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Author Topic: 1st ID visit  (Read 1496 times)

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Offline loop78

  • Member
  • Posts: 147
1st ID visit
« on: July 10, 2008, 05:45:50 AM »
Escorted by my friend, on one side, and her mother, the Super nursetm, on the other, I had my initial visit to the ID doc this morning.

Believe me, having a veteran nurse guiding you through the hospital and cutting in all bloodwork lines is a godsend :-P

The staff was really friendly, and there seems to be two doctors that are gonna follow my treatment. The first one is a young woman, she seemed nice enough, though a bit shy (it made me feel outgoing in comparison), and then there's an older man that seems to be the head of the ID unit. The room was full of ARV merchandise (Sustiva calendars, Gilead pens...), I found it typical but funny.

They drafted up my clinical history, made a physical examination and ordered plenty of tests. I'm gonna have a pretty complete bloodwork panel, including a resistance test, plus a EKG and a chest x-ray. They even asked me for my consent to do a genetic test to look for the HLA-B5701 allele (according to the consent form, around 5%-6% of the Spanish population have it). Pretty sci-fi for a first time visit, if you ask me.

I asked for the interpretation of my last cd4 count increase and cd4% drop, and they told me not to worry too much, that the pattern was consistent with recent infection and that they use the cd4 count as main indicator for treatment, not so much the %. Besides in my case the doctor said is probably caused by the steep cd8 increase. It seems every expert has its own way of looking at numbers! :D

Well, that's all. I just wanted to let you know how these first steps go. ;-)

See u!
« Last Edit: July 10, 2008, 07:57:12 AM by loop78 »

Offline BT65

  • Global Moderator
  • Member
  • Posts: 9,868
  • Vegas baby!
Re: 1st ID visit
« Reply #1 on: July 10, 2008, 07:00:08 AM »
Loop, I'm glad you had such a good first visit!
I've never killed anyone, but I frequently get satisfaction reading the obituary notices.-Clarence Darrow

Offline rondrond

  • Member
  • Posts: 1,712
Re: 1st ID visit
« Reply #2 on: July 11, 2008, 12:14:40 AM »
Sounds like you found the right place to go.

good luck
ronnie
"I may not be exactly where I want to be, but I sure as Hell am not where I was"
Wynnona Judd

Diagnosed/HIV
1993
AZT
Norvir
1994-2001
Crixivan/Epivir/Zerit
No Meds for 7 Years

04jul07/DVT-right leg/Bi Lateral PE's     
16oct08/DVT-left leg
Sept '09  6 blood clots in left arm
Coumadin 5mgs
                                     
Atenolol/50mg/2x
Hydrochlorth 25mg/1x
Gemfibrozil/300mgs/2X
Symbicort
Proventil Inhaler
Potassium
Rhinocort


*APR 08~Viramune/Truvada
March08  CD4 330 23% VL 452.000 
*Jan09 Med change~Epzicom/Viramune

Aug09   CD4 523 23%  VL<48
Diagnosed: COPD
Dec 2013: CD4 645 45% VL 49
Med Change: Viramune/Epivir/Ziagen/Isentress

Offline YaKaMein

  • Member
  • Posts: 368
Re: 1st ID visit
« Reply #3 on: July 11, 2008, 12:23:52 AM »
Sounds like you're in good hands all around and you'll get excellent care.
09/11 Endocrine Consult
08/11 CD4 328 14.9% VL 0
 Disc'd Bactrim DEXA -3.1 Tscore
03/11 CD4 338 14.7% VL 0
11/10 CD4 300 14.3% VL 0 <20copies
07/10 CD4 336 14.0% VL 0 DEXA -2.7 Tscore
03/10 CD4 308 13.4% VL 0 Vit D normal
01/10 Began FOTO
11/09 CD4 274 13.7% VL 0 Chol 173 Trig 131
07/09 CD4 324 13.5% VL 0 DEXA -3.1 Tscore lumbar
03/09 CD4 207 10.9% VL 0
11/08 CD4 227 10.3% VL 0 Chol 176 Trig 156
04/08 CD4 228 9.5% VL 0
01/08 CD4 194 9.0% VL 0
09/07 CD4 176 8.3% VL 0
03/07 CD4 130 9.5% VL 0 Chol 261  Trig 227
12/06 CD4 109 6.4% VL 0
09/06 CD4  88 5.5% VL und desens'd rtd to Bactrim
08/06  Began Atripla
07/06 CD4  59 5.0% VL 145 Chol 117 Trig 104
06/06  Bactrim rash, X2 Dapsone
 EFV & Truvada Chol 128 Trig 131
05/06 CD4  6 (2.0%) VL 78667 only V179D mutation Dx PC MAC

Offline auspoz

  • Member
  • Posts: 158
Re: 1st ID visit
« Reply #4 on: July 11, 2008, 08:05:57 AM »
Glad to hear your first visit was productive Loop.

I feel the same each time I talk to my specialist and case nurse. I seem to feel a bit better, largely due to the fact that my numbers have slightly risen, but also because something is being 'done', rather than just contemplating what might get done. It's a difficult psychological reaction to explain, but it seems the most proactive "thing" I can do at the moment.

Stay well.

Auspoz

Offline AlanBama

  • Member
  • Posts: 3,604
  • Alabama: the 'other' 3rd World Country!
Re: 1st ID visit
« Reply #5 on: July 11, 2008, 12:23:18 PM »
Sounds like you are receiving excellent care.   That's great!

hugs,

Alan
"Remember my sentimental friend that a heart is not judged by how much you love, but by how much you are loved by others." - The Wizard of Oz

 


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