Hi, guys! I haven't been on Muppet Central for a long time, but some of you may know me from Tough Pigs and Muppet Wiki.
I've worked for ten years at a non-profit AIDS service organization in Philadelphia. I was an HIV counselor for a while, and I taught classes on HIV for middle and high school students. I also led staff trainings at drug treatment centers and mental health agencies.
Kevin asked me to look at this thread a couple weeks back. Yesterday, I asked him to unlock it so that I could clear up some of the misunderstandings here. Sara and a couple other people posted some misinformation about HIV in this thread, and I want to make sure that the people at MC know the facts about HIV testing and treatment.
Sara must be confused about how HIV testing works, because the situation that she describes couldn't have happened. HIV tests are very serious, and there are laws and procedures that have to be followed.
You can get an HIV test from your doctor, or you can go to a testing site like the Red Cross or Planned Parenthood. Patients always know that an HIV test is being done; they can't be done by surprise. You have to sign a consent form that specifically says that you want them to test your blood for HIV.
There's no such thing as an HIV/HCV test. Those are different viruses, and the tests are different. An HIV test is always done on its own, with the patient's understanding and consent.
Results are always given in person; a doctor will never call you and give you results over the phone. It's illegal for a doctor to do that. The lab sends a copy of the results to your doctor or the test site, and then you go in for a follow-up appointment to learn your results. The reason for this is that if you test positive, they want to make sure that you understand what's happening, and they help you learn about what you can do next. They'll never just tell you, "You have AIDS" and then leave you to deal with it yourself. That's irresponsible, and illegal.
False positives don't happen. If a patient's blood tests positive, then the lab automatically runs another, more sensitive test. HIV tests have been around for twenty years now, and they're very accurate.
Sara also talked about some very old myths about HIV treatment and life expectancy. It's true that in the first 15 years of the AIDS epidemic, the treatments weren't very good, and many people died. In 1996, however, researchers developed a new kind of HIV medication called "protease inhibitors", which are very effective at fighting HIV. The number of deaths dropped dramatically at that point. By 1998, AIDS was no longer in the top ten causes of death in the US.
There have been more advances in HIV treatment in the last ten years, and in the US, HIV is essentially a chronic, manageable disease. It's still very serious, and having HIV is very difficult, but people who get treated for HIV are living normal lives, with normal lifespans. There's no reason why a grandfather would start measuring a healthy 19-year-old for a coffin, even if she had tested positive.
I'm explaining all of this because I'm afraid that Sara may have discouraged people from getting an HIV test. That's a very irresponsible thing to do. If you think that you might be at risk for HIV, please talk to your doctor about it, or make an appointment at a testing site. When someone is infected with HIV, the most important thing is that they get tested and find out their status as soon as possible. Getting tested and getting treated saves lives.
So while I'm here, I'd be happy to answer anybody's questions about HIV. Is there anything that you want to know about HIV transmission, testing or treatment? Are there any weird rumors that you've heard that you want to clear up? Let me know!
-- Danny
PS. You can also get more information at the Center for Disease Control's website:
http://www.cdc.gov/hiv/pubs/brochure/atrisk.htm