I have OCD and have been good for a while now but it creeps back now and then. 

I responded to investigate a car fire, the car was stolen and was shot up, the interior of the car was set on fire, the seats burned and the dash melted breaking the windshield.  while there I was accidentally sprayed with a water from a fire extinguisher that deflected off the burnt dashboard. it was about 40-45 mins after the car was on fire. the water spray hit me in the cheek. I know this is stupid and irrational.  a person may have been shot in the car. I didn't see any blood. but I'm concerned blood could've mixed with the water spray that deflected and hit me.  I had glasses on so nothing hit me in the eye.

 If there was any blood in the car it was out in the environment at least 40 mins( probably longer) it was about 60 degrees outside and raining. and there's no way it would survive the heat of a fire correct? at least 600 degrees it would be dried?  And nothing to worry about with blood mixing with water splashing on my cheek. My rational side says not to worry but my OCD gets me. what if?  

I haven't reviewed all your previous threads in detail, but I'm guessing Dr. Hook and I have reassured you that HIV is rarely if ever transmitted through a contaminated environment. Many of the potential risks listed in various resources are theoretical only, with few or no actually documented transmission. Even overt blood exposure, as might occur in providing immediate care after a vehicular accident or other bloody trauma, never never been reported to have actually resulted in someone's new HIV infection. As for the events you describe, I cannot imagine even a small, theoretical risk. And the reason for that has nothing to do with survival of HIV in the environment. Indeed it is thought that the virus dies immediately on drying and promptly on exposure to air (even if not yet dried). But the biological reasons for low risk don't really matter: the important fact is that nobody in the world has ever been known or suspected to have been infected in the manner you are concerned about, and you can safely assume you won't be the first! Finally, I'll point out that medical personnel frequently get overt blood (not diluted in water) on intact skin and this has never been known to result in transmission of HIV or other blood-borne viruses.

So all is well. Do not get tested, and you should feel entirely comfortable continuing your normal interpersonal contacts, including sex with your regular partner(s).

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

HHH, MD

Thank you for the quick response. Your right I have had these concerns for awhile actually it’s been near 18 yrs. I never was like this, until a patient I was bagging on way to  the hospital bled on me and I noticed a cut on my arm while washing up at the hospital. I’ve never been the same since.

When I was at the car fire and the water sprayed on my cheek, I dismissed it, I checked my face and nothing was there. Then all of a sudden, I start thinking the what if’s. Esp after I found out someone was shot. It was in the arm, not sure if it was even in the car. Just irrational fears and thoughts.

I routinely investigate fires both vehicle and building fires, is it safe to believe if there was blood inside a room or house that I was investigating the high temps would kill hiv ?

Thank you again for your response and understanding of people suffering from OCD. 

As we may have discussed before, a key feature of OCD is that there is always a "yes, but", "could I be the exception", or similar sort of question. I won't go down that rabbit hole with you! This one will have to be the only one in this thread, OK?---
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