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Medical Forum / General / General / October 2006

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Sept 27, 2006 JAMA Article Breaks New Ground

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jdach - 04 Oct 2006 12:29 GMT
The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
important part of the HIV AIDS explanation:  Here is the  accepted
explanation of HIV and AIDS:

http://encarta.msn.com/encyclopedia_761579757/Human_Immunodeficiency_...

When HIV enters the body, it infects lymphocytes, which are a type of
white blood cell in the immune system. HIV uses its glycoproteins to
attach itself to receptors on the surface of a lymphocyte. The outer
envelope of HIV then fuses with the lymphocyte, enabling the HIV capsid

to enter the lymphocyte itself. HIV commandeers the genetic material of

the lymphocyte, instructing the cell to replicate more viruses. The
newly formed viruses break free from the host, destroying the cell in
the process. The new viruses go on to infect and destroy other
lymphocytes.

Over a period that may last from a few months to up to 15 years, HIV
may destroy enough lymphocytes that the immune system becomes unable to

function properly. An infected person develops multiple
life-threatening illnesses from infections that normally do not cause
illnesses in people with a healthy immune system. Some people who have
HIV infection may not develop any of the clinical illnesses that define

the full-blown disease of AIDS for ten years or more. Doctors prefer to

use the term AIDS for cases where a person has reached the final,
life-threatening stage of HIV infection.

Sept 27 2006 JAMA Article:

The recent JAMA article contradicts the above idea destruction of
lymphocytes and  AIDS progression (on an individual basis) is caused by

replicating virus.  In this study, on an individual basis, there was no

correlation (or very poor correlation) between viral replication
measured by viral load levels and lymphocyte count.

I would direct your attention to Figure 3 page 1504 of the Sept 27 2006

JAMA
article by Rodriguez which shows scatter plots of CD4 T cell change on
the vertical axis and HIV Viral Load on the horizontal axis. Notice how

all the dots are placed like shotgun pellets and don't form a definite
meaningful line.  There should be a straight line here ( or dots which
are trying to make a line).

This scattered scattergram is the finding which indicates that
HIV plasma RNA level (Viral Load) is not a reliable predictor of CD4
cell loss in HIV infection and challenges the concept  that the
magnitude of viral replication is the main determinant of the speed of
CD4 cell loss at the individual level.

All readers are invited to visit my web site and post a comment on the
contact page.

regards from www.drdach.com
David Wright - 06 Oct 2006 04:09 GMT
>The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
>important part of the HIV AIDS explanation:  Here is the  accepted
>explanation of HIV and AIDS:
>
>http://encarta.msn.com/encyclopedia_761579757/Human_Immunodeficiency_...

Chris Noble already took this supposed "contradiction" apart over on
misc.health.alternative, but since "jdach" obnoxiously failed to
cross-post, I'll put a few key responses here.

The main point missed by the people who think they've spotted a
contradiction is that even if something works, on average, for a
group, it doesn't mean it'll work well for individuals.  And so it
proves with viral load and HIV disease progression.

For lots of detail, see these links:

http://scienceblogs.com/insolence/2006/10/more_distortion_of_peerreviewed_data_by.php

http://scienceblogs.com/aetiology/2006/10/aids_and_viral_load.php

http://aidsmyth.blogspot.com/2006/09/viral-load-paradigm-shift-not-really.html

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "If I have not seen as far as others, it is because giants
          were standing on my shoulders."  (Hal Abelson, MIT)
Peter Bowditch - 06 Oct 2006 06:52 GMT
>The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
>important part of the HIV AIDS explanation:  Here is the  accepted
>explanation of HIV and AIDS:

f.cking amazing, isn't it?

The lies get knocked on the head, but they get repeated verbatim a few
days later as if repetition will make them true.

Perhaps being an AIDS denier is highly correlated with Alzheimer's,
and this makes them forget what they say almost immediately after they
say it.
Signature

Peter Bowditch aa #2243
The Millenium Project http://www.ratbags.com/rsoles
Australian Council Against Health Fraud http://www.acahf.org.au
Australian Skeptics http://www.skeptics.com.au
To email me use my first name only at ratbags.com

jdach - 06 Oct 2006 14:16 GMT
> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 57 lines]
>
> regards from www.drdach.com

reply from dr.dach

Hey guys, I'm just the messenger.  If you dont like the conclusions of
the authors of the Sept 27 2006 JAMA article or the accompanying
editorial, send a letter to JAMA asking them to retract the article.

More discussion about the JAMA article on this web site with postings
by your friend,  Dr. Chris Noble:

http://www.newaidsreview.org/posts/1159330774.shtml

regards from www.drdach.com
David Wright - 07 Oct 2006 21:07 GMT
>> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
>> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 62 lines]
>the authors of the Sept 27 2006 JAMA article or the accompanying
>editorial, send a letter to JAMA asking them to retract the article.

The article is fine.  The problem is entirely with nitwits who attempt
to distort the article's content.

The article says that you can't use viral load to predict how fast an
individual will progress into AIDS.  You can only use it to predict
what will happen to members of a group, on average.

I can't predict when, or whether, a cigarette smoker will develop lung
cancer, either.  But smoking still causes cancer.  Or do you doubt
that also?

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "George Bush is a gruesome boob."  -- Bill Maher
jdach - 09 Oct 2006 01:25 GMT
> >> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
> >> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 77 lines]
>      These are my opinions only, but they're almost always correct.
>        "George Bush is a gruesome boob."  -- Bill Maher

reply from drdach:

Lung cancer and smoking is an excellent historical example of the
medical profession supporting the cigarette industry 30 year claim that
cigaretter consuumption was "healthy".  Of course, now we know better.

regards from www.drdach.com
David Wright - 09 Oct 2006 05:31 GMT
>> >> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
>> >> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 77 lines]
>medical profession supporting the cigarette industry 30 year claim that
>cigaretter consuumption was "healthy".  Of course, now we know better.

I trust that readers of this little exchange now also know better
than to trust "drdach's" interpretation of medical studies.  The
evasive non-answer in the preceding paragraph makes it clear that
drdach is not a reliable source.

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "George Bush is a gruesome boob."  -- Bill Maher
jdach - 09 Oct 2006 15:00 GMT
> >> >> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
> >> >> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 86 lines]
>      These are my opinions only, but they're almost always correct.
>        "George Bush is a gruesome boob."  -- Bill Maher

reply from drdach:

Mr. Wright  believes that cigarette smoking is good for your health.
That's real credibility.

I trust that the readers can come to their own conclusions about
reliability and credibility.  I invite all readers to review my
background and training at my web site www.drdach.com and post a
message on the contact page.

Where's your web site Mr. Wright.  Your readers would like to know your
background and traing to judge your reliability and credibility. Or are
you in hiding ?

regards from www.drdach.com
David Wright - 10 Oct 2006 04:46 GMT
>> >> >> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
>> >> >> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 87 lines]
>Mr. Wright  believes that cigarette smoking is good for your health.
>That's real credibility.

No, deliberately misinterpreting people is "real credibility."
Especially when the original quotation, in which I say quite clearly
that smoking causes cancer, is right up above.  Boy, the people they
give medical licenses to these days, it's a damn scandal...

>I trust that the readers can come to their own conclusions about
>reliability and credibility.  I invite all readers to review my
>background and training at my web site www.drdach.com and post a
>message on the contact page.

How nice.  Can they also offer opinions on the highly commercial
nature of your web site?  Or do you delete those?

>Where's your web site Mr. Wright.

The things I learn here.  Turns out you can't be credible if you don't
have a web site.  Presumably a web site on which you hawk many
products and toot your own horn a lot.  Who knew?

>Your readers would like to know your background and traing to judge
>your reliability and credibility. Or are you in hiding ?

Not hardly.  But given some of the other posters here (you are
apparently newly arrived, and may not know who I'm talking about), I
do not care to give out that kind of information.  I only go so far as
to say that my PhD is not in a medical field.

However, if you're under the impression that flashing an MD is going
to make all the readers tug their forelocks and lick your shoes, I'm
afraid you're in for a grave disappointment.

In any event, exactly what *was* your point in bringing up that JAMA
article?  Are you questioning that HIV causes AIDS, or what?  All the
article says is that you can't use viral load to predict, for any
particular individual, how fast that person will progress into AIDS.
OK, fine.  You can't predict how fast a given smoker will develop lung
cancer either, but smoking still causes lung cancer.  So why did you
feel it was so goddamned important to bring up the JAMA paper?  The
main people who've been trumpeting it so far are those looneytune
"AIDS denialists."  But I can't tell whether you're in their camp or
not.

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "George Bush is a gruesome boob."  -- Bill Maher
drdach - 24 Oct 2006 19:34 GMT
> >> >> >> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
> >> >> >> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 133 lines]
>      These are my opinions only, but they're almost always correct.
>        "George Bush is a gruesome boob."  -- Bill Maher

reply from drdach:

Maybe this will help you:

http://barnesworld.blogs.com/barnes_world/2006/10/by_jeffrey_dach.html

regards from www.drdach.com
David Wright - 25 Oct 2006 03:28 GMT
>> In any event, exactly what *was* your point in bringing up that JAMA
>> article?  Are you questioning that HIV causes AIDS, or what?  All the
[quoted text clipped - 12 lines]
>
>http://barnesworld.blogs.com/barnes_world/2006/10/by_jeffrey_dach.html

Not really, no.  You clearly have an axe to grind with Nick Bennett,
which is your privilege, and it does sound as though he was rather
rude to you (though I'd like to hear his side of the story also, just
for completeness).  You also seem to be giving credence to Duesberg,
which certainly puts you in the minority.

However, your own views are not on display.

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "George Bush is a gruesome boob."  -- Bill Maher
jdach - 09 Oct 2006 15:07 GMT
> >> >> The Sept 27, 2006 JAMA article (Figure 3 page 1504) contradicts an
> >> >> important part of the HIV AIDS explanation:  Here is the  accepted
[quoted text clipped - 86 lines]
>      These are my opinions only, but they're almost always correct.
>        "George Bush is a gruesome boob."  -- Bill Maher

reply from drdach:

hey guys, it not my interpretation. Its the authors of the study who
conclude that viral replication on an individual level is not
predictive of CD4 cell count. If you  find the conclusions of this
article disturbing to your fragile belief system,  send  a letter to
JAMA and ask them to retract the paper. For those who have no medical
training or understanding of biology, this might be difficult to
understand, so please feel free to visit the contact page of my web
site www.drdach.com and send me a comment to discuss further.

regards from www.drdach.com
Don Saklad - 06 Oct 2006 14:44 GMT
By Benigno Rodriguez
  Benigno Rodri'guez
Predictive Value of Plasma HIV RNA Level
on Rate of CD4 T-Cell Decline in Untreated HIV Infection
http://jama.ama-assn.org/cgi/content/abstract/296/12/1498

http://encarta.msn.com/encyclopedia_761579757/Human_Immunodeficiency_Virus.html
http://en.wikipedia.org/wiki/Hiv
Don Saklad - 06 Oct 2006 14:48 GMT
By Benigno Rodriguez
  Benigno Rodri'guez
Predictive Value of Plasma HIV RNA Level
on Rate of CD4 T-Cell Decline in Untreated HIV Infection
http://jama.ama-assn.org/cgi/content/abstract/296/12/1498

http://encarta.msn.com/encyclopedia_761579757/Human_Immunodeficiency_Virus.html
http://tinyurl.com/26wbm

http://en.wikipedia.org/wiki/Hiv
Don Saklad - 06 Oct 2006 16:25 GMT
Draw a line over the scattershot. Cut out the graph. Weigh the paper.

See also
http://en.wikipedia.org/wiki/Monte_Carlo_method
http://en.wikipedia.org/wiki/Calculus
 
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