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shadesofgrey
Legend

Reged: 12/02/05
Posts: 724
window period
      #172295 - 01/29/06 08:50 PM

there has been so much info going on this board about hiv seroconversion and people get confused from info on different sites on the web. dr. bob does a nice job of explaing this i found this an interesting answer from dr. bob on this site. regarding testing,love and peace

3months or 6 months ... and las vegas
Jan 13, 2006

Hey Dr. Bob,

I know you've discussed this before but can you review it for us dummies just one more time? Please???Just a simple answer. Is the window period 3 months or 6 months?

Also, I just heard your Foundation's year-end raffle --- the Las Vegas vacation and $$$$-- has been extended until Jan 31st. I just bought 3 raffle tickets and I am so planning on winning!!!

Finally, how do I make an appointment at your office. I frequently come to San Francisco and really want a full evaluation.

Thanks doc!

Monty Carlos




Response from Dr. Frascino

Hello Monty,

I know you, and tons of others, would love a simple answer to this question. Unfortunately the answer just isn't all that simple. I'll reprint just one of my previous responses for your remedial review, OK?

Next, Vegas! Gosh, with a name like "Monty Carlos," I can see why you might like gambling. Your name sounds a lot like "Monte Carlo," one of the world's most famous gambling destinations. I had a wonderful (and profitable) time playing roulette there a few months ago. Gambling in a tuxedo while speaking French is just so damn civilized! Yes, my foundation's year-end Las Vegas Getaway raffle has indeed been extended to the end of January. The raffle ticket order form can be downloaded on the Foundation's Web site at www.concertedeffort.org. Details about the prize and cash can also be viewed on the site. Good luck!

Finally, to make an appointment at the Frascino Medical Group, all you need to do is call and schedule a time! At least this part of your question really does have a simple answer! The office number is 650-917-1357.

Dr. Bob

Robert James, this is your Mother talking Jul 26, 2004

okay so I am not your mother, but I do need some advice. You have said over and over if you think you were exposed test at 3 months, but you also say if you know you were exposed test to 6 months??? What gives? Don't quote the CDC. I want you to be straight with me, (there is a joke in there) Why are you not consistent? 3 months if I think and 6 months if I know! What is your opinion? I have had the works when it comes to symptoms and was diagnosed for 1 STD, all are gone except for the PN. This after a 1 time insertive exposure with a female who I fear has HIV. I had a neg elisa at 5 months. Do I need another test or not? And why the 3 or 6 months answers? P.S. and don't be straight the world loves you the way you are!

Response from Dr. Frascino

Hello Not My Mother,

I do realize this issue is more than a bit confusing, so let me try once again to explain the rationale behind our advice. The question seems simple enough: three months or six months for a definitive result. The answer, however, is far from "straight" forward. The confusion results from variability in the immune response (time to produce anti-HIV antibodies) which is different from person to person, limitations in the test's sensitivity and specificity (ability of the test to pick up all true positives or eliminate all true negatives), and clinical judgment. In addition, there are special circumstances where our general recommendations for testing might not be applicable. For instance, when folks are simultaneous exposed to hepatitis C and HIV or when folks have previously received experimental HIV vaccines, consultation with an HIV specialist is often required to provide guidance on when to test and how to interpret the test results. Added to his are many very anxious folks who are absolutely certain they have contracted HIV, but in reality, have no identifiable risk. You know the type: "Grandma farted while trying to get out of her Barco-lounger chair. It smelled worse than usual. Now I'm convinced I've got AIDS." Of course, these folks require basic HIV prevention counseling and education, not HIV testing. But that doesn't stop them from getting tested "just to be sure," etc. So what would the answer be to these folks' "three months versus six months" question? In reality, neither, since they didn't need testing in the first place. And what about folks with some degree of potential ongoing exposure? How do we monitor their HIV status? So you can see this is not as straight forward as you might originally think.

OK, back to your questions. The best I can do is take all the information provided to me from an individual questioner, apply the information concerning the limitations of HIV testing, the results of large-scale epidemiological studies, and the scientific facts pertaining to how HIV is transmitted, and then give the questioner my expert opinion and advice. Whether that person chooses to accept my advice or follow my recommendations is, of course, totally up to him or her. The reason I quote the CDC's published guidelines is that they are perhaps the most conservative set of published and well-referenced recommendations I have seen.

So what can I, in good conscience and backed by science, advise? I can say that following a single possible or known exposure, the vast majority of infected persons will develop detectable HIV antibodies within three months of exposure. If the initial negative HIV test was performed within the first three months after exposure, repeat testing should be done at three or more months to rule out the possibility of a false-negative result within the window period. If the ELISA test is negative at three months or more after an exposure, the individual is extremely likely to be HIV negative. This is all based on statistical risk analysis and large-scale epidemiological studies. Now comes the confusing part. If a person was significantly exposed to a known HIV-infected person, the estimated statistical risks change and a second repeat test "might" be considered at six months or more from the exposure depending on the circumstances. And yes, there are very rare reports of seroconversion 6-12 months after a known exposure. The exact details of these very rare historical cases are a bit sketchy, but the reports do indeed exist in the medical literature. Today, however, extended follow-up testing beyond six months after exposure to rule out the extremely rare possibility of delayed seroconversion is not recommended, except under exceedingly rare circumstances that should be based on the clinical judgment of an HIV specialist.

I realize some folks may find this response unsatisfying and perhaps unsettling. However, I'm here to provide you with the best confirmed scientific knowledge that we have, and that's the extent of our knowledge at this time.

I'm also here to provide you with an expert opinion about that science. So let's proceed "straight ahead" (or should that be "gaily forward?") to your question. I would consider a negative ELISA test at five months following a "1 time insertive exposure with a female" of unknown HIV status to be definitive. I would not recommend additional testing. However, as always, the choice to follow my advice or not is totally up to you, whether you are my mother or not.

Good luck.

Dr. Bob








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Anonymous
Unregistered

Re: window period new
      #172296 - 01/29/06 09:11 PM

you make as much sense as a bag of dirt

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shadesofgrey
Legend

Reged: 12/02/05
Posts: 724
Re: window period new
      #172297 - 01/29/06 09:31 PM

please tell that to dr. bob you idiot

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Anonymous
Unregistered

Re: window period new
      #172302 - 01/29/06 10:28 PM

Basically, Dr. Bob and the Body have to say three months to six months to cover themselves. Most experts, including those who work for the CDC, and even some of those on the Body (even Dr. Bob, if I recall correctly), concur that a 6 week test is pretty indicative of ones status (especially with the new tests), and only a small minority will test positive shortly thereafter -- hence the three month window period. Today's tests have to be able to detect seroconversion panels to be in use -- at least in Europe and Canada, I think the US is behind on this.

And there is no reason for Shadesofgray or whatever to post this long dialogue from the Body from god knows when, especially with hypercondriacs like Bura around.



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Anonymous
Unregistered

Re: window period new
      #172306 - 01/29/06 10:49 PM

I believe the information was from jan 13, 2006. I am very grateful to shadesofgrey for posting this. I found it interesting and enlightening. I really dont think Dr. Bob would lie about this or maybe i am just being naive. Whatever the answer is I saw nothing wrong with the post.

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Anonymous
Unregistered

Re: window period new
      #172311 - 01/29/06 11:02 PM

only some asshole with aids would pull something like this on a fears forum

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Anonymous
Unregistered

Re: window period new
      #172313 - 01/29/06 11:07 PM

This is a fears forum. I didnt know that. I thought you came here for information. I have been going over some of these posts and there are alot of people wanting information, i just found this post to be informative. Sorry I commented.

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shadesofgrey
Legend

Reged: 12/02/05
Posts: 724
Re: window period new
      #172342 - 01/30/06 09:31 AM

sorry did not mean to scare anyone just thought the article was interesting about how there is no answer set in stone, i think we should all be aware of that, also people who are going to obsess on hiv are going to be able to find this info like i did, and one last thing, fear is from not knowing you hiv status and not having the knowledge about the test.love and peace

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Hal64
Member

Reged: 12/17/05
Posts: 20
Loc: Texas
Re: window period new
      #172355 - 01/30/06 11:06 AM

Hi shadesofgrey,
I appreciate all of your posts and insights.
Hal

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AIDS2HIV
Unregistered

Post deleted by Becky new
      #172359 - 01/30/06 11:53 AM



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Marie2
Member

Reged: 01/26/06
Posts: 11
Loc: Arizona,USA
Re: window period new
      #172362 - 01/30/06 12:27 PM

I'm mean this with total respect. I think the reason that some of the ww's don't like this is because some do not know if that person was pos or not. So, Dr. Bob is sometimes real quick to tell people that they are ok at 3 months, but the truth is you may not totally be. I read that post when it first came out and it did not make me feel very good to hear that, I know it's the truth, and it hurts. Most people that come on this board are ok, but there are some that come with real concerns. I have had so many symptoms and Dr. Bob has told me that I'm fine, I hope he's wright, but as kind as he his, he's only human and I know none of us are always correct. So what I really want to say about this is, get yourself tested as much as you feel you need tell you know your ok. It's we who pay for these tests and it's up to us and only us to make sure we are all going to stay as healthy as possible. Nobody on this board is going to be able to tell you what you have or don't have, it up to you to take care of your body, we can just be here to support you. It was a good idea to post this as much as we don't like nothing regarding HIV is set in stone.

--------------------


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Anonymous
Unregistered

Re: window period new
      #172378 - 01/30/06 03:23 PM

I think shades should GET LOST he is a jerk for sure !

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Anonymous
Unregistered

Re: window period new
      #172384 - 01/30/06 04:32 PM

AIDS2HIV, you are not in a position to moralize. You didn't even know that you were positive until you had an OI, so don't go on preaching to others. Who knows how many people you may have infected before finding out your status. Hardly "responsible" behaviour.

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daisey6205
Legend

Reged: 09/08/05
Posts: 1091
Loc: kansas
Re: window period new
      #172398 - 01/30/06 06:19 PM

no one here is in the position to moralize, including you. you would not be here snooping around if you had not put yourself at risk, so obviously you are not perfect either. people that live in a glass house, should not throw stones.
daisey

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AIDS2HIV
Unregistered

Post deleted by Becky new
      #172405 - 01/30/06 07:12 PM



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