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AIDS/HIV test and continual worry

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Question
Hi.  Im sorry to bother you and I hope your patient with me.  I have had a continual, some say irrational, fear of HIV since i had a scare in 2003.  Since then, I have had three tests, all at the same Sexual Health clinic in the UK.  Because I have a needle phobia, i looked away when the nurse practioner took my bloods and since then, ive worried myself about the possibility of catching something either through her mistake or even intention.  I know this sounds silly but i cant get rid of this idea.  Is it possible for her to take blood out and it read negative but put contaminated bloood in?  Im sorry if this seems irrational, I just want peace.

Thanks, Stuart M

Answer
Dear Stuart:

Peace.  It seems that you're aware that the fear is unwarranted; this seems more a manifestation of your own anxiety and challenges than a risk of HIV issue.  Knowing something is out of balance is the first step in correcting it.  I would recommend you speak with your doctor and ask for a referral to someone who specializes in treatment of your concerns.  

I will add that there are today HIV antibody tests that use a swab instead of drawing blood - it is an option for you, as are some home tests approved by the US Food and Drug Administration which allows you to place some of your blood on an absorbent pad and send it to a lab for testing; you then call and get your results.

Please see someone soon about the fears - they get in the way of your happiness and are treatable.

Best to you and yours,

Terry

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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