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HIV
May 5, 2008
Hi doctor.
I am a busy college student that has constant stress with that has a immune dyfysciancy which does not help with my current worries. I had a bad encountor when a couple years ago which i was forced to have sex with someone who said he was dignosed with aids. fortunatly a year later i faced the issue and got tested it was negative. Due to this incident and knowing my immune system is not strong it is a constant worry that i am suspectable to having HIV. I have had sex since that incident however i always make sure to use condoms. recently i went to the doctors my symptoms;sore throat w/ white bumps, fevor, and aches.. the doctor said "you know it is common for young adults like yourself to have HIV with these symptom" I then replied I just got tested i dont think so now i am sitting on the edge worrying do you think it could be the case or not ?
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Response from Dr. Frascino
Hi,
You have an "immune dyfysciancy"??? What the hell is that? I'm somewhat surprised you made it into college with your spelling and grammar "dyfyciancies"!
I have no way of knowing what type of immune deficiency you might have and therefore have no way of advising you as to whether your HIV negative test was accurate or not. (However, I very strongly suspect it was indeed accurate.)
As for the doctor who scared the bejesus out of you, well, let's just say his bedside manner leaves much to be desired. While I'm glad he is cognizant of the signs and symptoms of HIV acute retroviral syndrome and is aware that sexually active young adults can be at risk, his statement that "it's common for young adults to have HIV with these symptoms" is alarming! He should have taken an HIV-risk history, asked if you've been previously tested and, if he felt testing was warranted, suggested a test in the context of an overall workup of your problem. The vast, vast, vast majority of sexually active young people who present with symptoms like yours do not have HIV.
Retesting could be considered if your immunology doctor advised you that your body does not make antibodies properly. (Chances are you would already know this if this was indeed the case.)
Finally, don't forget to enroll in the remedial English grammar and spelling class next semester!
Dr. Bob
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