Dear Drs, my ongoing symptoms forced me to come back, i have swollen tonsills and mild sore throat almost since 3 weeks, short breath and general fatigue, still feeling achy and not well,   trouble to keep weight despite frocing myself to eat. My doctor did many tests all normal except the inflamation index CRP = 6 limit 5 and ESR=14 limit 10. My last tests were done in 2 different Labs on 17/11 at 8 weeks after exposure, both 4th generation ( Vidas biomerieux and Elecsys hiv duo) and Negative , i did an RNA test on the same day  but till date no result. 1) the negative 4th generation tests are conclusive? Cause  when I read the reference usually Dr Handsfield mention for the test conclusivity it is mentioned 99% and 100, could u please comment on this

Welcome back to the Forum although, similar to the response to your last set of questions, I’m sorry you felt the need.  I reviewed both our earlier interaction as well as your more recent interaction with Dr. Handsfield and confirm all that was said.  Specifically, the exposure you described DID NOT put you at any known risk for HIV and your subsequent testing has REPEATEDLY PROVEN that you did not acquire HIV from the exposure you have described.  Any continuing symptoms you have are due to something other than HIV.  If your continuing symptoms are not improving and continue to trouble you, I would advise you to seek the advice of your regular physician or an EAR, Nose and Throat Specialist.  Thus, in response to your questions:

 

1.  Your tests are entirely, 100% conclusive.  In science no single observation is 100% but when a finding is repeatedly confirmed as your HIV test results have been, you can be entirely confident of the results.
2. If your symptoms were due to HIV, either the p24 antigen, the antibody test or, when results return, your HIV PCR would be positive.  They are not.  Accept that you do not have HIV.
3. NO!!!  The ARS does not occur out to day 50.  Virtually all ARS symptoms occur by day 30 following an exposure.

 

Your repeated posts suggest that you may be seeking information on the internet.  If so, please stop.  As Dr. Handsfield already indicated, the internet is full of misinformation, either because it is out of date, taken out of context, or just plain wrong. 

 

Finally, I must point out that we reserve the right to stop answering repetitive, anxiety driven questions.  Your repeat questions are falling into this area.  As a result, I will warn you that while you have two follow-ups remaining as part of this thread, once it is closed further repetitive questions may be closed without a response and without return of your posting fee.  This policy exists out of concern for our clients, nothing more.  EWH

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Dear Doctor Hook,

The ARS typical lasts 10-14 days.  It would not last 50 days.---

Dear Dr Hook, Thanks for your reply, I called the lab one week back and they told me that My test "HIV 1 RNA QUANTITATIVE" came back from the reference lab and the result is Undetected. I will not hide my concerns with regards to sample handling. Unfortunately, fatigue is continuing, swollen tonsills and lymph nodes under the jaw,  my joint and muscle pain came back, with weakness in limbs, not gaining weight. My questions: 

Thank you for the additional information.---