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Licensed Brothel USA Exposure Risk

I had vaginal intercourse with a nevada licensed sex worker on aug. 28th, it was her first month and the condom broke while in doggy position and we must have been that way for 5 mins. Eventually she noticed it and i pulled out and we put on another condom, she asked me if i had any diseases i said no and asked her the same she said no. We continued to do different activities w/condoms protected over a span of 2-3 hours all in all. 14 days after exposure i went to an urgent care place and had all my blood tested and they said everything is negative except HSV1.

This past weekend 4 1/2 weels i suddenly felt a weird sensation in my throat, then soon after next morning my glands/lymph nodes on each side of my trachea swelled up, when i raise my head chin up you can see their outline on each side almost symmetrical glands. i had achey joints and night sweats as well as what felt like a low grade fever. the next day i felt crappy all day. i got some sleep finally and i had a bad headache and my glands/lymph nodes were still really swollen and i had a sore throat.

i went to the doc, and my throat and sinus came back neg for flu/step/h1n1 and what not. we did my blood and i get results monday. this is at the 30 day mark which he said should start to confirm one way or another. after my doc appt i took the cipro and by evening my sore throat was gone, as was my achiness and really any symptom other than the large symmetrical lymph nodes on either side of my trachea. one of my questions beyond the exposure risk question here, is should i contact this licensed brothel once i get results or should i contact the state's health dept? Should i attempt to get in contact the worker herself to ask about results or would the brothel furnish those results? i know they get tested monthly. but i have no idea what information or liabilities are involved here.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
You are being paranoid.  Ethically and practically, if your test result was positive the docotr would infomr you as quickly as possible.  I would assume that your results are negative.  EWH
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Avatar universal
oops i've made a mistake it was not "alright" in that sense, it was "all right."  
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Avatar universal
Dr. Hook thank you for your reply. Today, I managed to call the doctor's office, as the past two days i've been unable to sleep. I told a nurse that I was desperately trying to find out my results. She told me to hold, when she came back she said "Dr said your results came back 'alright,' but to keep your appointment in 2 weeks." Exasperated, I asked her what 'alright' meant, and she continued to repeat verbatim what she had just said, with no elucidation and not using the words your results are negative or positive. I don't know how results are typicall disclosed, and I don't know if this was innuendo for "we're not really allowed to disclose results over the phone, but by saying 'alright' i hope you get the hint and just make it back here in 2 weeks, in other words your negative." On the other hand, my fear is that this 'alright' was used to psychologically assuage me for the time being until my appointment in 2 weeks when i would be counseled on my positive status.

Can you please shed light on this matter? Thank you for your time again.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  In preparing to answer your question I also reviewed your interactions on the HIV Community Forum and agree with the advice given there.  As pointed out, outside of a monogamous relationship, a licensed brothel will provide some of the lowest risk partners one might encounter.  These women are tested regularly and condom use is the norm.

Your symptoms are those of virtually any systemic viral illness including the flu or, far less likely the ARS.  The rapid flu tests used by most doctors detect only about 50% of flu infections and many other non-STD viruses can cause similar symptoms., that is most likely what you had.

In your situation and with your level of anxiety and guilt, a 30 day HIV test is reasonable. At this time well over 90% of persons who acquired HIV 30 days ago would have positive tests and the proportion would be considerably higher if your symptoms were indeed the ARS. Thus when you get you negative test results as I anticipate they will be, your risks will then be somewhere in the 1 in 100,000 to 1 in million range.  that should provide you with close to complete confidence that you did not get HIV.

Hope this helps.  EWH
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