mighty_heart
Forum Newbie
Topics: 3
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Hi,
I would really appreciate if someone can help me with following questions
1. What does a physical exam for residents consist of and are there any conditions that can prevent the program from hiring a person?
2. My understanding is that if a person's PPD ever comes +ve , he need NOT to undergo ppd test in future. Is that right? Can a + ppd but normal CXR in any way be problematic ?
Thanks
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| chiqui
Forum Senior
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If you meet criteria for treatment, they treat you. It's not a big deal.
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In the practice of tolerance, one's enemy is the best teacher.
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| angel^Doctor
Forum Elite
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well in my country we receive BCG vaccine at age of 1 year so almost everyone will have a +ve PPD but a negitive chest X-ray ! Never thought of that !
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| bbb
IM Program Coordinator
Topics: 32
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mighty_heart wrote:
Hi,
I would really appreciate if someone can help me with following questions
1. What does a physical exam for residents consist of and are there any conditions that can prevent the program from hiring a person?
2. My understanding is that if a person's PPD ever comes +ve , he need NOT to undergo ppd test in future. Is that right? Can a + ppd but normal CXR in any way be problematic ?
Thanks
1. At my hospital, it's a drug screening, colour blindness, and PPD.
2. LOTS of residents have a positive PPD, they do a chest xray and move on. Not a big deal.
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| JACKDANIELS
Forum Newbie
Topics: 5
Posts: 50
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bbb wrote:mighty_heart wrote:
Hi,
I would really appreciate if someone can help me with following questions
1. What does a physical exam for residents consist of and are there any conditions that can prevent the program from hiring a person?
2. My understanding is that if a person's PPD ever comes +ve , he need NOT to undergo ppd test in future. Is that right? Can a + ppd but normal CXR in any way be problematic ?
Thanks 1. At my hospital, it's a drug screening, colour blindness, and PPD. 2. LOTS of residents have a positive PPD, they do a chest xray and move on. Not a big deal.
hey BBB,
Nice to see you, How about visual acuity...do they check that too..like reading snellens chart
Regarding the original questiion, If you have a previous positive PPD evidenced by some health care professional, you might not have to take PPD ski test again. A negative CXR rules out an active disease suspicion so they will do a cxr again. You will have to take INH prophylaxis for 9 months.
The current concensus is BCG vaccinaion >5 yrs ago cannot give a significant Induration so everyone is recommended to take INH prophylaxis.
As BBB said, its no big deal. Many FMGs have positive PPD
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| bbb
IM Program Coordinator
Topics: 32
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JACKDANIELS wrote:
How about visual acuity...do they check that too..like reading snellens chart
Not that any of my residents have ever told me about.
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| GLO MD
Forum Guru
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Posts: 815
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I was vaccinated with BCG and I have a -ve PPD , so not necesarilly you will be +ve just because you were vaccinated.
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| MDin08
Forum Junior
Topics: 14
Posts: 95
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listen, it's not only about whether the program will select you or not on the basis of that but it's also about your health....you should go to the primary care dr & discuss the situation with him.....it's very much treatable...they'll give a 6 mth single drug therapy & then u can show that to ur program + u'll be at [eace as well that there isn't anything REALLY going on inside that u should be worried about.
GOOD LUCK!!!
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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but with a negative CXR and a positive PPD...we have to take the INH prophylaxis right? what if we say no...??( am a FMG with a childhood BCG vaccination)
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| CocaCola
Forum Guru
Topics: 35
Posts: 908
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PGI2alpha wrote:
but with a negative CXR and a positive PPD...we have to take the INH prophylaxis right? what if we say no...??( am a FMG with a childhood BCG vaccination)
in the same situation as you... but i had to take the 9 month INH prophylaxis (as oulined in a post above)... it is now mandated by the Public Dept of Health
Not a big deal - just watch out for any side effects and pop your B vitamins
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There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
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| GOGETA
I'm Dr. GOGETA
Topics: 310
Posts: 2,671
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What if the resident have Hepatitis B or HIV? what happens to that resident?
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As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
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| JACKDANIELS
Forum Newbie
Topics: 5
Posts: 50
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CocaCola wrote:
in the same situation as you... but i had to take the 9 month INH prophylaxis (as oulined in a post above)... it is now mandated by the Public Dept of Health
Not a big deal - just watch out for any side effects and pop your B vitamins
Hey cocacola,
Did you already had your physical and started the INH?
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| myeloma
Forum Junior
Topics: 3
Posts: 74
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bbb...is the X ray mandatory aftr a positive PPD?i mean if one has a normal x ray reported within the past one or two years would that be enough? i guess wat im tryng to ask is that if a person doesnot want to get exposed with more radiation than he/she has already been exposed to then would a report of normal x ray save him the trouble to go through it again?
thanks.
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| myeloma
Forum Junior
Topics: 3
Posts: 74
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coca cola...were u previously treated for tuberculosis?what if one has already taken the 9 months course of drug>? suppose 2 to 3 ys back? will he have to take the prophylactic dose of INH for 9 months again?? and again as PG12alpha wrote..wat if v say no?!
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| JACKDANIELS
Forum Newbie
Topics: 5
Posts: 50
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Only if the negative xray was done within the past 12 months and you got the actual xray or a report by physician who deemed it negative.
Also depends if you have already completed INH prophylaxis.
My question is how many of you had positive ppd, negative cxr before but never took INH 9 mon for that?
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| bbb
IM Program Coordinator
Topics: 32
Posts: 4,670
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myeloma wrote:
bbb...is the X ray mandatory aftr a positive PPD?i mean if one has a normal x ray reported within the past one or two years would that be enough? i guess wat im tryng to ask is that if a person doesnot want to get exposed with more radiation than he/she has already been exposed to then would a report of normal x ray save him the trouble to go through it again?
thanks.
My hospital is. It's a mandatory once a year thing. Even I have to do it and I don't see patients. All hospital employees have to have a annual health screening.
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| paheli
It'sAllAboutGoodKarma
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The way I understand this thread, many many interns have to take a INH proph for almost all of their intern year?? What about all the unnecessary SE? Coz most of us have been exposed to PTB, few have the active disease, and ALL have to take the drug?
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| CocaCola
Forum Guru
Topics: 35
Posts: 908
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JACKDANIELS wrote:
Hey cocacola,
Did you already had your physical and started the INH?
no I have not had the physical yet... this was for another job i held... had to do a PPD... knew i would come up positive because i always do... went to get an x-ray because the previous one I had was over five years old... thats when a rep at the dept of health told me the new regulations... got my chest x-ray - which was clean and started my therapy!
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There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
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| bbb
IM Program Coordinator
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Posts: 4,670
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The pre-employment physical, etc, you can't do anything else but what the program/hospital wants you to do. Don't question why - just do it.
Edited by bbb on 03/26/08 - 10:09 AM. Reason: because I left out a word
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bbb - trying to combine common sense and humour into realistic answers, but not going to guess on anyone's chances of getting into a position....
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| paheli
It'sAllAboutGoodKarma
Topics: 171
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Yeah, bbb, I'll certainly do what they say. I'm not about to goof-up my hard-won chance due to some pills!
Thanks!
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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"Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Murphy's Law states: Eat one live toad first thing in the morning and nothing worse will happen to you for the rest of the day. "
Paheli...really funny signature...the second part
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| keller
Forum Junior
Topics: 4
Posts: 56
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Does the program test you for HIV or Hepatitis ? What happens if one of those comes out to be +ve?
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| paheli
It'sAllAboutGoodKarma
Topics: 171
Posts: 2,230
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PGI2alpha wrote:"Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Murphy's Law states: Eat one live toad first thing in the morning and nothing worse will happen to you for the rest of the day. " Paheli...really funny signature...the second part
PG!!! You're one who shares my wacky sense of humor! Nobody seemed to relate or even find it funny. Yet, when I read it even now, it cracks me up. It's funny, but it's also SO TRUE!!! Haaaa, I found my humor-mate on this forum!!
P.S. I got more, just wanna savor each for it's worth and give it its rightful duration on my sig.
___________________
Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows.
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| PGI2alpha
Forum Elite
Topics: 7
Posts: 447
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yup...everytime i read it..it cracks me up too....keep 'em going!!
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