Guest guest Posted May 7, 2008 Report Share Posted May 7, 2008 hi all - interesting that this has come up for me in the middle of the discussion on vaccinations. I've been told I need to have a tuberculosis test in order to volunteer for hospice. I'm reluctant, but would like some cogent arguments - for and against. It's not a vaccination, it is at the level of the skin not the Blood, but it does involve a pathogen. I believe there is wiggle room in MA on religious grounds, but expect they will then want a chest xray. Could I have your thoughts? Thanks Karen Karen R. Adams, Lic Ac(MA), Diplo Ac, BA(Hons), BS 296 Avenue A Turners Falls, MA 01376 413-863-0088 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2008 Report Share Posted May 7, 2008 Hi Karen, They may be using a different test in teh US but in Eurpoe the patch test uses a protein produced by the pathogen, not the bacteria itself. Hope this helps, Artemis - Karen Adams Chinese Medicine Wednesday, May 07, 2008 2:10 AM tuberculosis test hi all - interesting that this has come up for me in the middle of the discussion on vaccinations. I've been told I need to have a tuberculosis test in order to volunteer for hospice. I'm reluctant, but would like some cogent arguments - for and against. It's not a vaccination, it is at the level of the skin not the Blood, but it does involve a pathogen. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 7, 2008 Report Share Posted May 7, 2008 I've had to have the test done a few times; twice for two different schools, and again at a job. The test is known as a Mantoux, or PPD. The PPD is abbreviated for " Purified Protein Derivative " , indeed, derived from the TB bacillum. It is injected sub-q, and the site is reviewed within 48 hours. A red spot of 5mm or less is indicative of no antibodies (and vaccination is advised). A red spot 5-10mm implies immunity (antibodies), and no action is required. A red spot 10mm to 17mm is indicative of infection. Chest x-rays are then usually ordered. Now, here is the issue. If you want to skip the PPD, and just order an x-ray, if the x-ray visualizes granulomas, a PPD might be required anyway to differentiate the granulomas from sarcoidosis, or a fungal based granuloma, which can be visulalized similarly on x-ray. Personally, I'd rather do a PPD, and get the vaccination, than risk a TB infection (and TB is making a comeback, especially among the poor, elderly, and homeless). Afterall, once infected, you won't be allowed to step foot into a Hospice until the infection is resolved, and TB is a tough bug: If you'd treat with traditional modalities, like TCM, you'd likely be at it awhile, and still incur some scaring to the lung tissue; if you'd use modern methods, such as isoniasid tx, you'd still be doing a course of meds for 12 months, and risk liver damage (as isonisaid is very hepatotoxic). So, while I can discern from your post that you are likely a TCM " purist " when it comes to lab testing and vaccinations, under the circumstances, you might wish to modern modalities " half way " on this one. Chinese Medicine , " Artemis Papert " <artemis.artemis wrote: > > Hi Karen, > > They may be using a different test in teh US but in Eurpoe the patch test > uses a protein produced by the pathogen, not the bacteria itself. > > Hope this helps, > Artemis > > > > - > Karen Adams > Chinese Medicine > Wednesday, May 07, 2008 2:10 AM > tuberculosis test > > > hi all - interesting that this has come up for me in the middle of the > discussion on vaccinations. I've been told I need to have a tuberculosis > test in order to volunteer for hospice. I'm reluctant, but would like some > cogent arguments - for and against. It's not a vaccination, it is at the > level of the skin not the Blood, but it does involve a pathogen. > Quote Link to comment Share on other sites More sharing options...
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