{"id":159,"date":"2007-08-09T08:01:07","date_gmt":"2007-08-09T07:01:07","guid":{"rendered":"http:\/\/www.i-base.info\/qa\/?p=159"},"modified":"2021-11-22T12:18:44","modified_gmt":"2021-11-22T12:18:44","slug":"am-i-lucky-to-be-diagnosed-with-a-cd4-count-of-1000","status":"publish","type":"post","link":"https:\/\/i-base.info\/qa\/159","title":{"rendered":"Am I &#8216;lucky&#8217; to be diagnosed with a CD4 count of 1000?"},"content":{"rendered":"<p>Hi<\/p>\n<p>Because the ELISA and western blot HIV test results were positive, this means that you do have HIV.<\/p>\n<p>It sounds like you were not expecting this result and that you are still dealing with the shock.<\/p>\n<p>Hearing a health care worker calling you &#8216;lucky&#8217; is very clearly different from how you actually feel, and wasn&#8217;t a particularly careful choice of words. People have the same response when told they are &#8216;lucky&#8217; to be diagnosed now because treatment is available (compared to being diagnosed in the 80&#8217;s).<\/p>\n<p>However, regular CD4 counts in HIV-negative people, range from about 400 to 1600. Some people have naturally low counts and some have much higher levels, but if you are HIV+ then it is generally better to be at the higher end.<\/p>\n<p>I haven&#8217;t seen research that shows that people with much higher counts are more healthy on a day-to-day basis. However, starting off higher may mean that you do not need to start treatment so early.<\/p>\n<p>Although this may change in the future based on new research and new treatments, current guidelines recommend starting treatment before your CD4 count falls to below 200 cells\/mm3, and in practice this means starting while it is between 200 and 350 cells\/mm3.<\/p>\n<p>CD4 counts on average fall by about 50 cells\/mm3 a year &#8211; so this may mean you don&#8217;t need treatment for a while.<\/p>\n<p>However, these are all average figures, and you need to see how you respond individually, by building up a picture of your own results over the next year or so. There is a wide range of responses &#8211; some people progress more quickly and a few progress more slowly.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>I have just been diagnosed HIV+ but am at this stage very confused, I have had three lots of bloods taken over a 7 day period and on the last lot of results I was told that the ELISA and western blot were positive.<\/p>\n<p>When the viral load results were returned  It was measurement came back showing I had 7100 copies, but here is where I am lost. My T-CELL count is over 1000 and from what I have read this should not be the case.<\/p>\n<p>When I asked I was told that &#8216;I AM LUCKY&#8217; &#8211; this is not a medical term or explanation, can you throw some light on it?<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,9,28,39],"tags":[],"class_list":["post-159","post","type-post","status-publish","format-standard","hentry","category-all-topics","category-cd4-and-viral-load","category-newly-diagnosed","category-starting-treatment"],"_links":{"self":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/159","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/comments?post=159"}],"version-history":[{"count":0,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/posts\/159\/revisions"}],"wp:attachment":[{"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/media?parent=159"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/categories?post=159"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/i-base.info\/qa\/wp-json\/wp\/v2\/tags?post=159"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}