[Question #6640] Life changing post . To help me move forward now.!

14 months ago
Dear doc hunter HELP This will change me FOREVER ! 
male had one protected encounter with female . I had one blood test after 8 weeks . Result negative however I have one question on blood draw and for the blood draw coming up (annual check up ) part of my job 

1) i want to ask read your comments that you can’t get blood borne infections such as  hiv hepatitis ,b c  syphillis from blood draw even if nurse who does the blood draw procedure is infected with these infections .

My question is : if I make requests to nurse as I did in my last blood draw 5months ago on how  I wanted my blood draw I will not be at risk for hiv or hepatitis from the blood draw procedure. in 20 years I believe all sort of people have requests during blood draw and have not been infected with hiv hepatitis during blood draw even if the nurse changed there method of blood draw as the patient requested . REMAINING QUIET was Not necessary during blood draw .?

I made few  requests such as wanting to see how the needle cap is removed , and wanted nurse to assemble the needle 

2only way we get hiv hepatitis b c from blood draw is if needle is re used from previous patient . so since my needle was new whatever requests I made to nurse before blood draw or during  that may have changed the method of blood draw does not put me at risk for hiv or hepatitis b c  even if the nurse has these viruses ?

3)my main risk when I made request to nurse on now I wanted my blood draw nurse   got distracted and  if he would have pricked himself when removing the needle cap and drew my blood if Nurse was infected with these viruses  . However Since transmission hiv or other blood borne infections has not known to have happened this way during blood draw so I’m not at risk .
since needle from previous client was not re  used on me I’m not at risk for hiv or other blood borne infection . From the risk I stated now or any other risk in future


MY FEAR is over now PERIOD your RESPONSE will  CHANGE MY LIFE for better 

14 months ago
Update : YOU HAVE helped many people from y TODAY i deserve the RIGHT TO MOVE ON with your help 
Please 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
Welcome to the forum. Thanks for your confidence in our services. FYI, it is only by chance that I am replying to your question. Users do not select the moderator who responds; it was just my turn. Dr. Hook's expertise and mine are the same.

Although your questions are quite long, they come down to whether there is every any potential risk of HIV or other blood borne infections from having blood drawn; and if so, whether reminding the blood draw professional about proper technique would reduce the risk. As you have seen by looking at other similar questions on the forum, the answer to both question is no. If you were in a location where needles or syringes are used instead of the self-contained equipment currently in routine use, and if that clinic did not properly sterilize the needles and syringes, the risk would be very high. But this is not the situation anywhere in the US or other industrialized countries, and probably not even in underdevloped settings. (Maybe North Korea, where the economy and governmental systems in such a wreck that they sometimes use beer bottles for IV fluids, according to a news report I heard yesterday.)

Those comments answer your questions, but to be sure there is no misunderstanding:

1. I don't understand what you are asking. There is no need to have any discussion with the person drawing blood about the equipment or technique used, including how and when the cap is removed. You can safely assume it is always safe with no risk of infecting you with anything.

2. There is no possibilty of drawing blood with equipment used on a previous patient. This never happens, and the blood draw devices are designed to be used only once and to make it impossible (or at least very difficult) to use them a second time.

3. Correct:  You are never at risk from having blood drawn by a worker who is infected with HIV or other blood borne infections. Just as you would not be at risk if you had surgery by a surgeon with HIV. Or any other infected health care provider.

I hope this information helps you move on without worry. Best wishes--  HHH, MD
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14 months ago
pleasure . I must apologise I may have written the question and answered it in such a way that you could not fully understand but surely I’ll make it clear . 

1) SUMMARY : i have 100%. Sure  my  needle  was new during blood draw  i was just saying that’s the ONLY way get infected correct ? so there are no other risks then correct ? 

 1b)  What I’m clarifying surely is fine is  when we  say  we don’t get hiv hepatitis b c or other blood infections from blood draw even if the Nurse is infected with hiv hepatitis b c

IS THIS ONLY for Those patients who were simply QUIET during the blood draw the answer is NO ! 

 This is true even if patients requested /TALKED to  nurse on how they want their blood draw done that may have changed  method / technique of the nurse doing the blood draw  procedure . Still no risk for hiv hepatitis b c regardless of what patient said to nurse during blood draw . Not everyone stayed quiet and let nurse do their job during blood draw so surely I’m not at risk for hiv hepatitis b c NO MATTER what I said to nurse that I felt distracted the nurse . 

2)  So surely if i did not stay quiet during MY blood draw and just didn’t let nurse do his job the way he wanted  and I made request such as  to show me how the needle cap is removed or well ANY  OTHER thing I said /requested that I felt may distract the nurse or  Nurse changed the method/ technique of blood draw because of something I said   I will not be at risk for hiv hepatitis b c regardless of what I said to the nurse .
 Even if  I feared nurse would prick himself when removing the needle cap and then drew my blood  just because I SAID something to nurse so I am not at risk for hiv or hepatitis form my blood draw now even if nurse was infected with these viruses because regardless of what I said to nurse we don’t get hiv hepatitis b c from blood draw 

3) bottom line : when we say no one gets hiv hepatitis b c from blood draw even if nurse has hiv hepatitis b c .this includes the people who make requests to nurse on how they want their blood draw done and it’s not restricted to those who remain quiet during blood draw 


Note : i just need to clear this one point number 1 and 3 that’s it  . 

If You don’t understand my question plz allow me to speak again and it’s just ONE point and im officially free of worries . 

14 months ago
Please do reply to each point number separately and that would be enough 

And I’ll follow it up on my last reply 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
1) I'm still not sure I understand what you're asking. (Maybe English isn't your first language?) The risk is zero even if the nurse has HIV or hepatitis B or C; and also is zero if the person having blood drawn says nothing at all, or if that person doesn't notice or look at how blood is drawn.

2) Speaking to the nurse and telling her how to draw your blood could increase the chance of unsuccessful blood draw (requiring a second or third attempt), pain during the procedure, and other undesirable outcomes. It makes no difference in the risk of getting a blood borne infection, which never happens, even if the person drawing blood is infected. For a quick, successful, painless blood draw with no risk of infection, do not interfere with the standard procedure the person drawing blood normally uses and do not instruct him or her how to do it. Best to always stay quiet and say nothing.

3) There is no risk whether or not the person says anything at all.

I will not respond to a repeat of the same questions. Do your best to move on without worry about how blood is drawn.
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14 months ago
Thank you very much for your reply yes English is not my first language I think you have understood my point in your last reply point number 2 which I will confirm in this reply  

PLEASE reply to each POINT 

1) I have understood that staying quiet during the blood draw will keep one safe . BUT I   DID NOT stay quiet during blood draw  and instructed nurse how i wanted my blood draw surely STILL The risk is zero even if the nurse has HIV or hepatitis B or C; and also is zero if the person having blood drawn says  and TELLS NURSE how to do blood draw that may have changed the technique /method of blood draw that nurse wanted to do   . 

 therefore my ONLY FEAR Regardless of what I said/ told nurse on how I wanted my blood draw i CAN assume the nurse would have removed the needle cap safely and nurse would not have prick herself when removing the needle cap  and drew my blood in safe Manner 

So im not at risk for hiv hepatitis b c when I told nurse how to do my blood draw and I can move on correct  

2) Speaking/instructing  to the nurse and telling nurse how to draw my  blood during or before blood draw starts   could increase the chance of unsuccessful blood draw  such as having pain during procedure BUT  it will never put me at risk for hiv hepatitis b c  even if the nurse who is drawing my blood has hiv hepatitis b c . So therefore I was not at  risk when I told nurse how to do blood draw  and I can move on ? 

3)  i want to add that I will try my best to stay quiet during blood draw in FUTURE BUT even if  I told nurse how i wanted my blood draw during blood draw or before blood draw  Starts  such as example I like to choose my own arm in which nurse would draw blood ,  I like to see how the butterfly needle set are assembled right infront of me . And I like to see how the needle cap is removed OR any OTHER REQUESTS I made to nurse  . Still saying and telling nurse how to do my blood draw will never put me at risk for hiv hepatitis b c even if the nurse has hiv hepatitis b c   . so I will not be at risk for hiv hepatitis b c from the blood draw  this way 

4) bottom line : no on gets hiv hepatitis b c from blood draw  even IF the patient 
instructed nurse how to do blood draw during or before blood draw starts  that may have changed the nurse technique/method of blood draw  even if the nurse who is drawing blood has hiv hepatitis b c  my worst outcome will  only be PAIN during procedure or nurse might miss a vein . So I’m not at risk for any of these virus  from the blood draw I had .

Note :   If due my English it’s difficult to understand I would like to just Re confirm this point. With you someday but please do IT now 

I realise that people don’t listen  but I assure I will get in this IN THIS Final reply from you i only believe what you wrote and counselling is not needed it will save lots of MONEY . So I’m sure I got it . But if I have one clarification to make I would request that you allow me to message you one last time someday 

As you are THE BEST OF THE BEST .

Thank you best wishes 



14 months ago
MY fear is now OFFICIALLY OVER I should get back to MY normal LIFE I don’t need testing for hiv hepatitis b  c from the blood draw I had 
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
14 months ago
PLEASE reply to each POINT  Of course I have done that in all your previous quesitons and will do so again. These questions repeat the ones already answered, but here we go again.

1. Yes, you can assume the nurse correctly removed the cap and otherwise correctly used the equipment. Even if she did not, it would not increase your risk of infection.

2. You correctly understand what I answered before.

3. You correctly understand my advice that it isn't necessary to say anything, or to observe how the blood draw equipment (including butterfly needle) is used.

4. I don't see a question here. Once again, you correctly restate my advice and seem to understand it.

That completes the two follow-up questions and replies included with each initial question, and so ends this thread. We have spent your initial question and two follow-ups mostly repeating the same questions 2-3 times each. Repeated questions are not permitted. Therefore, you must not return to the forum with additional questions like these; this will be your last one. A new question like this will be deleted without reply and without refund of the posting fee. Thank you for your understanding.

I hope the discussion has been helpful.
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