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Always searching for some funny medical humor. Any one have any good gems to share?
here is one i found: http://dirtymedicalwords.com/
here is one i found: http://dirtymedicalwords.com/
er doc (when i was on obgyn as a med student): i called you guys because i think its herpes but im not sure...because if it is its the worst case ive ever seen!
pts husband chiming in almost immediately: its impossible, we have both only had sex with each other!
i think we all knew someone here was lying
Not necessarily. 1/3rd of genital herpes outbreaks are actually HSV-1. The inital giant flare up is every bit as bad as HSV-2, but unlike HSV-2 the average genital HSV-1 patient either won't have no/rare recurrences rather than multiple outbreaks annually. The transmission is almost exclusively 'mouth to south', but while the prevelance of oral HSV-1 infection is incredibly high (about 90%) the rate of transmission to a partners genital region per sexual contact is very, very low. So its not at all strange for a married couple that engages in regular oral sex to infect one another years or even decades into their marriage despite being comletely loyal to one another. The only way to know for sure is to have them both come back for HSV-2 immune titers several weeks after their initial outbreak.
For that matter the transmision of HSV-2 isn't incredibly high either, especially if the infected party isn't prone to out breaks, and many aren't. Its perfectly possible that one partner had the infection from long before he was married but just didn't transmit it until now. So there's a 1/3 chance that it's an HSV 1 outbreak and they definitely didn't cheat, and even if it is an HSV-2 outbreak they may not have cheated.
Then again common things being common...
I think you missed the point. 1) thy were saying they both had never in their lives been with anyone else. 2) the er doc wasn't even sure it was herpes because it was so raging
1/3rd of all cases of new onset herpes are HSV-1, that IS common.
I think this is an important point: most patients think that the only way for a married person to get any type of STD is to play around, and when a physician confirms that, or even fails to deny is, is can devestate marriages for no reason. When you patient presents with genital lesions you need to let them know that their partner really might not have known about a longstanding infection because they were asymptomatic (Trich, HPV, HSV-2; and even early HIV) or even that they might not have a real STD at all (HSV-1).
I'm not missing the point, I'm explaining why there is a very good chance that they're not lying and could still have a terrible genital herpes outbreak. Most people contract oral HSV-1 as children without a symptomatic outbreak: kisses from family members/playmates on the playground/etc. Almost everyone has it by the end of high school, even if they've never been sexually active. Then, when they do finally meet someone, every time they engage in oral sex with their partner there is a small but significant chance that they get a raging outbreak of HSV-1, spread from their partner's mouth. This isn't an extremely rare phenomenon, it's 1/3rd of all genital HSV outbreaks.
Not necessarily. 1/3rd of genital herpes outbreaks are actually HSV-1. The inital giant flare up is every bit as bad as HSV-2, but unlike HSV-2 the average genital HSV-1 patient either won't have no/rare recurrences rather than multiple outbreaks annually. The transmission is almost exclusively 'mouth to south', but while the prevelance of oral HSV-1 infection is incredibly high (about 90%) the rate of transmission to a partners genital region per sexual contact is very, very low. So its not at all strange for a married couple that engages in regular oral sex to infect one another years or even decades into their marriage despite being comletely loyal to one another. The only way to know for sure is to have them both come back for HSV-2 immune titers several weeks after their initial outbreak.
For that matter the transmision of HSV-2 isn't incredibly high either, especially if the infected party isn't prone to out breaks, and many aren't. Its perfectly possible that one partner had the infection from long before he was married but just didn't transmit it until now. So there's a 1/3 chance that it's an HSV 1 outbreak and they definitely didn't cheat, and even if it is an HSV-2 outbreak they may not have cheated.
Totally honest OBGYN (*Warning* may be too graphic, NSFW for some)
[YOUTUBE]http://www.youtube.com/watch?v=xG6K5hbPJKs&context=C40024a8ADvjVQa1PpcFOx044_s7NKodp4jOIRthHRSq2GpcCHtIs=[/YOUTUBE]
Hitler's Match Day one is funny too
[YOUTUBE]http://www.youtube.com/watch?v=OIW84-Q3vA8[/YOUTUBE]