I did it again...and survived!

13 years 10 months ago #32397 by Patricia
Replied by Patricia on topic I did it again...and survived!
The use of TheraCys may cause tuberculin sensitivity. Since this is a valuable aid in the diagnosis of tuberculosis, it may be advisable to determine the tuberculin reactivity by testing before treatment......
pat

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13 years 10 months ago #32388 by mmc
Replied by mmc on topic I did it again...and survived!
That's right Sara Anne, it 'could' (I'm not sure it is always)make you react to a TB test.

What Lamm is explaining is that they can do a similar thing with BCG to test skin sensitivity which would have a correlation to your sensitivety to the BCG.

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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13 years 10 months ago #32387 by Nix
Replied by Nix on topic I did it again...and survived!
You are right. My Internist did the "patch test" before I started BCG, because he said from that point on I would test "positive" and he thought it would be a good thing to have in my file, the "positive" was caused by the BCG.

Nancy

Nancy S
Ta CIS
dx Ta 11/06
dx Ta CIS 10/07

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13 years 10 months ago #32386 by sara.anne
Replied by sara.anne on topic I did it again...and survived!
Doesn't BCG cross react with TB on a skin test? Thought I read somewhere that it did, and that those of us who have had it might test positive. If so, anyone who already tests positive on a TB skin test would have a positive reaction to BCG. ??????

Sara Anne

Diagnosis 2-08 Small papillary TCC; CIS
BCG; BCG maintenance
Vice-President, American Bladder Cancer Society
Forum Moderator

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13 years 10 months ago #32385 by Nix
Replied by Nix on topic I did it again...and survived!
Very interesting, Mike. That would have certainly helped you out in the very beginning.
I am sure I would have tested fine, since I did get 24 - only the 24th was a problem. I guess my problem is because my Uro used 100% (or what they consider 100%) for at least 18 of the doses).
We still don't know if it is OK to start out with a lesser amount.
Once a patient shows too much of a reaction, Dr Lamm did tell me that the Uro can also "heat" the BCG.

We go as low as 1%. You can also reduce retention to 30 minutes or less.
I also sometimes give heat inactivated BCG to those who do not tolerate
live BCG.
Don Lamm, MD


Thanks for writing Dr Lamm with this question

Nancy

Nancy S
Ta CIS
dx Ta 11/06
dx Ta CIS 10/07

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13 years 10 months ago #32384 by mmc
Replied by mmc on topic I did it again...and survived!
I asked Dr. Lamm about the sensitivity testing for determing dose. Here is my question and his response:

Question:
Dr. Lamm Response:
So folks may want to ask their doctors about this if they are going to start on BCG.

Mike

Age 54
10/31/06 dx CIS (TisG3) non-invasive (at 47)
9/19/08 TURB/TUIP dx Invasive T2G3
10/8/08 RC neobladder(at 49)
2/15/13 T4G3N3M1 distant metastases(at 53)
9/2013 finished chemo -cancer free again
1/2014 ct scan results....distant mets
2/2014 ct result...spread to liver, kidneys, and lymph...

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