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Im positive that im positive, howelse could i have OHL?
Aug 16, 2010

Dr Bob you will remember me from my request "DONT BELIEVE IM NEGATIVE AFTER 6 MONTHS TEST(please don't forsake me)-im at the 11 month mark and im convinced i must be positive because of OHL that i have on the surface of my toungue and an abysmall CD4 count of 450.I am still testing negative and stumbled accross some information that rapid tests are only 85% effective.I am just bearly hanging on.Most Drs want to dismiss the issue but cant explain my OHL.I do realise that i fret more than the avarage Joe Soap but look at this i have sex with a SAfrican sex worker get HPV (warts) experience Ars type symptoms including a patchy uncomfortable hairy toungue OHL (up till present).Please help me i dont want to wake up dead without a fighting chance by being on meds.

Response from Dr. Frascino

Hello,

No matter how many times you ask, my assessment and advice will not change. See below. I advised you in April that you were HIV negative and needed psychiatric help. Here we are in August and you continue to be "convinced" you are HIV infected, despite additional negative (and unwarranted) HIV tests. The information you stumbled across about rapid tests is not accurate. Besides, you've also had negative ELISAs and undetectable PCR tests! You do not need antiretrovirals. You need a psychiatrist. I really can't say it any more straightforward than that.

Dr. Bob

DONT BELIEVE IM NEGATIVE AFTER 6 MONTHS TEST Apr 24, 2010

Dr Bob,

I had a dodgy encounter with a South African street prostitute (very stupid)i was drunk- and used the womans condom.I was not fully erect and felt i was slipping out of the condom though not entirely-i was in there for about 5 minuets (sunday morning)-On monday morning i began sweating (after eating and after very superficial physical exertion for 2 weeks) -that evening i noticed 2 yellow lessons on my frenulum.After 1 1/2 weeks i had a dry mouth and a white toungue (hours prior to that occuring I was so nervous and anxious that i took about 8 antidepressent pils -a mild antidepressent BIRAL(4)and a level 5 (4)antidepressent (STRESSOL).

I experienced joint muscle pains, diarhea (4hrs) nausea (week7), malaise (week7) Lymph node swelling in groin area both sides/ painless(week 9)-night sweats (week 7).

I have since had 20 tests including a pcr (25days) Negative, ELIZA tests (3,5 months) and a Rapid test at 6 months.

I still have a white hairy coating on my toungue which is uncomfortable and burns depending on my anxiety levels.

I dont have a reason to believe in the tests as i have heard that in South Africa its not uncommon to test positive after the 9 month mark. I dont take IV drugs ,and im not on chemo or PEP.I am determined to test till kingdom come.What can you advise I no longer know who i am-have lost money,frends and am scared to loose my job next.

Response from Dr. Frascino

Hi,

Your problem is psychological, not virological. You are definitively and conclusive HIV negative. HIV is not your problem. No way. No how. No additional HIV testing is warranted. Those are the facts. Whether you choose to believe reality is totally up to you.

Even though HIV is definitively not your problem, you do indeed have a serious medical problem that requires intervention. From reading your post, there is no doubt anxiety, depression and irrational and unwarranted fear of being HIV infected are your real problems. For example:

-- "I DON'T BELIEVE I'M NEGATIVE AFTER 6 MONTHS TEST."

-- "I was so nervous and anxious that I took about 8 antidepressant pills . . . ."

-- "I have since had 20 tests including a PCR, ELISA, and Rapid" (all negative).

-- ". . . My tongue is uncomfortable and burns depending on my anxiety levels."

-- "I am determined to test till kingdom come."

-- "I no longer know who I am . . . I have lost money, friends, and am scared to lose my job next."

My strong advice is to seek psychiatric help. You need assistance in confronting your irrational fears and accepting the truly wonderful news that you dodged the HIV bullet despite your "dodgy encounter." You now have irrefutable and overwhelming evidence you are HIV negative. Psychotherapy (counseling) and anti-anxiety/antidepressant medications can be invaluable in helping you regain both your physical and psychological well-being. Testing till kingdom come while your life falls apart around you is not a good option!

Dr. Bob



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