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[QUOTE=Rick Rock; 1373534]Chlamydia conjunctivitis ("trachoma") exists (40, 000, 000 people have it at any given time) but usually not related in any way to sexual contact.
"Trachoma is caused by Chlamydia trachomatis and it is spread by direct contact with eye, nose, and throat secretions from affected individuals, or contact with fomites (inanimate objects that carry infectious agents) , such as towels and / or washcloths, that have had similar contact with these secretions. Flies can also be a route of mechanical transmission. Untreated, repeated trachoma infections result in entropion—a painful form of permanent blindness when the eyelids turn inward, causing the eyelashes to scratch the cornea. Children are the most susceptible to infection due to their tendency to easily get dirty, but the blinding effects or more severe symptoms are often not felt until adulthood.
Same bacteria, but much different method of transfer.
Again, the preeminent STD specialist in the USA writes:
"Chlamydial eye infections are vanishingly rare and are not a consequence of sexual activity. In some developing nations there is a chronic eye infection called TRACHOMA which is largely a disease of children and is spread by flies, not sex."
And further, he writes:
"Chlamydial eye infections (trachoma) are common childhood illnesses in developing nations but they are spread by flies landing on people's eyes, not by sex. In adults the only chlamydial eye infections I am aware of, no matter what you find over the internet, are laboratory acquired infections due to lab errors."
There is no one more expert on the subject than Dr Ed Hook, so I tend to trust this.[/QUOTE]This is all very well but I am not in a developing nation and having fly problems. Chlamydia eye can be the result of sexual activity, which is more likely in my case.
[url]http://optometrist.com.au/chlamydial-conjunctivitis/[/url]
"Causes of Chlamydial conjunctivitis are through having unprotected sex, so the disease is prevalent among sexually active teens and young adults.
Whilst spread of the Chlamydia occurs from hand to eye from genital area infection, Chlamydial conjunctivitis itself can be transmitted by towels and facecloths used on eyes and being shared via eye secretions and discharges. It is particularly prevalent in societies that have not been educated around the importance of hygiene."
Here is another source:
"Chlamydial eye infection in adults.
Rönnerstam R, Persson K.
Abstract.
In Western industrialized countries, conjunctivitis caused by Chlamydia trachomatis is most prevalent in adults at about the age of 20 years. In the case of classical trachoma in developing countries, the highest incidence of active disease occurs in children between 2 and 5 years of age. Inclusion conjunctivitis in adults is usually an autoinfection, resulting from a concomitant genital chlamydial infection. By contrast, in endemic trachoma the infection is spread from eye to eye. Only rarely has a nongenital transmission of inclusion conjunctivitis been inferred, among medical personnel and after swimming-pool bathing. Neonates with inclusion blennorrhea also may transmit the infection to family members. Diagnosis relies on the demonstration of C. Trachomatis recovered from infected eyes. Treating chlamydial eye infection in adults means controlling the concomitant genital infection as well. The recommended treatment is oral tetracycline or erythromycin.
"
So it is also an STD, and if all these various means of catching in the eye are possible, it would be ludicrous to exclude finger to pussy, followed by finger to eye.
Your source's bit about laboratory acquired infections is absolute rubbish. I caught the infection first. The doctor suggested the normal eye treatment chloromycetin for conjuctivitis. Naturally, it did not work because I had Chlamydia. Problem persisted for weeks despite that treatment. Later I was tested for Chlamydia which proved positive.
Treatment with Azithromycin then cleared it up very quickly. This shows I had Chlamydia all along, not later introduced by the lab.
I think your expert was a bit of a nut case, to be honest.
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your quoting an optometrist. this is who i quoted:
dr. hook is a professor of medicine and epidemiology at the university of alabama, birmingham, and director of the std control program for the jefferson county (alabama) department of health. dr. hook's laboratory has emphasized diagnostic testing for neisseria gonorrhoeae, chlamydia trachomatis and syphilis, providing a platform for a wide variety of studies. his laboratory is one of 5 cdc-funded reference laboratories for the gonococcal isolate surveillance project which has monitored trends in gonococcal epidemiology and antimicrobial resistance in the usa since 1988. in addition, data generated by his laboratories have reflected collaboration with other faculty of the infectious diseases division and other departments within the school of medicine (obstetrics and gynecology, pediatrics and microbiology) and other uab schools (public health, social and behavioral sciences).
dr. hook's recent work has included: studies of health behavior and behavioral interventions for std / hiv risk reduction; assessment of std epidemiology; clinical trials of new therapeutic agents; and clinical evaluation of new diagnostic tests for diagnosis of gonorrhea, chlamydial infection and syphilis. major ongoing research efforts include his role as pi on a randomized trial evaluation of non-invasive screening for gonococcal and chlamydial infections in adolescents seeking care at hospital emergency rooms and as protocol chair for a randomized trial evaluation of azithromycin for treatment of syphilis.
and.
edward w. hook iii, md, is a professor of medicine, microbiology, and epidemiology at the university of alabama at birmingham (uab) ; director of uab's center for social medicine and stds; and medical director of the std control program for jefferson county department of health. dr. hook attended cornell university medical college, completed a residency at the university of washington, and received postgraduate training in infectious disease at the university of washington. as an internist with subspecialty expertise in infectious diseases, much of dr hook's academic career has been focused on management and prevention of stds. in this context, he has directed public health std control programs in two cities (birmingham, al and baltimore, md) , clinical studies with operational and epidemiologic end points, clinical trials of new diagnostic tests and therapies for a wide variety of std pathogens, and an internationally recognized reference laboratory for std pathogens (neisseria gonorrhoeae, chlamydia trachomatis, and treponema pallidum) ; and he has served as a consultant, chair, and committee member for several national and international organizations including the national institutes of health, centers for disease control and prevention, institute of medicine, american social health association, and world health organization. in addition to his std-related academic activities, dr. hook regularly attends on the tinsley harrison internal medicine service, on the infectious diseases consultation service, serves as a faculty committee member for graduate students at uab, and as a regular lecturer in the uab schools of medicine and public health. dr. hook has also played a critical role in uab's training activities serving as director of the infectious diseases fellowship program and principal investigator and chair of the curriculum committee for uab's k-30 clinical research training grant. his work has been continuously funded by grants and contracts from nih and cdc since 1986.
he has never, even once, seen or read of a sexually transmitted chlamydial eye infection through all of this.
the materials you've provided seem to basically confirm what he wrote, and again, i'd tend to trust a preeminent expert over some private practice eye doctor out in podunk.
people have at times asked dr. hook why so many websites say things such as hiv can be spread through oral sex, chlamydial eye infections through oral sex, etc. his answer has been that they tend toward being very general and conservative for obvious reasons.
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Practicing Medicine
All the cut and paste is fine and dandy.
My advice to anyone who has a STD question to go to a good Doctor near you. Don't rely on people on any of these sites to get your STD answers.
One of the biggest issues with any of these reports, studies, stats, is that people are big liars. Even when they are told it is anonymous or whatever, people lie their ass off to Doctors about their how they got something or their sex histories.
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I think they're probably more honest online than they would be in person. People have no reason not to admit fucking LBs in an anonymous online discussion. And your point is actually one Dr Hook has made repeatedly: websites are conservative and general, they don't and can't give individual advice.
While he has written a lot of government policy and guidelines, he also gives individual advice (not diagnosis).
And then there are some things that do apply widely. Like there being no recorded history of HIV passed by oral sex anywhere.
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[QUOTE=Luvpuss; 1373364]What are the details of any of that? I guess most would think that generally it is true.
But, who were the test groups? LB SW"s, Black SW's, Thai, etc? Where were the tests done? You can go on and on with this.
Bottom line: Can you go the first time and your condom come off and you catch something-Yes.
Can you go BB 1000 times like me and catch nothing-Yes, if you are a lucky SOB![/QUOTE]We all have our risk tolerance levels.
Many do not like to think too deeply on the subject, if they are even mentally capable of comprehending the issues. Most are not.
Worrying about it too much can be worse than just doing it. Stress kills.
Guys such as us around 60 years old, or about to croak, may not or should not be so concerned about HIV as a guy who has just entered life, er adulthood.
[QUOTE=Wolvenvacht;1373367]I can only speak from my personal experience. Eden Club girls always use condoms for FS. Same in the soapies I visited. On the other hand, agogo and beerbar girls barfined and taken to my room never seem to carry condoms. After a BBBJ and DATY when they are ready for FS, never ever one presented a condom to me, I always had to grab my own (I never do BBFS). Did they expect me to do that or was BBFS something they usually do? It was never discussed beforehand, neither asked, nor offered, so the mystery remains.[/QUOTE]I get BBFS all the time, but it's never offered to me. You have to request it and have the know how to get it.
The Bangkok streetwalkers (SWs) I've seen since 2007 "always use condoms for FS" too, that is until you decide you want to forgoe the plastic baggie. Then it's about 10 percent of them will insist on a rubber.
I had one the other day who claimed to have no condom, yet insisted I use one. That saved her about 10 baht. Another SW insister brought her own. That was unusual to have 2 ladies in one night require I use a condom. Even more unusual that I went along with it & enjoyed myself, as they were so hot, moreso than 90 percent of Rainbow 4 gals. I used all my skills & tactics to get them to forgoe, but they wouldn't budge. Maybe next time I'll try alcohol, LOL. BTW the other 2 SWs I had that night were easy to do au naturelle, one from, you guessed it, Isarn.
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[QUOTE=Luvpuss; 1373815]All the cut and paste is fine and dandy.
My advice to anyone who has a STD question to go to a good Doctor near you. Don't rely on people on any of these sites to get your STD answers.[/QUOTE]I fully Agree
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[QUOTE=NicFrenchy;1373977]I fully Agree[/QUOTE]Fine but be aware that General practice doctors can be expert in nothing much other than writing prescriptions. If you need expertise, find a highly recommended specialist.
I was annoyed when having Chlamydia in the eye, that even the eye specialist did not think to test for Chlamydia, and I had to use the internet to find out it might be Chlamydia.
I also find most normal doctors have little idea about another rare condition I have, which is a skin allergic reaction to coldness. Another example, I once had a doctor claim the acne on the back of my neck was dandruff. A later skin specialist laughed and agree it was acne. I once had mouth sores initially diagnosed as herpes, but later re-diagnosed by skin specialist as merely a bacteria problem called Impetigo, easily and rapidly cured by antibiotics.
Beware doctors can be real stupid at times. They like to guess based on the most common problems without doing proper tests. The internet can be of valuable assistance to give some ideas of the possibilities without expecting a correct diagnosis. When the doctor gives stupid advice, can always get a second opinion. Doctors really do "fuck up" often.
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[QUOTE=Syzygies; 1373991]Fine but be aware that General practice doctors can be expert in nothing much other than writing prescriptions. If you need expertise, find a highly recommended specialist.
I was annoyed when having Chlamydia in the eye, that even the eye specialist did not think to test for Chlamydia, and I had to use the internet to find out it might be Chlamydia.
I also find most normal doctors have little idea about another rare condition I have, which is a skin allergic reaction to coldness. Another example, I once had a doctor claim the acne on the back of my neck was dandruff. A later skin specialist laughed and agree it was acne. I once had mouth sores initially diagnosed as herpes, but later re-diagnosed by skin specialist as merely a bacteria problem called Impetigo, easily and rapidly cured by antibiotics.
Beware doctors can be real stupid at times. They like to guess based on the most common problems without doing proper tests. The internet can be of valuable assistance to give some ideas of the possibilities without expecting a correct diagnosis. When the doctor gives stupid advice, can always get a second opinion. Doctors really do "fuck up" often.[/QUOTE]I fully agree & pad my post count.
Research on the internet or library & take responsibility for your own health. Or learn the hard way about doctor fuckups.
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[QUOTE=Syzygies;1373991]Beware doctors can be real stupid at times. They like to guess based on the most common problems without doing proper tests. The internet can be of valuable assistance to give some ideas of the possibilities without expecting a correct diagnosis. When the doctor gives stupid advice, can always get a second opinion. Doctors really do "fuck up" often.[/QUOTE]All of this is true.
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[QUOTE=Syzygies;1373991]Beware doctors can be real stupid at times. They like to guess based on the most common problems without doing proper tests. The internet can be of valuable assistance to give some ideas of the possibilities without expecting a correct diagnosis. When the doctor gives stupid advice, can always get a second opinion. Doctors really do "fuck up" often.[/QUOTE]While I agree that the internet can give you a very basic idea of what you may have, it cannot be replaced by someone actually physically looking at the problem / wound / asking pertinent questions to you as to how the thing was contracted.
Also, going to see a doctor for an STD or something out of the ordinary is foolish. Best is to go and see a specialist.
Having an STD you can't just go to a regular doctor, he won't be able to tell the difference between Chlamydia and Ghonorrea. You don't want a man who is all-rounded and 25% good at everything. If you have an STD, you want to see a Urologist. A man who deals 100% with these things day-in day-out.
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[quote=pinkpearl; 1374018]i fully agree & pad my post count.
research on the internet or library & take responsibility for your own health. or learn the hard way about doctor fuckups.[/quote]are you serious? you are advising people that internet and library research is superior and more effective than consulting a doctor face to face who has gone through years of rigorous study! in the context of this thread if you suspect you may have contracted an sti you will, probably, not be able to diagnose it yourself but you will have a fairly good idea that something is amiss.
go straight to a specialist clinic and not to a gp. if someone was an accountant, for example, and the on-board computer in his car broke down would it be better for him to learn how they work so he can fix it himself or take it to an approved garage? doctors do make mistakes (specialists to a much lesser extent) so do people who post on the internet or write books. anyway you cannot verify the credentials of who wrote what on which forum on the internet. you do what you want but i will be heading straight to the clap clinic and not the library if it ever starts to burn when i [url=http://isgprohibitedwords.info?CodeWord=CodeWord134][CodeWord134][/url].
regards,
bj
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[QUOTE=Dr BJ;1374512]Are you serious? You are advising people that internet and library research is superior and more effective than consulting a doctor face to face who has gone through years of rigorous study![/QUOTE]I didn't say that, but in some cases it is.
Take for example the recent references in this thread to online material from a world leading STI expert.
Are you going to believe him or some dumb MD?
Or, to take another example, I went to a MD & asked for a P24 antigen HIV test. The doctor didn't even know what that was.
These type of examples could be repeated endlessly.
I repeat, take responsibility for your own health.
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[QUOTE=PinkPearl;1374681]I repeat, take responsibility for your own health.[/QUOTE]And consult a professional. Correct me if I am wrong but your position seems to be that health professionals occasionally make mistakes, as all of us do, so this is grounds for researching and self diagnosing an ailment you have. Thank's for the advice but I will skip libraries and the internet and take my chances in a dedicated clinic, if the need arises.
Regards.
BJ
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[QUOTE=Dr BJ;1374843]And consult a professional. Correct me if I am wrong but your position seems to be that health professionals occasionally make mistakes, as all of us do, so this is grounds for researching and self diagnosing an ailment you have.[/QUOTE]Sure, consult a professional. Not just those you see in person in a hospital or clinic, but online as well. The online info may be superior. Two heads are better than one.
Info you read online can often be much more thorough than a 5 minute visit with an overworked rushed mistake prone mercenary MD. For example:
[url]http://www.healthlinkbc.ca/healthtopics/?WT.svl=TopNav[/url]
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Wrong Diagnosis.
[QUOTE=Dr BJ; 1374843]And consult a professional. Correct me if I am wrong but your position seems to be that health professionals occasionally make mistakes, as all of us do, so this is grounds for researching and self diagnosing an ailment you have. Thank's for the advice but I will skip libraries and the internet and take my chances in a dedicated clinic, if the need arises.
Regards.
BJ[/QUOTE]Trust doctors completely at your own peril. Being a doctor requires much knowledge and intellegence, to be totally competent. Unfortunately many doctors do not have this. Happens in many professions that not everyone is really competent. The higher the level of ability required, the lower the percentage of competent people.
Its good advice to research the internet about health problems and see wide levels of disagreement between various experts, and see situations where the doctors may have already miss diagnosed you due to not doing adequate testing.
Its good advice to consult the best specialist as well. More than one, if need be.