Medicals For 485

R

rcodavali

Registered Users (C)
I applied my 485 in Oct 2003, for the medicals I went to the doctors and he said everything is fine and gave me a good report and gave a prescripton to me like this (He did not mention anything that after I take that he will check me later or anything like that)

'INH 300 mg one daily'
'VT B6 50mg one daily'
for 9 months

I assumed that its only for my personal good that he asked me to take the medicine and I did not care to take them actually.

Will this be a problem in my 485 approval, How would USCIS know whether or not I have taken the pills.

My status:
LC for GC approved.
EAD/AP approved.
Finger Printing completed in April04.
RD/ND for 140/484 Oct 7th 2004.
140 RFE received and completed in April04.
USCIS acknowledged 140 RFE.
140 should be approved anytime now.(still waiting).

thanks
-Raj
 
rcodavali,

You will get an RFE only if the doctor had mentioned about the medications in the medical exam results.

If he had not mentioned it, then you shouldn't worry about this.
 
I dont know if the doctor mentioned this in his report to INS or not, should I start taking these medicines in any case?. How would it work?How would doctor(or anyone) know if I have taken the medicine?. if I get a RFE should I go through the TB test again at that point and provide the results to INS again?

thanks
-Raj
 
nivasvs said:
'INH 300 mg one daily'


Looks like preventive treatment for Tuberculosis (TB)
Click to expand...


Seems to be correct.

Read this article:http://www.mckinley.uiuc.edu/health-info/dis-cond/tb/inhinfo.html

INH (Isoniazid) Information

INH - TUBERCULOSIS MEDICATION

Your positive skin test reaction shows that you have been exposed to tuberculosis at some time in the past. The tuberculosis germ is still present in your body. If your chest x-ray was normal, you do NOT have active TB disease.

TB germs can live in your body without making you sick. This is called TB infection, and this is what you have. Your immune system has trapped the TB germs. However, if your immune system or body defenses go down, as can happen with stress, long-term illnesses, old age, or other stressors such as alcohol abuse, the TB germs may multiply and develop into active TB disease. TB germs can affect other organs besides the lungs.

We recommend that you take preventive medicine now, before your TB infection becomes active TB disease. This medicine, taken every day for six or nine months, will kill the TB germs in your body so that you will not develop active TB disease. The medicine you will be taking is Isoniazid - also called "INH." This medicine may deplete your body's stores of vitamin B6, so you will also be given additional vitamin B6, to counteract possible side effects from a lack of this vitamin.

HOW A SIX OR NINE MONTH REGIMEN IS DETERMINED?

Nine months is the preferred time to take medication as it confers a higher degree of protection against the progression of TB infection to TB disease. The nine month regimen confers about 90% protection versus 70% protection with the six month regimen. Individuals who should definitely take the nine month regimen are individuals in the high risk group - e.g. HIV positive individuals or any immunosuppressed individuals, a recent contact of an active TB case and people showing scarring on their chest x-ray consistent with old TB. The six month regimen is more cost-effective and individuals show better adherence to the six month regimen.

HOW TO TAKE INH

Take one pill (300 mg.) of INH every day. Try to take your pill at the same time each day. If you miss a day, do not take extra amounts of the medicine.

Take one pill (300 mg.) of INH daily for six or nine months.

Take one pill of vitamin B6 (50 mg.), also known as Pyridoxine, every day with the INH (at the same time) for six or nine months.

PRECAUTIONS

Do not drink alcohol while you are taking INH. If you think this will be a problem for you, please discuss it with your physician.

Blood tests to check liver enzymes will be done as the physician feels is necessary. Be sure to report any side effects or concerns.
 
Last edited by a moderator:
"I dont know if the doctor mentioned this in his report to INS or not, should I start taking these medicines in any case?. How would it work?How would doctor(or anyone) know if I have taken the medicine?. if I get a RFE should I go through the TB test again at that point and provide the results to INS again?"


More than 60% people from India has this passive infection. Most of the Universities in the United States require this test as a preventive measure to stop the infection. And all of them are required to take the medication. If you have active disease, you will be quarantined.

I don't see any problem for you, since you don't have any issues with your health. Don't worry about your 'INH'. As long as the report doesn't state your health condition, you don't have to worry about anything.

I suggest you to take the medication for the next 9 months for your own sake. You will have lot of side effects during that period. But you will have piece of mind for the rest of your life.

Good Luck
 
Hi Raj,
I have had 13 MM reaction to the Skin test. My family doctor took chest X-ray and it was negative. My family doctor has specified in the medical report that he has prescribed 6 to 9 months INH treatment. When you go for the medical test for I-485, you will get a copy of medical report of whatever goes in the sealed envelope. I have the copy of all of the documents related to my medical exam. Any way, if you choose to take the medication, the doctor will give prescription for 30 days. You will have to visit the doctor for every 30 days and the doctor will do a blood test every time. My doctor took a chest x-ray by end of 5th month. By end of 6th month, the doctor gave me a letter addressed to BCIS saying that I have completed the INH treatment successfully and my health condition is normal. I choose to go for 6 months treatment.

If the chest x-ray is negative, then you don't have TB. It is upto you whether u want to take the medication or skip it. If you skip it, and then if you get an RFE from BCIS, you can always say that you choose NOT to take medication because the chest x-ray was NEGATIVE.

I hope this helps.

eb2august01
 
Yeah..my chest x-ray was negative, and from all of ur postings it looks like I have to take the medicine only for my goodness sake and that it really doesnt matter w.r.t BCIS. I mean most probably BCIS will not need me to send them the medical test results again, and if I get a RFE I can say that I choose not to take the medicine as my 'Chest X-ray is -ve' and that this will be a valid response and BCIS will not make me ineligible for 485/GC on this basis. CORRECT?, please confirm.

thanks a lot
-Raj
 
This is what I understood from this post and pointers to anothers post.

- MY skin test is positive, reaction 12mm (INH medication mentioned in the INS report but I choose not to take it)
- Chest X-ray negative and Normal.
- If I get 485 RFE my response will be
' I did not choose to take the medications as it might be causing some side effects(I am planning for kids, or something) and also as my Chest X-ray is negative and normal'
- Take the chest X-ray AGAIN and ask the immigration doctor to fill up the 1693 AGAIN.
Here I know he will check normal for chest x-ray but for skin test what should I ask him to check 'Not Done'?
- BTW if I get a 485 RFE for medication does it mean I have to complete the same I693 form from a Immigartion doctor and send it to INS.?

OR

Is it recommended to go to the doctors right away (w/o wsating anytime) and start the medications(If 485 RFE comes thru), bear the side effects and wait till the dose course is complete and then send the results/report to INS?


In other words given my case (those who dont know pl read this thread). What exactly should I be doing or be prepared with.

thanks a lot
-Raj
 
You must log in or register to reply here.
Top