Advertisement
The Body: The Complete HIV/AIDS Resource
Follow Us Follow Us on Facebook Follow Us on Twitter Download Our App
Professionals >> Visit The Body PROThe Body en Espanol
  Breaking News: FDA Approves Triumeq, New Once-Daily Combination Pill
   
Ask the Experts About

Safe Sex and HIV PreventionSafe Sex and HIV Prevention
           
Rollover images to visit our other forums!
Recent AnswersAsk a Question
  
  • Email Email
  • Glossary Glossary


Can a Christmas donation get me a response?
Dec 28, 2009

Dr. Frascino-

I recently submitted a few questions here without any response. But in reading, I see that donations to your foundation have a larger propensity for being answered. Since I gave a good amounted donation, I have a few!

1) I take it you don't answer every email that hits your inbox, but do you read everyone? If no, then bunk on you! If you do, and you decide not to respond, does that mean you see no concern for alarm?

2) If I were to have acute HIV, would there be anything to alleviate the signs/symptoms? I was taking a herbal/homeopathic remedy and I wonder if I just hid the symptoms of acute HIV. I had a sore throat for two and half weeks, nothing else (no fever, no rash, no gland swelling-although my glands seem harder than I have read they should). My GP RXd azithromyacin for 5 days and the throat went away, but is now coming back. Would homeopathic or antibacterial interventions mask acute HIV?

3) I see that all of my 'exposures' were on the minimal risk level, but if one is to fellate a couple men and a few TS's, would more than one add to higher chances of oral transmission? I also had rubbing/frottage (w/ 1 TS) and analingus (I rimmed 2 females), does that add up even more? [insertion INSERTION is always safe]

4) What do you say to a patient of yours addicted to sex? Lets say the patient used a portion of his money for a charitable donation and cannot afford at this time counseling and SA (sexaholics anonymous) isnt in his area; combined with the fact that he is a closeted bisexual who is scared to talk to anyone? You can just see judgment in others non-verbal cues, and he needs to hear something reassuring and comforting. I ned to hear that my attractions are okay (i understand that my behaviors might not be so okay though) and that I can get some kind of help for my unquenchable hunger for sexual proclivities.

5) Can I please have some good karma, PLEASE. Its Christmas and Im scared shitless that I will have a really bad day in February (3mos) and the anxiety is killing me. I know I need to change some or all of my behaviors, but can you help me to February 16th-ish.

Being forced to reveal my identity (sexuality) and HIV status could be an all-around save or a devastating blow. Depends how I look at it with the caveat of my marriage and three children.

I could be fucked and I need you to hear me; I have nowhere else to turn, man.

Response from Dr. Frascino

Hello,

1. I do indeed read all the questions that are submitted to this forum, but because there is only one of me and gazillions of "yous," I can only respond personally to a small percentage. Donations to The Robert James Frascino AIDS Foundation do not influence which questions are chosen for a personal response (other than perhaps comments I post thanking someone for their generosity and compassion). See below for a discussion as to why I do or do not respond to questions.

2. Herbal and/or homeopathic remedies do not cover up (or help in any way) symptoms of acute HIV. In fact, herbal/homeopathic remedies don't really do anything at all for any real disease process! (See below.)

Antibiotics, like azithromycin, treat bacterial infections and have no effect on viral infections/symptoms.

3. Each episode of sexual activity carries the same degree of risk. It's like flipping a coin. Each time you flip, you have a 50% chance of coming up with heads, even if the previous 20 flips were all heads as well! Frottage is not considered a risk for HIV transmission. There have been no documented cases of HIV transmission from rimming or getting rimmed (analingus).

4. First off, sexual orientation; be it gay, straight, bi-curious or closeted Mormon Republican; is not a choice (except for that last one in the list). Guilt related to one's sexual orientation is unhealthy. Closets, too are health hazards! As Glenda the Good Witch in the Wizard of Oz sings (and I recommend), ". . . come out, come out wherever you are . . . ." Your fears of "judgement" and "non-verbal cues," etc., are related to your internalized homophobia, guilt, and self-esteem issues. Dude, whether you are straight as a lawn dart or gay enough to bottom for Liberace, you are what you are and it's OK by me. As for those who would be judgmental (Republicans, religious wingnuts, etc.), you'll eventually realize when it comes to your sexual orientation, "those that matter won't care and those that care don't matter!"

I have no way of determining if you are a sex addict (I tend to doubt it) or merely a repressed horned-up dude. I'd suggest you discuss this concern with your general medical doctor. You should have no secrets from him. He will be able to evaluate your concerns and make an appropriate (and affordable) referral if it's needed.

5. Good karma signed, sealed and sent! (I'm quite confident you'll be WOO-HOO-ing shortly after Valentine's Day.)

I just got to the point in your post where you mention the wife and three kids. Take everything I mentioned above about guilt and multiply it exponentially to the nth degree.

It's not that you have nowhere to turn. Rather, you just need to start being honest with yourself and everyone else. Your way out of your misery is simple: merely tell the truth.

Good luck.

Dr. Bob

can homeopathy medecine cause seroconversion Nov 30, 2008

hi doc

,,,,,,i am an indian guy had a protected sex with a pros ,,,,after that my guilt feelings are so intense that i did a hiv and std test at a free clinic after 44 days of the exposure . while that time i ws on homeopathy medecation . whith gods grace the test were negetive ,,,,the doctor said me its going to be negetive the nexxt time as well and recomended me a test after 3 months . can the 44 th day of testing give me little bit of assurance , i hope the results were not affected by homeopathy medication ,,,,i have become a big fan of you ,,,,,and have a pledge to donate for the cause after my 3 months test ,please answer .

Response from Dr. Frascino

Hi,

Two quick points:

1. "Protected" sex is indeed protected. Assuming the latex condom was used properly and did not break, your HIV-acquisition risk is essentially nonexistent.

2. Homeopathy would not affect the accuracy of HIV test results. In fact, homeopathy really doesn't affect anything, including illness! See below.

Thanks for your interest in the Robert James Frascino AIDS Foundation (www.concertedeffort.org).

Be well. Stay well.

Dr. Bob

me again-final test back (HOMEOPATHY) Nov 14, 2008

Hi Dr. Bob, I hope you had a wonderful ceremony and week. I promised I would let you know my results. My last email I told you that the DNA PCR was negative. This week today the Abbott's Realtime m2000 RNAPCR for M/N/O came back negative. Outside of 4 antibody HIV1/2 and these two tests, I don't know what else I can do to test for O/N groups, which is my concern, not group M or HIV2. I'm assuming even with the DNA PCR if there was the HIV1 virus it would should a load, regardless of the group or subtype? Still not sure the source of my symptoms, but I'm at a homeopath for both the yeast and anxiety and know that as best possible, technology has ruled out the presence of any HIV virus, regardless of the group. It will be some time for me to calm down again, this has been a tough year altogether, and the presence of symptoms still keeps in fresh in my mind constantly. I'm moving forward though and very relieved and trying to put it behind me. I thank you again so very much for your understanding, support and dedication as a doctor. I will pray for you and your partner-I hope you will have a continued wonderful life together.-Blessings, Julie (Jules)

Response from Dr. Frascino

Hi Jules,

More negative tests?! WOW, what a surprise! You are definitively, absolutely, conclusively and irrefutably HIV negative. How you chose to live with that reality is up to you.

I would advise against homeopathy. (See below.)

Dr. Bob

Homeopathy: The Ultimate Fake Stephen Barrett, M.D. Homeopathic "remedies" enjoy a unique status in the health marketplace: They are the only category of quack products legally marketable as drugs. This situation is the result of two circumstances. First, the 1938 Federal Food, Drug, and Cosmetic Act, which was shepherded through Congress by a homeopathic physician who was a senator, recognizes as drugs all substances included in the Homeopathic Pharmacopeia of the United States. Second, the FDA has not held homeopathic products to the same standards as other drugs. Today they are marketed in health-food stores, in pharmacies, in practitioner offices, by multilevel distributors, through the mail, and on the Internet. Basic Misbeliefs Samuel Hahnemann (1755-1843), a German physician, began formulating homeopathy's basic principles in the late 1700s. Hahnemann was justifiably distressed about bloodletting, leeching, purging, and other medical procedures of his day that did far more harm than good. Thinking that these treatments were intended to "balance the body's 'humors' by opposite effects," he developed his "law of similars"a notion that symptoms of disease can be cured by extremely small amounts of substances that produce similar symptoms in healthy people when administered in large amounts. The word "homeopathy" is derived from the Greek words homoios (similar) and pathos (suffering or disease).

Hahnemann and his early followers conducted "provings" in which they administered herbs, minerals, and other substances to healthy people, including themselves, and kept detailed records of what they observed. Later these records were compiled into lengthy reference books called materia medica, which are used to match a patient's symptoms with a "corresponding" drug.

Hahnemann declared that diseases represent a disturbance in the body's ability to heal itself and that only a small stimulus is needed to begin the healing process. He also claimed that chronic diseases were manifestations of a suppressed itch (psora), a kind of miasma or evil spirit. At first he used small doses of accepted medications. But later he used enormous dilutions and theorized that the smaller the dose, the more powerful the effecta notion commonly referred to as the "law of infinitesimals." That, of course, is just the opposite of the dose-response relationship that pharmacologists have demonstrated.

The basis for inclusion in the Homeopathic Pharmacopeia is not modern scientific testing, but homeopathic "provings" conducted during the 1800s and early 1900s. The current (ninth) edition describes how more than a thousand substances are prepared for homeopathic use. It does not identify the symptoms or diseases for which homeopathic products should be used; that is decided by the practitioner (or manufacturer). The fact that substances listed in the Homeopathic Pharmacopeia are legally recognized as "drugs" does not mean that either the law or the FDA recognizes them as effective.

Because homeopathic remedies were actually less dangerous than those of nineteenth-century medical orthodoxy, many medical practitioners began using them. At the turn of the twentieth century, homeopathy had about 14,000 practitioners and 22 schools in the United States. But as medical science and medical education advanced, homeopathy declined sharply in America, where its schools either closed or converted to modern methods. The last pure homeopathic school in this country closed during the 1920s [1].

Many homeopaths maintain that certain people have a special affinity to a particular remedy (their "constitutional remedy") and will respond to it for a variety of ailments. Such remedies can be prescribed according to the person's "constitutional type"named after the corresponding remedy in a manner resembling astrologic typing. The "Ignatia Type," for example, is said to be nervous and often tearful, and to dislike tobacco smoke. The typical "Pulsatilla" is a young woman, with blond or light-brown hair, blue eyes, and a delicate complexion, who is gentle, fearful, romantic, emotional, and friendly but shy. The "Nux Vomica Type" is said to be aggressive, bellicose, ambitious, and hyperactive. The "Sulfur Type" likes to be independent. And so on. Does this sound to you like a rational basis for diagnosis and treatment?

At Best, the "Remedies" Are Placebos Homeopathic products are made from minerals, botanical substances, and several other sources. If the original substance is soluble, one part is diluted with either nine or ninety-nine parts of distilled water and/or alcohol and shaken vigorously (succussed); if insoluble, it is finely ground and pulverized in similar proportions with powdered lactose (milk sugar). One part of the diluted medicine is then further diluted, and the process is repeated until the desired concentration is reached. Dilutions of 1 to 10 are designated by the Roman numeral X (1X = 1/10, 3X = 1/1,000, 6X = 1/1,000,000). Similarly, dilutions of 1 to 100 are designated by the Roman numeral C (1C = 1/100, 3C = 1/1,000,000, and so on). Most remedies today range from 6X to 30X, but products of 30C or more are marketed.

A 30X dilution means that the original substance has been diluted 1,000,000,000,000,000,000,000,000,000,000 times. Assuming that a cubic centimeter of water contains 15 drops, this number is greater than the number of drops of water that would fill a container more than 50 times the size of the Earth. Imagine placing a drop of red dye into such a container so that it disperses evenly. Homeopathy's "law of infinitesimals" is the equivalent of saying that any drop of water subsequently removed from that container will possess an essence of redness. Robert L. Park, Ph.D., a prominent physicist who is executive director of The American Physical Society, has noted that since the least amount of a substance in a solution is one molecule, a 30C solution would have to have at least one molecule of the original substance dissolved in a minimum of 1,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000,000 molecules of water. This would require a container more than 30,000,000,000 times the size of the Earth.

Oscillococcinum, a 200C product "for the relief of colds and flu-like symptoms," involves "dilutions" that are even more far-fetched. Its "active ingredient" is prepared by incubating small amounts of a freshly killed duck's liver and heart for 40 days. The resultant solution is then filtered, freeze-dried, rehydrated, repeatedly diluted, and impregnated into sugar granules. If a single molecule of the duck's heart or liver were to survive the dilution, its concentration would be 1 in 100200. This huge number, which has 400 zeroes, is vastly greater than the estimated number of molecules in the universe (about one googol, which is a 1 followed by 100 zeroes). In its February 17, 1997, issue, U.S. News & World Report noted that only one duck per year is needed to manufacture the product, which had total sales of $20 million in 1996. The magazine dubbed that unlucky bird "the $20-million duck."

Actually, the laws of chemistry state that there is a limit to the dilution that can be made without losing the original substance altogether. This limit, which is related to Avogadro's number, corresponds to homeopathic potencies of 12C or 24X (1 part in 1024). Hahnemann himself realized that there is virtually no chance that even one molecule of original substance would remain after extreme dilutions. But he believed that the vigorous shaking or pulverizing with each step of dilution leaves behind a "spirit-like" essence"no longer perceptible to the senses"which cures by reviving the body's "vital force." Modern proponents assert that even when the last molecule is gone, a "memory" of the substance is retained. This notion is unsubstantiated. Moreover, if it were true, every substance encountered by a molecule of water might imprint an "essence" that could exert powerful (and unpredictable) medicinal effects when ingested by a person.

Many proponents claim that homeopathic products resemble vaccines because both provide a small stimulus that triggers an immune response. This comparison is not valid. The amounts of active ingredients in vaccines are much greater and can be measured. Moreover, immunizations produce antibodies whose concentration in the blood can be measured, but high-dilution homeopathic products produce no measurable response. In addition, vaccines are used preventively, not for curing symptoms.

Stan Polanski, a physician assistant working in public health near Asheville, North Carolina, has provided additional insights:

Imagine how many compounds must be present, in quantities of a molecule or more, in every dose of a homeopathic drug. Even under the most scrupulously clean conditions, airborne dust in the manufacturing facility must carry thousands of different molecules of biological origin derived from local sources (bacteria, viruses, fungi, respiratory droplets, sloughed skin cells, insect feces) as well as distant ones (pollens, soil particles, products of combustion), along with mineral particles of terrestrial and even extraterrestrial origin (meteor dust). Similarly, the "inert" diluents used in the process must have their own library of microcontaminants.

The dilution/potentiation process in homeopathy involves a stepwise dilution carried to fantastic extremes, with "succussion" between each dilution. Succussion involves shaking or rapping the container a certain way. During the step-by-step dilution process, how is the emerging drug preparation supposed to know which of the countless substances in the container is the One that means business? How is it that thousands (millions?) of chemical compounds know that they are required to lay low, to just stand around while the Potent One is anointed to the status of Healer? That this scenario could lead to distinct products uniquely suited to treat particular illnesses is beyond implausible.

Thus, until homeopathy's apologists can supply a plausible (nonmagical) mechanism for the "potentiation"-through-dilution of precisely one of the many substances in each of their products, it is impossible to accept that they have correctly identified the active ingredients in their products. Any study claiming to demonstrate effectiveness of a homeopathic medication should be rejected out-of-hand unless it includes a list of all the substances present in concentrations equal to or greater than the purported active ingredient at every stage of the dilution process, along with a rationale for rejecting each of them as a suspect.

The process of "proving" through which homeopaths decided which medicine matches which symptom is no more sensible. Provings involved taking various substances recording every twitch, sneeze, ache or itch that occurred afterwardoften for several days. Homeopathy's followers take for granted that every sensation reported was caused by whatever substance was administered, and that extremely dilute doses of that substance would then be just the right thing to treat anyone with those specific symptoms. Dr. Park has noted that to expect to get even one molecule of the "medicinal" substance allegedly present in 30X pills, it would be necessary to take some two billion of them, which would total about a thousand tons of lactose plus whatever impurities the lactose contained.

Cell Salts Some homeopathic manufacturers market twelve highly diluted mineral products called "cell salts" or "tissue salts." These are claimed to be effective against a wide variety of diseases, including appendicitis (ruptured or not), baldness, deafness, insomnia, and worms. Their use is based on the notion that mineral deficiency is the basic cause of disease. However, many are so diluted that they could not correct a mineral deficiency even if one were present. Development of this approach is attributed to a nineteenth-century physician named W.H. Schuessler.

"Electrodiagnosis" Some physicians, dentists, and chiropractors use "electrodiagnostic" devices to help select the homeopathic remedies they prescribe. These practitioners claim they can determine the cause of any disease by detecting the "energy imbalance" causing the problem. Some also claim that the devices can detect whether someone is allergic or sensitive to foods, vitamins, and/or other substances. The procedure, called electroacupuncture according to Voll (EAV), electrodiagnosis, or electrodermal screening, was begun during the late 1950s by Reinhold Voll, M.D., a West German physician who developed the original device. Subsequent models include the Vega, Dermatron, Accupath 1000, and Interro.

Proponents claim these devices measure disturbances in the flow of "electro-magnetic energy" along the body's "acupuncture meridians." Actually, they are fancy galvanometers that measure electrical resistance of the patient's skin when touched by a probe. Each device contains a low-voltage source. One wire from the device goes to a brass cylinder covered by moist gauze, which the patient holds in one hand. A second wire is connected to a probe, which the operator touches to "acupuncture points" on the patient's foot or other hand. This completes a circuit, and the device registers the flow of current. The information is then relayed to a gauge that provides a numerical readout. The size of the number depends on how hard the probe is pressed against the patient's skin. Recent versions, such as the Interro make sounds and provide the readout on a computer screen. The treatment selected depends on the scope of the practitioner's practice and may include acupuncture, dietary change, and/or vitamin supplements, as well as homeopathic products. Regulatory agencies have seized several types of electroacupuncture devices but have not made a systematic effort to drive them from the marketplace.

For more information about these devices and pictures of some of them, click here. If you encounter such a device, please read this article and report the device to the practitioner's state licensing board, the state attorney general, the Federal Trade Commission, the FBI, the National Fraud Information Center, and any insurance company to which the practitioner submits claims that involve use of the device. For the addresses of these agencies, click here.

Unimpressive "Research" Since many homeopathic remedies contain no detectable amount of active ingredient, it is impossible to test whether they contain what their label says. Unlike most potent drugs, they have not been proven effective against disease by double-blind clinical testing. In fact, the vast majority of homeopathic products have never even been tested; proponents simply rely on "provings" to tell them what should work.

In 1990, an article in Review of Epidemiology analyzed 40 randomized trials that had compared homeopathic treatment with standard treatment, a placebo, or no treatment. The authors concluded that all but three of the trials had major flaws in their design and that only one of those three had reported a positive result. The authors concluded that there is no evidence that homeopathic treatment has any more value than a placebo [2].

In 1994, the journal Pediatrics published an article claiming that homeopathic treatment had been demonstrated to be effective against mild cases of diarrhea among Nicaraguan children [3]. The claim was based on findings that, on certain days, the "treated" group had fewer loose stools than the placebo group. However, Sampson and London noted: (1) the study used an unreliable and unproved diagnostic and therapeutic scheme, (2) there was no safeguard against product adulteration, (3) treatment selection was arbitrary, (4) the data were oddly grouped and contained errors and inconsistencies, (5) the results had questionable clinical significance, and (6) there was no public health significance because the only remedy needed for mild childhood diarrhea is adequate fluid intake to prevent or correct dehydration [4].

In 1995, Prescrire International, a French journal that evaluates pharmaceutical products, published a literature review that concluded:

As homeopathic treatments are generally used in conditions with variable outcome or showing spontaneous recovery (hence their placebo-responsiveness), these treatments are widely considered to have an effect in some patients. However, despite the large number of comparative trials carried out to date there is no evidence that homeopathy is any more effective than placebo therapy given in identical conditions.

In December 1996, a lengthy report was published by the Homoeopathic Medicine Research Group (HMRG), an expert panel convened by the Commission of the European Communities. The HMRG included homeopathic physician-researchers and experts in clinical research, clinical pharmacology, biostatistics, and clinical epidemiology. Its aim was to evaluate published and unpublished reports of controlled trials of homeopathic treatment. After examining 184 reports, the panelists concluded: (1) only 17 were designed and reported well enough to be worth considering; (2) in some of these trials, homeopathic approaches may have exerted a greater effect than a placebo or no treatment; and (3) the number of participants in these 17 trials was too small to draw any conclusions about the effectiveness of homeopathic treatment for any specific condition [5]. Simply put: Most homeopathic research is worthless, and no homeopathic product has been proven effective for any therapeutic purpose. The National Council Against Health Fraud has warned that "the sectarian nature of homeopathy raises serious questions about the trustworthiness of homeopathic researchers." [6]

In 1997, a London health authority decided to stop paying for homeopathic treatment after concluding that there was not enough evidence to support its use. The Lambeth, Southwark, and Lewisham Health Authority had been referring more than 500 patients per year to the Royal Homoeopathic Hospital in London. Public health doctors at the authority reviewed the published scientific literature as part of a general move toward purchasing only evidence-based treatments. The group concluded that many of the studies were methodologically flawed and that recent research produced by the Royal Homoeopathic Hospital contained no convincing evidence that homeopathy offered clinical benefit [7].

In 2007, another review team concluded that homeopathic provings have been so poorly designed that the data they have generated is not trustworthy [8].

Proponents trumpet the few "positive" studies as proof that "homeopathy works." Even if their results can be consistently reproduced (which seems unlikely), the most that the study of a single remedy for a single disease could prove is that the remedy is effective against that disease. It would not validate homeopathy's basic theories or prove that homeopathic treatment is useful for other diseases.

Placebo effects can be powerful, of course, but the potential benefit of relieving symptoms with placebos should be weighed against the harm that can result from relying uponand wasting money onineffective products. Spontaneous remission is also a factor in homeopathy's popularity. I believe that most people who credit a homeopathic product for their recovery would have fared equally well without it.

Homeopaths claim to provide care that is safer, gentler, "natural," and less expensive than conventional careand more concerned with prevention. However, homeopathic treatments prevent nothing, and many homeopathic leaders preach against immunization. Equally bad, a report on the National Center for Homeopathy's 1997 conference described how a homeopathic physician had suggested using homeopathic products to help prevent and treat coronary artery disease. According to the article, the speaker recommended various 30C and 200C products as alternatives to aspirin or cholesterol-lowering drugs, both of which are proven to reduce the incidence of heart attacks and strokes [9].

Illegal Marketing In a survey conducted in 1982, the FDA found some over-the-counter products being marketed for serious illnesses, including heart disease, kidney disorders, and cancer. An extract of tarantula was being purveyed for multiple sclerosis; an extract of cobra venom for cancer.

During 1988, the FDA took action against companies marketing "diet patches" with false claims that they could suppress appetite. The largest such company, Meditrend International, of San Diego, instructed users to place 1 or 2 drops of a "homeopathic appetite control solution" on a patch and wear it all day affixed to an "acupuncture point" on the wrist to "bioelectrically" suppress the appetite control center of the brain.

America's most blatant homeopathic marketer appears to be Biological Homeopathic Industries (BHI) of Albuquerque, New Mexico, which, in 1983, sent a 123-page catalog to 200,000 physicians nationwide. Its products included BHI Anticancer Stimulating, BHI Antivirus, BHI Stroke, and 50 other types of tablets claimed to be effective against serious diseases. In 1984, the FDA forced BHI to stop distributing several of the products and to tone down its claims for others. However, BHI has continued to make illegal claims. Its 1991 Physicians' Reference ("for use only by health care professionals") inappropriately recommended products for heart failure, syphilis, kidney failure, blurred vision, and many other serious conditions. The company's publishing arm issues the quarterly Biological Therapy: Journal of Natural Medicine, which regularly contains articles whose authors make questionable claims. An article in the April 1992 issue, for example, listed "indications" for using BHI and Heel products (distributed by BHI) for more than fifty conditionsincluding cancer, angina pectoris, and paralysis. And the October 1993 issue, devoted to the homeopathic treatment of children, includes an article recommending products for acute bacterial infections of the ear and tonsils. The article is described as selections from Heel seminars given in several cities by a Nevada homeopath who also served as medical editor of Biological Therapy. In 1993, Heel published a 500-page hardcover book describing how to use its products to treat about 450 conditions [10]. Twelve pages of the book cover "Neoplasia and neoplastic phases of disease." (Neoplasm is a medical term for tumor.) In March 1998, during an osteopathic convention in Las Vegas, Nevada, a Heel exhibitor distributed copies of the book when asked for detailed information on how to use Heel products. A 2000 edition is larger but does not have the neoplasia section [11].

Between October 1993 and September 1994, the FDA issued warning letters to four homeopathic manufacturers:

BHI was ordered to stop making claims that BHI Cold, which contained sulfur and pulsatilla, were effective against mumps, whooping cough, chronic respiratory diseases, herpes zoster, all viral infections, and measles. In addition, when combined with other BHI remedies, it had been illegally claimed to be effective against otitis, pleurisy, bronchitis or pneumonia, conjunctivitis, and tracheitis. Botanical Laboratories, Inc., which distributed Natra-Bio products, was ordered to stop claiming that BioAllers was a homeopathic remedy for reliving symptoms of allergy due to pollen, animal hair, dander, mold, yeast, and dust. The products were promoted as homeopathic even though some ingredients were not in the Homeopathic Pharmacopeia. L.B.L.-Bot.Bio.Hom.Corp, of Roosevelt, New York, was ordered to stop making false claims that products could prevent AIDS, reduce cholesterol, cure diabetes and other pancreas disorders, and cancerous blood disorders. Nutrition Express, of Houston, Texas, was warned that products it was marketing for the temporary relief of infection, minor liver disorders, lymphatic disorders, and menstrual discomforts were misbranded because their labels or labeling included statements that represented that the products were intended to be used for curing or preventing disease. Greater Regulation Is Needed As far as I can tell, the FDA has never recognized any homeopathic remedy as safe and effective for any medical purpose. In 1995, I filed a Freedom of Information Act request that stated:

I am interested in learning whether the FDA has: (1) received evidence that any homeopathic remedy, now marketed in this country, is effective against any disease or health problem; (2) concluded that any homeopathic product now marketed in the United States is effective against any health problem or condition; (3) concluded that homeopathic remedies are generally effective; or (4) concluded that homeopathic remedies are generally not effective. Please send me copies of all documents in your possession that pertain to these questions [12].

An official from the FDA Center for Drug Evaluation and Research replied that several dozen homeopathic products were approved many years ago, but these approvals were withdrawn by 1970 [13]. In other words, after 1970, no homeopathic remedy had FDA as "safe and effective" for its intended purpose. As far as I can tell, that statement is still true today.

If the FDA required homeopathic remedies to be proven effective in order to remain marketablethe standard it applies to other categories of drugshomeopathy would face extinction in the United States [14]. However, there is no indication that the agency is considering this. FDA officials regard homeopathy as relatively benign (compared, for example, to unsubstantiated products marketed for cancer and AIDS) and believe that other problems should get enforcement priority. If the FDA attacks homeopathy too vigorously, its proponents might even persuade a lobby-susceptible Congress to rescue them. Regardless of this risk, the FDA should not permit worthless products to be marketed with claims that they are effective. Nor should it continue to tolerate the presence of quack "electrodiagnostic" devices in the marketplace.

In 1994, 42 prominent critics of quackery and pseudoscience asked the agency to curb the sale of homeopathic products. The petition urges the FDA to initiate a rulemaking procedure to require that all over-the-counter (OTC) homeopathic drugs meet the same standards of safety and effectiveness as nonhomeopathic OTC drugs. It also asks for a public warning that although the FDA has permitted homeopathic remedies to be sold, it does not recognize them as effective. The FDA has not yet responded to the petition. However, on March 3, 1998, at a symposium sponsored by Good Housekeeping magazine, former FDA Commissioner David A. Kessler, M.D., J.D., acknowledged that homeopathic remedies do not work but that he did not attempt to ban them because he felt that Congress would not support a ban [15].

References Kaufman M. Homeopathy in America. Baltimore, 1971, The Johns Hopkins University Press. Hill C, Doyon F. Review of randomized trials of homeopathy. Review of Epidemiology 38:139-142, 1990. Jacob J and others. Treatment of childhood diarrhea with homeopathic medicine: a randomized clinical trial in Nicaragua. Pediatrics 93:719-725, 1994. Sampson W, London W. Analysis of homeopathic treatment of childhood diarrhea. Pediatrics 96:961-964, 1995. Homoeopathic Medicine Research Group. Report. Commission of the European Communities, December 1996. NCAHF Position Paper on Homeopathy. Loma Linda, Calif.: National Council Against Health Fraud, 1994. Wise, J. Health authority stops buying homoeopathy. British Medical Journal 314:1574, 1997. Dantas E. A systematic review of the quality of homeopathic pathogenetic trials published from 1945 to 1995. Homeopathy 96:4-16, 2007. Hauck KG. Homeopathy and coronary artery disease. Homeopathy Today 17(8):3, 1997. Biotherapeutic Index. Baden-Baden, Germany: Biologische Heilmittel Heel GmbH, 1993. Biotherapeutic Index, 5th revised English edition. Baden-Baden, Germany: Biologische Heilmittel GmbH, 2000. Barrett S. Letter to FDA Office of Freedom of Information, Feb 7, 1995. Davis H. Letter to Stephen Barrett, M.D., April 24, 1995. Pinco RG. Status of homeopathy in the United States: Important ominous developments. Memo to Willard Eldredge, president, American Association of Homeopathic Pharmacists, Jan 17, 1985. Kessler DA. Panel discussion on herbal dietary supplements. Consumer Safety Symposium on Dietary Supplements and Herbs, New York City, March 3, 1998.

boyfriend diagnosed HIV+ Feb 4, 2008

I'm aware of the many new products "out there" that can make HIV a livable condition, along the lines of Herpes and the cold, but knowing that you are a doctor, I dont trust modern medicine... I view them as little more than ways to make money without curing ANYTHING (noting that the last thing 'cured' was polio...)

He's on Norvir, Reyetaz, and one other I cant remember... and in a way I wish he would've thought about therapeutic herbs FIRST ( because from what I understand man made meds counteract Nature's bounty), because I've done research on DMG, Venus Fly Trap Extract, Yarrow, and of course, my favorite, oil of oregano, and it seems as if those herbs would do a hell of a job...without HALF the negatory side effects such as diarrhea. So, question one is... would it be better to try homeopathic meds first? Or should I bother asking a doctor anyway, considering I think most ( no offense..I've just been disheartened) MDs and PhDs are cahooting with the pharmaceutical community for kick backs --not cures?

Secondly...

I've always been a believer in herbal medicines.. I take oil of oregano for viral infections, not bacterial ones, i take garlic oil pills at night as a blood cleanser, drink plenty of green tea, exercise, and drink lots of water. I am familiar with how HIV works, but I'm troubled, because of the extent of my boyfriend and mine's relationship... the amount of intimacy involved, and the chance that I will become positive as well. In other words...

WHAT DO WE (or I for that matter) DO?? :( sincerely,

Vittoria Falconer

Response from Dr. Frascino

Hello Victoria,

I disagree with essentially all your assumptions and comments, so if your mind is already made up, you can probably stop reading here, but I hope you don't.

Disagreement #1: There are many new products "out there" that can make HIV a livable condition along the lines of herpes and the cold . . . ." From my over-quarter-of-a-century experience treating HIV/AIDS patients plus my 16 years of being personally "virally enhanced," I can assure you living with HIV/AIDS is nothing at all like herpes or the common cold, even with the significant advances we've made in the development of antiretroviral medications.

Disagreement #2: Not trusting "modern medicine." I'll bet you change your mind when you experience your first significant illness.

Disagreement #3: Medications "counteract Nature's bounty." Actually many modern medicines were developed from "Nature's Bounty" (plants). The possibility of drug-natural supplement interactions exists, as do drug-drug interactions and natural supplement-natural supplement interactions!

Disagreement #5: DMG, Venus Fly Trap Extract, Yarrow and, of course, your favorite oil of oregano would do "a hell of a job" treating HIV. Despite your "research," I must respectfully disagree. If your concoction really treated HIV effectively, do you think I would still be taking handfuls of potent antiretrovirals and coping with their side effects to stay alive? And how about Magic Johnson, would he choose to take potent HIV meds with side effects and toxicities if there really were a safer effective alternative?

Disagreement #5: Homeopathy. In my opinion homeopathy is not only ineffective in treating HIV/AIDS; it's completely ineffective in treating all other ailments as well. Large well conducted scientific studies have definitively proven that homeopathy is a completely ineffective treatment modality. The basic premise is quite ludicrous. Here it is: someone is administered tiny, tiny, tiny amounts of a substance that in larger doses would induce symptoms, like those caused by the illness. For example, if someone had the flu, a homeopathic remedy would be a tiny amount of something that would cause nausea. The substance is diluted in water to the point that it is "undetectable." The water is said to "remember" the substance. As it turns out, water's ability to "remember" is the same as its ability to speak French or do calculus.

Disagreement #6: MDs and PhDs are "cahooting" with the pharmaceutical for kickbacks, not cures. It is true some physicians and scientists work for pharmaceutical companies to help design and evaluate new medications, but to claim all or even most MDs work for kickbacks is both unsubstantiated and a bit paranoid.

Disagreement #7: "Believing" in herbal medicines. Medicine is a branch of science and based on scientific facts and principles. Belief systems belong in church. You can "believe" in the Holy Ghost or the Loch Ness Monster or the existence of "compassionate conservativism." These things can never be proven or disproven because they don't exist. However, the efficacy or lack of efficacy of oil of oregano for the treatment of viral infections is something that can be proved or disproved with scientific study. So whether you "believe" in it or not doesn't change the fact the reality that oil of oregano doesn't have any effect whatsoever in the treatment of viral illnesses, including HIV. My advice is that you save your oregano and garlic for a nice marinara sauce and reconsider your "beliefs" in modern medicine.

Finally to your question: "What do we (or I, for that matter) do?" It seems your boyfriend is being appropriately treated. You, on the other hand, have much to learn if you want to help your boyfriend cope with his new reality of being HIV positive. I suggest you begin by familiarizing yourself with the wealth of information on this Web site. Begin with the basic information that can be accessed under the "Quick Links" heading on The Body's homepage. You should also review the information in the archives relating to "magnetic couples."

Good luck.

Dr. Bob

why are people having to beg you to answer questions (WHY DON'T YOU ANSWER MY QUESTION, 2009) Dec 11, 2009

i have notice that more people are having to beg you to answer there questions, and that doesnt seem fair given that people with no risk factors are asking completely random questions and your answering them, like if i touch and hiv positve person knee with my knee ooowill i contact hiv lol.i mean i had some very good questions for you and you completely ignored them not only could these questions have help me but they could have helped alot of other people on this site. so please i will ask you again in hope that you will answer kindly for me. 1 does canadidiasis overgrowth in the intestines delay seroconversion. 2 is there anyway to transmit hiv through a condom without it breaking. 3 is 6 seconds of oral sex enough to transmit any std including hiv. i really want to move on with my life and your the only one i feel can really answer these questions for me thank you

Response from Dr. Frascino

Hi,

Actually, the number of desperate anxious wrecks begging for a response really hasn't changed over the years. (You never have the "pleasure" of seeing what crams its way into my inbox on a continual basis from throughout the cyber-universe! I can only respond personally to a small percentage of what comes in.) I'll repost some information from the archives about why I cannot answer everyone's "very good questions." By the way, absolutely everyone who writes in feels their question is not only very good, but also absolutely essential!

Regarding your questions, as it turns out, the answers to all of them are readily available in the archives! (That's why I have not answered your previous posts.) Yep, all you needed to do is search a bit to find the information you desired! So I'll be brief:

1. No.

2. HIV cannot permeate intact latex (or polyurethane). HIV can be transmitted while using a condom if the condom is not latex or polyurethane, if the condom is not used properly, and also if the condom fails (breaks).

3. Unprotected oral sex (be it six seconds or a six-hour suck-a-thon) carries a very low risk of transmitting HIV.

Finally, I add one piece of advice that hopefully should help many folks with similar concerns. If you've placed yourself at risk for HIV, get a single HIV-antibody test at the three-month mark. It really is just that straightforward.

Dr. Bob

Life is not fair nor do you! (WHY DON'T YOU ANSWER MY QUESTION, 2009) Mar 8, 2009

You usually receive a lot of compliments every day but today I have a critic for you. You says that when you didn't answer on some questions that's because the answer already exists in the archive. That's OK! But I read your last responses and see questions like "HIV transmission between two negatives people" and such questions with non-risk situations... I wrote you two days ago and did not get the answer,probably because the similar questions exists in the archive. But I had had a real risk(unprotected vaginal and oral with prostitute,and got symptoms etc. etc.)and asked you for a advice. Now my question would be why that questions with non-risk situations have advantage unlike questions with real-risk situation??? You probably won't answer this again but I have to ask you that.I feel much better now!Best wishes!And by the way I donated to your foundation...

Response from Dr. Frascino

Hello,

"Life is not fair nor do you!" Hmm . . . OK, if you say so. (Whatever the hell that even means.) Thanks for your "critic." It gives me a chance to make several points:

1. This is not a delicatessen where each "customer" is served in order. This is an HIV information Web site. I have my reasons for selecting specific questions to post.

2. I receive literally thousands of questions from across the cyber universe on a continuous basis. I can only realistically respond personally to a very small percentage. Remember there is only one of me and gazillions of "yous!"

3. Regarding your concern, "unprotected vaginal and oral with prostitute and got symptoms . . .," as you can imagine you are not the first person to write in with that story. I've addressed posts like yours a countless number of times. Do you really think I would give you a different answer than I gave the last gazillion guys who wrote in with identical complaints?

4. As for donations to the Robert James Frascino AIDS Foundation, these should be made only in the spirit of compassion, generosity and the desire to help those in desperate need. Donations should never be used as a bribe to try to encourage me to respond to a particular post. My work here at The Body is completely separate and independent from my foundation. My advice here is free and available to all, regardless of their ability, willingness or desire to make a charitable donation. OK?

5. You are not the first person to freak out because I did not select his or her question for a personalized response, and I'm sure you won't be the last. (See below.)

6. I encourage you to review the information in the archives. The information and reassurance you specifically request is there just waiting for your double-click, OK?

Despite the sarcastic and somewhat nasty tone of your post, I do wish you well and hope you will avail yourself of the wealth of information on this site directly related to your question. Also, I hope that tomorrow your mood ring is an entirely different color. Finally, I should point out you now have indeed received a personalized response from me. You're welcome!

Dr. Bob

Why you don't answer to me?;) Feb 6, 2009

Dear Bob, I wrote you twice,and you never responded.I know that you recive lots of mails,and that my question was answered lots of time..But I don't know how you have time than to answer those 'South Park' scenarios like this: 'I was givig a fellatio to myself,can I get a virus'..or...'I was in the gym and I touched the place where a guy touched,and before he touched that place he touched his penis and than after I touched that place I touched my penis,and now can I get aids?!'...And you don't have time to answer to people who are really concerned about something and they look for your answer to relief them a bit ..;)

Response from Dr. Frascino

Hi,

See below.

Dr. Bob

im mad (WHY DON'T YOU ANSWER MY QUESTION????) Dec 2, 2008

im mad that you dont answer any of my questions!!!!

Response from Dr. Frascino

Hello,

Don't get mad! There are usually very good reasons why I choose not to answer a specific question or questions. See below. Also, remember to please check the archives! Chances arte the information or reassurance you are looking for are already waiting for you!

Dr. Bob

no answer for my questions, why? Aug 22, 2008

Hi, this is the 3rd time I put a question about my HIV concerns but get no response. May I know why? Please let me know if you don't get me message.

Response from Dr. Frascino

Hello,

Sure. (See below.)

Dr. Bob

does it mean something when you don't answer questions? (WHY DONT YOU ANSWER MY QUESTION???) Jul 24, 2008

If a possible transmission scenario is presented to you and you don't answer, does that mean that it is nothing to worry about? I've asked many questions but i've never got a reply.

Response from Dr. Frascino

Hello,

There are many reasons I may not respond to a particular question (see below), the biggest being that I receive gazillions of questions on a constant basis from throughout the cyber universe. Consequently, I can only personally respond to a small fraction of what gets submitted. The math is anything but fuzzy. There are gazillions of "yous" and only one of me. And I can only type so fast. That's why I encourage folks to use the archives. Well over 90% of the questions submitted are identical or at least very similar to questions I've already answered and posted. Check it out!

Dr. Bob

Partial answers (WHY DONT YOU ANSWER MY QUESTION???) Apr 19, 2008

Dear Dr. Bob,

I would prefer if you did not post this email, as it is more just a question to help me understand things better. I first want to make it clear that this is not sent with any sense of entitlement, or anger, or anything negative ok?

I am just confused and scared by something. I sent you 2 questions in the last 36 hours or so. Q#1 was about interfacing with the website, which you answered (thank you for that) Q#2 was after I found your forum, and it was about symptoms and my exposure and whether or not I should be concerned. This was actually the more important question, not Q#1, in my mind anyway. Although you replied to Q#1 (again, thank you, thank you), I did not here boo from you on Q#2.

I now know that you must have read Q#2 (cause it was sent within 10 minutes of Q#1), but yet you did not reply. Whats going through my head right now is "Oh-oh...why wouldn't he reply? Does he think I am +, and has a policy not to reply to people he thinks is positive? Or, is he maybe just tired of answering this kind of question? Or...what else might cause him not to reply?"

You have done nothing bad to me, nor are you responsible for my anxiety / fear in anyway. I just was wondering if you can try to understand the situation and offer me something, anything, to qualm my jitters.

BTW, I have learned through your previous posts, and see that you are hiv+ and a survivor of 15+ years, which I admire and applaud. Thank you for your sacrifice and putting up with me.

Expecting nothing but hoping for something,

Response from Dr. Frascino

Hello,

Even though you preferred I did not post this question, I have absolutely no other way of communicating with you. I do not send responses to private e-mail accounts. That's not the way these public information forums operate. I also don't keep track of how many questions a particular person is sending in. (Some questioners can be remarkably prolific and redundant!) Please note I receive thousands of questions on a continuous basis from throughout the cyber-galaxy. And although I do attempt to read them all, I can only respond to a very small percentage of them. There are several reasons I may not select a particular question for a personal response and posting. See below and hopefully you will then understand why you "did not hear boo from (me) on Q #2."

DR. Bob

Whatever Doc. (WHY DONT YOU ANSWER MY QUESTION??????????) Apr 1, 2008

Thanks for not answering my question! Doctor. Thank God there is help out there with Doctors that know much more that you.

Response from Dr. Frascino

Hello,

You're welcome. See below.

Dr. Bob

That worrying male nurse again Apr 1, 2008

Dear Sir, this is my 4th letter to you, awaiting your reply as before.As less serious as it may seem to you..the situation that I am in has been agonizing to me to say the least...I pray to you my dear Sir..please read my previous letter and please write back ...please

Response from Dr. Frascino

Hello Worried Nurse,

I have no way to retrieve old questions not selected for posting. See below. Resubmit your question if necessary. OK?

Dr. Bob

hey doc (WHY DONT YOU ANSWER MY QUESTION)

Feb 27, 2008

hey doc,

i've been writing you many times, apparently you ignore my questions.

do i have to pay to have an answr??how much? anyway fuck you

Response from Dr. Frascino

Hello Mr. Potty Mouth,

See below for an archived post addressing why some questions are selected for response and posting and others are not.

Should you decide to ever contact this forum again, I suggest you begin with a sincere apology or I'll have to wash your mouth out with soap young man.

Dr. Bob

your are a fraud and inconsiderate person (WHY DONT YOU ANSWER MY QUESTION) Feb 6, 2008

Dear Doctor. I wrote yo you several times in the past and during the present and i never recibe an answer from you. That i why i asumme that you are a complete fraud. I just think that you are no more than a resentful person and i doubt that that all the questions and answer that are writen in your page were real.

Response from Dr. Frascino

Hello,

You never "recibe" an answer so you "asumme" that I'm a complete fraud. Well, you can assume and believe whatever you like. However, I am responding to this post, which just might put your egocentric, misspelled hypothesis into question. I'll repost something from the archives that hopefully will help you realize I cannot personally respond to each and every question, as I receive literally thousands from throughout the cyber-universe on a constant basis. I do, however, read all the questions that are submitted. Chances are the information or reassurance you are searching for is already waiting for you in the archives, which you have not taken advantage of, just as you have not taken advantage of your spellchecker icon on your computer.

If and when you do write back may I suggest you begin with a sincere apology?

Dr. Bob

getting no answers (WHY DONT YOU ANSWER MY QUESTION?) Dec 15, 2007

hi Bob,,l come to this site daily trying to see if u`ve kindly answered my question.All l get is disappointment as people who have asked after me have gotten theirs answers.thats all. thanks

Response from Dr. Frascino

Hi,

I'm willing to wager that on your daily visits to this site, which end in frustration and disappointment because I haven't responded to your individual question, you may well have overlooked questions already posted that address your concerns. For example, this question about not getting a specific response from me has been addressed many times before. See below for just a small sampling! I suggest you read those archival posts and follow the advice given, i.e. check the archives, make sure your question makes sense, etc. If after doing so you still feel your question warrants a specific response, please resubmit it, OK?

Dr. Bob

"Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum". Sep 15, 2007

Have a doubt regarding this line.I have been asking a question six times with a lot of mental agony and depression pinned to it,and waitinf for an answer. It hasnt been answered yet, so Im just wondering WHO decides whether my question is "rare", the computer?? Maybe Im expecting too much from a website, but yours looks like the best and for me the only place to get an answer.I have no choice, Im not in the United states where aids is just another disease..with a lot of support groups,meds n stuff.We are not that lucky,doc.We need your answering more,its critical.

Response from Dr. Frascino

Hello,

Who decides? I do! Please note I receive thousands of questions on a continuous basis from throughout the cyber-universe. I can only respond to a very small percentage, because there is only one of me and gazillions of "yous!" I do read every question. If your question has not been answered, chances are I have already addressed similar concerns in the past and the answer or reassurance you desire is already waiting for you in the archives. Another reason for not getting a personal response is that the question is too hypothetical or incomprehensible. You mention your question has been asked "six times with a lot of mental agony and depression pinned to it." Please note I'm not a psychiatrist. If your problem is mental agony and depression, you may well need the help of a mental health practitioner, not an HIV/AIDS specialist. I urge you to use the archives and also to review the question you are repeatedly resubmitting. If after doing that you still feel your question warrants a personal response, the best I can offer is that you try to resubmit your question, perhaps clarifying its intent.

Finally, as a person living with HIV in the United States, I can assure you AIDS is not "just another disease" here.

Dr. Bob

Why you don't answer questions... Jun 20, 2007

Over the years I've submitted so many questions, but they've never been answered. Sometimes the irrational part of my thought process thinks it's because the question might be too borderline to give a good answer, so you err on the side of not answering at all. For example, I recently asked a question about a friend passing me a glass around the rim with his dirty, fresh from the bathroom hands, and i I wondered if urine, blood and whatever he might have touched on the surfaces, door handles, etc, and then I had to put my mouth on the rim of the glass and I had a cut in my mouth where a molar tooth is coming through. Was I at risk? And when I didn't see an answer, I wondered if it might have been too borderline to answer? Please help. Maybe other people have the same fears when their questions go unanswered?

Response from Dr. Frascino

Hello,

Over the years you've submitted so many questions, but they've never been answered????? Hmmm . . . well, let's see. You want to know the HIV risk of a friend passing you a glass touching the rim with his dirty, fresh-from-the-bathroom hands. You're concerned whether urine, blood or whatever might have touched the surfaces of door handles and then on to your friend's hands and from there on to the rim of the glass and from there into your mouth, which might have had a cut or perhaps a molar tooth coming in . . . . Hmmm . . . and you really wonder why I might skip over "so many questions" like these???

In addition you ask, "Maybe other people have the same fears . . . ?" That one I'll answer. Nope! No one is quite this neurotic.

Dr. Bob

ANSWER ME!!!!!!!!!!!!!!!!!!!!!!!!!!!!! Oct 27, 2003

Doctor, I demand an answer to my question! I've asked it multiple times before over the past month and still you have not replied. Why not? I've waited long enough! It's my turn and I demand you answer my question about that whore who sucked me off. Tired of waiting, Mr. X

Response from Dr. Frascino

Excuse me, but you "demand" an answer? I'll bet you were an only child growing up, always used to getting your way, right? OK, here's your answer, but it may not be the one you were anticipating:

1. "Whore" is not polite or politically correct. Let's just call them "virginally challenged" pleasure professionals, OK? 2. This forum is not a delicatessen where you can march up to the counter and demand service. It's not your prerogative, and no matter how long you've waited, you just many not get a "turn!" 3. I have no way of back searching the thousands of e-mails that come flooding into this forum, so I have no idea which question you are even referring to. 4. This forum is dedicated to HIV-positive folks who have questions about fatigue and anemia. Being "tired of waiting" for a response doesn't qualify. You'll need to submit your blowjob questions to the Safe Sex/HIV Prevention Forum. But before you do so, I'd suggest you check the archives, as chances are quite good you'll find a similar question that has already been answered and posted, particularly if it involves nob-slobbing "virginally challenged" pleasure professionals.

Dr. Bob

Hi Doctor Bob Jun 17, 2007

I have ask 2 diffrent question at 2 diffrent times, But I never get a responce. Is there a reason? Did I upset someone at The Body by asking my question? If so could you please let me know. That way I will stop asking questions. I just found out in Sept 2006 that I am HIV positive and I am still learning about HIV through reading etc.

Response from Dr. Frascino

Hello,

Upset? Nah, it takes a lot to get us upset. The reality is that I receive thousands of questions on a continuous basis from throughout the cyber universe. Unfortunately I can only respond to a small fraction of them. Why? Well, do the arithmetic. There are billions of you and only one of me. Honey, believe me, I'm typing as fast as I can.

Let me make several quick points about your post:

1. Since you are confirmed to be HIV positive already, are you certain you are posting your queries to the proper forum? This forum deals with safer sex/HIV prevention.

2. Often we skip over questions that we've already addressed in detail previously. Have you searched the archives for the information you desire?

3. All HIV-positive folks should be under the care of an HIV specialist. That specialist should be ready, willing and able to address any and all of your concerns.

4. Since you are relatively newly diagnosed and still learning about HIV, I would encourage you to peruse the basic information that can be easily accessed on The Body's homepage under "Quick Links." There you will find sections including "Just Diagnosed," "HIV Testing Basics" and "HIV Medications" among others.

5. Finally, if after availing yourself of the wealth of information on this site and searching the archives for your specific concerns, you still have a specific unanswered question not adequately addressed by your HIV specialist, I would encourage you to resubmit your question. OK?

Good luck!

Dr. Bob

no reply Dr Bob???? Aug 10, 2007

Dr Bob, i sent my question a few times and havnt had a reply??? i even made a donation not for a response but bc i believe in the cause.

Response from Dr. Frascino

Hi,

I receive thousands of questions on a continual basis from throughout the cyber universe. Unfortunately I can only respond to a small fraction of them, no matter how fast I type, as there is only one of me and gazillions of yous! I do read all the questions submitted. If I have not responded to your question, there is probably a reason. The most common reasons include:

1. I've answered similar questions previously and the information or reassurance requested is already readily available in the archives.

2. The question is not understandable.

3. The question is too hypothetical.

I would suggest you review your question to see if any of the above three conditions might be the cause for your not getting a response. In particular I encourage you to search the archives! Once I read a question, if I choose not to respond to it for any reason, I do not go back and review it again, as there are way too many new questions piling in on top of it. So if after reviewing the above, you still feel your question deserves a reply, the best I can suggest is that you resubmit it.

Finally, thank you for your tax-deductible donation to The Robert James Frascino AIDS Foundation. As I have frequently stated, donations do not influence which questions are chosen for posting. My services here are free and available to all, whether or not they chose to make a donation to my foundation. Donations to The Robert James Frascino AIDS Foundation should be given only in the spirit of generosity, compassion and a desire to help those in desperate need.

Thanks for your understanding.

Dr. Bob

BOB PLEASE I SEND IN A MILLION TIMES BUT NO REPLY Mar 23, 2003

Dear Bob,I have been trying my luck sending in post like gambling in vegas but to no avail.So I just wanna try the last bet to see if you would see it.Few days ago,I was french kissing a street walker and she perform oral sex on my penis behind the carpark.Now I am overwhemled with this sort of anxiety which is not right and I regret my foolish actionswhich made me wanna cry when I think of this.Ok so I did cry in the dark but that doesn't make my worries but only more stress and worried. I am planning I MUST GO FOR A TEST AT 12 WEEKS BY HOOK OR BY CROOK.Can you tell me something which will ease my worries like am I high risk or do I need a test so on ... By the way you did a wonderful job Bob and hope you continue helping people like us . WORRIED WELL PEOPLE.

PS:I ALSO TOUCH HER RIGHT BREAST AND A CONDOM WAS ON AND INTACT THROUGHOUT THE EVENT

Response from Dr. Frascino

Hello Worried Well Person,

Well, you may not have sent your question a "million times," but you did certainly send it repeatedly over and over again in rapid succession. I tend to delete these "mass mailings", because they clog up my mailbox. Again, all you mass e-mailers (and you know who you are!), please don't send the same question over and over and over again, as it actually decreases the likelihood I'll answer it. OK? You've been warned. Folks, if I don't answer your question in a week or 2, and you can't find a similar post in the archives, just resubmit the question again at that time. OK?

OK, now following that public service announcement, its back to you, Worried Well Person. If, as you state, "a condom was on and intact throughout," then your chances of contracting HIV are exactly zero - zilch, zip, nada. HIV cannot pass through a latex condom. Second, French kissing carries an essentially negligible risk, and touching her "right breast" carries no risk. (By the way, why only the right breast? Was something wrong with the left?) Stop crying, stop stressing, and stop sending the same question over and over again. If you had read some of my previous posts, you would already know I don't believe HIV testing is necessary or warranted for French kissing, right (and/or left) breast touching, and/or oral sex with a condom (behind the car park or anywhere else for that matter). If you want to get tested, fine. That's totally up to you. Twelve weeks would be the correct time for it.

I hope this sets your mind at ease. As for gambling in Vegas, I enjoy that, and I'm willing to bet very high stakes indeed that you are negative. OK?

Good luck and continue to play safe to keep the odds always strongly in your favor.

Dr. Bob

Question about re-submitting questions (should help clear your inbox) Aug 27, 2006

This one should be informative for everyone. In an effort to understand the system (and especially to help clear your inbox a little) how long should we wait to re-submit a question that you didn't



Previous
saliva & the mucous membrane
Next
Terrible fear of HIV which is ruining my life...What should I do doctor?

  
  • Email Email
  • Glossary Glossary

 Get Email Notifications When This Forum Updates or Subscribe With RSS


 
Advertisement



Q&A TERMS OF USE

This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.

Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.

Review our complete terms of use and copyright notice.

Powered by ExpertViewpoint

Advertisement