[Question #8057] #7586 Follow up
49 months ago
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Greetings Dr. Handsfield.
Firstly I want to thank you both doctors for answering my previous question. As you suggested I did ignore red things in the environment. Now I don't have fear of dirty surfaces, red fluids, etc. Since that blood draws, I feared needles but I also ignore this and got my Covid vaccine. This time I am back to raise a question of mine been asked a few months before. Doctor, please I beg you to answer this question and help me sort the situation out. I will not ask any more questions.
The lymph node swelling is not resolving. At the time when I asked the first question, I went to a radiologist who did an ultrasound and she concluded that it is "most likely due to some common infection from surrounding" and thyroid normal (suspected cancer). But unfortunately, they keep aching periodically all over the body and are sometimes localized. Then ache also spread to the collar bone and behind the ear which did not ache before. The lymph nodes on my jawbone and neck become a little larger and immovable. Also, random things like burning sensation for a week and itch same duration (itch also appeared once before blood draw), joint ache on fingers and sometimes bone ache. Doctor, what is your opinion on this? I hope this is just a coincidence with blad draw.
Thanks a lot!
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Edward W. Hook M.D.
49 months ago
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As you have been told before, Dr. Handsfield and I reply to questions interchangeably. On this occasion I happened to pick up your question.
It saddens me that you remain concerned about the events related to your blood draw months ago. As Dr. Handsfield told you, there are NO instances in which someone has become infected with HIV, hepatitis, or other blood borne infections as a result of having blood drawn. You are not going to be the first and the answers to your questions will not change. Lymph node swelling, as the radiologist indicated, is a non-specific response to inflammation which can be caused by numerous infections, non-infectious inflammation and other processes. Benign lymph node swelling offer persists and can worsen or become tender when persons repeatedly work to feel them. Your lymph node swelling is in NO WAY related to the blood draw episode you described. If you are concerned about it, the appropriate thing to do is to have it evaluated by a physician. There is no reason to worry however that it is related to your blood draw months ago.
I hope this helps. EWH
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49 months ago
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Dear Dr. Hook,
Thanks for answering my question. I know that you already reassured me that it's not due to STI or bloodborne infection and also I am not at risk. Because of thinking too much about it, I was thinking to get a test but after rereading Dr. Handsfields suggestion that it's a waste of time and emotional energy, decided not to do it. I am planning to visit the same radiologist, but I am waiting due to easing covid restrictions, there is a large queue.
Considering that I am not sexually active for more than 2.5-3 years now, never used needles, needles are never reused by medics, and my test one month after the blood draw was more than 99% conclusive and also prove that lymph nodes were not caused by infections, scientific and medical conclusion would be I were NOT AT RISK and I DON'T HAVE a bloodborne infection? Fair conclusion? Doctor if you were a physician would you requested an additional test? Dr. please don't get it wrong, I know you have the same expertise as Dr. Handsfield, but two opinions would be more strong, would he agree to this too?
Doctor, there is a report on the web, by WHO where they estimate needle reuse at hospitals. And they estimated that 5% of infections in the world are due to needle reuse in the developing world. And also time to time there are some allegations and lawsuits on the news that at some hospitals they have administered many injections with a single needle etc. I wonder if even this happens how do they prove it? Do you think this is real or just theoretical estimations?
Thanks for taking your time for answering my questions. I want to thank you again, your answers were really helpful and I don't worry anymore about red fluids in the environment, needles at vaccination centers, etc.
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Edward W. Hook M.D.
49 months ago
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Correct, you are both not at risk and your tests verify and prove that your lymph node swelling is NOT due to HIV, hepatitis, or other bloodborne STI.
Indeed, there are places in lower income countries in which needles are re-used, virtually entirely in non-health care settings. It is proven through direct observation. Please note that even if this had happened in your case (and there is NO reason to think that it may have), you have tested and proven that you did not become infected to cause your lymph node swelling. Please do not make the mistake of worrying about improbably "what if" scenarios.
I will trust that you will now be able to move forward with out further worry. EWH
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49 months ago
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Dear Dr. Hook
Thanks for your answer. I understand that I am worrying for no reason.
Doc I live in small country in North Eastern Europe. I hope that doesn't happens here, because of EU norms.
Little clarification, do you also agree that my test proved that I dont have infection?
If suppose I had a wife and we plan a baby, I can safely have intercourse?
I had diarrea for 3-4 days, stool once or twice maximum a day. And this time I got my covid shot and same night I had fever one day only. Three weeks back I got an injury at grocery store plastic bag roll dispenser's sharp edge. Is it just coinsidence and just a vaccine side effect?
Doctor thanks a lot! Your answers were very helpfull. This time I will stop worrying and move on without concern. Best!
49 months ago
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Forgot to add. Can STI couse fingers become pruney very fast in water?
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Edward W. Hook M.D.
49 months ago
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Your 32 day test was more than 99% conclusive however, as Dr. Handsfield explained, a VERY small proportion of persons who acquire HIV have their tests become positive between 28 and 45 days. This number of persons is tiny and I have never seen or heard of a case in which it occurred in my practice. Further, as also explained previously, you were not at risk to start with.
You can certainly have unprotected, condomless intercourse without concern that you were infected by the encounter you described.
Your diarrhea and fever are unrelated to any infection acquired through the encounter you described.
No infection causes fingers to wrinkle quickly in water.
This is my 3rd and therefore final response as part of this thread. Please move forward without concerns. We discourage repetitive, anxiety driven questions and thus you should not need to post again regarding the blood draw you mentioned. End of thread. EWH
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49 months ago
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Thank you very much Dr. Hook. All the best!
49 months ago
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Sorry for posting this one. Just little clarification, when you said diarrea is unrelated, you meant getting little injury on finger was no risk?
Thanks again! Best!