Thanks Wendy.
I have received a reply from Dr Lamm:
Dear Mr. P:
BCG has been given to many patients with a hypersensitive response to PPD.
PPD is the skin test for exposure to tuberculosis. More than 60% of
patients who receive intravesical BCG will convert to a positive PPD skin
test. There is some evidence that those who have a positive PPD or
convert to positive PPD have a lower risk of tumor recurrence when treated
with BCG. 90% of patients who receive percutaneous (through the skin) BCG
will convert to positive PPD, so I often add percutaneous administration
to increase the immune response.
Surprisingly, people who have had severe reactions to PPD generally
tolerate BCG. Nonetheless, there is an increased risk of side effects.
These effects can be reduced, if needed, be dose reduction of BCG.
Good luck and thanks for asking,
Don Lamm, MD
I find this reply to be helpful in overcoming my reservations. Now if I can get the attention of my doc for adjusting or attenuating the dosage.
I wrote you a long reply, but the steam died out as I wrote it.
Whatever, I will try to be responsible and caring,
just like those that are helping on this forum. I do appreciate your input.
And I want to thank again, and again.
Slainte,
Phil