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Feb 20, 2005

Please Dr. BOB answer my question. I have read every archive and Dr. Reznik no longer answers 'oral' questions!! To recap my story: 8 months ago I had an oral (unprotected) BJ for a couple of seconds from a sex worker/ I tested with ELISAs and lastly an Oraquick at 3,4,6 and 8 months (32 weeks)and all negative. But during this time of stress and hysteria, I developed thrush at 3/4 month mark. I was on a steroid inhaler and stopped taking it and my thrush did get better. Now after my 32 week neg test my thrush came back and it looks similar to OHL on the left side of my tongue with spots of thrush on the sides of my inner cheeks and edge of my lips which I can scratch off. On top of this I just found out my wife is pregnant! We've been having unprotected oral and 'everything' else sex since my 4 month test. 2 weeks ago her HIV test for her OB appt came back neg. I had inquired to the CDC about those cases that seroconverted past 6 months and they told me that there were a couple back in the 1990's. Have you heard of any stories like this in the past couple of years?? I am also overweight, got a fatty liver and my blood glucose level was high 2 months ago on my checkup...I might be slowly developing type 2 diabetes..and stress is not helping! So please Doc. please tell me I can enjoy my good news, put my mistake behind and REALLY WOO HOO!?!? PLEASE??? GROUND CONTROL TO MAJOR BOB!!!!

Response from Dr. Frascino


Have I heard stories of late seroconverters in the past couple of years? No.

Regarding your case:

1. Oral sex carries a very low risk of HIV transmission.

2. Four negative ELISA/OraQuick tests out to eight months are definitive and conclusive. You are HIV negative.

3. What "looks similar to OHL" may not actually be OHL. In fact, in this case I strongly doubt it is. Your doctor can check this out for you. Even if it is OHL, HIV is not the cause.

4. Yes, steroid inhalers can cause thrush, especially if not used properly. You should also rinse your mouth with water after using the inhaler.

5. If you are overweight and have a fatty liver, you need fewer Big Macs, not more HIV tests. I'd suggest Weight Watchers.

6. For stress, get some counseling.

7. Yes, you should "Really WOO-HOO."

Major Bob, over and "out."

A Pretty Crappy =) week, looking for help from the B-Man
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