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Avatar universal

to teck

hi teck
in fact i read alot of you post regarding PCR

for Ex
A PCR-RNA test is a supplemental test in helping diagnose early HIV infection and it is not a stand alone test and must be followed up with an antibody test.

today i ask my doctor about my pcr test after 1 month and the other one after 11 weeks
and i tell hime one of my friend "teck" tell me the pcr is not way for diagnose and my 11 week test by PCR is not ACCURATE and i must wait 3 month at least

he answer me :
tell your Friend after hiv infection within  few days "3-9" the body must have at least more than 1,000,000 of virus copys
so ask hime ;
the test which you did it was PCR NAT 'RNA' and it's have the ABILITY to catch less than 10 copys
so after 1 month you have 0 copy
and after 2.5 month you have also 0 copy
can he still believe you need more test in future??????

i ask hime about cdc and the PCR

he say i know the CDC not RECOMMENDED the PCR for diagnosis but the reasons is
1- false pos
2-EXPENSIVE

but they not say anything about the  ACCURATE

so way in DONATION blood we use it and way the FDA Approved this test
we say for pepole the pcr is not for diagnosis BECAUSE we AFRAID about some pepole who
try to DONATION for blood bank becoz he know we have the pcr
and he looking for the test not for DONATION
the risk if this persone have RECENT infection "2,3,4 days"

after that he shouting me and say what the hell think u have???????
you have p24 & Elisa in 2,3,4,5,6,7,8,9,10,11 week
you have pcr 1 month and after 2.5 month

and you Still Think about HIV ?????

if you want come and sleep with me ?????????? "See the GAY!!!!"
also he say: dont come back here again and he ask the staff to prevent me for any ttest in future

so what you think teck???



6 Responses
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186166 tn?1385259382
please seek the help of a mental health professional to help you work through your hiv fear.  it is obvious that you are waaaaaaaaay out of control by...#1 the amount of testing you have done, and #2 the fact that your doctor has dismissed you by telling you and his staff NOT to allow you back.

fear is not fact...and the FACT is...you DO NOT HAVE HIV!!!!!!  time to move on with your life.
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Avatar universal
Forget about HIV all together. Just remember to use condoms consistently and correctly.
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Avatar universal
i don't understand
my english is poor

ineed more test or forget the story????
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Avatar universal
At 11 weeks ELISA, test which is an antibody test, which was negative. I would have referred you to a shrink.
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Avatar universal
so teak realy what you think about my case
the doctor tell me don't come back again and you don't need more test

after 11 weeks
so give me you advice
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Avatar universal
Your doctor does not know what he's talking about and when he can tell you that the FDA approved the PCR test for diagnostic use in adults then tell him to back himself up. We've been over, and over this. PCR testing is not approved diagnostic test.  PCR-RNA tests are not stand alone tests and must be backed up with an antibody test. Do you know the difference between screening and diagnostic? Apparently not and neither does your doctor. Now move on with this BS.

Print this off and take it to him:

10/6/2006

The Food and Drug Administration (FDA) announced the approval, on October 5, 2006, of the APTIMA(r) HIV-1 RNA Qualitative Assay, manufactured by Gen-Probe Incorporated of San Diego, California, for use in clinical laboratories and public health facilities to detect primary (early) HIV-1 infection.

The APTIMA® HIV-I RNA Qualitative Assay is an in vitro nucleic acid test (NAT) for the detection of human immunodeficiency virus (HIV-1) in human plasma intended for use as an aid in the diagnosis of HIV-I infection, including acute or primary infection, before the appearance of antibodies to HIV-1.

Traditional detection and diagnosis of HIV-I infection is based on testing for anti-viral antibodies by enzyme immunoassay (EIA) with confirmation by supplemental antibody tests such as Western blot or immunofluorescence assays (IFA). Although sensitivity of HIV-1 antibody detection has increased in the last few years, a window period between infection and detectable serological markers still exists. Following a recent exposure to HIV-I, it may take several months for the antibody response to reach detectable levels, during which time, testing for antibodies to HIV-I, including the use of rapid antibody tests, will not indicate true infection status.

The newly approved test may provide earlier diagnosis of infection because it detects nucleic acid of the human immunodeficiency virus (HIV-1) in human plasma, rather than the antibody response to the virus.  Presence of HIV-I RNA in the plasma of patients without antibodies to HIV-I is indicative of acute or primary HIV-1 infection.

The test, however, is not meant to be used as a stand-alone test for the diagnosis of HIV-1 infection.  A positive nucleic acid test should be viewed as a unconfirmed test result, indicating probable infection, and should be followed up later with traditional EIA antibody testing to confirm infection with the Human Immunodeficiency Virus.

In addition, the APTIMA HIV-1 RNA Qualitative Assay may be used as an additional test to confirm HIV-I infection in an individual whose specimen is repeatedly reactive for HIV-1 antibodies. This is important because the Western blot can, in some instances, be difficult to interpret and may not always provide a conclusive result. The APTIMA test can be used instead of the traditional Western blot test or IFA for confirmation of HIV-1 infection when the screening test result for HIV-1 antibodies is positive.

The sensitivity of the APTIMA(r) HIV-1 RNA Qualitative Assay is comparable to that of FDA approved viral load assays that measure the amount of HIV-1 virus circulating in the blood of patients with established HIV-1 infection to monitor the treatment and progression of AIDS.   Unlike the viral load tests, however, the APTIMA test has been approved for the diagnosis of primary HIV-1 infection, as well as for confirming HIV-1 infection when tests for antibodies to HIV-1 are positive.

The product labeling for this test will be available soon on the list of FDA Licensed/Approved HIV, HTLV and Hepatitis Tests on the FDA web site.

Richard Klein Office of Special Health Issues
Food and Drug Administration


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