« Fox-The Lupus of News | Main | Minocycline for Scleroderma »

April 25, 2010

Comments

Helen

I'll never go to a third world country - much too risky for me - but I'll admit the month I spent backpacking in Europe was, in large part, a way for me to say "screw you" to RA and my recently implanted defibrillator. I imagine some of that is going through these patients' heads, as well.

That said, it was complicated enough carting Enbrel around, avoiding metal detectors and having to know the location of a cardiac unit in every city. I can't imagine how difficult it would be outside the developed world.

milkshake

Patients born in Europe could have been vaccinated with the live TB vaccine in their childhood, which causes a significant fraction of them to still test positive in tuberculin test response in adulthood. I know this because I had to take TB test form my Green card, and I had to go to hassle of proving that I do not have TB even though my tuberculin response was positive. They really wanted to treat me with cycloserine and rifampicine for half a year, no matter that 5% of patients develop nasty liver reaction to the treatment, and that treatment ruins the efficacy of the TB vaccination...

Julie

Good point, and one I recently had to think about when a vasculitis pt announced a trip to Haiti.

home page

I have no idea what the situation is in the vacation regions of Thailand. It may be fine for all I know, but what I have noticed is that the traveling patients of mine don't know either.

Manohar Singh

How could Santiago, who subsists on occasional handouts from kind café owners or, worse, imaginary meals, wage the terrific battle with the great marlin that the novel recounts?
http://www.paridhan.co.in/collections/product/8/32/8/womens-wear/lehenga/bridal-lehenga

Verify your Comment

Previewing your Comment

This is only a preview. Your comment has not yet been posted.

Working...
Your comment could not be posted. Error type:
Your comment has been posted. Post another comment

The letters and numbers you entered did not match the image. Please try again.

As a final step before posting your comment, enter the letters and numbers you see in the image below. This prevents automated programs from posting comments.

Having trouble reading this image? View an alternate.

Working...

Post a comment

Your Information

(Name is required. Email address will not be displayed with the comment.)