One morning at 9:00 a.m., just after sending off a friend for consultation, there was another knock at the door, I said please come in, and a boy in his 20s flashed in.
Before he was seated, the boy said to me very anxiously, Doctor, you must help me. I said, don't worry, speak slowly. He said that some time ago because of the car accident, there was a knee bone fracture, because to do surgery, in the hospital to do four preoperative examinations, the results came out, showing that HIV antibodies have a response, when you get this result, people are confused, feel dark, do not know and do not believe that they will be infected with this disease.
Because he was particularly worried, he asked the hospital when the final results would come out, and the hospital said that the samples had been sent to our center and confirmed that the test would be done in our center. He really couldn't wait with peace of mind, so he couldn't wait to find him directly. Then he said again, Doctor, you must help me. I said, don't worry, if you don't have high-risk behavior, that is, no unsafe sex, no history of drug use with needles, and no medical institutions to see a doctor, this result may be false positive, don't worry, we wait for the confirmed result. Because I have seen some friends with special physical conditions such as cancer, patients with autoimmune diseases, etc. may have false positive results. But the boy was still fidgeting, especially anxious. During the narration, the boy's face was full of sorrow, and because of worry, he buried his head and cried bitterly as he spoke.
Because I have witnessed so many infected people who have received confirmation reports in our outpatient clinic, and seeing their despair and helplessness, I especially understand the boy's feelings, and I think that anyone who receives such a result will be very anxious. In order to relieve his tension, I explained to him in detail the possible ways of AIDS infection and repeatedly assured him that if there was no unsafe behavior, he would certainly not be infected. And tell him that if he wants to know the results as soon as possible, he can also choose to do a nucleic acid test to verify. Of course, there is no problem in waiting for the confirmation of the results. In the end, he really couldn't stop his inner torment, so he went directly to the designated treatment hospital for nucleic acid testing.
He was particularly happy when the nucleic acid test results came out. Call me and tell me, Sister Wang, my nucleic acid test results came out and were negative. Over the phone, I could feel his excitement that seemed like the rest of his life, and I said then you can be sure. Later, the antibody confirmation result was indeed negative.
However, just because he was waiting for the confirmation of the test results, the doctor's surgery schedule he had previously made was full, and he could not continue to operate on him, and he needed to make a second surgery appointment. The second surgery appointment time is longer than the first, and it is necessary to do another preoperative examination. At the time of the second preoperative examination, the same situation occurred again, and his HIV antibody screening was still responsive. He was still in a very hurry this time and found me again. He said, Sister Wang, why do I still have a reaction this time, am I really infected? Because of the repeated results of the positive first screening, he had doubts about himself and had a feeling of being on his back again. I think anyone who takes on a repetitive blow can be overwhelmed, so I especially understand his helplessness and panic.
I said, don't worry, because you already have previous experience, if you haven't had dangerous behavior recently, I think this time it is likely to be a false positive, so you just have to wait patiently. But the boy is still particularly anxious, feeling that waiting directly is too painful, and at the same time, he is particularly worried about whether the two initial screenings have a reaction, which proves that he is really infected? Then he went to the designated treatment hospital for nucleic acid testing. The result of the nucleic acid test is still negative, and the subsequent antibody confirmation result is also negative.
After experiencing the ups and downs of his mood twice, the boy finally had a smooth operation, and the twists and turns and torments may only be experienced by the boy himself.
What should I do if I encounter a reaction to the results of the initial screening, but there is no actual possibility of infection? One is that the confirmation test can be done immediately, because the diagnosis of HIV is ultimately determined by the results of the confirmation test, and the results of the initial screening cannot be used as the basis for diagnosis. One is that nucleic acid testing can be done immediately, and if the nucleic acid test is negative, it can also be preliminarily ruled out, indicating that you may not be infected with HIV.