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On ARV treatment in India

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Dear All,

This is in response to Anju Singh of jackindia's posting.

Again and again one needs to understand and explain that I do not disagree

with the importance of discussing the matter with the patient, making an

informed decision, importance of nutrition, giving up substance abuse,

positive frame of mind, good social support etc. etc. etc. The issue is that

these are not enough to save lives. If someone takes an informed decision to

rely only on these I would also support the decision. But if the drugs are

seen to help those who are doomed to a life with extreme morbidity and at

times an early mortality then despite all their limitations I think they are

certainly worth giving a try. I do not support hit early hit hard, but they

work better and probably have fewer side effects if started when CD4 are

around 300-250. Unfortunately most patients get diagnosed when they are in a

worse shape.

My only worry is people relying only on alternative treatment methodologies

should not wait for too long before deciding to start ART as a last resort.

My only contention is that at a time when we are seeing a ray of hope let's

not try and extinguish the same by putting in arguments which are more

emotional and less rational. Otherwise we all know anything may be claimed

to be treated and cured just by faith.

Once again I am deeply concerned about those who are unfortunately suffering

from the side effects but I am equally, if not more, worried and concerned

about those millions who do not have anybody to discuss whatever options you

or me are suggesting. Out of these so many could survive with all the

support you suggest and THE MEDICINES, until the CURE. And here I am not

suggesting that Drugs are going to be the panacea for them.

Vinay Kulkarni

E-mail: <prayashealth@...>

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  • 2 weeks later...
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Dear Forum members,

I agree with the stand that HAART need not be advised to one

and all. All GPs should be properly trained in the prescription

of these meds and their toxic effects.

But we need to definitely take up the cause of preventing Mother To

Child Transmission (MTCT) of HIV

vimla nadkarni

E-mail:<vimla-nadkarni@...>

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