetectable
7/09: CD4: 1027 (43%) VL: not tested
10/09: CD4: 1045 (43%) VL: undetectable

Offline milker

  • Member
  • Posts: 4,034
  • Protected phone sex
Re: What the hell?
« Reply #1 on: September 19, 2007, 07:58:04 PM »
CD4s are just a part of your lymphocyte count. The other lymphocytes, notably CD8s are often getting higher percentages than normal when there is an HIV infection. A complete blood test would show the balance between the different types of lymphocytes, and which ones have decreased so that the CD4 % then becomes higher.

I would bet on a CD8% decrease, but only your blood results would confirm that.

Retesting in 3 weeks sounds good to me.

Keep us posted!

Milker.
mid-dec: stupid ass
mid-jan: seroconversion
mid-feb: poz
mar 07: cd4 432 (35%) vl 54000
may 07: cd4 399 (28%) vl 27760
jul 07: cd4 403 (26%) vl 99241
oct 07: cd4 353 (24%) vl 29993
jan 08: cd4 332 (26%) vl 33308
mar 08: cd4 392 (23%) vl 75548
jun 08: cd4 325 (27%) vl 45880
oct 08: cd4 197 (20%) vl 154000 <== aids diagnosis
nov 2 08 start Atripla
nov 30 08: cd4 478 (23%) vl 1880 !!!!!!!!!!!!!!!!!!!!!!!!!!
feb 19 09: cd4 398 (24%) vl 430 getting there!
apr 23 09: cd4 604 (29%) vl 50 woohoo :D :D
jul 30 09: cd4 512 (29%) vl undetectable :D :D
may 27 10: cd4 655 (32%) vl undetectable :D :D

Now accepting applications from blowjob ninjas™

Offline Matty the Damned

  • Member
  • Posts: 12,160
Re: What the hell?
« Reply #2 on: September 19, 2007, 08:01:28 PM »
Regarding CD8 cell counts the relevant AIDSmeds lesson notes:

Lab reports may also list the T-cell (CD4+/CD8+) ratio, which is the number of T4 cells divided by the number of T8 cells. Since the T4 count is usually lower than normal in people living with HIV, and the T8 count is usually higher, the ratio is usually low. A normal ratio is usually between 0.9 and 6.0. Like the T8 cell count, nobody really knows what this low number means. However, most experts agree that once anti-HIV therapy is started, an increase in the T-cell ratio (i.e. a rising T4 count and a falling T8 count) is a telltale sign that drug treatment is working.

MtD

Offline Robert

  • Member
  • Posts: 2,639
Re: What the hell?
« Reply #3 on: September 19, 2007, 11:44:59 PM »
Here's my take on it.  I think it's a typo.  Looking at your history, your numbers seem to hover around 400 and, unless something extra-ordinary occured when you had your blood drawn (cold, flu, etc) I wouldn't expect your t-cells to fall that far.

See what happens in 3 weeks.  It's not that long.

robert

(who tries to keep things simple because that's all he can do anymore.)
..........

Offline racingmind

  • Member
  • Posts: 236
Re: What the hell?
« Reply #4 on: September 20, 2007, 10:47:21 AM »
Yeah, that's what the doc thought--that I had a cold or a low grade viral infection. I don't recall any symptoms...I'm anxious to see what the next test reveals.  My doc is talking meds if there is not an improvement....I'll do what is necessary, of course, but I feel like I am not quite ready to start meds.

Thanks for your responses. 8)
Tested Negative: 5/06
Tested Positive: 9/06 
9/06: CD4: 442 (28%) VL: +100,000
10/06: CD4: 323 (25%) VL: 243,440
11/06: CD4: 405 (28%) VL: 124,324
12/06: CD4: 450 (29%) VL: 114,600
1/07: CD4: 440 (27%) VL: 75,286
3/07: CD4: 459 (30%) VL: 44,860
5/07: CD4: 353 (24%) VL: 50,852
7/07: CD4: 437 (29%) VL: 39,475
9/07: CD4: 237 (32%) VL: 372,774
10/07: CD4: 324 (27%) VL: 115,454 
Started Atripla: 10/07
11/07: CD4: 524 (?%) VL: Undetectable!
2/08: CD4: 653 (35%) VL: undetectable
5/08: CD4: 822 (40%) VL: undetectable
8/08: CD4: 626 (35%) VL: undetectable
12/08: CD4: 619 (36%) VL: undetectable
3/09: CD4: 802 (38%) VL: undetectable
7/09: CD4: 1027 (43%) VL: not tested
10/09: CD4: 1045 (43%) VL: undetectable

Offline jack

  • Member
  • Posts: 1,578
  • fomerly the loser known as Jake
Re: What the hell?
« Reply #5 on: September 20, 2007, 01:53:03 PM »
I have had 4 different HIV drs over the past 18 years. Two of them have been considered leaders in the field. None of them have ever mentioned,commented on ,or told me what my percentage was.
Numbers bounce around.

 


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