MEDHELP 翻译 NO.8（老外在和中国性工作者发生了带套xingjiao，并且有症状。呵呵）

摸妹妹

MEDHELP 翻译 NO.8(这片翻译给带套但有症状的朋友们。）
Hi dear Doctor,
I had protected sex with sexual worker on May 05th when i was in China. I'm sure that the condom did not came off, but I didn't check if the condom is intact or not ( I saw my semen was inside condom after I took it off). And my glans(glands) may had one small wound on it, but no bleeding or paining.
Here is my symptoms:
1, May 12nd, i started to dry cough, then I ate Levofloxacin, the cough goes less, and lasts for around 10 days. No sore throat. No running nose or stuffy nose.
2, 13rd, In the morning, I got low fever, then I ate some chinese medicine of antipyretic every day, usually 37.5 C in the night and lower than 37 C in the morning. Fearful night sweat ! last for 5 days. No headache.
3, 14th , after i came back to canada, diarrhea,3 to 4 times per day. and very tired, lasts for 4 days. ( is diarrhea caused by jet lag?)
4, Two weeks after all of those symptoms went away (around June 2nd) , my two of my submaxillary lymph nodes enlarged for 2 weeks. people can't see them but people can touch them, now the nodes on my right side is normal, but the left one is still bigger. and No any pain feeling when I touch them.
On May 17th, I went to doctor, he didn't find any problem on my lungs, heart or throat by looking and listening. and I did the blood test and HIV test. every thing was fine. and i will do one more HIV test in next week.
I feel very anxiety this month, I really need your analysis, doctor, but not comfort me please. i would like the truth..
1, Was the condom intact if i saw my semen inside it? if there was a small breakage, can i feel that?
2, if I'm not infected with HIV, how to explain those symptoms? dry cough, fever, submaxillary lymph nodes enlarged and diarrhea. Usually, cough and diarrhea are not happen in the same time, right?. and i don't have running nose or stuffy nose.
3, no matter how the quality is the condom, once it is not broken, even my glans (glands) may had one small wound, then I'm safe?
Thanks for your help!
Sincerely!
您好，医生
今年5月5号，我在中国和一个性工作者发生了关系。我确定安全套没掉，但我不确定它是否是完好的。我在即摘下安全套时，看见了我的JY在安全套里。我的贵头可能有一个小的但是不流血也不疼的伤口。
这面是我的症状：
1.5月12日，我开始干咳，之后我吃了左氧佛沙星，咳嗽减轻了但持续了大概十天。没有咽喉痛。没流鼻子，鼻子也没不通气。
2.在13日，早上，我低烧了。我每天吃一些中药退烧药。总是晚上37.5C，白天低一些，37C。害怕的是晚上盗汗！持续了五天。不头疼。
3.14号，我回加拿大以后，开始每天3道4次的腹泻。身体感觉非常累。这持续了大概4天。（腹泻是由于长途飞行引起的么？）
4.两周后，当这些症状都消失以后，（大概6月20日），我的两个下颚淋巴结开始肿大，持续了两周。人们看不见但是可以摸的到。现在，我右侧的淋巴结好了，但左侧的还是很大。当我碰他们时不感觉疼。
5.在5月17日，我去看了医生。通过听诊和观察，他没发现我的肺，心，喉咙有什么问题。我做了验了血也做了HIV测试。结果都很好。我下周还要再做一个HIV测试。我这月感觉很焦虑。我真的希望给到您的诊断。不过不要安慰我，我想知道事实。
1.如果我看到了我的精Y在按原套里面，是不是说明安全套完好？如果有小的破损，我能发觉么？
2.如果我没被感染HIV，怎么解释这些症状？干咳，发烧，下颚淋巴结肿大，腹泻。通常，咳嗽和腹泻不同时发生对吧？我不流鼻子也没有鼻塞。
3.无论安全套的质量怎么样，只要它没破，即便我的贵头可能有小伤口，我也是安全的么？
非常感谢您，医生

医生：
Hello,
Thank you for your post.
I always tell patients not to trust symptoms. From the point of view of HIV sero-conversion, symptoms are not relevant as they are not specific. Your symptoms are consistent with hundreds of other conditions, much more common than HIV. What iti is important is to assess the risk of any possible sexual encounter and then correlate this with possible symptoms, and not the other way around. Your sexual encounter seems to be low risk as the condom appeared intact and that is safe. Therefoe I think it is highly unlikely that you have been infected with HIV, and to confirm this, you have had a negative HIV test. The fact that your test was negative, that would exclude in itself that the symptoms that you had prior to the test had anything to do with HIV sero-conversion. Let me answer each of your questions here below:
1.) Most likely. If a condom breaks, the semen does not remain inside and the condom rips and you would have noticed this.
2.) Those symptoms can be explained by hundreds of conditions. A cough is not a typical symptom of HIV sero-conversion I do not beleive that they have anything to do with HIV. They are more likely to be related to a simple viral illness, compounded with all the stress and anxiety that you are going through.
3.) Exactly. if the condom remains intact and in place, it is safe.
Best wishes,
Dr José
您好，
谢谢您的上传。
我总是告诉我的病人，不要相信症状。从HIV血清转化的观点来看，症状是不相干的，无特异性的。比起HIV的症状，您的症状更符合上百种别的疾病。您是预测自己的行为危险程度，然后硬把HIV的症状联系起来，除此之外没别的了。您的XJ行为在安全套完好的情况下似乎是很低风险的。这是安全的。因此我想你=您非常不像感染了HIV。为了确认，您得到了阴性的HIV测试结果。事实是您的测试结果是阴性，我们要排除您之前描述的上述症状和HIV有关。让我在下面回答您的每一个问题：
1.大多数情况下。如果安全套破了，精Y不会留在里面，并且安全套裂开了，这时您会注意到的。
2.这些症状可以用上百种别的疾病解释。咳嗽不是一个典型的HIV症状。我不认为它们和·HIV有一点儿关系。它们更像是和简单的病毒性感冒有关，加上您承受着紧张和压力导致的。
3.正确。如果安全套完好而且没有脱落（或者翻译成在它的位置上，带好了）它就是安全的。
祝好
Dr José