Thursday, October 29, 2009

Close Call

I just had a small internal fit, thinking I FORGOT to talk my treatment pill today. I straight up panicked. But then I remembered I did take it. Wow. I really thought I forgot. Just a close call.

I usually take it very soon after waking up, so I am a bit foggy in the head at that time. A lot of times I feel like I can't even open the pill bottles. I feel all big and clumsy and my hands can hardly grip and unscrew the lids. Does that happen to anyone else?

Anyways, I am still 100%
Enjoy the rest of the day and other close calls below...





Tuesday, October 27, 2009

Checkin' In

Good morning, good morning. I am still here. I have yet to miss a day of INH and am still keeping on top of taking a multivitamin supplement. I am successfully 44 days in.

Hopefully everyone is well and TB-free. Is anyone interested in learning something else about TB? Let me know.

Friday, October 23, 2009

World Rates

I recently noticed I am getting traffic from people in all parts of the world. For today's post, I think it would be a great idea to focus on regions and countries that have a high TB prevalence. By knowing if you live in a highly TB infected area, you can check to see if you have been exposed, and medicate or prevent if needed.

Below is a table of world regions and the TB incident rates from the World Health Sciences website (http://www.worldhealthsciences.com/). The table breaks information into particular world regions and the number and percentage of people exposed to TB.


World RegionNumber (in thousands)% of GlobalTotal TB Mortality Per 100,000 of Population
South East Asia
2,993
34%
31.0
Africa
2,529
29%
74.0
Western Pacific
1,927
22%
17.0
Eastern Mediterranean
565
6%
21.0
Europe
445
5%
7.4
The Americas
352
4%
5.5
Global
8,811
100%
24.0


Some of the most infected countries are below.
India
China
Indonesia
South Africa
Brazil
Thailand
Philippines

Happy Friday to you all. Go forth, readers, in good health.

Editor's note: That's a really good point, Dad. As a general statement, though, I would say the numbers having to do with TB in Africa could be more due to the relatively higher HIV/AIDS cases than pretty much all the other countries. According to an article I found on the World Health Organization (WHO) website, by UNAIDS, (http://data.unaids.org/pub/EPISlides/2007/2007_epiupdate_en.pdf) the African Sub-Saharan region is the most seriously affected HIV/AIDS region. This report also shows of some of the top 30 HIV/AIDS infected countries in the world, 22 of those are African countries.
So, while there is high TB numbers in Africa possibly due to HIV/AIDS outbreak, I would say, in my opinion, the rest of the world's numbers come from a high exposure rate due to a prevalence of the TB virus.

Thursday, October 22, 2009

Same Ol', Same Ol'

I like to take my medication and multivitamin after working out in the morning. That seems to work for me. The end.

Day 39

Wednesday, October 21, 2009

So Far, So Good

Things are slowing down a bit. I am 38 days into my 9 month treatment plan. I have yet to miss a day , knock on wood, and don't seem to be having any adverse effects of the INH.

Buenos días lectores en España!

Tuesday, October 20, 2009

Day 37

Nothing new today. Day 37. How many did I say I had to go. Oh, Hell, too many for sure.

Here is my send off for the day. It's a goodie.
TB Cartoon

Posted using ShareThis

Monday, October 19, 2009

B6 Here to Save the Day

Not ONLY did I take my TB treatment this morning (and on Saturday and Sunday), but I also washed it down with a daily multivitamin. One of the few questions the NP asked me when I saw her a couple weeks ago was whether or not I was taking any vitamin supplements. I told her no, and that I wasn't too concerned with not getting what I need. She kind of urged it, and I just said, fine, whatever, I will pick something up the next time I'm at the grocery store or something.

It has been shown that people taking INH, for their TB exposure, have a tendency to be deficient in vitamin B6, which plays a role in metabolic processes. Deficiencies in B6 could lead to a nerve condition called neuropathy, meaning damage to nerves, which in turn, will lead to a lack of sensations, tingling, or pain.

There are a handful of other conditions that could lead to neuropathy...
alcoholism
cancer/cancer treatment
herniated discs
Diabetes
nerve damaging surgeries
vitamin deficiencies
liver or kidney failure

There are multiple ways to development neuropathy, including...
deprivation of oxygen to nerves
too much insulin or sugar in the body
physical injuries to nerves
some infections
prolonged compression due to inappropriate footwear

I guess at the end of the day, taking INH has a preventative treatment puts me on the win side of health. Taking a multivitamin along with it, puts me at a double win side of health.

Take care of yourselves always loyal readers.

Friday, October 16, 2009

Day 33

Good morning sweet, cheerful readers. I don't have much to report on today. At least not after yesterday's hot mess of a news story, with the kid who was thought to be in some homemade UFO look alike balloon, but then wasn't really, and no one knew where he was, but really was just in the attic.

So in keeping with the all around reporting of nothing, I thought I would let you all know I took my treatment pill today and wanted to close today's post with a haiku about having TB...by me:

Breathing isn't hard
I will keep treating myself
Healthy lungs are good

Thursday, October 15, 2009

Valuable People

We are upon day 32 of the TB treatment plan. I am feeling good about my decision with partaking in this "9 month journey". I thought, oh come on, 9 months of this? But a handful of knowledgeable sources told me to just take care of it. These knowledgeable sources are their own success stories, having been exposed to TB, such as myself, and going through the treatment plan. One of these people is my dear, close to my heart, brother of my grandad (shout out to you, G. Dad!).
It was also pointed out to me that it may look favorable to have gone through the treatment for life insurance agencies. Point well taken.

Onward I will go with this.

One word of advise, please keep all those hands clean and away from your faces. You can't get TB through dirty, disgusting, germ-laden hands, but you can get swine flu that way!

Wednesday, October 14, 2009

Day 31

Here we all are again, on a new day. I officially cracked open my new TB prescription this morning and let me tell you all...it felt good. I only have 8 more months of this stuff. I will have another routine appointment with the NP, in another month or so, and maybe some blood work done. It is necessary to make sure the INH isn't making your liver freak out.

That's all I got for yous today. I thought I would end today's update with one of Shakespeare's favorite jokes.
"Knock knock"
"Who's there?"
"TB"
"TB who?"
"TB or not TB, that is the question."

See ya!

Tuesday, October 13, 2009

Making a Dent in the Treatment Plan

I wanted to provide some legit data for all you TB information seekers. Below is a list of terms frequently used in regards to some sort of TB exposure, be it latent TB (what I have) or TB disease (what I don't have). This list was found on The Center for Disease Control website, who are pretty much on top of every single thing in the whole wide world when it comes to anything unsightly, from the plague to pink-eye to the annual flu.

Basic TB Facts
TB Terms
Active TB disease – an illness in which TB bacteria are multiplying and attacking a part of the body, usually the lungs. The symptoms of active TB disease include weakness, weight loss, fever, no appetite, chills, and sweating at night. Other symptoms of active TB disease depend on where in the body the bacteria are growing. If active TB disease is in the lungs (pulmonary TB), the symptoms may include a bad cough, pain in the chest, and coughing up blood. A person with active TB disease may be infectious and spread TB bacteria to others.

BCG– a vaccine for TB named after the French scientists who developed it, Calmette and Guérin. BCG is rarely used in the United States, but it is often given to infants and small children in other countries where TB is common.

Chest x-ray – a picture of the inside of your chest. A chest x-ray is made by exposing a film to x-rays that pass through the chest. A doctor can look at this film to see whether TB bacteria have damaged the lungs.

Contact – a person who has spent time with a person with infectious TB.

Culture – a test to see whether there are TB bacteria in your phlegm or other body fluids. This test can take 2 to 4 weeks in most laboratories.

Directly observed therapy (DOT) – a way of helping patients take their medicine for TB. If you get DOT, you will meet with a health care worker every day or several times a week. You will meet at a place you both agree on. This can be the TB clinic, your home or work, or any other convenient location. You will take your medicine while the health care worker watches.

Extensively drug-resistant TB (XDR TB) - XDR TB is a rare type of TB disease that is resistant to nearly all medicines used to treat TB.

Extrapulmonary TB – active TB disease in any part of the body other than the lungs (for example, the kidney, spine, brain, or lymph nodes).

HIV infection – infection with the human immunodeficiency virus, the virus that causes AIDS (acquired immunodeficiency syndrome). A person with both latent TB infection and HIV infection is at very high risk for active TB disease.

INH or isoniazid – a medicine used to prevent active TB disease in people who have latent TB infection. INH is also one of the four medicines often used to treat active TB disease.

Latent TB infection – a condition in which TB bacteria are alive but inactive in the body. People with latent TB infection have no symptoms, don't feel sick, can't spread TB to others, and usually have a positive skin test reaction. But they may develop active TB disease if they do not receive treatment for latent TB infection.

Multidrug-resistant TB (MDR TB) –active TB disease caused by bacteria resistant to two or more of the most important medicines: INH and RIF.

Mycobacterium tuberculosis – bacteria that cause latent TB infection and active TB disease.

Negative – usually refers to a test result. If you have a negative TB skin test reaction, you probably do not have TB infection.

Positive – usually refers to a test result. If you have a positive TB skin test reaction, you probably have TB infection.

Pulmonary TB – active TB disease that occurs in the lungs, usually producing a cough that lasts 3 weeks or longer. Most active TB disease is pulmonary.

Resistant bacteria – bacteria that can no longer be killed by a certain medicine.

Rifampin (RIF) – one of the four medicines often used to treat active TB disease. It is considered a first-line drug.

Smear – a test to see whether there are TB bacteria in your phlegm. To do this test, lab workers smear the phlegm on a glass slide, stain the slide with a special stain, and look for any TB bacteria on the slide. This test usually takes 1 day to get the results.

Sputum – phlegm coughed up from deep inside the lungs. Sputum is examined for TB bacteria using a smear; part of the sputum can also be used to do a culture.

TB skin test – a test that is often used to find out if you are infected with TB bacteria. A liquid called tuberculin is injected under the skin on the lower part of your arm. If you have a positive reaction to this test, you probably have TB infection. Other tests will be needed to find out if you have latent TB infection or TB disease.

TB blood test – a new test that uses a blood sample to find out if you are infected with TB bacteria. The test measures the response to TB proteins when they are mixed with a small amount of blood. Examples of these special TB blood tests include QuantiFERON®-TB Gold (QFT-G) and T-Spot®.TB test.

Tuberculin or PPD – a liquid that is injected under the skin on the lower part of your arm during a TB skin test. If you have latent TB infection, you will probably have a positive reaction to the tuberculin.

In case any of you have lost count, I took my 30th TB treatment today. I am 1 month out of 9, or 4 weeks out of 36, or 30 days out of 252 through it.

Monday, October 12, 2009

Cruising Again

And we're back to our regularly scheduled program. Fear not loyal, honorable readers, I am still kickin'. Latent TB has not taken over nor converted to active TB. Work was a bit busy last week, so unfortunately, and unfair to you all, I had to side line the blog for a few days.

To update you, I have still not missed a TB med dose. I am one day from finishing my first bottle of INH. I also met with my nurse practitioner (NP) last week just as a routine, monthly check-up. Everything is going well and accordingly. I don't have any discomfort, I guess in my liver? and I don't have any weird sensations in my extremities. Because all is going well, I got my second prescription of INH. HOLLA!

Thanks for staying with me during my lull in writing. I am just a girl trying to balance my work, social life, and latent TB and the regimens that come with it.

In the words of my favorite German, Albert Einstein, "Life is like riding a bicycle. To keep your balance you must keep moving."

Keep pedaling,
Moody but TB Infected

Wednesday, October 7, 2009

An Atmosphere that Could Kill

There is a BIG audit at work on Friday. It is actually a pretty big deal, and a lot could be at stake, if things go badly. I really don't suspect they will, but that is because of my very calm demeanor this week.

As people around me are stressed and freaking out, I am staying calm. I HAVE TO. For my well being, of course. Stress can be very detrimental to someone's health and can weaken the immune system's response, causing someone to get sick. That is why a lot of people get sick after stressful periods (ie: college finals). Let's just say I never got sick in college.

My latent TB could develop into active and I cannot let that happen. Because TB is the most harmful in weak immune responsive individuals, stress could be a really bad thing. I am not worrying myself in a frenzy one bit. This sounds a lot like college actually. I am staying calm for my health. *You think I WANT to be this calm, while everyone else is running amok? I have to be in tip-top condition when the auditing group does their site visit this week. I have to mentally be my strongest. All I can do is diligently take my daily medication and stay completely calm and in control. I am doing everyone a favor.

Everyone, stay calm, in control, and healthy.

*I was freaking a few months ago.

Tuesday, October 6, 2009

A Regular Day

Nothing to really report on today. I went to visit the family this weekend and made sure to pack my medication. I never missed a day.

Tomorrow I have an appointment with my nurse practitioner (NP) to make sure everything is going smoothly and I am not having an adverse side effects, like fatigue or tingling in my hands and feet. I do get dizzy spells when I stand up, but I think it is from doing it too fast. Nothing crazies.

I will make sure to fill you all in.
Wonderful, healthy Tuesdays to all!

Friday, October 2, 2009

Profound

As this week winds down, loyal readers, I would like to leave you all with something I found to be profound and true. Sometimes, being sick can make someone feel alone and alienated from healthy people. Feel isolated no more fellow tubies!

"Tis healthy to be sick sometimes." - Henry David Thoreau

Thank you, Mr. Thoreau.

For the rest of you, put that in your pipe and smoke it!

It's Friday, Holla!

Peace!

Thursday, October 1, 2009

Friend of Ours

I got another question from one of my dear, dear readers.

Dear Moody but TB Infected,
I couldn't help but notice the picture you have on your blog. Is that what a positive TB test looks like? Thanks.
Signed,
A Friend of the Tubies,

That is a really great question Friend of the Tubies (much appreciated by the way). That indeed IS a picture of a positive TB test, also known as a PPD (purified protein derivative) test. To test somone for TB exposure, a small area under the top layer of the skin, typically on the forearm, is injected with the PPD strain. Once injected, the site should be examined by a health care professional within the next 48-72 hours. Depending on the results of the test will determine if someone has been exposed to TB.

Below is an example of a positive TB test:

My TB test result looked pretty similar to this one and lasted 3 or 4 weeks. When I USED to test negative to TB exposure, there wouldn't really be any redness, and if there was any, it would go away with in a couple days.

Below is another postive TB test:

Bummer. That's a positive alright.

Let's look at those not exposed, below.

Lucky dog. They got away THIS year from the TB.

POP QUIZ: answers provided at the end of the post.
Positive or Negative TB test?
A.


Positive or Negative TB Test?
B.


Who studied and who DIDN'T?

TB tests are typically to test individuals at high risk of being exposed. They are not really meant for everyone. I guess on the bright side of being exposed, I am in a special, selective group of people.

The way someone's body responds to TB exposure depends a lot on their immune system. So people with a weaken immune response, such as those with HIV or AIDS, are in a group that should be tested. Also, people who live in confined living conditions, like schools or nursing homes, should also be tested annually. Healthcare workers (that's me) and other occupations that will expose people to individuals with active TB, are also at risk and are/should be tested regularly. There is also a population of people who are from or have lived in foreign countries where TB is common, who should be careful of developing active TB.

Thanks again for the question Friend of the Tubies. A friend of us is a friend of mine.

Day 17 pill has been taken and I am feeling good today.


Answers to quiz: A. positive, B. negative

Imagines from:
http://www.healthyinfo.com/clinical/tb/tb.18mm.jpg,
http://graphics8.nytimes.com/images/2007/08/01/health/adam/3037.jpg,
https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEr5Z0yGOTgcUU7hK33dZJQLOf02TnlJFWbluLZ_Pr06yhUZfCzp5OCPokGH-qRq_0kUi5_ZecbfWyHt4nCCo858LDnFFA1-GYsujpUuCwzbCNR98gwXZkS_StbJhD-aSYd2CXJFu5Hxo/s320/mantoux.jpg,
http://gabbiana.blogspot.com/2006_10_01_archive.html