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A gay man is considered high risk over a straight man that has been treated for syphilis, chlamydia, gonorrhea, venereal warts and genital herpes even in the past year, and in 40 states immediately after getting a tattoo.
The blood scare goes back to the early eighties, with hemophilia patients started showing up with AIDS-related symptoms after getting routine blood transfusions.
Blood tests now, rely on Nuclei Acid testing NAT, which can detect the actual amount of virus in the blood.
Hemophiliacs, also known as “bleeders,” get regular blood transfusions to restore clotting with the Factor VIII concentrate-a single dose contains plasma from 22,000 donors.
In seven to ten days it is known for 99.9% accuracy if the blood contains, HIV, HTLC, hepatitis B and C, West Nile Virus, Chaga disease, syphilis, and sometimes cytomegalovirus CMV. To get the latest updates from National Holistic Health Examiner Tina Ranieri ‘click’ the subscribe button above.
Tina RanieriHolistic Health ExaminerTina has been counseling with her special gifts in spiritual work of the Body, Mind, and Spirit for over 40 years.
Leggings you can wear during Spring and SummerThe legging is one of the most comfortable and versatile styles you can wear this Spring and Summer. Counseling Patients with Genital Herpes Click a topic below for an index of articles: New Material Home Help us Win the Fight!
Safe sex is very important and even if you do not have the symptoms of an STD, a herpes blood test is good to rule out any chance. A man having sex with a prostitute is considered healthier, he can also give blood after having sex with a prostitute as long as he waits twelve months. The old tests checked for an abundance of antibodies in the blood, and new HIV infection could go undetected. Clotting-agents now are made in lab and there hasn’t been one single infected hemophiliac patient since 1987. In the case of public health, would letting that .1% of mad cow disease into the population be the right thing to do, it’s only a five-year ban. If you are someone who has multiple partners or are dating someone a new one, it is good to be tested as a precautionary measure. Some people have been told that they have the infection and this has turned out to be untrue and there are also cases of false negative herpes blood test.
People who’ve spent more than five years in a country with mad cow disease are also considered high risk. His blood is considered safe than a man who may have had sex with another man, even though it was 10 years ago. Banning blood can hurt US blood supply, especially in the cases of natural and environmental disasters, or terrorist action, the blood is used up rapidly. In 2010 the FDA Blood Safety and Availability Advisory Committee said they opted to keep the said policy in action, citing screening actions as not 100%. It’s easy to mistake genital herpes symptoms for something else, or to be diagnosed by symptoms alone and actually not have the infection.
It is important to always practice safe sex because while it may not completely take away your chances of contracting and needing a herpes blood test, it will cut down significantly on your risk. Being told you do not have the disease when you do can adversely affect the partners you come into contact with. It can occur as an outbreak only once and lay dormant for the rest of a person’s life. Herpes blood test is the best way to determine if you have the infection so you can arm yourself with treatment and protection to protect your present partner and any future partners you may have. Counseling Patients with Genital Herpes Slide 2. There are some people that are unfortunate enough to have multiple outbreaks, and can even spread Herpes to others when it is dormant through physical contact.
Genital Herpes is spread through sexual contact and type 1 is spread simple contact such as kissing. There is but you have to make sure that it is not just a test that looks for antibodies, but the actual infection itself. This will tell you if you currently have the infection not just if it has been present in your bloodstream.
If your home Herpes blood test proves to be positive, don’t be alarmed just yet because most do give false readings at first. Still, the best option is do consult a doctor and have a more professional Herpes blood test. The average number of recurrences for type 2 per year is 5, and for type 1, 0 to 1 per year recurrences. It's also important to make the distinction, either by serology or by culture typing if you can, because the means of acquisition of disease is quite different. And that can occur within the context of their own monogamous relationship.
When people are diagnosed with herpes, they start wondering about the fidelity of their partner. And by typing cultures, you can be very clear that this may have well been acquired within your own relationship without anybody else being involved. If your patient likes you and wants you to like them, they may not tell you that they have genital herpes even if they know, which they probably don't.


Last September, I had open-heart surgery and I can go to cocktail parties and social events and talk about that and how difficult that was.
But if I went to the same cocktail party and said in September I was diagnosed with genital herpes, the whole tone of the discussion would be quite different.
We see sexual dysfunction sometimes in people who have herpes, and you may not even realize that it's related to that, but we see erectile issues in men.
If you think that you're going to put your penis into a place that's infected and you're worried about getting infection or infecting somebody else, it may not be that erections come easily. People write letters and then I respond to their letters, or other people can respond as well. Every few months I'll get a new letter and he'll say, " I've been thinking some more about this. I thought she was really clean but we had sex once and I think we didn't use a condom for the whole time. But they need to almost behave as though they are, because they don't know when they're shedding.
And for adults who have herpes, it is not dangerous, there is no link with other diseases that they might have, and it doesn't need to be scary. I think we spent a lot of time saying to clinicians, please don't do blood testing because it doesn't accurately distinguish between type 1 and type 2 and can give the patient mixed information. But the new tests are very good at making that distinction and should be used quite freely. That's a big thing because you want to feel like you bring all of your attributes to bear when you come into a relationship, and you want people to accept you as you are. But the person with herpes believes that they have this additional thing that has to be accepted and they're right, it can be a stumbling block for some people. But I encourage patients; we all bring a bunch of attributes to a relationship, and in the big picture there are other things that people bring that will actually cause more problems by far in relationships than herpes does. They are reluctant to tell family members, reluctant to tell friends. If somebody has a particularly bad first episode, they fear they are always going to be like this. She didn't have genital herpes, she was positive for type 1; she had a history of cold sores. She'd taken this whole segment of her life, from her early twenties to her mid forties, had not had any children, no relationships, nothing, because she was so mortified by having herpes.
And yet she was tested with the old crude antigen test and found to be positive for type 2.
Be certain if you incorporate type-specific serology into your care that you're using the right test, not the old test. The lab that you routinely send to may not be able to help you with your diagnostic problems. People who have genital herpes want to know, "What's left for me sexually?
If I have genital herpes and I give somebody oral sex, will it come out of my mouth on to their genitalia? What's left for me that's safe?" And that may be awkward to discuss for clinicians and patients.
We don't need to get into too much in terms of psychotherapeutic counseling. That may be appropriate for someone else, but what you're doing can be seen as medical counseling. Warren, RN, MSEd, MSN, ANP Manner More Important In Some Ways Than Substance Slide 7. The Diagnostic Visit At the diagnostic visit, remember that it's not so much what you say. You don't have to know the exact information about everything but your attitude makes a huge difference. If you tell people right away, "I think that you have genital herpes. We're going to confirm it with a good lab test, but you're not an essentially different person when you walk out of this door than when you walked in. If you give this essential, core message that you're still a good person, that's what they remember. The Diagnostic Visit Remember also that they're not hearing much of what you say. So even if you learn some new things and you want to share them, remember that their ability to hear you is limited. These medicines are not dangerous, they're very safe, and even if it's not herpes, they'll just be excreted unchanged. Remind people that they can transmit virus when they don't have any symptoms, and encourage the patient to write down questions for contact with you in the future. The early studies showed a link but those studies were not able to sort out human papillomavirus (HPV) from the mix. When we took out HPV, we found that HSV is not linked with cervical cancer, and be sure to reassure patients, because what they hear in the media is something with an H causes cervical cancer.


We have HPV, hepatitis B virus (HBV), hepatitis C virus (Hepatitis C Virus), human immunodeficiency virus (HIV), and HSV.
Be sure you tell them that together you can manage this with medication. The Diagnostic Visit: Not Good Things to Say There are some not good things to say, and these are things that my patients have all been told. It can be transmitted within a monogamous relationship, one person having oral disease and transmitting it to the genitals of another.
People who have recurrent cold sores shed 8% of the days that you look, so they're giving off virus when they don't have any cold sores.
Men are very particular about their penises and they don't like anything on there that shouldn't be there for one thing, but it's also minimizing.
Optional Follow-Up visit We offer a follow-up visit. About 15% of people make that appointment and 85% don't, but we certainly encourage them to come back, go over their list of questions, and offer medical counseling and testing as appropriate for sexual partners.
I had an article in the Journal of the American Medical Association last year with Wald and others showing that condom use for men who have herpes who are having sex with women who don't is very effective. And there's a new paper that was presented at a meeting, it's not published yet, showing it's also effective to protect men.
We believe that people have the most outbreaks during the first year, the most shedding, and the most psychological distress. Maybe they're with somebody who doesn't have herpes and they want to be on suppression. Or they lose their insurance and they come off, and then they get insurance and they want to go back on. Warren, RN, MSEd, MSN, ANP More Options to Help Patients Cope Slide 12.
Expanding Counseling Options If people are having difficulty, there are a number of ways you can handle counseling. That's fine as long as you have somebody who can, either in your office or a good referral outside of your office. And you can have a person that you refer to for individual counseling. Patient Resources: Newsletters, Pamphlets In terms of patient resources, the American Medical Association (AMA) handbook is very good. I'm one of the authors and it's an excellent publication put out by the AMA and it's free. Patient Resources: Books The next things are some excellent books about herpes that you may wish to have for your own library or suggest to patients. Patient Resources: Phones Numbers Here are some phone numbers. This is a very good place to send patients if you're having difficulty answering all of their questions. If you're having difficulty remembering about the tests, you can find all of that information there. Sometimes people find it difficult to start dating again when they're diagnosed, and sometimes they like to start with other people who have herpes.
Here is where people can order their own herpes serology without a healthcare provider. They go to the site, they choose a city and state, and the website gives them a choice of laboratories in their city. They take the lab form into the lab, have their blood drawn, and then the results come back and they're posted on the Internet under a code.
So if you feel frustrated about being able to handle the serologic testing part you can send them to this website and they can do it themselves. The type 1 and type 2 enzyme-linked immunosorbent assay (ELISA) method by HerpeSelect runs around $70 to $80 for both tests. Patient Assistance Programs Here is some additional patient assistance.
If people cannot afford medicine, both companies have excellent patient assistance programs.
If somebody doesn't have very much money, I think it's 120% of the poverty level, they can go on suppression for $5 a month.
We've probably got 200 patients in our clinic on patient assistance programs with GlaxoSmithKline. Periodically they have to verify their income but it's excellent for people who don't have enough money and want to be on suppressive therapy.



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