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Author Topic: CD4 crash....  (Read 1020 times)

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Offline Cojo

  • Member
  • Posts: 228
CD4 crash....
« on: January 17, 2020, 01:24:19 pm »
It has been a while since I have posted and I am always grateful for the support and wisdom of the good people on here that helped me through some of the dark days after diagnosis.

Over the 7 years, my numbers have been hovering around the 350-400 range and I have been healthy.

Six months ago, I lost my job and the stress has been enormous.

Today more stress has been added when I see my CD4 at 235 and 26%. I know it is just one test, it was an early morning test and I have been under lots of stress, but I am panicky thinking.... OMG I am 35 cells to an AIDS diagnosis! This of course has now added to my stress and it can't help boost that number...argh
May 2011 - Tested Positive
June 2011 - CD4 330   16%   VL182,000 no resistance
Oct 6, 2011 - CD4 300  20%  VL 60,000
Oct 7, 2011 - start Truvada / Isentress
Nov 29, 2011 CD4 280 26% VL 54
Feb 7 2012 CD4 260 25% UD!
Mar 20 2012 CD4 400 28%
June 2012 CD4 330 26% UD
Sept 2012 CD4 450 32% UD
Dec 2012 CD4 310 28% UD
May 2013 CD4 500 32% UD
Oct 2013 CD4 460 33% UD
May 2014 CD4 360 33% UD
Aug 2014 swap out Isentress for Tivicay
Oct 2014 CD4 320 33% UD
Feb 2015 CD4 420 30% UD
Jul 2015 CD4 480 32% VL51 !!
Sep 2015 UD
Feb 2016 CD4 460 35% UD
Aug 2016 CD4 378 33% UD

Offline Jim Allen

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  • Posts: 15,980
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: CD4 crash....
« Reply #1 on: January 17, 2020, 02:42:28 pm »
Hiya

Sorry to hear about losing the job, and the stress that it's brought you that really sucks.

Regarding the CD4 count, no point in stressing about it, as you say it's only one lab test, CD4's will go up and down during the day and 26% is a nice margin away from 14%.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
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You can read about HIV prevention here:
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Read about PEP and PrEP here
PEP and PrEP

Offline harleymc

  • Member
  • Posts: 1,411
Re: CD4 crash....
« Reply #2 on: January 18, 2020, 01:29:32 am »
Sorry to  read about your job situation.

Get some help to create a few different versions of your resume for different types of work
While it's ok to have a generic letter for door stop speculative applications it is best to do a fresh letter for every advertised position. Good luck with the job hunting.

The cd4 decline is a bit discouraging but there's nothing magic about being one side or the other of 200.  I chugged along for six years with less than 200 cd4s, working, playing softball, being in and out of love, really not a lot of different from the last couple of counts of 230 and 210.

Good lu K with the job hunt it can be very tiring on the emotions.

Offline lightalltheway

  • Member
  • Posts: 142
Re: CD4 crash....
« Reply #3 on: January 18, 2020, 10:03:29 am »
Cojo,

While CD4 count is an indicator but it does not have an absolute significance. But rather, a trend being built up over a discourse of time. In your case, I would surely omit the final reading.

A recent infection, a cold, a troubled night of sleep, and a stressful period of time can all take a toll on the lab results of CD4 count. that's why CD4 percentage is more important and yours is organically fine.

Nonetheless, job hunting is a full time job by itself and it can be really stressful. Try to stay focused and monitor your overall health. How are you? if you're fine and your health is fine .. then you are able and capable of controlling and managing your stress.

We are here for you, you're never alone.

Prince.

Offline Cojo

  • Member
  • Posts: 228
Re: CD4 crash....
« Reply #4 on: January 18, 2020, 10:16:42 am »
The goodness and encouragement remains steadfast on this wonderful platform - thank you for your replies

I'm also feeling a bit of an odd emotion - it is shame over being panicky. Let me explain.

I would think that after 7 years with this virus, that I could overwrite panic and similar emotions with the resilience and knowing the facts so to speak... not being able to get over the panic hump and into the logic hump makes me feel weak. I know I am being hard on myself, but it is where my inner reflection has brought me to today
May 2011 - Tested Positive
June 2011 - CD4 330   16%   VL182,000 no resistance
Oct 6, 2011 - CD4 300  20%  VL 60,000
Oct 7, 2011 - start Truvada / Isentress
Nov 29, 2011 CD4 280 26% VL 54
Feb 7 2012 CD4 260 25% UD!
Mar 20 2012 CD4 400 28%
June 2012 CD4 330 26% UD
Sept 2012 CD4 450 32% UD
Dec 2012 CD4 310 28% UD
May 2013 CD4 500 32% UD
Oct 2013 CD4 460 33% UD
May 2014 CD4 360 33% UD
Aug 2014 swap out Isentress for Tivicay
Oct 2014 CD4 320 33% UD
Feb 2015 CD4 420 30% UD
Jul 2015 CD4 480 32% VL51 !!
Sep 2015 UD
Feb 2016 CD4 460 35% UD
Aug 2016 CD4 378 33% UD

Offline MadDog125

  • Member
  • Posts: 103
  • Not today,
Re: CD4 crash....
« Reply #5 on: January 18, 2020, 10:17:33 am »
The two docs I've had have both echoed the same thing.  Percentage matters more.  I saw a drop in my own count a while back.  The first time I was under 200 since dx.  CD4 counts can bounce around alot through the course of a day.
DX 28DEC17, cd4 112, VC 63000
13FEB18, cd4 215, VC 156
14MAY18, cd4 260, VC 31
23AUG18, cd4 298, VC 61
03OCT18, cd4 300, VC 35
21NOV18, cd4 259, VC <20
18JAN19, cd4 284, VC 24
17APR19, cd4 157, VC <20
24MAY19, cd4 340, VC <20
12AUG19, cd4 304, VC 51
30DEC19, cd4 385, VC <20

Offline Cojo

  • Member
  • Posts: 228
Re: CD4 crash....
« Reply #6 on: January 18, 2020, 10:27:51 am »
Thx MadDog

If I can ask...did your doc automatically put you on prophylaxis meds when you went under ?
May 2011 - Tested Positive
June 2011 - CD4 330   16%   VL182,000 no resistance
Oct 6, 2011 - CD4 300  20%  VL 60,000
Oct 7, 2011 - start Truvada / Isentress
Nov 29, 2011 CD4 280 26% VL 54
Feb 7 2012 CD4 260 25% UD!
Mar 20 2012 CD4 400 28%
June 2012 CD4 330 26% UD
Sept 2012 CD4 450 32% UD
Dec 2012 CD4 310 28% UD
May 2013 CD4 500 32% UD
Oct 2013 CD4 460 33% UD
May 2014 CD4 360 33% UD
Aug 2014 swap out Isentress for Tivicay
Oct 2014 CD4 320 33% UD
Feb 2015 CD4 420 30% UD
Jul 2015 CD4 480 32% VL51 !!
Sep 2015 UD
Feb 2016 CD4 460 35% UD
Aug 2016 CD4 378 33% UD

Offline Jim Allen

  • Administrator
  • Member
  • Posts: 15,980
  • Twitter @JimAllenDublin
    • HIV Lessons
Re: CD4 crash....
« Reply #7 on: January 18, 2020, 10:47:58 am »
The two docs I've had have both echoed the same thing.  Percentage matters more.  I saw a drop in my own count a while back.  The first time I was under 200 since dx.  CD4 counts can bounce around alot through the course of a day.

Worth repeating

HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

Offline CR2016

  • Member
  • Posts: 183
Re: CD4 crash....
« Reply #8 on: January 18, 2020, 01:17:04 pm »
Hi Cojo, definitely you should work daily with your stress management. Everyone answer different for this, maybe you should take a time for meditation, practice any sport or hobby, there is another that works perfectly (what i had used when i feel stressed): talking with friends. Practice to work your emotional condition and number will be fine soon. As Mad and Jim said before, CD4% is more important that CD# itself.
be a plenty and happy person, keep up yor faith and everything will be ok.
Sorry about mi english, i hope not to confuse.
Here you have many persons for talking or typing when you want to.
Regards from México.

Offline JosephP

  • Member
  • Posts: 318
  • Keep looking FORWARD... Dx'd 8/10/2013...
Re: CD4 crash....
« Reply #9 on: January 20, 2020, 11:03:05 pm »

I would think that after 7 years with this virus, that I could overwrite panic and similar emotions with the resilience and knowing the facts so to speak...

Cojo... There are moments panic takes over every one of us. I am going on 7 years and there are moments in which I feel panicky, light headed and really out of control... What triggers it? I don't know.. A hard day at work? Reading an article about hiv? I just don't know, but we will get thru this! The proof is by looking at the wonderful people in this forum who have been battling it for many more years than you or I! :) :)
Today January 20, 2020, I have taken 2378 pills of my ARV since first pill. This means 79 bottles of 30 pills of ARVs at an average of $3950 per bottle or $313,103 USD for my treatment. I have a compliance of 99.83% taking my meds and only .17% (or 4 pills) non-compliant. Of these four pills two I forgot completely, One I lost and one I didn't have with me while traveling! I became UD 3 months after treatment start   ***We are all dealing with this. And we will live long and productive lives!! AND, yes the Lord is my shepherd. Life is good... And thanks for the meds! ***

 


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