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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is My Life Expectancy At This Time?

Dear Doctor,



I am HIV positive and on medication. I take 'ATRIPLA' every day. I was diagnosed in 2007 and on medication from Jan 2009. I was in a very bad health and doing a lot better now. Please, help me in understanding my life expectency? How long can I estimate to live as I am taking a lot of care now.

                                                  
Mon, 6 Oct 2014
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General & Family Physician 's  Response
Hello
God Bless you , you will survive longer than any one else;
As you mentioned that now a days you are taking every precautions for HIV infection and for your own health.
Prognosis i.e. LIFE EXPECTANCY .
Depend on many factors .
According to DHHS practice guidelines ,a CD4+T cell count less than 500/microL is a clear indication to initiate antiretroviral therapy .While the CD4+T cell count provides information on the current IMMUNOLOGICAL STATUS of the patient, HIV RNA level predicts,what will happen to the CD4+ Tcell count in near future.
So the measurement of plasma HIV RNA level should be made at the time of HIV diagnosis and every 3-4 months after that ( so not measured in your case previously . please get it at now).
Now you are taking "ATRIPLA " keep this treatment regularly as advised by your physician .
The most important thing to be noted in HIV infection i.e. patient the problem of "OPPORTUNISTIC INFECTIONS IN AIDS".
These are pneumocystis jirovecii pneumonia , toxoplasmosis etc .
Life expectancy is more than 20 years till now , this is scientifically proved .
Regular monitoring and regular medicine , avoid opportunistic infections will prolong life .
Hope this will help you.
Good luck.
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What Is My Life Expectancy At This Time?

Hello God Bless you , you will survive longer than any one else; As you mentioned that now a days you are taking every precautions for HIV infection and for your own health. Prognosis i.e. LIFE EXPECTANCY . Depend on many factors . According to DHHS practice guidelines ,a CD4+T cell count less than 500/microL is a clear indication to initiate antiretroviral therapy .While the CD4+T cell count provides information on the current IMMUNOLOGICAL STATUS of the patient, HIV RNA level predicts,what will happen to the CD4+ Tcell count in near future. So the measurement of plasma HIV RNA level should be made at the time of HIV diagnosis and every 3-4 months after that ( so not measured in your case previously . please get it at now). Now you are taking ATRIPLA keep this treatment regularly as advised by your physician . The most important thing to be noted in HIV infection i.e. patient the problem of OPPORTUNISTIC INFECTIONS IN AIDS . These are pneumocystis jirovecii pneumonia , toxoplasmosis etc . Life expectancy is more than 20 years till now , this is scientifically proved . Regular monitoring and regular medicine , avoid opportunistic infections will prolong life . Hope this will help you. Good luck.