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Table of Contents


Children of a Lesser God

Virgin With A Vengeance

Liver and Let Live

Submission: Impossible

Now They C It

Drug Trade

Insecurity Council

Lady Buggers

Latest Battles On Latex

Knock, Knock

Milestones

Leap of Faith

Sunshine Therapy

AIDS Lyrics

Love Songs

It Takes Tube

Pot Shot

Show Us the Money

It Happened in May

Guru Gere“Gotcha??

Take This Mug and Stuff It

The Rub

Big Easy

Doctor Shocker!

Warts and All

On Your Feet

Brains, Not Beauty

Math Hysteria

Main Squeeze

14%

Treat and Run

Double Agent

Unhappy Together

A Fish Called Tuna

Risk and Tell

Tell and Risk

Mailbox

Editor's Letter

Star Billings


Most Talked About

AIDS: Not a Heterosexual Disease? (46)

The Greatest Gay Rights Battle of Our Time (Blog) (19)

Lambda Legal Responds to HIV Spitting Conviction (19)

Ready to Quit? The Risks and Rewards of a Potent Smoking-Cessation Drug (17)

Mandatory HIV Tests Before Marriage? (15)

Most Popular Lessons

Herpes Simplex Virus

Syphilis & Neurosyphilis

Shingles

The HIV Life Cycle

Human Papilloma Virus (HPV)

Treatments for Opportunistic Infections (OIs)



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May 2003


Math Hysteria

by Tim Murphy

Someone please tell me just what the $%#*@ these labcoat-type terms mean

CD4 percentage. Everybody knows that CD4 cells are the body’s elite HIV shock troops. But doctors also track your CD4 percentage—the fraction of CD4s that make up your lymphocytes, the commanders of your immune system. See, your CD4 count routinely bobs up and down, but your CD4 percentage varies far less from one lab test to the next— making it a reliable long-term marker of immune health. So if your CD4 count dropped from 400 on one lab to 200 on the next, it might be because your lymphocytes dropped from 1,000 to 500. On both labs, your CD4 percentage is still 40 percent. And since docs consider a percentage of 20 or above safe ground, don’t panic—but do follow the trend over time.

Log change. This term for tracking viral load is so simple, Paul Bunyan would understand. A one-log change in viral load either adds or drops a zero (or a factor of 10), a two-log change adds or drops two zeroes, etc. So a one-log viral-load drop from 100,000 equals 10,000, and a three-log drop equals 100—nearly undetectable! Docs will usually raise an eyebrow only if viral load changes by a “power of three” or more (say, from 90K to 30K or lower)—so three successive readings of 20K, 30K and 40K wouldn’t be a too-scary surge.  

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