Happy Ending Massage.....not truly

[smith125]

Hello Doc,
On Tuesday 14th Dec'10 went to a massage parlor and one thing lead to another and she gave me a soap bath cleaned me thoroughly and later a massage were i inserted my finger into her vagina for a brief movement while she was standing and she applied lotion and  gave a hand job were i came. She took tissue to wipe my finger and semen off my stomach first and then she took another tissue and cleaned by finger again and this time used the same tissue to wipe my penis which freaked me out. later she brought a warm towel sprayed alcohol contain on it and cleaned by penis hard. I asked her twice if she was clean from HIV and she said all they do is give happy endings and no sex and she was clean (did not say her status of HIV (S. KOREA). I did not have sex,kissing,oral or was she naked lying on my body.I do not have cuts on penis (Not bleeding- uncircumcised). I am completely stressed, depressed and feel like have fever all day (measure 97.9) and nausea and drained. Does ARS start on the 3rd day? Can I get PCR DNA or RNA as i cant live feeling like this for 3 months. Risk of STD's as i have pain in penis for quite sometime now with all STD's negative and no urology symptoms. All Doctors diagnosed stress. Stress kills before HIV. Last year same time I received oral sex and tested  about 18 times through out the year to be sure for 11 month all -ve. My doctor says I am hyper sensitive now. I judged a hand job involves no blood or semen and could be safe may be not. what are my risks

Thanks Doc
Smith

[Edward W Hook, MD]

Welcome to our Forum.  I agree with your doctor.  You are being hypersensitive and overly concerned.

Nothing about the exposure you describe places you at any risk for HIV.  HIV is not spread through masturbation or by contact with inanimate objects (like tissues or towels) contaminated with genital secretions and there is absolutely no reason for you to seek testing related to the exposure you describe.

Furthermore, the ARS NEVER starts 2 or 3 days after acquisition of infection and most doctors would not call a temperature of 99.6 a significant fever.  Finally fever alone is not the ARS.

Believe your doctors about your bumps.

My sense in reading questions is that you are too worried about STDs and HIV.  I urge you to try to figure out how to work through this.  EWH

[smith125]

When they say symptoms as fever is it really fever of 99.6 F and above or feeling hot and weak wit no real fever.  Does rash include couple of pimples or bumps on arms and chest

Thanks
Doc

[smith125]

Hello Doc, I noticed small bumps on my penis when in erection and i feel the pain is from that but non of the doctors say those small bumps are harmful or to worry about. since my last exposure a year ago and three months later I had all STD's negative.

Thanks a Million

[smith125]

Thank you doctor. For understanding the benefits.I would not want to use it and due its toxin level one could have side effects but would this not reduce the risk of contracting HIV in general and help reduce the spread of it in general population.If under 72 hours, post-exposure prophylaxis (PEP) with anti-HIV drugs to help prevent infection. I read a recent article in bbc.co.uk that the virus finds itself breeding in the testicles so is why the drugs do not completely destroy the virus as in blood

[smith125]

I only had 97.5F doctor just felt like i was burning up and weak. The tissue was used immediately after cleaning my hand from her secretion fluids. I am guessing your answer remains unaltered.

Thanks.

[Edward W Hook, MD]

I am not sure I understand your question about PEP.  I would not recommend PEP for you as you are not at risk and PEP does have side effects and  is expensive.  People should not take medications they do not need and there is no reason you have provided to use PEP.

I understood how the tissue was use.  The additonal information in no way changes my answer.  You do not need to worry and do not need testng related to the exposure you describe. There is no risk.  EWH

[smith125]

Sorry my question was about why the health department or other agencies not promote about  PEP if it is so effective to eliminate the virus from the body. So individuals like me and others on this forum can go to a doctor immediately after a risky behavior and talk to  him of the exposure and have him decide to prescribe PEP. Just like how in my case you told me I don't need them.Would that not save a lot of life's because people don't hesitate to see a doctor like you immediately and take a timely advice. I was not aware of the risk and benefits of PEP till yesterday and i am guessing i am not the first.

Thanks Doctor.
I really appreciate all the individuals lending services on this forum.

[Edward W Hook, MD]

I cannot speak to how and why (or when) health departments will or will not promote PEP of other newly available management strategies for any STDs, including HIV.

PEP is a relatively new intervention, not to mention expensive.   The best trials of PEP are still underway as well.  Thus, given the fact that health departments (and CDC) tend (appropriately) to be conservative in their approach, it is not surprising to me that they may not be aware and/or promoting PEP at this time.  Personally, I have great fear about the downsides of PEP in terms of medication overuse and the potential to promote development of resistance to medications for HIV.

This is my perspective.  Hope you find it helpful.  EWH

[smith125]

Hello Doc,
You adviced me not to get tested. But I am having painful lymph nodes in front and back of my neck, near my collar bone,inner thighs. They are not hugh by can feel the bump hard and swollen.Rash on the chest and running nose only when I am outside in cold. Do I need to get tested and what can be a confirmatory test at this time. (PCR DNA,RNA,ANTIGEN). From FL.
I have kids at home and am scared to touch them
Thank you Doc

[Edward W Hook, MD]

Your fears are not justified.  If you wish to get tested, the best test at this time is one of the so called "DUO tests which tests both for HIV p24 antigen and HIV antibody.  If this sort of testing is not available, getting a PCR test and a standard antibody test might be substituted although the PCR is not in any way standardized for HIV diagnosis.  In either situation and with either test, testing would not be considered definitive until 4 weeks following exposure.  EWH

[smith125]

Hi Doc,One last question about what part the body is considered groin swelling I would like to move along but my groin is painful and swollen. Does ARS cause this part of the groin swell.

1)  http://media.summitmedicalgroup.com/media/db/relayhealth-images/groinstr.jpg

I was under the impression that the below picture (link) is what that swells

2)  http://medicalimages.allrefer.com/large/swollen-lymph-nodes-in-the-groin.jpg

Please help clarify

[Edward W Hook, MD]

This will be the last answer.  When swollen glands in the groin are discussed, typically persons are referring to the area at the top of the legs where they meet the pelvic area.  the area noted in your second link (lymph nodes) is the correct picture.   If you have questions you should see a helath care professional.  

Further questions will be deleted without comment. EWH

[smith125]

Hello Doc,
I had the below tests done through labcorp on 1/12/2011. Incident date 12/14/2010 (29 days). Am I in clear or should i get future tested at 3 months.

HIV-1 Antibody, Confirmation Western Blot                                                              Value Range Result Test Date     Results Date
<1.00 <1.00 Negative 01/12/2011          01/14/2011
HIV 1/O/2 Abs, Qual HIV 1/O/2 Abs, Qual
Value             Range          Result Test Date     Results Date
Non Reactive Non Reactive Negative 01/12/2011 01/14/2011
HIV-1 DNA by PCR With HIV Antibodies by ICMA
Value             Range          Result Test Date     Results Date
Negative               -         Negative 01/12/2011 01/14/2011

[Edward W Hook, MD]

As I said before, you don't have HIV. The tests prove this.  No more answers. EWH