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Regarding your reply on 7/3 to my question labeled "Please Answer Me"

Question: 

The other day I asked a question that basically was me looking for reassurance in regards to my husband and what your thoughts were as far as do you think he could have been pricked by a needle or am being irrational, meaning, should I be concerned my neighbors threw a hypodermic needle over into our yards (because they may be upset we called the cops on them a few months ago), I have no reason to believe a needle would be in my yard and my husband stated he poked himself on something while picking up bushes and branches he just cut down/could have been thorns in there or anything) Also he looked at his finger right away and said it did not bleed, he said IF IT WAS A NEEDLE HE SURE WOULD KNOW AS HE WAS LOOKING AT WHAT HE WAS PICKING UP OFF THE GROUND also told me HE NEVER BLED IT JUST FELT LIKE A SHARP EDGE OF A TREE BRANCH OF A NEEDLE, COULD HAVE BEEN A BEE STINGER ANYTHING. He looked at the ground and said he would have seen a needle in what he was picking up and that I am being irrational. The reason why he is getting upset is because all I do is think someone is going to put needles somewhere to harm me because I have a needle phobia and am afraid that hiv is EVERYWHERE I have OCD and all I do is think red dots are blood or anything that I cut myself off I check to see if it is a needle and I stare at the ground whenever I walk because I am looking for needles.
The reason I am writing back to you is your response was marked "HIGH RISK" and basically you said I should get tested and that I should be concerned of hiv. I apologize for saying this but everyone I have asked what they think, my mother, my friends they all said I should not be concerned and that I am just thinking that because I have a really big phobia of hiv, needles etc. So your answer made me even more anxious because you know what? I already know that there was no needle and that this worry is because this is my obsession that consumes almost every day of my life. I am always looking for needles and worried people will put them somewhere to infect me and frankly I do not feel like you even answered my question because in the answer you stated, that my question is basically saying "my husband was poked by a needle should I be concerned", when really my question was DO YOU THINK I AM BEING IRRATIONAL AND DO YOU THINK THAT IF YOU WERE IN YOUR YARD AND YOUR HUSBAND OR WIFE WAS PICKING BRANCHES OFF THE GROUND, WOULD YOUR FIRST THOUGHT BE OMG WAS THAT A NEEDLE? I did not say my husband was poked by a needle. I just wanted to know what you thought about my question and you made me feel worse, because deep down I know nothing happened and you basically told me I should be concerned about being infected with hiv and to get a test. Well let me tell you, I have had at least 10 hiv tests in my lifetime because of how much I worry about getting hiv and I do not do anything high risk. So this is not a high risk question, this was simply me looking for reassurance and you know what I have written on here before and most people reply and say that you cannot really answer "what if" scenarios and that I sound very anxious basically I have been told to seek professional help, as this worry all the time is not good for my health. I apologize because I should not have written a question like this in order to seek reassurance, but why would you basically answer this as if I should be worried and that this is high risk? All I wanted to know was did my story sound ridiculous, I mean come on you cannot live life every day and walk around thinking there are needles everywhere, so why would you respond as if this was a big concern? Again I did not ask you if I should be concerned because my husband was poked by a needle. I asked you do you think that would have actually happened? If this is the case I guess you are telling everyone who accidentally pokes themselves while gardening with a branch that they should automatically be concerned about needles and to go get tested. I am SO SORRY FOR EVEN COMING TO THIS HELPLINE because all you did was stress me out even more and now I am panicking because of my ocd. If you could kindly reply to this please and explain your answer and confirm if you actually really think my question really needs testing, or if you "THOUGHT" I was just saying hey there was a needle should I be concerned. Again, I have had several HIV tests in my past because of my worry about everything. i am pretty sure I have poked myself in my yard with a branch and though omg what if that is a needle. I have got tested for hiv after I had to get stitches because I was worried the doctor in the ER used a used needle, so if you can kindly reply and clarify why my question is so high risk. Can someone not be doing yard work, get poked by a branch, or sharp stick/thorn, NOT BLEED and still MUST GO GET AN HIV TEST THIS IS A VERY HUGE CONCERN? because that is exactly how you made me feel.

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about a reply to your previous question regarding HIV risk. The scenario provided outlines a possible needle-stick injury that occurred to your husband in which you engage in unprotected sex with.

It is important to note that the risk assessments we provide are based off of the information given. We are not equipped to examine the likelihood of the specific details in the scenario you provide. Rather, we assess the risks involved in the scenario as if a potential needle-stick injury occurred and was followed by unprotected sex. I understand why this scenario was previously determined as high risk, since unprotected sex as well as needle-stick injuries are always assessed as high risk activities.

It is important to consider the context of the previous scenario you have presented, as it is very unlikely that your neighbors put a needle in your yard. It is also even more unlikely since your husband did not see any needles and was likely pricked by something natural in the environment. We are unable to make specific judgments about the actual scenario, since we were not present to witness what occurred, and we are also unable to determine if you are being rational or not.

In regards to the new scenario you have presented, in which someone is doing yard work and gets poked by a branch, there is No Risk (transmission of HIV is not possible in the given scenario) because the scanerio mentioned does not meet the three components of the Transmission Equation.

I apologize if our previous reply caused more anxiety for you, as this is never our intent. I feel that regardless of the risk assessment, it is crucial to know that acquiring HIV is not a death sentence. With the proper treatment, someone living with HIV can live a very fulfilling life for just as long as someone who does not have the virus.

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

Regards,

AIDS Vancouver Helpline/Online, Marie