Mr. Moti N. Ramgopal, MD

I'm truly sorry to hear about the severe stress you're experiencing due to this concern. I can only imagine how challenging this must be for you. Please know that you're not alone in this, and we're here to support you. To ensure you receive the care you need, I strongly recommend calling our Fort Pierce office at 772-464-9746 as soon as possible or visit www.midwaycare.org to find a location near you. Our compassionate team is dedicated to helping you through this difficult time, and we'll do our utmost to accommodate your schedule and provide you with the best care possible. We look forward to providing you with the care you need. Warmest regards, Dr. Moti Ramgopal Infectious Disease Physician Midway Specialty Care Center www.midwaycare.org

"The accuracy of chlamydia tests can vary depending on the type of test used. False positives are generally rare, but they can occur. The likelihood of a false positive result may depend on several factors, including the specific test being used, the population being tested, and the prevalence of chlamydia in that population. Common tests for chlamydia include nucleic acid amplification tests (NAATs), which are highly sensitive and specific. These tests are considered very reliable, with a low likelihood of false positives. However, like any medical test, there is still a small margin for error. If you receive a positive result on a chlamydia test, it's essential to follow up with your healthcare provider for further evaluation and, if necessary, additional testing. They may recommend retesting or conducting different tests to confirm the result. It's important to note that false positives can be influenced by factors such as laboratory error, contamination, or cross-reactivity with other microorganisms. Your healthcare provider can provide more information about the specific test used and discuss the implications of the result in the context of your health history and risk factors. Doxycycline is an antibiotic commonly used to treat bacterial infections, including Chlamydia trachomatis, the bacterium that causes chlamydia. If you're prescribed doxycycline for chlamydia, it's important to complete the full course of medication as directed by your healthcare provider. The antibiotic typically starts to work quickly, and symptoms may improve within a few days. However, it's crucial to complete the entire course of antibiotics to ensure that the infection is fully treated and to prevent the development of antibiotic-resistant strains of bacteria. In some cases, if you've been treated with doxycycline for chlamydia, a repeat test may show negative results within a short period, such as five days. This doesn't mean the infection is entirely gone; it simply indicates that the antibiotic has started to reduce the bacterial load, making it less detectable in the test. It's important to note that even if symptoms improve and a repeat test is negative, it's crucial to complete the full course of antibiotics as prescribed by your healthcare provider. If you have concerns or questions about your treatment, it's best to discuss them with your healthcare provider, who can provide guidance based on your specific situation. Additionally, your healthcare provider may recommend follow-up testing to ensure that the infection has been successfully treated." Khalil Nasser, MD Director of Medical Education & International Health 356 E. Midway Rd., Fort Pierce, FL 34982 *Jana Eschbach* *Executive Consultant* c:(772) 486-1828 [image: MD Marketing Consulting Logo PNG Vector (AI) Free Download]

Thank you for reaching out with your concerns. It's commendable that you're taking steps to prioritize your health. I'd like to address your recent exposure and provide guidance on the next steps. Given the nature of your recent encounter, it is strongly recommended that you get tested for sexually transmitted infections (STIs) as a precautionary measure. This will ensure your peace of mind and allow for timely intervention if necessary. It's important to remember that early detection and treatment can significantly impact the outcome of any potential infections. Additionally, I would like to suggest scheduling an appointment with one of our healthcare providers to discuss the possibility of Post-Exposure Prophylaxis (PEP). PEP is a preventive treatment that can be highly effective if administered promptly after a potential exposure to HIV. Our providers are experienced in this area and will be able to guide you through the process, answer any questions you may have, and provide personalized care. Your privacy and confidentiality are of utmost importance to us, and our team is dedicated to ensuring you receive the best possible care in a supportive environment. Please don't hesitate to contact our office in Fort Pierce 772-464-9746 to schedule an appointment at your earliest convenience. If you are located outside the Fort Pierce area, please visit our website www.midwaycare.org to find an office near you. If you have any further questions or concerns, feel free to let us know. Thank you for entrusting us with your health. We're here to support you every step of the way. Warm regards, Moti Ramgopal, MD Infectious Disease Physician Midway Specialty Care Center *Jana Eschbach* *Chief Marketing Officer* *Midway Specialty Care Center, a 501 (c)3 organization* *Phone:(772) **486-1828* www.midwaycare.org [image: image1.png]

Thank you for your question. I appreciate how difficult this must be for you. Considering your exposure history and testing results, I would highly recommend scheduling a visit in our office so we can discuss your risk and appropriate next steps in person. Our office phone number is 772-464-9746, we look forward to hearing from you. *Jana Eschbach* *Chief Marketing Officer* *Midway Specialty Care Center, a 501 (c)3 organization* *Phone:(772) **486-1828* www.midwaycare.org [image: image1.png]

Yes, it is possible to contract genital herpes through oral sex if the person performing oral sex has genital herpes. While the risk is lower compared to vaginal or anal intercourse, it is still possible for the herpes virus to be transmitted through skin-to-skin contact, even when there are no visible sores or symptoms present. It's important to use protection, such as dental dams or condoms, and have open and honest conversations about sexual health with your partner to reduce the risk of transmission. If you have concerns about herpes or any other sexually transmitted infection, it's best to schedule an appointment with Midway Specialty Care Center for advice and testing. *Jana Eschbach* *Chief Marketing Officer* *Midway Specialty Care Center, a 501 (c)3 organization* *Phone:(772) **486-1828* www.midwaycare.org [image: image1.png]