tb skin test positive

[citlembik 0]

ait..you're telling me that I should translated...I cand do that but I am not certified..

Have it translated anyway, there is nowhere in the forms where USCIS requires a certified translation (in the sense that we have it in Romania, with translators certified by the Ministry of Culture i think). Take the translation to the bank where you have a bank account and the bank has its own notary (Bank of America for instance has notaries) or to any other bank that has a public notary (for instance, at BofA it si free if you have accounts opened with them, other than this is $1 per document) sign in front of them and they will certify your signature. For the doctor it should be enough. I bet for USCIS too.

It's so late....I need to be tomorrow in Baton Rouge at 9:45 and it's an hour from here...

Hey why did you submit I-130?did you come with k1 visa?

[citlembik 0]

ait..you're telling me that I should translated...I cand do that but I am not certified..

Have it translated anyway, there is nowhere in the forms where USCIS requires a certified translation (in the sense that we have it in Romania, with translators certified by the Ministry of Culture i think). Take the translation to the bank where you have a bank account and the bank has its own notary (Bank of America for instance has notaries) or to any other bank that has a public notary (for instance, at BofA it si free if you have accounts opened with them, other than this is $1 per document) sign in front of them and they will certify your signature. For the doctor it should be enough. I bet for USCIS too.

It's so late....I need to be tomorrow in Baton Rouge at 9:45 and it's an hour from here...

everything is soo messed up...The civil surgeo sent me a pulonologist.He's the only one that can decide if I need a nother X-0ray,if I need tratment ro not...and now I need to wait until Monday caz nobody answers in the wd...and hopefully i can make an appoinmet soon..Louisiana government sucks!!!

ait..you're telling me that I should translated...I cand do that but I am not certified..

Have it translated anyway, there is nowhere in the forms where USCIS requires a certified translation (in the sense that we have it in Romania, with translators certified by the Ministry of Culture i think). Take the translation to the bank where you have a bank account and the bank has its own notary (Bank of America for instance has notaries) or to any other bank that has a public notary (for instance, at BofA it si free if you have accounts opened with them, other than this is $1 per document) sign in front of them and they will certify your signature. For the doctor it should be enough. I bet for USCIS too.

It's so late....I need to be tomorrow in Baton Rouge at 9:45 and it's an hour from here...

everything is soo messed up...The civil surgeo sent me a pulonologist.He's the only one that can decide if I need a nother X-0ray,if I need tratment ro not...and now I need to wait until Monday caz nobody answers in the wd...and hopefully i can make an appoinmet soon..Louisiana government sucks!!!

I mean ....pulmonologist

[Petersons 0]

well I've got my TBs skin test at an instant care.The result is positive.In this case I need another X-ray.The last one that I made was before the K-1 interview-in august.The civil surgeon told me to go there with the tb result.They didn't tell me if they will do a X-ray ,if they charge more for that..or anything else.What do you think from your experience?When I called the civil surgeon I didn't know the Tb result will be positive and I hoped I would not need another X-ray.Do yoy think they will fill part two in I-693 or just the vaccination-part 3.and the tb skin will be sent in a separate envelope?I dn't wann call again the civil surgeon before I go there.There are anyway so short when they answer.

Thanks!

It doesnt matter i also have positive tb because of the childhood shot we had in Turkey they will add a note saying " previous childhood tb shot is the reason to become positive" but you still need to have a xray done . thats what i did

And will be prescribed medication for 9 months, completion of treatment being (i think as of August 2008, http://www.uscis.gov/portal/site/uscis/men...004718190aRCRD) precondition to obtain the green card. I had a positive TB skin reaction with a negative chest Xray first 2 years ago when I had to send medical information to the school here, and a second (larger) skin reaction in september when the doctor administrated me a second TB shot, although I informed him that I should not have another one since the first was positive. He said the USCIS will not accept the test results from 2 years ago because the test was not administered by a USCIS approved physician - don't know if it is true. I had a second chest Xray, again negative, and I'm 3 months into treatment (which could damage the liver).

The doctor also refused to release the I-693 until I proved that I am taking the medication (he prescribed it, and I went and picked it up at a pharmacy).

ufff complicated...the doctor from the instant care told me the same thing..abot 9 months treatment.

I hope the civil surgeon will not refuse to release the I-693...do you mean that USCIS will not give me the green card until I'm done with the medication?9 months?Thats' stupid!

Don't worry yet. Get the X-Ray. Many people from outside the US take a BCG vaccination as kids. If you have had this when you were a kid, your skin test for TB is generally positive. But that doesn't mean you have TB or anything. Its just a reaction the test has with the BCG vaccination. You can only know after the chest x-ray.

I found a record where it says I've done BCG in 1992 and 2000-2 doses so..I'll bring that with me at the civil surgeon even if that record is in Romanian.at least appears my name there,my birth date...I have that record from my school.I asked for it before my medical exam in my home country.That record was used to fill out the DS-3025.Unfortunately DS-3025 doesnt have aspase for BCG vaccine.I hope the civil surgeon will make me the necessary X-ray.I still have the X-ray immage from Ro but it's made in August and I guess I need another one.

So,afterall the civil surgeon will fill out part 2 too in I-693?...

Thanks !I will all let you know about the examination on Friday.

Don't worry. I'm almost positive you won't need any treatment and you have no TB. The doctor who reads X-Rays just has to confirm that for medical purposes. I had the same case as you. I had a positive TB skin test and was referred for an X-Ray. I was so surprised and gave my Mom a call who is a nurse and she's the one who told me that the skin test comes positive because of the BCG. This vaccination is not given in the US for some reason. After the X-Ray doc told me the results also, I told him that I had the BCG and he confirmed that, that was why the TB skin test was positive.

[map1map 3]

Hey why did you submit I-130?did you come with k1 visa?

No. I was here on F1, after school I went on OPT which expires February 9th, 2009. Hubby is citizen since October 2008, and November 17th I sent the adjustment of status package. As you can see in my timeline, there is no action on my file since a very long time (more than 45 days since they received it, 53 days since I sent it), and on this coming Monday I scheduled an info pass to see where my file is and to see if (maybe) I'll get the biometrics appointment. I made a service request on December 26th, that expires January 25th, we'll see how this ends.

I tend to disagree with the folks saying you'll not be referred for treatment as result of your positive TB skin test. The lady doctor at the public health clinic told me that she would not refer me for treatment as she is sure my positive skin reaction was because of the BCG, but since immigration requires it, I need to take it.

[sk28 1]

The 9 month treatment is not required for AOS if you do not have a A (active) TB. A TB is determined by xray and culture of your sputum. If you have a positive tb skin test and your xray comes back as negative you are not required to have a 9 month treatment. Why BCG is not give in US is because it is a ineffective vaccination, and majority of countries are opting out. In case that you know that you had a BCG I would not take a 9 month treatment,

Q: What are the new requirements for tuberculosis (TB) testing and treatment?

Detailed information on the new requirements are available in the Department of Health and Human

Services, Centers for Disease Control and Prevention’s (CDC) document, Tuberculosis Component of the

Technical Instructions to Civil Surgeons for the Medical Examination of Aliens in the United States. This

document, along with a memo outlining the changes to the TB testing requirements and frequently asked

questions, is on-line at: http://www.cdc.gov/ncidod/dq/civil.htm.

Some of the major changes to the TB requirements include:

Applicants with Class A tuberculosis must complete a full course of TB treatment before

receiving medical clearance by USCIS for adjustment of status.

A chest x-ray is required for all applicants with a tuberculin skin test (TST) reaction of less than 5

mm who have signs or symptoms of TB or immunosuppression.

A chest x-ray is required for all applicants with a TST reaction of more than 5 mm, including

pregnant women.

Sputum cultures and drug susceptibility testing for positive cultures are required for applicants

with chest x-ray findings suggestive of active TB disease.

http://www.uscis.gov/files/article/FAQ_TB_...ents_072408.pdf

Edited January 11, 2009 by sk28

[citlembik 0]

The 9 month treatment is not required for AOS if you do not have a A (active) TB. A TB is determined by xray and culture of your sputum. If you have a positive tb skin test and your xray comes back as negative you are not required to have a 9 month treatment. Why BCG is not give in US is because it is a ineffective vaccination, and majority of countries are opting out. In case that you know that you had a BCG I would not take a 9 month treatment,

Q: What are the new requirements for tuberculosis (TB) testing and treatment?

Detailed information on the new requirements are available in the Department of Health and Human

Services, Centers for Disease Control and Prevention’s (CDC) document, Tuberculosis Component of the

Technical Instructions to Civil Surgeons for the Medical Examination of Aliens in the United States. This

document, along with a memo outlining the changes to the TB testing requirements and frequently asked

questions, is on-line at: http://www.cdc.gov/ncidod/dq/civil.htm.

Some of the major changes to the TB requirements include:

Applicants with Class A tuberculosis must complete a full course of TB treatment before

receiving medical clearance by USCIS for adjustment of status.

A chest x-ray is required for all applicants with a tuberculin skin test (TST) reaction of less than 5

mm who have signs or symptoms of TB or immunosuppression.

A chest x-ray is required for all applicants with a TST reaction of more than 5 mm, including

pregnant women.

Sputum cultures and drug susceptibility testing for positive cultures are required for applicants

with chest x-ray findings suggestive of active TB disease.

http://www.uscis.gov/files/article/FAQ_TB_...ents_072408.pdf

how did u prove to the specilaist that you had BCG?I have a record from my school,but it;s in Romanian.

[citlembik 0]

The 9 month treatment is not required for AOS if you do not have a A (active) TB. A TB is determined by xray and culture of your sputum. If you have a positive tb skin test and your xray comes back as negative you are not required to have a 9 month treatment. Why BCG is not give in US is because it is a ineffective vaccination, and majority of countries are opting out. In case that you know that you had a BCG I would not take a 9 month treatment,

Q: What are the new requirements for tuberculosis (TB) testing and treatment?

Detailed information on the new requirements are available in the Department of Health and Human

Services, Centers for Disease Control and Prevention’s (CDC) document, Tuberculosis Component of the

Technical Instructions to Civil Surgeons for the Medical Examination of Aliens in the United States. This

document, along with a memo outlining the changes to the TB testing requirements and frequently asked

questions, is on-line at: http://www.cdc.gov/ncidod/dq/civil.htm.

Some of the major changes to the TB requirements include:

Applicants with Class A tuberculosis must complete a full course of TB treatment before

receiving medical clearance by USCIS for adjustment of status.

A chest x-ray is required for all applicants with a tuberculin skin test (TST) reaction of less than 5

mm who have signs or symptoms of TB or immunosuppression.

A chest x-ray is required for all applicants with a TST reaction of more than 5 mm, including

pregnant women.

Sputum cultures and drug susceptibility testing for positive cultures are required for applicants

with chest x-ray findings suggestive of active TB disease.

http://www.uscis.gov/files/article/FAQ_TB_...ents_072408.pdf

how did u prove to the specilaist that you had BCG?I have a record from my school,but it;s in Romanian.

Does the specialist have to fill out part 4? I am confused Because the civil surgeon said that he also accepts a letter from the specialist.But then...who is gonna sign at part 4,if the specialist write a letter...

[sk28 1]

The 9 month treatment is not required for AOS if you do not have a A (active) TB. A TB is determined by xray and culture of your sputum. If you have a positive tb skin test and your xray comes back as negative you are not required to have a 9 month treatment. Why BCG is not give in US is because it is a ineffective vaccination, and majority of countries are opting out. In case that you know that you had a BCG I would not take a 9 month treatment,

Q: What are the new requirements for tuberculosis (TB) testing and treatment?

Detailed information on the new requirements are available in the Department of Health and Human

Services, Centers for Disease Control and Prevention’s (CDC) document, Tuberculosis Component of the

Technical Instructions to Civil Surgeons for the Medical Examination of Aliens in the United States. This

document, along with a memo outlining the changes to the TB testing requirements and frequently asked

questions, is on-line at: http://www.cdc.gov/ncidod/dq/civil.htm.

Some of the major changes to the TB requirements include:

Applicants with Class A tuberculosis must complete a full course of TB treatment before

receiving medical clearance by USCIS for adjustment of status.

A chest x-ray is required for all applicants with a tuberculin skin test (TST) reaction of less than 5

mm who have signs or symptoms of TB or immunosuppression.

A chest x-ray is required for all applicants with a TST reaction of more than 5 mm, including

pregnant women.

Sputum cultures and drug susceptibility testing for positive cultures are required for applicants

with chest x-ray findings suggestive of active TB disease.

http://www.uscis.gov/files/article/FAQ_TB_...ents_072408.pdf

how did u prove to the specilaist that you had BCG?I have a record from my school,but it;s in Romanian.

You do not, US does not do BCG and they take BCG as if you had been in contact with the TB bacteria. After they take an X-ray the specialist will see that you do not have a TB and you never had a TB ( in this case you do not have to take any meds). Only time you need to go take the 9 month treatment for immigration is if you have an active A TB, this is per CDC rules for immigration ( also if you are coming from a high TB).

[sk28 1]

The specialist will see you x-ray and if it has signs of TB you will have a sputum cultured and if it confirms active TB you will be required to go do the treatment. If your x ray comes back as negative you will be offered a treatment by the specialist and you have the right to refuse this treatment. So if you are sure you had a BCG and if your x ray comes negative refuse the treatment and you will have your I-693 cleared.

[citlembik 0]

The specialist will see you x-ray and if it has signs of TB you will have a sputum cultured and if it confirms active TB you will be required to go do the treatment. If your x ray comes back as negative you will be offered a treatment by the specialist and you have the right to refuse this treatment. So if you are sure you had a BCG and if your x ray comes negative refuse the treatment and you will have your I-693 cleared.

oke..so I just tell the doctor:i refuse the treatment?and i'm sure I had BCG (2 doses,the last one on 2000).I have the records...

what if the doctor writes:the patients refuses the treatment and the CS says:I don;t sign the papers...I hope it's not the case...but the Civi; surgeon told me that if the specialist gives me treatment I need ti take it...

[citlembik 0]

The specialist will see you x-ray and if it has signs of TB you will have a sputum cultured and if it confirms active TB you will be required to go do the treatment. If your x ray comes back as negative you will be offered a treatment by the specialist and you have the right to refuse this treatment. So if you are sure you had a BCG and if your x ray comes negative refuse the treatment and you will have your I-693 cleared.

oke..so I just tell the doctor:i refuse the treatment?and i'm sure I had BCG (2 doses,the last one on 2000).I have the records...

what if the doctor writes:the patients refuses the treatment and the CS says:I don;t sign the papers...I hope it's not the case...but the Civi; surgeon told me that if the specialist gives me treatment I need ti take it...

I think I've read everything in that cdc..where does it say that I can refuse the treatment if my x-ray is negative and my tB skin test is 18 mm(so bigger than 10)..The only think that i see is in my disadvantage:

"There are several reasons for assuming that a large reaction (10 mm or greater of induration) to tuberculin is not due to BCG vaccination:

1. Tuberculin test conversion rates after BCG vaccination may be much less than 100%.

2. Tuberculin sensitivity tends to wane over time after the vaccination.

3. The mean reaction size among vaccinated persons is often less than 10 mm of induration."..

with other words...if the specialist decides that the positive test doesn;t come from BCG,but becuse I was exposed(even if I don;t come from a Tb country)...he will prescribe me treatment..right?and you're saying that I can refuse it?

Another think that i've seen in the FAQs is that CS can't sign the paper only if the tb is class A and in this case I have to wait until I finish the ttreatment.so if I am not class A...but I still need treatment..the CS has to sign,but it dosen;t say i have the right to refuse the tteattment...

Please let me know where it's stated what you said.It's important for me..tomorrow I;ll see the specialist and I need to know what to say,based on smth written,

Thanks

[citlembik 0]

The 9 month treatment is not required for AOS if you do not have a A (active) TB. A TB is determined by xray and culture of your sputum. If you have a positive tb skin test and your xray comes back as negative you are not required to have a 9 month treatment. Why BCG is not give in US is because it is a ineffective vaccination, and majority of countries are opting out. In case that you know that you had a BCG I would not take a 9 month treatment,

Q: What are the new requirements for tuberculosis (TB) testing and treatment?

Detailed information on the new requirements are available in the Department of Health and Human

Services, Centers for Disease Control and Prevention’s (CDC) document, Tuberculosis Component of the

Technical Instructions to Civil Surgeons for the Medical Examination of Aliens in the United States. This

document, along with a memo outlining the changes to the TB testing requirements and frequently asked

questions, is on-line at: http://www.cdc.gov/ncidod/dq/civil.htm.

Some of the major changes to the TB requirements include:

Applicants with Class A tuberculosis must complete a full course of TB treatment before

receiving medical clearance by USCIS for adjustment of status.

A chest x-ray is required for all applicants with a tuberculin skin test (TST) reaction of less than 5

mm who have signs or symptoms of TB or immunosuppression.

A chest x-ray is required for all applicants with a TST reaction of more than 5 mm, including

pregnant women.

Sputum cultures and drug susceptibility testing for positive cultures are required for applicants

with chest x-ray findings suggestive of active TB disease.

http://www.uscis.gov/files/article/FAQ_TB_...ents_072408.pdf

how did u prove to the specilaist that you had BCG?I have a record from my school,but it;s in Romanian.

You do not, US does not do BCG and they take BCG as if you had been in contact with the TB bacteria. After they take an X-ray the specialist will see that you do not have a TB and you never had a TB ( in this case you do not have to take any meds). Only time you need to go take the 9 month treatment for immigration is if you have an active A TB, this is per CDC rules for immigration ( also if you are coming from a high TB).

I was talking about proving to the specialist that I had BCG....

[sk28 1]

If you have a latent Tb which means you have a TB bacterium in your body, you will have the treatment recommended (this is preformed only in US) . You have the right to refuse this treatment and the CS has to clear as this is a latent TB page 25 or 26. The treatment itself will not eliminated this bacteria from your body but it will slow down its progression so there is a less of chance you will get an active TB.

The specialist will not consider any information about BCG as CDC believes that BCG is inefficient and in case TST is positive and the x-ray has no abnormalities the person has a latent TB ( even if he was vaccinated with BCG) and recommends treatment per CDC guidelines, you can refuse this treatment. It is up to you.

http://www.cdc.gov/ncidod/dq/pdf/civil_surgeons_ti.pdf

[vichygurl 1]

HI there,

I was positive with PPD too. Relax and don't panic. I had BCG vaccine as well.

I've read all throughout your post..you said you have been given a BCG vaccine twice last 1998 & 2000,right? A BCG vaccine is a vaccine against tuberculosis. I was told by my doctor its 80% effective in preventing tuberculosis for a duration of 15 years. a BCG vaccine may cause a positive reaction to the tuberculin skin test (TST). A positive test result DOES NOT mean you have TB. It means you have been subjected to the organism that can cause TB. More test should be done in order to affirm the positive result. That is why you need a chest X-ray. That was September when I found out I was positive with PPD, I took another Xray here in the US even I had my Xray 3 months before that in my home country. It was Negative. I took another test, QuantiFeron Test.. this test.. a whole blood test for use as an aid in diagnosing MYCOBACTERIUM TUBERCULOSIS infection including LATENT TB and TUBERCULOSIS DISEASE. Advantages on it :

Advantages of the QuantiFeron Test compared to PPD test..

--not subject to reader bias that can occur with TST

--not affected by prior BCG vaccine -- PPD is affected with it.

--does not boost responses measured by subsequent test, which can happen with tuberculin skin test (TST)

Actually a positive reaction requires 15mm that is according to my research, my doctor and the Civil Surgeon affirms that only if there is no known risk of the disease and since Philippines is known high risk of this disease, 13mm is considered to be positive. More test should be given in order to affirm the positive test. My QuantiFeron Test is Negative.

SO I am clear.

I advice you to take another chest Xray. If it shows the same as your Xray taken last August then your clear. Its up to you if you want to take the QuantiFeron test.. it was expensive but worth it. I think you can also get it in your health department for free. If they will require you to take medicine you have the right to refused it as what the above poster said..plus the effect of medicine bugs your ears and liver in a long run.

Good luck to you!

Vida Taylor

[map1map 3]

oke..so I just tell the doctor:i refuse the treatment?and i'm sure I had BCG (2 doses,the last one on 2000).I have the records...

what if the doctor writes:the patients refuses the treatment and the CS says:I don;t sign the papers...I hope it's not the case...but the Civi; surgeon told me that if the specialist gives me treatment I need ti take it...

If I were you, I would DEFINITELY NOT refuse to take the treatment. If the specialist tells you that you have to take it, take it - it lowers the risk anyway (though increasing risks for liver damage). It is not very expensive (about $25 a month, without insurance, about $20 with insurance, no longer administered free in public health clinics). Periodically, the doctor that gives you the treatment will check blood samples for liver functions and overall health status.