[Question #11089] Follow up to 10955

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17 months ago
hi Doctor,
I had moved on but 3 days ago i started getting mild sore throat, slight ache in the ear and body feels hot with no or mild temperature.
During my annual physical i was diagnosed with H Pylori so i am going through the antibiotic treatment - 4 days left.
History recap from conversations before
88 days - 4th gen negative
100 days - 4th gen negative
Had Blood drive in office at around 120 days - Blood accepted by Red Cross Blood bank so all non reactive since they run i believe antibody testing and also HIV NAT. I believe NAT is diagnosed within 11 days of exposure.
Just reassuring that i dont have HIV and i continue normal life from my current symptoms.


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H. Hunter Handsfield, MD
17 months ago
Welcome back but I really don't understand why you found it necessary. Did you expect our evaluation and advice to change? Your previous two threads make it clear you do not have HIV and therefore that no symptoms you have can possibly be caused by it. Here are some of Dr. Hook's and my replies in those discussions:

From Dr. Hook:  "...with two negative tests at 88 and 100 days, there is simply NO way you could have acquired HIV from the encounter you describe. If you look at my reply to your question. 'Uniformly and entirely conclusive…' there is no way you could have HIV from the encounter you describe."

From me:  "Your blood tests at 88 days are 100% reliable. There are NO medications or medical conditions that have any effect on the reliability of timing of the HIV gAb (4th generation) blood tests. No antibiotic has any effect. The biotin business you discussed with Dr. Hook is rare if it occurs at all; and never happens with the standard doses used in multivitamins or in conditioning programs. Your negative HIV test result proves for sure you do not have HIV. No more testing is needed."

 

"Your negative results are 100% proof you were not infected."


We haven't changed our minds! On top of all that, you now describe still additional HIV test results. What makes you even have the remotest concern about symptoms that are entirely typical for a mild cold -- when we're in the middle of the common cold season? Further, there are no medical conditions (including H. pylori) that alter the timing or reliability of any of the standard HIV tests. It simply never happens.


We of course are entirely aware of the anxieties that can follow a regretted sexual experience, and perhaps especially one in which you may have actually acquired an STD, the trichomonas. Still, you can't go through life attributing every twitch, tingle or sniffle to that event. 


Let me know if anything isn't clear.


HHH, MD


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17 months ago
Thank you for the response Doctor.
I decided not to google anymore so asked you the question instead since I was anxious.
Regarding the additional testing with Redcross as part of the blood donation, please understand that even tough I verified that the exposure happened on October 28, my mind is thinking what if I got the dates wrong and the exposure happened in late November or early December 2023.
Like what i said earlier, i had moved on but the symptoms i mentioned earlier just made me go paranoid. The Redcross testing does NAT which detects 11 days onwards so went with the donation and testing.
I am not doing anymore testing but the symptoms just made me anxious so asked you the question.
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H. Hunter Handsfield, MD
17 months ago
It is nonsensical that you tested at 88 and 100 days after an event in late October and then thought it might actually have happened one or two months later. Even though you "verified" October 28??? I will not play such a game.

Unless and until you have a new sexual risk for HIV, ignore these and any other symptoms have now or may develop in the future, no matter how typical for HIV they may seem to be.
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17 months ago
Doctor please understand that i dont go to the CSW often. I was not playing games but my mind is for sure. I checked my phone records and transactions and came to the conclusion of October 28, 2023. I thought what if i missed the date from my phone call log or the c card transactions. Hence got paranoid and did the testing for NAT which i thought is conclusive in 11 days. I did not have any encounter after that. With all honesty i am still talking about the same encounter. I apologize if i came the wrong way.
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H. Hunter Handsfield, MD
17 months ago
Your two previous threads were very specific on the dates, and I do not buy the idea that you could be one or even two months wrong in your estimate of the date. Clearly that did not happen. And even if it did, your latest tests were conclusive even if the previous ones were too early. And you've had the negative RNA/NAT results as well as the AgAb tests. Nobody in the world ever turned out to have HIV in these circumstances and you will not be the first.

It was always clear you had only one encounter. I didn't say anything different.

That completes the two follow-up comments and replies included with each question and so ends this thread. Please note the forum does not permit repeated questions on the same topic or exposure. This being your third, it will have to be your last one; future new questions about this exposure, testing, and your fears about HIV will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 

I hope you can finally go forward with no worries at all about HIV from the event described. Best wishes.
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