Granuloma on xray

[CheDan 4]

i am just concernd about my upcoming medical for the interview... in a company where i am employed we have this APE and found out i had granuloma.. according to the pulmonologist its a scar.. i want to ask if this would affect my medical in st. lukes anyone have this? need your opinion..

[Hank_ 9,171]

Odds are SLEC sees scaring they will require the SPUTUM testing, which is 60 days

[manilaraf 28]

It'll depend on the rest of your medical history. Granulomas, while they can occur as a result of past TB infections, aren't specific to only TB. But odds are Hank_'s right. To be safe and to make sure if it was from TB, that it's not active, they'll likely have you do the sputum testing.

[CheDan 4]

how can they get a sputum if you are not coughing? maybe i will just bring my medical.history since i did not had TB.. had APE sept and was cleared with my xray. had xray march cause my shoulder is aching and this was the result theyve seen granulomas...

[CheDan 4]

i am.planning to have my pre medical exam in st lukes for the sputum or skin tb testing.. i think this will help before my actual medical?

[manilaraf 28]

Not necessarily. St Lukes consult or not, SLEC will likely have you do it anyway considering you have no past history of TB.

St Lukes consult before the medical is to satisfy you.

The Medical At SLEC is to satisfy the USEM and the CDC that you're not currently infected with TB (and therefore liable to be a public health concern in the US)

SLEC is under no obligation to accept any XRays or tests done outside of SLEC even if it is St Lukes QC or St Lukes BGC

They'll rely mostly on your XRays done on the day of your medical

[chillin4me 15]

they will let you cough even if you don't have a cough.

[carton025 38]

how can they get a sputum if you are not coughing? maybe i will just bring my medical.history since i did not had TB.. had APE sept and was cleared with my xray. had xray march cause my shoulder is aching and this was the result theyve seen granulomas...

If I were you, what you say above is what I would do. You have nothing to lose by trying and you never know until you try.

Best of luck!

[VOL 425]

they will let you cough even if you don't have a cough.

Smoke a pack of Marlboro the night before the exam, Those will have you coughing the next day...

[Greenbaum 12,258]

Not necessarily. St Lukes consult or not, SLEC will likely have you do it anyway considering you have no past history of TB.

St Lukes consult before the medical is to satisfy you.

The Medical At SLEC is to satisfy the USEM and the CDC that you're not currently infected with TB (and therefore liable to be a public health concern in the US)

SLEC is under no obligation to accept any XRays or tests done outside of SLEC even if it is St Lukes QC or St Lukes BGC

They'll rely mostly on your XRays done on the day of your medical

I like that you are here as you can bring a perspective from a Doctors point. I enjoy and learn quite a bit from your postings. I hope you stick around and continue to help those whom have medical questions.

If I were you, what you say above is what I would do. You have nothing to lose by trying and you never know until you try.

Best of luck!

The experience that we see from SLEC is that their commitment is to USEM and not to the patient. They will review anything you bring with you but in reality, they will do their own testing and draw conclusions from their results ONLY. The equipment they use is much more advanced then what can be found in a Doctor's office in a province. She can bring her own test results but they hold no or very little weight once SLEC reviews their findings and makes their decision.

[RoJ10 18]

As what said above, SLEC is just following the guidelines set by USEM. Just do your medical and if you were asked to do sputum test, they will give you instruction how to produce one. And just in case you are positive, you will be on monitored treatment for TB (6months) and they will redo your screening.

Don't worry, it's not a ground of denial. They are just complying for what the USEM Asked them to do so.

[RoJ10 18]

Plus if they need referral specialist , they will ask you to go to a certain doctor which is affiliated for this procedure.

If you still wanted to see a doctor before medical assuming that this could help things easier it's up to you. But then again, don't expect that SLEC will follow your advice.

[manilaraf 28]

they will let you cough even if you don't have a cough.

Yes. There are ways to collect sputum. The easiest of which is to have the patient cough up sputum. If you are unable to produce, there's a stepwise procedure on how to obtain a sample.

Here's a website explaining the procedure for the patient/layman

http://www.webmd.com/lung/sputum-culture

Sputum Culture

How It Is Done

Usually, the sputum sample is collected early in the morning before you eat or drink anything. In some cases (especially if you may have tuberculosis), three or more morning samples may be needed.

If you wear dentures, you will need to remove them before collecting a sputum sample. Then rinse your mouth with water, take a deep breath, and then cough deeply to produce a sample of sputum. The health professional collecting the sample may tap on your chest to help loosen the sputum in your lungs before you cough. If you still have trouble coughing up a sample, you may be asked to inhale an aerosol mist to help you cough.

Bronchoscopy

Some people may need bronchoscopy to collect a sputum sample. During bronchoscopy, a thin, lighted tube (bronchoscope) is inserted through your mouth or nose into the airways leading to your lungs. You will be given medicine that numbs your throat and nose so you do not feel discomfort from the bronchoscope. You may also be given a sedative to make you sleepy during the procedure. To collect the sputum sample, a salt solution may be washed into the airway and then suctioned into a container. A small, thin brush may be used to collect a sample.

Suction

A sputum sample can also be collected using suction. During this procedure, a soft, flexible tube (called a nasotracheal catheter) is inserted through the nose and down the throat. Suction is applied for up to 15 seconds to collect the sputum sample. This method of collecting a sputum sample is often used for people who are very sick or unconscious.

[ohmymy 2]

The medical exam that you are about to undergo will perform specific lab works and exams and the result will be the basis of their conclusion about your health status. You can bring a medical file with you stating that you are in the best of health but it would be of no use. About granuloma. granuloma is a vaguely loose term which can mean a small nodule/scar to a malignant tumor. No one can draw much from that statement you have just said. Not even the best of doctors unless they do further tests.

In light of your upcoming interview, there is not much you can do but to go there and submit to the medical exam to fulfill the requirement of your K1 application.

Relax. Inhale... Exhale..... Best of luck to you!

I miss Philippines. I miss my fiance. I am also a Filipina and my fiance ( also a Filipino) is there. I lived there for 10 years but now am back here in the US.

[apple21 953]

Smoke a pack of Marlboro the night before the exam, Those will have you coughing the next day...

Dumbest advice ever.