> My Dr left a message on my machine about my 12th week blood test. She > said that the count is less then 600 which is considered undetectable [quoted text clipped - 9 lines] > > Ally
>From the laboratory perspective, the virus is either detectable or it is not detectable. In your case now, the virus is undectable -- the lab test cannot give you a better result than that!
"Undetectable" means the viral load in your blood is somewhere between zero and 60 (or 600 or whatever). I guess that because the viruses are so small that they essentially cannot be seen unless there are a bunch of them, that the laboratory can't say for sure if the viruses are entirely gone or not. All they can say is that they cannot see the viruses, not even using their fancy, expensive, RNA-muliplying PCR tests. Thus, it certainly appears that you have cleared the virus.
But science advises it would be premature to say the virus is gone for good at this stage. There could still be some hiding out somewhere, and the numbers therefore could be multiplied to detectable levels again. Consequently, the most accurate conclusion is a simple statement of the facts: The lab could not detect any virus in your blood serum.
Do you have a cure today? Of course not. What your really have, from the statistical perspective (for genotype-1 patients such as yourself) is what they call an Early Virological Response (EVR).
An EVR is a "virological response" because the virus has *responded* to the battle by suffering an apparently total destruction. It is "early" because" the response was attained *early* in treatment -- which is defined for geno-1 as within the first 12 weeks.
Because patients who attain EVR prove more likely to attain the hoped-for SVR in the long run, your lab results are good news. If you started out with a 50-50 chance for attaining an SVR, then I think your chances are now improved to be better than that, based on the available research statistics and the fact that you have an EVR.
If the virus stays undetectable, then that will mean that somewhere along the line you cleared it. Right now it appears from your labs that you already cleared it, but the scientists caution us to understand that we cannot be sure yet.
I'll say this for sure: When I got news of my EVR, I couldn't believe it. At that time I was sure it was all some mistake. It took several weeks for me to finally accept that I might be beating this thing after all -- I think its the drugs. They are killing the virus, but they also kill my spirit and my hope sometimes. Its a tough road to walk, but its good to pay attention to those numbers when they are telling you that things are looking pretty good.
Best wishes,
BG
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