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Previous Topic | Next Topic  To BBB, others...sticky situation...help 




 
Kaplan Qbank USMLE



Author9 Posts
  #1

Hi bbb and all,

I have been selected to a residency program and I had to undergo a health exam.....did the skin PPD test yesterday for TB...since I had BCG vaccine at birth ......and if I test positive.....will I lose my residency spot???......have an old Chest xray ( 2yrs back) .....which was normal..will that help?
I'm scared of calling the residency and finding out the protocol....can Someone give any input on this...PLease!!



  #2

Having a positive PPD is no reason to not accept you for work. If it turns out positive, you have the right to work, but will need follow up and take according measures.

Well, at least this is what I learned from studying for Step 3.

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"Sólo los débiles se enojan. El hombre fuerte, aun al caer, sonríe". ~ José Martí "...it ain't about how hard you hit. It's about how hard you can get hit and keep moving forward. How much you can take and keep moving forward. That's how winning is done". ~ Rocky Balboa

  #3

you need another chest x-ray, after the chest x-ray is read, if the doctor is not fully satisfied, he will start you on prophylaxis for 6 to 8 months... otherwise unless proven active or infectious, it should not affect your employment...
please do not accept another ppd from this time on, because they will always be positive!!!

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keep it real!

  #4

not always, i was immunized also, but i didn't have positive PPD before
so, before you actually get positive test, dot's stress and once you da, you'll probably have CXR and once it's normal you should be OK


  #5

agree with the posters above. went through a similar situation myself not long ago and I've been working in a hospital for years now. If they want to start you on prophylaxis, ask to have a CXR done. Based on the results of the CXR, they can decide whether to start you on prophylaxis or not. Either way, don't worry, that is no reason for you to not be able to start your rseidency.

  #6

gd11 wrote:
Either way, don't worry, that is no reason for you to not be able to start your rseidency.

yeah except for Hepatotoxic anti-TBs wink

anyway, i agree,clear CXR should be enough reason for them that you are not active. atleast pulmonarily.


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  #7

Dragonfly wrote:

yeah except for Hepatotoxic anti-TBs

anyway, i agree,clear CXR should be enough reason for them that you are not active. atleast pulmonarily.




the question was "will I lose my residency spot" due to the results of the PPD, not because of side effects of some therapy that at this point is unclear if it is warranted.

  #8

he was jocking thought

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NEVER REGRET IF U DID YOUR BEST--"THE PEOPLE WHO CAN'T DO SOMETHING WILL KEEP SAYING THAT YOU CAN'T DO IT.....BUT REMEMBER YOU CAN DO IT!!" by Dr. Luck a member of this forum

  #9

i was kidding gd grin

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