Doctors, I have been battling STD OCD for years, especially HBV.  Please don't get mad at me for asking you another question, I have been in therapy but I have two things that are still scaring me - and my therapist said to just ask you to see if I can finally get closure.  I recently tried to get my labwork from 1999 but couldn't as the records are gone.  When I found out that my initial test was inconclusive I called the hospital and the nurse read my the results HBsAG (-), HBsAB (-), HBcAB (+) - but my OCD is causing me to have false memories and it was so long ago - I just get scared that it was the HBcAB (+).  I was tested again in 2013, and 2022 and was negative for all markers.

(1) Since I can't find the 1999 test does it matter - does the subsequent serology (all markers negative) prove that the false positive had to be the HBcAB, because I was never vaccinated, and if I was truly infected with HBV - I would have had the HBcAB positive in all three tests because it lasts for life - the HBcAB couldn't have just disappeared in 13 years and the second negative last year proves this?

(2) The only risk factor I can think of before the 1999 test was I fingered a FSW with a tiny cut on my cuticle from me biting - it wasn't actively bleeding, but it was fresh enough that it stung - is this a risk factor for HBV?

I know this against your policy to keep answering questions on same topic - but I am in a really bad place today and my therapist this morning said to just ask a doctor you trust to see if can get closure - there is no-one I trust more than the two of you - so if you could answer this for me, I would be incredibly grateful.

I'm sorry you felt the need to return with more questions.  Both Dr. Handsfield and I have discussed your concerns with you on multiple occasions.  I suspect that intellectually you know that your concerns are a reflection of your OCD, nothing more.---

Thanks so much for answering doc - so the HBcAB is the key marker in my situation it being negative in 2013 & 2022 means I never had HBV and even if I am not certain 100% about my 1999 tests and what marker was positive it had to be the HBcAB because it lasts for life - is this correct?  This then obviously means that fingering with a cut was irrelevant - this is what I believe I know intellectually - is what I just wrote all correct?  Thank you so much dr. Hook - I am doing so much better, and therapy is really helping - but your reassurance helps as well.  Thank you again, after you answer this question, you can close this out and thank you for what you do

sorry I didn't write my response correctly - let me try again:  the HBcAB is the key marker in my situation it being negative in 2013 & 2022 means I never had HBV and that is how you know I never had HBV, because the HBcAB persists for life.  Even if I am not certain 100% about my 1999 tests and which marker was positive it had to be the HBcAB because I was never vaccinated and if it was the HBsAG - then my HBcAB would have to have been positive in the subsequent tests.  This is what I think intellectually - am I correct in this logic?

This is repetitive.  Your follow up summarized my earlier reply.  You never had hepatitis B.  ---

Ok thanks doc - I appreciate it very much