Its the defense you hear from people who have it and are trying to play it down because its never going away. Anyone who says its not a big deal almost certainly has it. The other one is citing many people have OTHER types of herpes in their system so "whats the big deal about this one?"
Yeah exactly ask Michael Douglas how harmless it is. But the shared bloodstream comment isn’t even a defense it’s just something a serial killer would say.
HPV goes away in its own. Its a mostly transient infection that usually doesn’t even cause cellular changes. It’s not Herpes. If you’ve had sex, you’ve been exposed to HPV - this is how prevalent it is.
Having a viral load means nothing as long as the virus doesn’t actually get the the basal layer of the epithelium. So not only does it need to be in you, it also has to find it way to the correct layer.
Not trying to argue, just clarify - so I excise the lesion, the pt is still positive for HPV-16 and still has a higher chance of recurrence...
So we were only curative for that possible malignancy, they are still carrying that strain of HPV and are gonna have a higher risk of cervical or oropharyngeal cancer. We have not cured them of the virus.
Good question. It’s possible the person may still have the HPV virus in them. As long as they don’t develop new lesions, then they’re effectively “cured”. Of course people do continue having sex and if they have new sexual partners they will be exposed to other strains as well. But HPV is not like the other taboo having infections. It is so prevalent that if you’ve had sex, you’ve been exposed to it.
For cervical cancer screening, there are algorithms that take into account sexual activity risk.
To summarize, Pap testing with HPV reflex should be done for women 21-29. For those 30 and older, you could do cotesting.
No one under 21 should get a Pap (although there isn’t a physician that isn’t collecting a Pap on this age group) because you shouldn’t treat them, even if they come back with abnormal cells (CIN I) - the lesion is transient and will simply go away. Follow up Pap in 6 months usually shows no abnormal cells.
Anyway I linked the guidelines if you’re interested. Otherwise, go fuck your mom and give her HPV.
Not trying to argue, just clarify - so I excise the lesion, the pt is still positive for HPV-16 and still has a higher chance of recurrence...
So we were only curative for that possible malignancy, they are still carrying that strain of HPV and are gonna have a higher risk of cervical or oropharyngeal cancer. We have not cured them of the virus.
16 comments
1 ForceFeedNana 2019-01-15
The man just keeps on giving and giving and giving
1 tapetape2 2019-01-15
HPV? Hardly an std I like how he plays it off like a complete psycho. “We all share a blood stream”? Louis really is a creep lol.
1 dionysus187 2019-01-15
Its the defense you hear from people who have it and are trying to play it down because its never going away. Anyone who says its not a big deal almost certainly has it. The other one is citing many people have OTHER types of herpes in their system so "whats the big deal about this one?"
1 tapetape2 2019-01-15
Yeah exactly ask Michael Douglas how harmless it is. But the shared bloodstream comment isn’t even a defense it’s just something a serial killer would say.
1 PM_ME_MASTECTOMY 2019-01-15
HPV goes away in its own. Its a mostly transient infection that usually doesn’t even cause cellular changes. It’s not Herpes. If you’ve had sex, you’ve been exposed to HPV - this is how prevalent it is.
1 tooth_repair 2019-01-15
An excisional biopsy simply means cutting off tissue. You make it sound like a cure. It does nothing to remove the virus from the host.
1 PM_ME_MASTECTOMY 2019-01-15
Its a curative procedure, as long as the margins are negative.
1 tooth_repair 2019-01-15
My understanding is that it is curative for the possible malignancy, not that it suddenly makes the viral load drop to zero...?
1 PM_ME_MASTECTOMY 2019-01-15
Having a viral load means nothing as long as the virus doesn’t actually get the the basal layer of the epithelium. So not only does it need to be in you, it also has to find it way to the correct layer.
1 tooth_repair 2019-01-15
Not trying to argue, just clarify - so I excise the lesion, the pt is still positive for HPV-16 and still has a higher chance of recurrence...
So we were only curative for that possible malignancy, they are still carrying that strain of HPV and are gonna have a higher risk of cervical or oropharyngeal cancer. We have not cured them of the virus.
1 PM_ME_MASTECTOMY 2019-01-15
Good question. It’s possible the person may still have the HPV virus in them. As long as they don’t develop new lesions, then they’re effectively “cured”. Of course people do continue having sex and if they have new sexual partners they will be exposed to other strains as well. But HPV is not like the other taboo having infections. It is so prevalent that if you’ve had sex, you’ve been exposed to it.
For cervical cancer screening, there are algorithms that take into account sexual activity risk.
http://www.asccp.org/Assets/51b17a58-7af9-4667-879a-3ff48472d6dc/635912165077730000/asccp-management-guidelines-august-2014-pdf
To summarize, Pap testing with HPV reflex should be done for women 21-29. For those 30 and older, you could do cotesting.
No one under 21 should get a Pap (although there isn’t a physician that isn’t collecting a Pap on this age group) because you shouldn’t treat them, even if they come back with abnormal cells (CIN I) - the lesion is transient and will simply go away. Follow up Pap in 6 months usually shows no abnormal cells.
Anyway I linked the guidelines if you’re interested. Otherwise, go fuck your mom and give her HPV.
1 sirlucd 2019-01-15
Norton is involved I demand he be tested
1 Jungies 2019-01-15
For what, vertebrae?
1 Foddashow 2019-01-15
Hahah. The lawyer's dirty talk was appalling. "Foul you"...yuck...
1 tranthasourus 2019-01-15
Gonna send that bitch to the free throw line??
1 armchairplane 2019-01-15
Louis CK is a whore!
1 tooth_repair 2019-01-15
An excisional biopsy simply means cutting off tissue. You make it sound like a cure. It does nothing to remove the virus from the host.
1 tooth_repair 2019-01-15
Not trying to argue, just clarify - so I excise the lesion, the pt is still positive for HPV-16 and still has a higher chance of recurrence...
So we were only curative for that possible malignancy, they are still carrying that strain of HPV and are gonna have a higher risk of cervical or oropharyngeal cancer. We have not cured them of the virus.