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RE:Infected after "protected" hand-job/boob-job, fatigued and suicidal...help me dr.bob!
Oct 3, 2010

Hi.Dr.Bob;

I continue to feel overly fatigued and not refreshed after sleep, various lymph node pain and body muscle twitches continue at random. Please help me understand my 37 day post exposure test results:

Patient Value: 0.041 Cut-off value: Positive > 1.0 S/CO Result: Negative.

My question is, do i need further testing? Also i continue to feel overly tired all the time, fatigue, have had considerable loss of lymphatic drainage as evident by permanent thinning of my upper arms/wrists, feet/ankles/lower legs. Is partial or considerable loss of lymphatic drainage ever HIV related at any stage of disease or is it indicative of any systemic viral infection? And what about my all body fasciculations? they dont seem to stop! started a few days after incident and continue till now at 7 & half weeks post exposure! PLease note, i have not yet had HIV rash/fever/lymph node swelling as yey. My question is, since what i have narrated above is physically happening, what could be causing it since it is too much of a coincidence to happen after incident and continue...i feel infected physically! i dont feel the same, dont feel fresh and trust me its not a mental issue! could i haver picked up another, virus instead? like HTLV 1, HTLV 2, XMRV or CMV?

As always, an admirer of your work, looking for your guidance & support!

K.

Response from Dr. Frascino

Hello again K,

You want me to help you understand your 37-day post-exposure test results? OK. Well, it says "Result: Negative." So exactly what aspect of "result negative" are you having difficulty understanding?

As for do you need additional testing, as I've already mentioned (see below), a three-month test would be necessary if you want a definitive result. (HIV-antibody tests taken before the three-month mark are not considered to be conclusive.)

Regarding "loss of lymphatic drainage," I have absolutely no idea what you are referring to, as "loss of lymphatic drainage" makes no sense medically speaking.

Finally, you state, "trust me it's not a medical issue." Sorry K, I disagree. I think you are becoming a worried-wreck fluffernutter. Symptoms such as fatigue, random "body twitches," fasciculations, suicidal thoughts, etc. are very consistent with anxiety, not HIV!

No matter how many times you ask, my assessment (not HIV infected) and advice (see a psychiatrist) will not change!

Dr. Bob

RE: Infected after "protected" hand-job and boob-job - You are wrong dr.bob! Aug 13, 2010

Dear Dr.Bob;

I appreciate your positive comments, but with respect, i firmly believe you are wrong in my particular case. I know you may have heard than a zillion times before.

General statistics do not apply to individual cases. I could have accidentally acquired the infection even though medically i shouldn't have. The condom could have failed without my realising it. I guess abstinence is the only sure way to escape this nightmare!

My testicles are swollen and somewhat enlarged, my thymus area is tender and somewhat enlarged, my throat doesnt hurt at the moment but is inflamed, raw and refuses to heal. I have lost a kilogram of weight before any seroconversion illness has even begun! these are all real points i am experiencing upto day 6 post exposure! Expecting a hellish seroconversion soon!

I remember i also had a small cut on the index finger on the hairy side of my hand, the cut measuring 1cm in length and about 1mm in depth which had dried blood on it when i examined it by chance after the activity. I did not however, use that finger for any insertive purposes.

Anyhow, i will prove it to you after getting an antibody test at the 3 month mark or even an ELISA earlier than that.

Love your work and wishing you the best of health!

K.

Response from Dr. Frascino

Hi K,

You are convinced I'm wrong and that you did acquire HIV from a protected hand-job and blow-job. Hmm. Yes, I have heard similar claims "a zillion times before." Yours makes it a zillion and one!

Well I guess we'll just have to wait and see if the "hellish seroconversion" you are expecting actually arrives and if you have indeed acquired the virus. But I have to tell you K, the chances are about the same as a virgin birth. (Then again some folks believe this as well!)

I have your WO-HOO on hold and look forward to presenting it to you in three months.

Good luck (although in your case it isn't even necessary!).

Dr. Bob Infected after protected hand & boob-job! Aug 10, 2010

Dear Dr.Bob;

First of all, i'd like to thank you for your invaluable support in providng information and care to those in dire need. I am a regular reader and I apologise for the long description but i hope you can help me with your expertise.

I am K, a married 28 year old south-asian male.

If you can, please include this post in the questions asked section because this should be a very rare case of HIV acquisition i belive, in your opinion. I am so convinced i have acquired the infection (due to very early actual symptoms) that i am no longer worried about "might be or might not be" infected.

4 days ago, i engaged in protected "hand-job" with a hotel prostitute of unknown status. This proceeded to a "boob-job". She used a lubricant which could be anyhing. The total activity lasting for no more than 10 minutes. I did not ejaculate nor was there any anal/vaginal or oral penetration. She did "kiss" the tip of the penis over the condom a couple of times and also rubbed her hand over her vagina and then rubbed it over my already slightly inflamed scrotal skin. She may or may not have been menstruating.

Please note that i have a pre-existing unknown chronic viral infection that has lead to a chronic inflammation of my mucosal membranes. (this may have aided my infection)

Moving on, I have had an elevated metabolic rate (avg bpm 90-100) since the day after the activity, my normal resting rate is 60-70bpm. I am right now having off and on, pain in various lymph nodes in my body. Neck/armpit/groin. And i have started to have intermittent fatigue, hot flashes, night sweat on one ocassion and am unable to fall asleep due to my elevated metabolic rate, probably caused so early in the HIV incubation stage due to my pre-existing unknown infection. I feel a general strong irritating discomfort within my body and my arms/legs are somewhat swollen.

There is no doubt i in my mind i have acquired HIV. Because i feel deathly discomfort and illness.

You might say i am at no risk and the symptoms are too early, but an already supressed or activated immune system can cause early symptoms or incubation symptoms right?, and i have no way of knowing if the condom failed or not. Also i shall prove the risk factors wrong by getting tested after my seroconversion illness which i can truly feel "is in the post" due to my constantly elevated non-stress related metabolic rate as confirmed by a doctor, and my thymus/lymph node intermittent pain.

Again i thank you for your work doctor bob. i can feel how difficult it is living with the disease and managing all these tasks. I myself feel like quitting my job after the extreme fatigue i have been having since 4 days.

Please let me know how in your opinion i should proceed, should i get tested? Could i have been infected with something other than HIV as it is definitely some pathogen, i feel so ill overall that i know a seroconversion illness is just around the corner! Should i refrain from unprotected sexual relations with my wife in the mean time as we were trying to have a child? I have already levelled with her but she is unsure what to do. The consequences can be devestating. I need your kind assitance dr.bob. and if possible please let me know how i can reach you by phone or personal e-mail?

Thanks and regards K.

Response from Dr. Frascino

Hello K,

Even though you are "so convinced" that you acquired HIV from a protected hand-job and boob-job with a hotel prostitute, I'm quite certain you did not! Despite your "pre-existing unknown chronic viral infection," "elevated metabolic rate," and other symptoms, your HIV-acquisition risk was nonexistent and consequently you could not have HIV. Your problem is most likely related to anxiety and guilt. We have an entire chapter of situations similar to yours in the archives devoted to anxious folks who are 100% convinced they have acquired HIV. Check it out! Also, I should point out none of these folks actually turned out to be HIV infected!!! None!

I would advise that you do not quit your job. Your fatigue is most likely related to depression, anxiety and guilt. I suggest you level with your wife. It's not only the best way to confront your guilt; it's also the right thing to do. I also suggest you consult a psychiatrist to help you cope with your anxiety and depression. Although HIV testing is not medically warranted for such a non-risk, a single three-month HIV-antibody test might be helpful psychologically. The results will undoubtedly be negative. Write back with your definitive negative HIV test results and I'll include your follow-up post in our archives to help others in similar situations. Phone or personal e-mail contact is not warranted (or available). I am an HIV specialist and you do not have HIV. I am not a psychiatrist and that is the physician specialist you do need.

Good luck.

Dr. Bob



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