I think the first step is diagnosis and as we talked about, this is performed by doing a blood test. These are available at virtually every hospital. Every physician can order this test on any individual. Then secondly: if you have HIV, there are a number of avenues which you can pursue. You may have a very knowledgeable primary care physician you want to stay with but I would recommend that at some point you see someone who's specializing in HIV care for the simple reason that the drugs are now so powerful that there also can be problems in implementing them and keeping them going, that at least a visit with a specialist in HIV care once would be important. The economics (if you will) of having an HIV infection may appear daunting, but anyone in the United States should be able to obtain drugs for the treatment of HIV. Those who have no work, no insurance, they can go to a local Ryan White clinic and obtain all of this help. These clinics are available in most big cities.
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