Mail Message from TSC after RFI, Yet no online changes

G

GrassRoot

Registered Users (C)
Hi Forumees,

In my response to TSC's RFI, I stated that I did medical with TB-chest x-ray report in my original 485. That x-ray report actually serves as further backup that I do NOT have TB. Today I received RFE in mail, it says..

" Form I-693, Medical Examination of Aliens Seeking Adjustment of Status, indicates that you have had an abnormal examination for Tuberculosis - chest x-ray report. Therefore, you must submit documented evidence from a designated civil surgeon as proof that you have completed treatment for Tuberculosis ".


My question:

1. Is BCIS asking me to submit a new entired I-693 or just a x-ray report ? Actually I have NOT done any treatment because I do not have TB.

2. Should I contact my previous civil surgeon ( another state, 3 yr ago ) for this report or have it re-done ?

3. What if I did not have any treatment for TB ( I know the US's standard for TB checkup is very strict. I am not a TB patient but may still show "positive" based on their criterion ). If treated, what treatment and how long will it take ?

Thank you very much for taking time to help clarifying me !! You guys have been very helpful.

Grass
 
GrassRoot said:
Hi Forumees,

In my response to TSC's RFI, I stated that I did medical with TB-chest x-ray report in my original 485. That x-ray report actually serves as further backup that I do NOT have TB. Today I received RFE in mail, it says..

" Form I-693, Medical Examination of Aliens Seeking Adjustment of Status, indicates that you have had an abnormal examination for Tuberculosis - chest x-ray report. Therefore, you must submit documented evidence from a designated civil surgeon as proof that you have completed treatment for Tuberculosis ".


My question:

1. Is BCIS asking me to submit a new entired I-693 or just a x-ray report ? Actually I have NOT done any treatment because I do not have TB.

2. Should I contact my previous civil surgeon ( another state, 3 yr ago ) for this report or have it re-done ?

3. What if I did not have any treatment for TB ( I know the US's standard for TB checkup is very strict. I am not a TB patient but may still show "positive" based on their criterion ). If treated, what treatment and how long will it take ?

Thank you very much for taking time to help clarifying me !! You guys have been very helpful.

Grass
Click to expand...


Well what USCIS is saying is that your Xray shows T.B. If your chest XRAY showed you as positive, didnt the doctor tell you? You may have to take the medicine that docs prescribe.
 
wantmygcnow said:
Well what USCIS is saying is that your Xray shows T.B. If your chest XRAY showed you as positive, didnt the doctor tell you? You may have to take the medicine that docs prescribe.
Click to expand...

If his chest x-ray was positive ...they gonna force him to take t.b. medicine.
I think only his skin test was positive..and they ask him for preventive treatment.
my question here did the U.S.C.I.S. have doctors working with them in service center.? :rolleyes: :rolleyes:
 
wantmygcnow said:
Well what USCIS is saying is that your Xray shows T.B. If your chest XRAY showed you as positive, didnt the doctor tell you? You may have to take the medicine that docs prescribe.
Click to expand...

Thank you for your very prompt response, Want.

My wife and I did the same I-693 and now received the same RFE.

When the doctor first checked our TB, he injected vaccine and found the resultant skin bumps' size ( diameter 5~7 mm ) were on the border line ( Positive or negative ) so he couldn't tell TB just by the visible size. We had this TB vaccine immunization done in childhood and that is why. So he further referred us for a "make sure" examination by x-ray. Then He told us that the x-ray reports shows our chests are clear and free of TB. He therefore did not prescribe any medicine for TB treatment.

Now, it appears this specific BCIS officer thought we have TB just because we did x-ray in addition to the conventional " visible size" checkup.

What medicine are used for this "TB treatment" ( by BCIS standard ) and how long will it last to show negative " visible size" bump ?

Many thanks !
 
jubilee said:
If his chest x-ray was positive ...they gonna force him to take t.b. medicine.
I think only his skin test was positive..and they ask him for preventive treatment.
my question here did the U.S.C.I.S. have doctors working with them in service center.? :rolleyes: :rolleyes:
Click to expand...

Thank you , Jubilee.

My wife and I did the same I-693 and now received the same RFE.

When the doctor first checked our TB, he injected vaccine and found the resultant skin bumps' size ( diameter 5~7 mm ) were on the border line ( Positive or negative ) so he couldn't tell TB just by the visible size. We had this TB vaccine immunization done in childhood and that is why. So he further referred us for a "make sure" examination by x-ray. Then He told us that the x-ray reports shows our chests are clear and free of TB. He therefore did not prescribe any medicine for TB treatment.

Now, it appears this specific BCIS officer thought we have TB just because we did x-ray in addition to the conventional " visible size" checkup.

What medicine are used for this "TB treatment" ( by BCIS standard ) and how long will it last to show negative " visible size" bump ? - by treatment prescription or preventive prescription ?

Thank you very much !
 
My TB test are always positive because I took 2 TB vaccines. One as a child and the other one before I came here. So, I vehemently refuse to take TB tests - Always ask for an X-ray. If your doctor has worked outside USA he/she will be able to write a letter and perform an X-ray to explain the situation. However if you have a bone head who has never worked outside America and knows nothing beyond the borders, then you will be in for the medication. Just find a knowlegeble certified immigration doctor ..
 
GrassRoot said:
Thank you , Jubilee.

My wife and I did the same I-693 and now received the same RFE.

When the doctor first checked our TB, he injected vaccine and found the resultant skin bumps' size ( diameter 5~7 mm ) were on the border line ( Positive or negative ) so he couldn't tell TB just by the visible size. We had this TB vaccine immunization done in childhood and that is why. So he further referred us for a "make sure" examination by x-ray. Then He told us that the x-ray reports shows our chests are clear and free of TB. He therefore did not prescribe any medicine for TB treatment.

Now, it appears this specific BCIS officer thought we have TB just because we did x-ray in addition to the conventional " visible size" checkup.

What medicine are used for this "TB treatment" ( by BCIS standard ) and how long will it last to show negative " visible size" bump ? - by treatment prescription or preventive prescription ?

Thank you very much !
Click to expand...

ask health department about rifimpin ...far I know is the shortest T.B. preventive medicince only 3 months..
 
GrassRoot said:
Thank you for your very prompt response, Want.

My wife and I did the same I-693 and now received the same RFE.

When the doctor first checked our TB, he injected vaccine and found the resultant skin bumps' size ( diameter 5~7 mm ) were on the border line ( Positive or negative ) so he couldn't tell TB just by the visible size. We had this TB vaccine immunization done in childhood and that is why. So he further referred us for a "make sure" examination by x-ray. Then He told us that the x-ray reports shows our chests are clear and free of TB. He therefore did not prescribe any medicine for TB treatment.

Now, it appears this specific BCIS officer thought we have TB just because we did x-ray in addition to the conventional " visible size" checkup.

What medicine are used for this "TB treatment" ( by BCIS standard ) and how long will it last to show negative " visible size" bump ?

Many thanks !
Click to expand...


Well you can do 2 things. 1) You can go and get preventive medicine or 2) get a report from the approved doctor and ask him to write up that your chest xray is clear.

Do you have a copy of I-693 form that you gave to INS? Because you can see if the doctor wrote "chest x ray clear"...Thats what I see on my report and i asked the doctor not to give me a skin test because I will always be positive for it for some reason..so he took the xray and wrote "Chest X Ray Clear - No signs of Tubercluosis"...


What is your notice date?
 
Go back to the doc who gave you the initial immigration physicals and the chest X-ray. Have him state that your CXR was negative for TB and that he therefore didn't prescribe a treatment course for TB.

Anyone from a country that used the 'BCG' TB vaccine in children, should NOT get a skin test but ask to have a CXR taken. That way, the 'positive' skin test never makes it on the chart (or the immigration paperwork for that matter).
 
hadron said:
Go back to the doc who gave you the initial immigration physicals and the chest X-ray. Have him state that your CXR was negative for TB and that he therefore didn't prescribe a treatment course for TB.

Anyone from a country that used the 'BCG' TB vaccine in children, should NOT get a skin test but ask to have a CXR taken. That way, the 'positive' skin test never makes it on the chart (or the immigration paperwork for that matter).
Click to expand...

Thank you, Hadron, Penguin, all old friends, you are all very forthcoming !

My did this I-693 in another state 3 years ago and I am not sure if the doctor is still there or still has our files. To make things worse, I can not find my original I-693 and the contents that was supposed in the sealed envelopes..

I will call that doctor anyway. If he finds the x-ray report, should he directly mail it to TSC, or mail me in another sealed envelope, or just fax a statement to me and then I mail this fax to TSC ?

My timeline:

ND: April 2002
FP: Aug 2004
Transfer to TSC: Aug 2005
BIO: Oct 2005
RFI: Oct 2005
 
peguin12 said:
My TB test are always positive because I took 2 TB vaccines. One as a child and the other one before I came here. So, I vehemently refuse to take TB tests - Always ask for an X-ray. If your doctor has worked outside USA he/she will be able to write a letter and perform an X-ray to explain the situation. However if you have a bone head who has never worked outside America and knows nothing beyond the borders, then you will be in for the medication. Just find a knowlegeble certified immigration doctor ..
Click to expand...

I am in southern Texas area... Do you know any such knowledgeable civil doctor with reasonable charges ? Houston or San Antonio area is better.
Great thanks !
 
The medication for latent TB (+ PPD and - chest X ray) is not rifampin. it is INH for 6-9 months. If the chest x ray is also +, it is TB and the treatment is different. starts with 4 medication...
 
hadron said:
Anyone from a country that used the 'BCG' TB vaccine in children, should NOT get a skin test but ask to have a CXR taken. That way, the 'positive' skin test never makes it on the chart (or the immigration paperwork for that matter).
Click to expand...
I did have long conversation with surgeon general in texas..he 72 years old.
he told me he use to work in tuberculosis hospital in new orleans-louisiana and that time he got B.C.G vaccine but everytime he do P.P.D. skin test the result came up negative!!!
he told me immigration added skin test in the I-693 because same physicens found 92% of skin test positives became t.b. active cases ..depend in life style of course.
wherever you came from or what kind vaccine you took you still inactive T.B. case for them..It's sad but is true :rolleyes:
 
memo said:
The medication for latent TB (+ PPD and - chest X ray) is not rifampin. it is INH for 6-9 months. If the chest x ray is also +, it is TB and the treatment is different. starts with 4 medication...
Click to expand...
I know for fact rifimpin is T.B. preventive medicine..matter fact freind took it 3 years ago.the problem that this medicine is expensive...but save you time and less dangerous than I.N.H.
what kind T.B. preventive medicine you took doesn't matter..but you have to show tuberculos preventive medicine record :rolleyes: :rolleyes:
 
Grass,

Here's what I would do. I would contact your previous civil surgeon and see if he could send a statement to the effect that your CXR at the time was negative. In addition, I would go ahead and re-do a new medical (but without a PPD!) and explain to the new civil surgeon whay you're re-doing it. Have him take a new CXR to show that you're still negative. And finally send both results to TSC. Or just the new medical in case contacting the previous civil surgeon does not bear fruit along with a statement explaining why you were not prescribed treatment when you did your first medical.

Good Luck

Feb
 
FebAsylee said:
Grass,

Here's what I would do. I would contact your previous civil surgeon and see if he could send a statement to the effect that your CXR at the time was negative. In addition, I would go ahead and re-do a new medical (but without a PPD!) and explain to the new civil surgeon whay you're re-doing it. Have him take a new CXR to show that you're still negative. And finally send both results to TSC. Or just the new medical in case contacting the previous civil surgeon does not bear fruit along with a statement explaining why you were not prescribed treatment when you did your first medical.

Good Luck

Feb
Click to expand...

Thank you Feb, Jubi, memo, and others, for your new advices. What does it mean by PPD ?
 
PPD means 'skin test'. I got a very good knowledgable doctor, who asked me right away if my skin test had ever been positive. I said 'yes' and he told me if once this test was positive, it will stay this way the rest of your life and sent me for CXR, which, of course, was normal.
 
Morning said:
PPD means 'skin test'. I got a very good knowledgable doctor, who asked me right away if my skin test had ever been positive. I said 'yes' and he told me if once this test was positive, it will stay this way the rest of your life and sent me for CXR, which, of course, was normal.
Click to expand...

Morning, I am very grateful for your message ! Hopefully I will find such a doctor in southern TX.

Good luck to your approval !
 
> and I am not sure if the doctor is still there or still has our files.

Depending on the state this was in, there are mandatory retention periods for medical records. The doc might have to retrieve your folder from a storage company (and might charge you a reasonable fee for it), but it should still be available.
 
GrassRoot
You're welcome! :) Any time. Thank you. Good luck to you, too.
 
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