expert type icon EXPERT

Maira Jessica Medellin-Peña

Infectious Disease Specialist

Dr. Maira Medellin-Peña specializes in foodborne infections that are difficult to diagnose or unresponsive to treatments. Infectious disease specialists usually work with conditions that are not treatable by a primary physician but it is important to keep contact with the primary physician in order to receive information about the patients history and for deciding which diagnostic tests are appropriate.
17 years Experience
Maira Jessica Medellin-Peña
  • Guelph University
  • Not accepting new patients

Blood exposure

You should not be concerned about this, but I recommend that you contact your health care provider if you have concerns so you discuss the possibility of testing.

Crushed Medication

Yes, you can crush them and swallow them if you are unable to swallow them whole (try to use water and not any other liquid as milk or beverages with calcium can interfere with READ MORE
Yes, you can crush them and swallow them if you are unable to swallow them whole (try to use water and not any other liquid as milk or beverages with calcium can interfere with absorption). Ensure they do not say that they are extended release, delayed release, or anything like that (which I do not think is the case with antibiotics).

Gonorrhoea

The short answer is No. Gonorrhea is a sexually transmitted disease (STD) and it can be asymptomatic and infected people may not know they have it. This is why it is one of the READ MORE
The short answer is No. Gonorrhea is a sexually transmitted disease (STD) and it can be asymptomatic and infected people may not know they have it. This is why it is one of the most commonly transmitted STDs. Dr. Maira Medellin

HIV Window Period and Results

If your results have been negative for more than 12 weeks after exposure, and your healthcare practitioner has no inclination that you need more testing, then your symptoms may READ MORE
If your results have been negative for more than 12 weeks after exposure, and your healthcare practitioner has no inclination that you need more testing, then your symptoms may be due to another non-related viral infection. Please seek medical care if your symptoms last for longer than the expected amount of time.

Receiving oral sex from someone with genital heroes

The short answer is yes, although not straightforward as it depends on your sexual partner (i.e., non-monogamous vs. monogamous relationship and if they perform oral sex to for READ MORE
The short answer is yes, although not straightforward as it depends on your sexual partner (i.e., non-monogamous vs. monogamous relationship and if they perform oral sex to for example the person whom they got the genital herpes from).
Genital herpes is an STD caused by two types of virus (herpes simplex type 1 and type 2) and there has been a linkage between genital and oral herpes (them being spread through oral sex). You also can get genital herpes from a sex partner who does not have a visible sore or is unaware of the infection.

HIV Transmission

Hi, OCD is a complex condition that needs attention. if it is affecting your personal life (that is being in healthy romantic relationships) I recommend seeking a trusted source READ MORE
Hi, OCD is a complex condition that needs attention. if it is affecting your personal life (that is being in healthy romantic relationships) I recommend seeking a trusted source of support (such as mental health specialists and/or friends and family who educate themselves so they can provide proper support respecting your individuality but not fueling your OCD cycle).
Education on what this disorder is about is the best weapon as this is very exhausting and frustrating for you to be dealing with it on your own.
I wish you all the best

Worried

If your friend is healthy the possibility of infection is minimal, but please contact your healthcare provider if you develop any symptoms or notice any changes.

is genital hvs-1 transmitted

Transmission of HSV usually occurs through close contact with a person who is shedding virus at a mucosal or epithelial surface, or in genital or oral secretions. Sexual transmission READ MORE
Transmission of HSV usually occurs through close contact with a person who is shedding virus at a mucosal or epithelial surface, or in genital or oral secretions. Sexual transmission of HSV-1 can occur through genital-to-genital, oral-to-genital, genital-to-oral, anal-to-genital, and genital-to-anal contact.

Should I seek rabies treatment?

I would not worry about rabies, I am more curious about the type of injury to your hand and the condition of the equipment you were moving. For example, if you cut your skin and READ MORE
I would not worry about rabies, I am more curious about the type of injury to your hand and the condition of the equipment you were moving. For example, if you cut your skin and drew blood and the equipment was dirty or in a place that is exposed to animal feces and you do not have your tetanus vaccine.

Diarrhea and medication

If you have diarrhea after antibiotic treatment, I recommend finishing the antibiotics (suffer from diarrhea during this period, try taking food high in fiber to make stools less READ MORE
If you have diarrhea after antibiotic treatment, I recommend finishing the antibiotics (suffer from diarrhea during this period, try taking food high in fiber to make stools less loose) and once you finish the antibiotic treatment start the high dose of probiotics at least for 2 weeks and continue with normal probiotic dose for at least 3 months. The ingestion of probiotics together with antibiotics is inefficient as probiotics are bacteria and the antibiotics will reduce the amount of live probiotic strains making them useless.

How long does covid last?

Every individual take different time to feel better, it will depend on your immune status.

HPV vaccination?

According to the CDC's Advisory Committee on Immunization Practices, HPV vaccination is less likely to offer benefits in adults over 26 years of age, given that most of them will READ MORE
According to the CDC's Advisory Committee on Immunization Practices, HPV vaccination is less likely to offer benefits in adults over 26 years of age, given that most of them will already have been infected with HPV. If you were never been infected, there might be an argument to vaccinate.

COVID-19 Rapid Test vs PCR Test?

Yes, it seems like you do, both tests can be negative depending on when you test. I would recommend repeating the PCR test to confirm or just waiting the stipulated quarantine READ MORE
Yes, it seems like you do, both tests can be negative depending on when you test. I would recommend repeating the PCR test to confirm or just waiting the stipulated quarantine time.

I want another medical personal advice?

Your ob/gyn prescribed the right amount to treat gonorrhea. It will be safe to retest for STIs (STDs) when symptoms are still occurring.

How do you know if you have gangrene?

Hi,

Please go get checked by your health care provider as I see the need to be assessed by a professional.

Best,

Covid antibodies?

There are some instances where antibody testing might be negative for individuals who have had COVID-19 vaccines, this is because the immunity is not the same as in an individual READ MORE
There are some instances where antibody testing might be negative for individuals who have had COVID-19 vaccines, this is because the immunity is not the same as in an individual who has contracted the infection. Please consult with your health care provider and start discussing your booster schedules.

I have a question about the booster shots?

Rest assured that you did not do anything that will harm you. A booster is always a good choice for this type of vaccine.

I'm having COVID vaccine (Pfizer) side effects?

Yes, you should go and get checked by your health care provider.

Is HPV considered an STD?

You should definitely go and get tested for HPV and other sexually transmitted infections. The problem with HPV is that you may not show evidence of the infection but the virus READ MORE
You should definitely go and get tested for HPV and other sexually transmitted infections. The problem with HPV is that you may not show evidence of the infection but the virus can cause cervical and other cancers in the long run. Cancer often takes years, even decades, to develop after a person gets HPV.