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Those disclosures, like the disclosures for any medical procedure or medicine, are there to protect against liability in the event of the odd outlier: the virginal Mormon who is pos by her pre-nup blood test w/no history of any contact. In such a case, the result is likely due to lab error, and the patient is tested again. Within high-risk groups, the test has damn close to % sensitivity and specificity. It's a good test; and knowing is a good thing: it can lead to lifestyle modifications and therapeutic choices that can greatly improve both survival time and quality of life. For example, great controversy exists as to when to initiate HAART. The current practice is to wait until the CD4 count goes below /ml, or the viral load exceeds 50, /ml. However, there are some who believe if you start early in the infection, and keep the viral load low, you both minimize the number of viral particles (virons) around to evolve resistance, and enhance the immune system's ability to deal with the ones that are there (fewer virons=more CD4+ cells). Also, of HAART's notorious side effects are diminished in a patient who is still. On the other hand, there are those who believe early introduction of HAART is a set up for the selection of resistant mutations. Both have their points, and the jury is still very much out. Like I said, it's controversial stuff, but it's a patient's choice to make. In the meantime, both meds and survival continue to improve. And while a cure isn't on the immediate horizon, I'm hopeful that there be one w/in the next generation. What's happening in Africa can't help but move the conscience of the world, and motivate the research community: at the very least, a cure is a ticket to Stockholm. In the meantime, take care of yourself, and be there to benefit when it at last comes. Also, there's the moral to consider: ideally, knowing your status should compel you to play responsibly. I can't think of a better example of 'bad -' than a guy who knows he's poz BB toping w/out at least informing his partner. (more to come!) hiring our heros
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