[Question #6520] Hiv hepatitis question

16 months ago
Greeting doctor hook I just have one basic question. I will be saved by some sort of phobia if I can just take your well wishes re assurance today I will move in immediately 

It will mean the world to me huge impact 
16 months ago
I have read your replies on this forum that has helped many people , so today I want somehow you help me out I will INstantly believe you and no one else . 

If somehow I can why re assurance from you that wound be best . Otherwise I think there is no point unfortunately the mind only believe what you say dr HOOK 

Are you online forum says not allowed to talk to dr hook alone plz reply I can’t post a repeated question forum rules so I dont want to post question if not you dr HOOK 

Will be best person alive it you Reply 
Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago
Clients are not permitted to ask which of our experts they interact with. As a matter of chance, I happened to pick up this thread and will be happy to try to answer your question.  EWH
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16 months ago
Delighted today!  Your views are in point 2A and b if words a bit in higher side  which I want reassurance on that’s it in the 2 follow ups 

Doc hook my question is related to blood draw i am going for pregnancy female anxious my question is some TWO PEOPLE have asked slightly different  but same concept and using them as notes to understand today 


 I believe my blood draw was tear in gloves .  But you can think there were no gloves worn by nurse during blood draw and nurse fingers are uncovered   .

For your information : nurse did NOT Have NEEDLE STICK  only fear of nurse bleeding finger because nurse has EXSISTING  cut on fingers with blood coming out   and touched outside of needle and got blood on needle but you have said NO RISK for hiv hepatitis b c  if nurse is INFECTED with hiv hepatitis 

MY RISK 
1)  even with no gloves or tear/ holes  in gloves and assuming nurse is infected with hiv hepatitis b c ,  has a cut/injury/wound on finger/hands  and wet blood came out of nurse finger  and nurse bleeding finger that has cut TOUCHED the  the outer area of the needle ( the needle surface ,side area , base  area next to the wings of the needle  )  and got WET BLOOD on the outside of  needle  when nurse was just adjusting the wings of the butterfly needle 

And then any wet blood that got on OUTSIDE of the needle was inserted into my vein for blood draw is no risk for hiv hepatitis b c  . 

some answers in 2 a &b  YOU Have said hiv hepatitis  are not transferred from hands even with bleeding hands . 

2a) answers YOU HAVE SAID : assuming nurse has hiv hepatitis b c any wet blood getting of out of nurse bleeding  finger if  nurse has cut/injury  on finger would be exposed to air so hiv hepatitis c will be dead/ non infectious so since hiv hepatitis b c will die on air exposure they can no longer infect  and give me hiv hepatitis b c as these viruses hiv hepatitis b c are now dead if nurse had NO GLOVES on during blood draw and had bleeding finger with wet blood coming out of finger .  So nurse bleeding finger cannot transmit hiv  hepatitis b c due to air exposure 
If blood was coming out of nurse cut on finger 

2b) so therefore when nurse bleeding finger TOUCHED and got wet on  outside of the needle when nurse was adjusting the wings of the butterfly needle  Any wet blood that got on the outside of the needle was also Already exposed to the air so hiv hepatitis b c will be dead so therefore these viruses hiv hepatitis b c cannot infect once they are dead on air exposure so when the WET Blood on needle outer area (needle base , side )  is inserted into my vein for blood draw I was not at risk if I hought nurse has hiv hepatitis b c  and NO gloves on 

3my TOP professional counseler helped me said if  nurse has  /cut on finger 
And wet blood leaving nurse finger will be dead for hiv hepatitis b c , and air exposure is not the only reason why these viruses will die . You can simply say hiv hepatitis b c cannot live once outside of the human body except inside syringes.  So as bonus even without air exposure . Hiv hepatitis b c will die once the wet blood leaves then nurse bleeding finger and hiv hepatitis b c cannot infect once they leave the body  . So that’s the reason why nurse bleeding finger cannot transmit hiv hepatitis b c ? 



FOR YOUR INFO 
when you reply : I So can you answer point 2a) and b ) most important I have taken that from your posts in detail and tell me not to fear the nurse bleeding finger ever in life 

I want to just discuss nurse hands on follow up that’s it ! 

Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago

I'll do my best to address your questions.  You go into much detail and in reading your question it occurs to me that the most important part of my response it the following 3 statements:

1.  There are NO proven cases in which a person has acquired HIV (and while less well studied,, hepatitis) through the sort of contamination you describe.  As you point out, this is because these viruses become non-infectious upon exposure to the environment and the effects of exposure to air, to room temperature, to drying, and to other environmental factors.   thus there is NO SCIENTIFIC BASIS for worrying about the sort of external contamination of needles that you describe.

2.  Please understand that the reason health care providers have been encouraged to wear gloves for the past two decades or so in NOT to protect patients but to provide a theoretical protection of health care workers.  Thus a ripped or torn glove is much more of a problem for a health care worker drawing your blood than for you.  Further, this reasoning is largely theoretical as transmission of infections in health care settings is virtually undescribed other than in direct needlestick exposures or injection. 

3.  Finally, only a very few health care providers, like the general population have either transmissible HIV or hepatitis.


With regard to your specific points:

1. This unlikely circumstance has never been shown to put patients at risk for acquisition of HIV or viral hepatitis.

2a.  Correct

2b.  Repetitive and answered in question 1.  No risk.

3.  The reason the these viruses may live longer within a used needle is that they are sheltered from exposure to the environment.  Exposure to the air is part but not all of the explanation.  Please see explanations above.


I hope this information and reassurance is helpful.  Please don't worry. Please note as well that this is my 2nd reply, thus you have just one follow-up question which will be answered.  EWH

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16 months ago
 thanks for the reply as forum rules I cannot keep asking same question I  thought my first message was to just find you so that message doesn’t count  please so I want to be allowed One last mesage after this Because dr Hunter does not talk about survival of viruses Which you consistently talk about so it’s huge for me 

you said correct to point 2a and b to my specific question can you add words please 
You did explain in general in point number 1 that hiv hepatitis b c die on air exposure 
So please   add detail  on these two points for me 1a and 1b

1a)if nurse has hiv hepatitis b c  I am not at risk from the nurse bleeding finger if nurse is not wearing gloves  assuming nurse has hiv hepatitis b c . If nurse has cuts/injury  on fingers any wet blood leaving Nurse active bleeding finger is being exposed to air is immediately dead/ non infectious for hiv hepatitis b c so I cannot get hiv hepatitis b c because hiv hepatitis b c are dead 
Whe we say hiv hepatitis b c are dead/ non infectious Immediately  on air exposure in the wet blood  coming out of nurse active  bleeding finger  it means  hiv hepatitis b c in blood can no longer infect me and I cannot hiv hepatitis b c as the viruses are now dead .

That’s the reason why we cant hiv hepatitis b c from nurse bleeding finger right ? Can you add a bit of words 

1b) if nurse has hiv hepatitis b c so automatically when nurse bleeding finger got wet blood on Outside of needle by touching the outside of the needle   if nurse is not wearing gloves  . And then wet blood on needle got inserted into my vein as nurse proceeded for blood draw  . any wet blood that was on outside of the needle inserted into my   vein  for blood draw was already exposed To air so that’s why hiv hepatitis b c is dead  
and once hiv hepatitis b c are dead/noninfectious IMMEDIATELY on air exposure these viruses can no longer infect me with hiv hepatitis b c as they are DEAD and so I cannot get hiv hepatitis b c 

that’s why I cant get hiv hepatitis b c if wet blood was on outside of the needle if wet blood on outside of needle was inserted into my vein as nurse proceeded for blood draw ?  

Can you add bit words 

2) REASSURANCE : i know you  say viruses is non infectious ,to be clear  I am saying that any wet blood coming out of nurse active bleeding  finger is non infectious/dead for hiv hepatitis b c as soon as wet blood leaving nurse finger is expoed to air as it leaves the body because nurse has cut/ injury on finger 
 Since wet blood coming out of nurse active bleeding finger is already dead For hiv hepatitis b c . Then these viruses can no longer infect me with hiv hepatitis b c as they are DEAD/NON infectious  and I cannot Get hiv hepatitis b c .  if we assume nurse has hiv hepatitis b c  and not wearing GLOVES 

Therefore Im no risk for hiv hepatitis b c if wet blood on outside of needle got inserted into my vein for blood draw. 

3) when we say hiv hepatitis b c are dead or non infectious on air exposure  it means they can no lonnger infect me with hiv hepatitis b c right ?therefore I cannot get hiv hepatitis b c 

After this one single point on what my professional counsler who agrees with you so one Reply after this and I will move on period . I want to share that point .

Please addres each point . I’m going for pregnancy 

Edward W. Hook M.D.
Edward W. Hook M.D.
16 months ago

Your follow-up questions are repetitive and serve no purpose.  I will not use more words to say what I have already said.  Sorry but that is a bit silly.  If you have a straight forward yes/no question I will answer it but I cannot repeat what has already been said.  The concerns you expressed in question 1 were groundless.  No risk from the sort of bleeding finger you hypothesize.   Pregnancy makes no difference.

The HIV viruses are not infectious following exposure to the air and again, have never been transmitted in the manner you suggest.

You have one follow-up left.  EWH

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15 months ago
 , I  realise  it may seem silly im not believing anyone else but you responding to these questions will save many dollars improve my life and not Use GOOGLE 

Question 1 to 5  brief replies TO each POINT  and my phobia will over . PLEASE do clear NON infectious meaning in point number 3 

 1):  Clarification: any wet blood coming out of nurse active bleeding  finger is non infectious/dead for hiv hepatitis b c as soon as wet blood leaving nurse finger is expoed to air as it leaves the body IMMEDIATELY because nurse has cut/ injury on finger 
 Since wet blood coming out of nurse finger  is already dead/non infectious  For hiv hepatitis b c . Then these viruses hiv hepatitis b c  can no longer infect me with hiv hepatitis b c as they are DEAD and I cannot Get hiv hepatitis b c .  if we assume nurse has hiv hepatitis b c and NOT wearing Gloves during blood draw 

correct?  

2therefore Im no risk for hiv hepatitis b c if wet blood got on outside of needle from nurse bleeding finger  and then wet blood on outside of needle got  inserted into my vein for blood during blood draw  since hiv hepatitis b c are already dead immediately on air exposure on wet blood on needle if nurse has hiv hepatitis b c  correct ?

3) what does non infectious mean : when we say hiv hepatitis b c  in wet  blood  are non infectious IMMEDIATELY on air exposure  from the nurse bleeding finger that has cut injury and is not wearing gloves . Non infectious means   hiv hepatitis b c can no longer infect me with hiv hepatits  b c as they are now DEAD in the  wet BLOOD  and therefore  I cannot get hiv hepatitis b c if nurse has hiv hepatitis b c .  correct ? 

4) bottom line :  for future blood draw when I fear nurse bleeding finger because of cut or injury  on finger again Just say any wet blood  getting out the nurse active  bleeding finger s exposed to air and hiv hepatitis b c are now dead /non infectious in the Wet BLOOD  so that’s why nurse  bleeding hands cannot transfer hiv hepatitis b c  if nurse has hiv hepatitis b c  ,if nurse not wearing gloves and nurse bleeding finger would touch the outside of needle   and got wet blood on outside of needle that’s inserted into my vein for blood draw correct ? 

5) I have understood that wet blood needs to be INSIDE syringes to infect with hiv hepatitis b c  and NOT on the outside of needles if I fear nurse bleeding finger got wet blood on outside of needle and inserted into my vein ,For blood draw , NO risk for hiv hepatitis b c as these viruses hiv hepatitis b c are now dead /non infectious because of air exposure if nurse has hiv hepatitis b c  and not wearing gloves  therefore I cannot get hiv hepatitis b c correct ? 
 
6) no one gets hiv hepatitis b c from blood draw with any risk one can imagine so can have  as many blood draws I like in future ? 

Please respond to EACH  points my phobia is officially cured even if may sound silly . 

15 months ago
Please don’t forget to clear point number 3 meaning of non infectious I know it means viruses are dead but still 
Thank you for the help dr hook 
15 months ago
For point number 1 spelling mistake 

Wrote spelling mistake  : expoed 

Correction :exposed to air 

So please address that as wel thanks 

Edward W. Hook M.D.
Edward W. Hook M.D.
15 months ago
While I appreciate your confidence in our service, this will be the final response to your repetitive questions.  I am glad I can help you address your phobia but that is not the purpose of this site.  I urge you to work with a professional mental health provider as well as to stay off the internet.  Should you return with further questions, the question may be closed without an answer and. Without return of your posting fee.

Regarding your final Followup questions:
1.  Repetitive and a correct summary of my earlier answer.  The situation you describe would not lead to infection.
2.  Correct.
3.  Non-infectious is a more precise term than dead.  Organisms begin to die and are unable to cause infection before they are completely dead.  
4.  Correct and repetitive
5.  Correct
6.  Correct

End of thread.  EWH

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