Dr. Martin Markowitz, Clinical Director of the Aaron Diamond AIDS
Research Center, is Dr. David Ho's collaborator. He has been treating
AIDS patients since 1981.
"It's almost if you think about the level of virus in the blood like
the level of water of water in a sink. You can keep that level of water
in a sink pretty constant with a lot of water coming in and a lot of
water going out, or a little bit of water going in and a little bit of
water going out. But let's say you're blindfolded and you can't hear
anything, you don't really know what's going on. You could understand
what's going on if you turn the faucet off and see how fast the water's
going out. And that's really what the protease inhibitor did. It turned
the faucet off. So we saw a lot of water went out of the sink very
fast. "
"So, I think to start saying that this, you know, the end of AIDS has
arrived is ridiculous. On the other hand, it's always good to promote
hope and optimism when there is some hope and optimism. And I think for
many there is hope and optimism. But also for many there is
desperation, too, because for every new person who's never taken drugs
before, who's newly infected that we can put on regimens and make their
blood free of virus while they're on drugs -- again emphasizing we have
not stopped drugs on anybody -- and until we can stop drugs, and there's
no evidence of virus coming back, nobody's been cured of HIV, we're just
controlling what we can see."
"I still think we have a lot to understand about how the immune
system is being affected by the viral activity. I don't think that we
have a really good handle for what's going on immunologically. But it
does appear to me, as an investigator, and looking at the difference of
treating people early as opposed to late, that by starting early, that
we're very likely preventing a lot of the immune consequences of ongoing
viral replication, day in and day out, and year in and year out."
"I would say that most of the patients have certainly have gone back
to work, have had minimal disruptions in their daily activities. I
mean, they might not be able to go out and stay out all night and do all
the things they love to do. But, on the other hand, I would say they're
able to work, they're able to relax, they're able to take vacations,
they're able to put the drugs into a daily schedule, so that their lives
are relatively uninterrupted."
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