[Question #6373] DR HOOK ! Request

14 months ago

Hi doctor hook I have one query which I have confirmed from your older posts

Only you can confirm it for me so I must speak with you otherwise I’m just stuck :/

By chance please answer . There is no point otherwise unfortunately:/

PLEASE

H. Hunter Handsfield, MD

14 months ago

Welcome (back?) to the forum. As clearly described in the introductory information and FAQs, users do not select the moderators who respond, and I was up for new questions when yours came in. Dr. Hook's and my expertise are identical and our answers always the same, even if our writing styles are somewhat different. I can advise you just as effectively as he would. I'm happy to help if you'll go ahead and ask a question. (If your question is primarily about herpes, this thread will transferred to Ms. Warren.)

If you have posted question(s) previously, you are now using a different account, username, and/or email address, which is against forum policy. If so, please let me know your previous username(s) and/or the question numbers.

Thanks for your understanding of the forum's policies and procedures. I look forward to helping you.

HHH, MD

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14 months ago

Oh dear my question was on blood draw

Which dock hook specialises on :(

I took a blood draw using butterfly needle with everything was going smoothly

My only worry is when I think the other needle next The tube is brown colour that goes into the vaccutainer . I think touched me when the nurse was going to inset the main the needle in me .

1) i think that’s called a luer adaptor needle I only felt a gentle touch . If my hand went through the tube holder would the luer adapter needle prick me ?

2) isn’t the luer adapter fully covered ? and even if luer adapter needle toched my arm I cannot get pricked ?

3) and nurse cannot also prick by luer adapter needle when she put the needle into the tube holder ? And then if I got pricked by luer adapter needle afterwards when nurse brought the needle forward .

This happened when nurse was just came forward and well I think the tube holder or the luer adapter needle touched me

4) I did not feel any pain . Is it normal to get touched by the luer adapter needle .

5) I think the tube holder was on the needle as well . So my worth was getting pricked if my finger went through the tube holder and touched lure adapter needle .

6) it wasn’t even a prick it was just a gentle flow like nurse was inserting needle and I just felt the luer adapter holder come forward on my arm .

No risk for hiv hepatitis ? If nurse

I’m quite certain the tube holder was on the luer adapter needle nurse had put it on

7) But even if it was just a luer adapter needle I cannot pricked with it ? Because it has a cover ? Doesn’t the needle only open inside the vaccutainer ?

Even if I did get pricked It was just a gentle fee l

Please help

14 months ago

Nurse was also wearing gloves IM NOT at RISK FROM THE NURSE ?

But main think is nurse cannot prick themselves because luer adaptor needle

Is fully covered ??

Clarification: the luer adapter needle goes into the tube holder that’s the needle I’m talking about

And butterfly needle was used which has a long tube then you have the other needle I’m talking About the luer adapter needle

14 months ago

I was TOLD BY MY DOCTOR

That luer adapter needle only only opens inside the vaccutainer blood collection tube .

So I’m safe ?

No body in the world has been infected this way?

H. Hunter Handsfield, MD

14 months ago

Thanks for the question. I don't know how you could have come to believe that Dr. Hook "specializes" in risks related to blood drawing any more than I do. He does not and our expertise in that area is identical.

You are much too focused on the details of how blood is drawn. It doesn't matter. Using the Vacutainer and similar systems, including Luer devices, it is pretty much impossible to re-use the device, or to otherwise be infected by the process of drawing blood, even if the person doing the procedures has HIV or any other blood borne infection. I looked at all the details you provide about your blood drawaing experience and there is nothing in them that suggests any possible risk to you. Finally, your final comment and the advice from your doctor are exactly right: in the past 20-30 years there have been no reported cases of HIV known transmitted through having blood drawn, anywhere in the world. You won't be the first.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD

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14 months ago

Thanks for the reply I would like to use your points as well fear was only if luer adapter needle touched me when nurse came forward . The needle is attached to the long tube. And also to tube holder so I was wondering in luer adapter needle can prick you

So nurse cannot also get pricked by the luer adapter needle also ? Correct ?

1) so doctor to be clear that luer adapter

needle cannot prick me because it has rubber cover on it correct ?

So that the needle only open inside the vaccutainer tube ? So the needle remains sterile even if it pokes me . The rubber cover doesn’t allow access to the needle. So you can touch the tip of luer adapter I cannot get pricked by it because the needle is inside . The needle only comes out when inside the vaccutainer tube . Like

2) This way even if my worst night mare I fear Luer needle adapter touched me I cannot get pricked by the luer adapter needle inside it it basically only be the rubber cover on it . So since I cannot get pricked by the needle I cannot get any disease such as hiv hepatitis b c

3) to be clear the needle inside the luer adapter is fully covered and protected by a rubber cover that and the needle only opens inside the vaccutainer when the rubber cover retracts inside the the vaccutainer So I cannot get pricked by the Luer adapter needle therefore cannot be any blood transfer and cannot get hiv hepatitis b c . NEEDLE will remain STERILE if I think nurse did not prick herself with it and also I didn’t get prick as well .

4) thr reason I cannot pricked it BECAUSE the rubber cover is protecting the needle inside so I can touch luer apdater needle from the tip but still i cannot get pricked by it . So since I cannot get pricked I cannot get hiv hepatits b. C . . So the RUBBER cover prevents any access to the needle . And only retracts inside the vaccutainer . The needle only comes out inside the vaccuutauner .

It cannot come out when it touched me because of the rubber cover

Your points below

5) you wrote too focused on blood draw IT DOESNT matter . So it doesn’t matter that I felt a slight poke if I feel the tube holder with the luer adapter needle touched me . It’s okay ? I mean it happens to many clients that tube holder can touch them or the luer adapter touch then if finger went into the tube holder .

5) no Body gets hiv hepatitis b c from blood draw you wrote so this includes my experience if I fear I got poked by the luer adapter needle

The luer adapter needle is basically the needle that goes into the tube not in my vein . But I only feared that it touched me when nurse was about to insert needle in me . I think the butterfly tube just pulled the tube a bit and got he holder on me .

MAY I JUST KNOW ON IN SIMPLE 1)that nobody gets hiv hepatitis b c if they fear they got pricked by luer adapter needle .2) also can you just tell me the rubber cover protects luer adapter needle so this way even if I touched needle I cannot get pricked by lure adapter needle because of the RUBBER COVER prevents any access to the needle . Since no prick no blood transfer and no chance for hiv hepatitis b c if nurse pricked the luer adapter needle

14 months ago

And one point in you REPLY PLEASE add

When tube holder is fitted onto the luer adapter, the needle is still covered and the needle doesn’t come out just by fitting the tube holder on it .

And Same if there is no tube holder the luer adapter needle will still be covered .

So bottom line needle can only come out inside the vaccuatainer blood collection tube not inside the tube holder

H. Hunter Handsfield, MD

14 months ago

All these questions are repeating ones already answered, or the answers are obvious from my comments above. These are nonsense worries and the forum will have nothing more to say about it. It is clear you are abnormally obsessed with these issues, and you obviously have a rather serious mental health problem. People with normal thinking do not have such fears and I suggest you seek professional counseling -- or if you already have a mental health provider, you address these issues with him or her. I suggest all this from compassion, not criticism. However, there will be no further discussion on this forum. Please do not be tempted to start another thread with the same questions. Repeated anxiety driven questions are not permitted.

Thank you for your understanding. I hope my comments have been a little bit helpful.

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14 months ago

Thank you and sorry for offending you

I just want one clarification for future blood draws

1) is it okay to ask to nurse to fold the wings of the butterfly needle BEFORE the needle cap is removed ? . And once needle cap is removed just simply insert the needle in my vein for blood draw

2) I wanted to ask is it okay that you can tell nurse look not to adjust the wings once the needle cap is removed . Because the second just comes to the needle surface so that irritates me

3) so I wanted to know our blood draws done this way where nurse can just simply fold wings BEFORE needle cap is removed and then simply remove the needle cap and insert needle

And I DONT ALLOW and make it clear to nurse before the the start of blood draw that nurse cannot bring the second hand to adjust wings or grip wings once the needle cap is removed .

4) So is it okay? To tell nurse to just simply remove the needle cap and simply insert the needle in my vein for blood draw . This way I won’t have to worry about the second hand about nurse touching the side of needle

5) so there is no need to for nurse to adjust the wings of the butterfly needle once needle cap is removed . Nurse can just simply insert the needle in my vein correct ?

6)And OUR BLOOD DRAWS from butterfly needle allowed to be done this way ? That nurse can simply remove the needle cap and insert the needle in my vein for blood draw .

And not touch the wings or fold wings once the needle cap is removed .

Right ? You can just simply remove needle cap and insert needle

This way I WONT ALLOW nurse to bring the second hand near the wings and won’t allow nurse to adjust the wings on the butterfly needle

My only fear is basically if I allow nurse to adjust the once needle cap is removed . Then the second hand of nurse comes too close to the needle bottom . Next to the wings . So I don’t like that

That’s all for my questions

7) Final point whether nurse folds the wings after needle cap is removed or Doesn’t and simply insert the needle In my vein both these methods are allowed correct ?

So this method for blood draw is safe and allowed and no risk for hiv hepatitis b c correct ?

This point I only wanted to clear for future

H. Hunter Handsfield, MD

14 months ago

You did not offend me at all. But you are asking questioins that have already been answered or are obvioius from my previous replies.

1-7) My answer to all these questions is the same: It is NOT OK to tell the nurse (or any blood draw technician) any ot these things about how to draw your blood. You can be sure s/he has been trained in the proper technique to successfully and safely use the system and draw your blood. In fact, telling him or her to do it differently than s/he usually does likely would make the procedures more difficult or painful and reduce the chance of a successful blood draw. And none of the things you mention would improve safety.

The smartest thing you can do when having blood drawn is to look away and pay no attention, or even blindfold yourself so you do not see the procedure. Do not say anything to the technician/nurse about how to do it. Rest assured it will be done safely and, most likely, with greater speed, efficiency, and success in obtaining the blood samples than if you observed and gave instructions.

Finally, I have to suspect there is a rather serious underlying mental health issue here. In the 15 years of this and my preceding forum, with thousands of questions and hundreds about infection risk from having blood drawn, yours is the only one expressing this level of fear and concern. Do you have OCD or an anxiety disorder, or similar concerns in other aspects of your life? Germophobia? These can be signs of serious mental health disability. (For an excellent example, see "The Aviator", the excellent movie biography of the "eccentric", i.e. mentallly ill, billionaire, Howard Hughes.) Professional counseling may be helpful; I suggest it from compassion, not criticism.

That completes the two follow-up exchanges included with each question and so ends this thread. As implied above, repeated anxiety driven questions on the same topic are not permitted. This must be your last and only question on risk of infection by blood drawing. Thank you for your understanding. Best wishes and happy holidays to you.

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