Follow-UP 9/07

[knollwood]

Hi Terri,

I sent you a follow-up post yesterday.  But haven't heard.
Here's additional testing data done at 12 weeks after exposure:
RBC  Result - 0-3     Reference Interval = 0-3
Epithelial Cells ( non renal )   Result = 0-10    Units = /hpf   Reference = 0-10
Mucus Threads   Result = Present     Bacteria    Result = none seen    
Panel Q83824
HIV 1/0/2  Abs-ICMA
HIV 1/0/2 Abs - Index Value  ,1.00   Reference Interval = 1.00
       Index Value:  Specimen reactivity relative to the negative cutoff.
HIV 1/0/2 Abs, Qual  = non reactive
Chlamaydia/GC Amplification
Chlamydia trachomatis,  NAA    negative
Neisseria gonorrhoeae, NAA  negative
HSV 2 IgG,  Type Spec    Result = 0.91    Ref. Interval = 0.00-0.90  Negative  = 0.91-                              Equivocal  = 0.91-1.09     Positive =  > 1.09  
RPR, Rfx Qn RPR/Confirm TP
   RPR                 Result = non-reactive
HCV Antibody
  Hep C Virus AB    result = ,0.1    units = s/co ratio    ref. interval = 0.0-0.9
                                    Negative =  ,0.8
                                    Indeterminate = 0.8-0.9
                                    Positive =  .o.9
HBsAg Screen             result = negative            ref interval = negative



other HIV testing done as follows:  Home Access Blood Blotch = negative after
2nd week of esposure;  Rapid Ora- Sure Test = negative after 6 weeks  and Repeat Ora Sure Test = negative after 10 weeks.

I am really interested in knowing what you think is going on with me before I see my primary. My most recent symptoms is that I have developed on both my inner thighs mosquito-looking red marks.  In addition,  on both my
inner arms,  I have developed soft-feeling bumps of normal skin color.  If I am to describe them, I'd say they look like soft lymph nodes.

[Terri Warren, RN, Adult Nurse Practitioner]

Your HSV 2 is equivocal, which means it is neither positive nor negative, but VERY close to negative.  How long since a possible exposure?

Terri

[Terri Warren, RN, Adult Nurse Practitioner]

I would wait until 16 weeks have passed and have a western blot done.

Terri

[Terri Warren, RN, Adult Nurse Practitioner]

I think I would advise you to redo the antibody test at 16 weeks, for greatest certainty.  By now, you've had your appointment, I will be curious to hear how it went and what the recommendation was from your primary care provider.  Equivocal tests are hard to sort out sometimes, and sometimes they stay that was for a very long time, which suggests that they are truly negative, not positive,

Terri

[knollwood]

You are probably tired of me, Terri.  But I screwed up again.

On last post,  under  "units index"  it should read:

               Negative       1.09

It's correct this time.  Thanks

[knollwood]

Dear Terri,

Please forgive me.  I'm so nervous that I'm not copying things thoroughly.  On the HSV2 test, here is what the first line says as opposed to what I sent you"

HSV 2 IgG, Type Spec     Result= <0.91          Units      Ref. Interval 0.00-0.90     Lab  
                                                                     index                                            1
                                                       Negative    1.09

I don't know if this makes any difference.  I'll wait to hear from you.  Please try to get to
me today 9/8 since I have an early morning appointment on 9/9 with primary.  Thanks

[knollwood]

Hi again, Terri -

I just noticed that the Note on HSV 2 test didn't go through on my e-mail to you.  Here it is:
"Negative indicates no antibodies detected to HSV-2.  Equivocal may suggest early infection.  If clinically appropriate,  retest at later date.  Positive indicates antibodies detected to HJSV-2;  coinfection with HSV-1 cannot be excluded without type specific testing."

[knollwood]

Good Morning, Terri.

Thanks for responding.  It has been 87 days which computes to 12 weeks. The exposure was on June 13, 2011.  Please check my arithmetic to see if it is correct.  I look forward to hearing from you.  My appointment with my primary is on Fri., Sept. 9.  Thanks.