PPD vent

[ClinPathDO]

---

Members do not see this ad.

They goofed.




Yes, it's cheaper. PPD doesn't require labs. Your insurance probably had to pay $ to Quest Diagnostics or somebody for the QFT-G. IGRA can be used for a baseline test, but it's more common to just get a 2-step PPD.

We do quantiferon gold in our hospitals clinical lab, It got done in-house. I prefer the PPD stick then getting my blood drawn, but I also get it read at work so its not much of a hassle anyways. The last 3 years it was just PPD.

 

[The Buff OP]

They goofed.

Yeah. The dude is from Colombia. It's one of those clinics that you get what you pay for, not having insurance sucks. 🙁

 

[Bryan O’Blivion]

It's not like I was rude or yelled at her. Your definition of hostility must be excessively prudish.
Perhaps they should have communicated better and given me a time stamp of the exact instant when the needle met my forearm?


Right, since it's a guideline. Not Mosaic law.


I would rather evaluate patients individually and according to my understanding of basic and clinical science than be a drone and perfunctorily enforce 'standards' no matter the scenario or evidence supporting them. 😉

This. I had a BCG years ago, and have been fighting with knee jerk thinking among public health personnel for years. Every few years someone would insist on a new CXR or a course of isoniazid. I felt like I was going to die of radiation sickness before I got my first tubercular cough. Finally got a Quantiferon Gold, and the most satisfying thing about it is seeing it stop the patronizing insistence dead in its tracks. Isoniazid has a host of nasty side effects, as I am sure anyone who paid attention in pharm already knows. Algorithmic thinking is hard to change, so I am all for incorporating an IGRA into the algorithm for a person with a BCG, PPD+, and no really substantial Hx of TB exposure.

 

[deleted307836]

It's always been clear to me when I've had PPD's that results would not be read any sooner than 48 hours. Why should a nurse either a) forge paperwork or b) document results inconsistent with the standards set by her employer? Doing so could possibly risk her job or dock her points on a performance review - all for an impatient med student who should probably know better. She probably doesn't have the authority to go outside of set guidelines and has nothing to gain and probably things to risk by doing so.