Dear Bob,

I was sorry to hear that you are postive. I have been going through the messages and feel this is a great service to mankind. I am to thinking of taking this cause of spreading awareness even tough I am not a medical person.

I have been trying to find my answers in these messages though in bits I have some. I have written to you for the fourth time, I may have exposed myself to multiple exposures at the same time in the event of passion which blinds your common sense.

The events goes as follows I had this encounter with a receptionist of a hotel in Ghana. Though she is not a regular sex worker but might have had a few bouts with Ghanians & foreigners visiting the hotel.After initial friendship for two days we landed at another hotel. It was only then that I found out that she was mensturating. We kissed, I sucked on her breasts tasting sweet liquid oozing out of both. I put my toungue in her ears and nose as a part of the passion. No oral sex as she was in her 2nd day periods. I put on a condom and we had vaginal sex only in almost all positions missionary, women on top and doggy. When I ejaculated I pulled out immediately and ran to the bathroom and washed the outer side with soap & water then washed the inside as well with soap and water without pulling the foreskin back. I came back to my hotel and urinated then. I also observed that below the scrotum above the anus there was an itchy mole.

My only request for you to give your valuable reply is that my exposures where many. 1 Kissing 2 ear wax 3 Nose Mucous 4 most importatnt blood on my condom and scrotal sack and my thighs 5 may be blood may have rubbed the itchy mole 6 May be fine blood may have sipped in through the rim of the condom as the rim was fit half way down the penis

As for the symptoms I felt severe headache and fatigue after two & half months which culminated into one night of chill and one week of very mild fever with severe cold & continous running nose with little foul smell. After taking proper anyiboitics after 10 days the cold subisded.

I was terribly shaken after this and decided to do a test after 109 days to b exact. It was the toughest thing in my life with the most severe stress I ever had in my life. I underwent a blood serum Tri-Dot test the result of which was negative.

I humbly request you please reply as I have been exposed to many things at the same time.

Whether I need to do any specific tests again for confirmation. I have given up all bad habits and will work for the awareness in future.

Hi,

Your negative HIV-antibody test at 109 days is definitive and conclusive. HIV is not your problem. No way. No how. No additional HIV tests are warranted. Regarding your "exposures":

1. Kissing is not considered a risk for HIV transmission.

2. Earwax: no risk.

3. Nasal mucous: no risk (without visible blood).

4. Blood on the condom, scrotum and thighs: no risk (assuming the skin was intact).

5. Blood on mole: no risk assuming the skin was intact. (HIV cannot permeate intact skin.)

6. Blood slipping in through rim of condom halfway down penis: no risk [assuming the blood did not get all the way up to your urethra (pee hole)].

Be well. Stay well. Remember, HIV is not your problem.

Dr. Bob