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$1,000 Donation Per Answer - Scared Shitless!! Please Answer Dr. Bob!!!!
Mar 8, 2006

About a year ago, I engaged in deep kissing, protected vaginal, protected anal, received protected oral after the various intercourse(I don't think the condom failed as far as I could tell as it seemed like it was still on before she started to give me oral(although I let her stupidly in my drunken state take the condom off and finish the blowjob w/o a condom - idiot!!- I know), and finally received about a 2 min rimm job from a high risk girl I had met in a bar that night. About 2-3 days later I noticed a few red indents on my tongue along with some slight whitish areas along the side of my tongue that seem to come and go...then all hell broke loose as I surfed the internet for a likely cause (the rest is history)My symptoms for the next few weeks off an on were as follows: tired, sore muscles, whitish tongue along sides with redish indents along front, headache, a few nights of night sweats and a warm tingling feeling on both thighs particularly when I sit still or lye in bed (still get this today from time to time when lying in bed) but no fever, no swollen glands, no diarea, no nausea, no rashes or spots, no meaningful weight loss or anything else I noticed anyway...my questions are as follows: (I'm scared out of my mind for your answers as I right this - I'm getting that tingling in my legs again which I hope is not my body giving me a sign the virus is in my body)..1) A year later is it possible the warm tingling feeling in my legs (feels like two hot packs placed above each knee) is a sign the virus is in my body...could it be my body reacting to the virus???- please answer seriously)...2) Am I correct that if the condom failed and I didn't know it my per episode risk (assuming positive girl) would be 13 per 10,000 (6.5+5+.5+.5/10000) and if it didn"t fail it's .5 (oral) + .5 (rim job) or 1 per 10,000)...is this the right math?...3) if I am infected what signs if any would I have 1 year later- what should I be looking for...I know this tingling in my legs can't be nerves as I get it all the time now and have never experienced it before that night...4)On average, how long after infection do people start seeing signs they have been infected post intital ARS symptoms...best estimate?...5)if I was way over-tired and drinking the night I was a complete idiot would that have weakened my immune system and made me more susceptible...6)Could the whitish sides of my tongue be hairy leukplakia or thrush so soon after infection?...is it possible?..7)could I get this warm tingling in my legs because its a sign of a virus in my body without getting a fever or swollen lymph nodes...have u ever heard of this before from others infected as a sign? 8)what do you make of the fact that 2 days after my incident my tongue started to show reddish puffy bumps on the side that take the shape of my lower teeth when I stick it out?strange?...9) based on the information provided what do think is my per episode risk (please give me a number out of 10,000 assuming high risk/postive partner) of getting infected...best guess??...10)I will treat this as a question for donation purposes - Thank you for being you - you have made such a profound difference in my life and many others as this site has become the world for all of us WWs...I hope I can make half the difference you have made on this earth in my lifetime - I'm certainly going to give it everything I have! You r an unbeleivable example of leadership!! Thank you! - Best Regards, Scared out my mind!!

Response from Dr. Frascino

Hello,

Kissing is not considered a significant HIV risk. Protected sex is protected if the latex condom is used properly and does not fail. There have been no documented cases of HIV transmission from rimming. That narrows your potential risk down to unprotected insertive oral sex. This carries a very low risk for HIV transmission. Your symptoms are not worrisome for HIV ARS or disease. Now on to your specific questions:

1. No. this is more consistent with anxiety.

2. No. Statistical risk estimates cannot be merely added together. The best I can say here is that your overall risk is extremely minimal.

3. Completely variable. Most likely, none.

4. 7 to 10 years.

5. Nope.

6. Extremely, extremely doubtful. They are most likely completely normal.

7. Nope.

8. Most likely this is due to the fact you only started worrying about and intently studying your tongue after your sex-capade. It certainly is not HIV related. (Way too early!)

9. Assuming your partner is confirmed HIV positive (not just high risk), your risk would be 0.5 per 10,000 exposures.

10. Thanks!

I see no reason for you to be even mildly worried, let alone scared out of your mind; however, if indeed you are worried, why not just get a rapid HIV test? You'll have your definitive result in 20 minutes and it's a lot cheaper than the $1000 per answer! Also, please note my advice here is free and available to all. Donations to my foundation (www.concertedeffort.org) should be made only in the spirit of generosity, compassion and a desire to help those in need.

Stay well. (Yes, I really do think you are well.)

Dr. Bob



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