Dr's. I just wanted to follow up with another question. I know we ended the conversation with this being low risk, but let's say they had an acute infection and this was a truly high risk, is my tests still conclusive? I also took a 13 week and 15 week ora quick that were negative. I have one tonsil that is swollen. I'm sure this is considered an anxiety based question, but I would appreciate it if you could let me know this is truly conclusive and I'm over thinking everything.

Welcome back to the Forum.  I'm sorry you felt the need.  On this occasion you're question was assigned to me.  In preparing to respond I reviewed your earlier interaction with Dr. Handsfield and agree with all that he said.  Your 4th generation tests are entirely conclusive, irrespective of whether your exposure was high or low risk.  Test performance is really independent of risk level.  You can have complete confidence in your test results.  There is no reason for continuing concern about your August exposure and no medical or scientific reason for further testing.  ---

Thanks Dr Hook. So symptoms are from something else? It's hard not to be worried, but hearing you and Handsfield say my results are conclusive and I don't have HiV is good to hear. Thanks for all you all do.

Correct.  Symptoms typically have a number of causes and tests help to identify what is causing them.  I encourage you to believe your multiple negative tests.  EWH ---

Sounds good. Thank you. I will try to move on. Also, there isn't anything like meds that would effect the results correct? Other than pep and prep of course, which I haven't ever taken.

No, there are no medication’s or other factors, which would decrease the reliability of your test results. ---

Thanks. I understand if you don't answer but, what does with reflex mean on the test.

I presume you are talking about a test.  For some tests, and some blood tests in particular, to make sure results are not falsely positive, specimens are tested in the laboratory and, if the initial test is positive, then a second, "reflex" test is performed to make sure the result is not falsely positive or to provide additional information.  If the initial test is negative, then no additional, "reflex" testing is done.  ---