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Author Topic: Bloody handshake  (Read 501 times)

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Offline candyland123

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Bloody handshake
« on: December 21, 2020, 03:54:32 am »
03:00AM, on my way home from work, flat tire. I pull into the nearest gas station. A hobo (name Syd) is manning the air compressor, pumping up someone's bicycle tire. I queue up in front. Syd notices the drywall screw and offers to plug the tire. I take him up on the offer.

It's a cold night, I'm tired as hell and eager to get home. Syd's buddy is sitting nearby, entertaining us through this predicament. Strewn across the floor, they've got fruit roll-ups, blankets, and random BMX stuff. Relatively clean cut caucasian gentlemen in their early 30's, warm and friendly.

This drywall screw is stubborn, Syd busts up his hand removing it and is bleeding from his knuckles. He smokes Fentanyl halfway through the task. After some tribulation, the job gets done and I leave some notes and a handshake.

Plug unworks itself as I drive away; back to the pump. Syd plugs it again. As I reach in for another handshake, he gestures for a backhand tap since his hands are covered in tire crud, but really both sides of his hand have tire crud and some drying blood.

As I drive away, I realize my hands are chapped, mild-to-moderately dermatitic but not bleeding.

I get to thinking. No blood residue plainly visible on my hands, but a potentially high-risk subject. I pull over and rinse with water after about 10 minutes.

Is there a reasonable HIV transmission risk?

Offline Jim Allen

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Re: Bloody handshake
« Reply #1 on: December 21, 2020, 04:11:33 am »
Hiya,

What you posted is no HIV risk to you whatsoever.


Here's what you need to know to avoid HIV infection:
Use condoms for anal or vaginal intercourse, correctly and consistently, every time, no exceptions. Consider starting PrEP as an additional layer of HIV protection going forward

Keep in mind that some sexual practices which may be described as ‘safe’ in terms of HIV transmission might still pose a risk for transmission of other STI's, so please do get fully tested regularly and at least yearly for all STI's including but not limited to HIV and test more frequently if unprotected intercourse occurs

Also, note that it is possible to have an STI and show no signs or symptoms and the only way of knowing is by testing.

Kind regards

Jim

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Offline candyland123

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Re: Bloody handshake
« Reply #2 on: December 21, 2020, 04:42:56 am »
Hi Jim,

Thanks for promptly addressing.

Follow-up: Would there be a risk if there WAS low-level blood residue transferred onto chapped hands? What are possible considerations for the case studies indicating dermatitic, chapped skin as potential entry points?


Offline Jim Allen

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Re: Bloody handshake
« Reply #3 on: December 21, 2020, 04:50:21 am »
Hiya,

This is the same question again, you already said you had chapped hands. I already answered.

Reading your story, I feel it's worth mentioning that HIV can affect anyone regardless of Class, Wealth, Social standing, Sexual orientation, Race, Ethnicity, Gender or Age. HIV is simply a virus that affects all walks of life, nothing more than that.

As these things don't change how HIV is or isn't transmitted, they don't influence the assessment.

Now about the handshake, what you posted lacks several conditions required to acquire HIV like a direct route for HIV to infect and asides from that HIV is fragile. Hence nobody despite scraps, bumps, small wounds, skin conditions has ever acquired HIV the way you fear.

People living with HIV are not a danger to you or others around them during day-to-day contact or activities such as hugging, shaking hands, sharing toilets, sharing dishes, kissing.

Now if you have chapped skin on the head of your penis and engaged in something that regardless would already meet all the biological conditions to be an HIV risk, such as condomless intercourse let me know.
« Last Edit: December 21, 2020, 04:53:58 am by Jim Allen »
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Offline candyland123

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Re: Bloody handshake
« Reply #4 on: December 21, 2020, 10:53:42 am »
Jim,

I see what you're implying here, so let me be clear.

"Hobo" and mention of their circumstance are in no way used derogatively or to project a stigma.

Certain details of context are provided to reasonably profile the subject, for the purpose of risk-assessment of an otherwise unknown HIV status. IV drug users are part of a higher-risk group, and in this situation we assume the subject is an IV drug user given the background (just as likely he is not, but err on caution for this purpose).

Beside that, the juxtaposition is just slightly heart-felt. It tells a story, and I thought connoted quite the opposite impression of Syd, his friend, and their "social status" (your words, not mine). If you go into a forest and call a tree a tree, that's end of story. If you want to bring up the food chain, then we get into a conversation about producers, consumers, etc., and their relative positions in the pyramid... so, it becomes a whole thing since you have lent significance to the subject by bringing it up. Trees aren't deaf.

Anyway, I really appreciate your advice and all that you contribute to the forum. I also understand and respect a certain amount of defensiveness for uneccessary profiling in this community, but sometimes it's necessary, maybe other times it's just a perspective from a naive vantage point. There's something to be learned both ways.

Thanks again.

Offline Jim Allen

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Re: Bloody handshake
« Reply #5 on: December 21, 2020, 11:13:06 am »
Im not implying anything, I see what you are doing though.

Firstly I'm known for being blunt, if I wanted to say something I would.

You mentioned certain details and I've made sure you and any readers understand that these don't factor into the risk assessment or the transmission of HIV.

Even if someone belongs to a disproportionately impacted group that's their HIV concern and it doesn't mean the individual is living with HIV, it certainly doesn't change your nonexistent risk. It's something you still don't seem to understand as you are now bringing up nonsense about IV drug usage and profiling to try and justify your earlier post.

Now to the blunt part - You shook someone's hand, Move on with your life!, If you come back with more questions on this no HIV risk situation it will lead to a ban for 28 days
« Last Edit: December 21, 2020, 11:41:17 am by Jim Allen »
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Offline Jim Allen

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Re: Bloody handshake
« Reply #6 on: December 21, 2020, 11:53:52 am »
Your questions about the situation and why it was not an HIV risk have been answered and I've even explained why profiling doesn't mean anything in terms of an individual risk assessment.  I've also explained how you can reduce your real risks and to test routinely for STI's and HIV if you are sexually active.

Move on now. Any more on this topic is going to be considered excessive and lead to a ban.
HIV 101 - Everything you need to know
HIV 101
Read more about Testing here:
HIV Testing
Read about Treatment-as-Prevention (TasP) here:
HIV TasP
You can read about HIV prevention here:
HIV prevention
Read about PEP and PrEP here
PEP and PrEP

 


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