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gerrythepoet

X-rays needed for new work permit

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Well, I went to two different places and got told the same thing. I was told the hospital was required to do the drug screening and TB Xray. The form it was on was written in Thai, but it was for gov't medical certificates. The syphilis test was separate and on a separate paper.

But that was in Bangkok.

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You don't need an X-ray to determine if you have TB. Go to another clinic. Problem solved!

What do you need then "to determine if you have TB?"

A lung specialist at Bumrungrad hospital told me that a blood test is not a test for TB, he said there was no way you could detect TB from such a test.

An X-Ray would show signs of TB and that is why for the UK visa application an applicant has to produce an X-Ray from a designated hospital.

I know about TB from first hand experience and was concerned about the blood until this doctor told me not to worry about the blood work.

I had TB and the blood test came back clean!

Well, sorry if my question appears coy; it may have been. I regret a "lung specialist" inferred this. A blood test for TB does detect exposure or presence of TB antigen. There's multiple stages to determine if there is TB or TB exposure, which are not the same thing. Public health policy is based on the greatest reliability in diagnostics, for the greatest amount of people, cost effectively.

If a person has even been exposed to TB they will produce a characteristic antibody. A skin test or related has been traditionally used and it's design triggers a local reaction indicating TB antibody present. But someone could have been exposed yet never gotten TB. Sure, they could do a blood test and this would definitely rule out if the skin test was a false positive, but more commonly a chest X-Ray is ordered. The X-Ray has been determined to be significantly reliable in cost effective determining TB presence. If negative X-ray yet positive other findings, they can do blood work that may determine further characteristics of Antibody- conversion, etc. they can go quite deep. The goal is first public health then individual health, whether exposed or carrier, whether infected or remission.

BTW- I understand your blood test came back negative. Not all tests are 100% reliable. Still, they have graduated testing to balance diagnosis with public health and finances. They are often useful tools. Edited by arjunadawn

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Did you indicate that you were a smoker? I thought the x-ray, would be for those, whose "prick" didn't heal properly. I got the med certificate in Washington DC, and just told the guy I had had one within the last two years, but the school district kept the report, since they paid. I had tried to get one at the local public health clinic, but they are completely uncooperative on filling out external forms. You get their certificate, that's it. I still had to pay 55 usd for the stamp in DC. In the more proper suburbs, a full physical is required and can run 300 USD. Basically, the doctor is signing off that you are in good mental and physical health.

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A small prick on the arm for a reaction will do the trick ...

Actually, this works for people who don't have TB AND have never been in contact with a person who does have TB. Unfortunately, for those who have been in contact with someone that has TB (even if they do not know it), the needle-in-the-forearm test might show a positive result - even though the tested person does not have TB. That is why doctors do the xray - to screen out false positives.

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Go to a small clinic. Cost me 80 baht, and just checked my blood pressure and weight. They did not test me for syphilis, but they signed off for me not having it...I guess my big smile counts as a syphilis test. wink.png

If you go to a hospital, it will cost more, and they will test you.

Question: Why do they want a syphilis test done, but not a HIV test and drug test? Sounds crazy to me

Really? I went to a large clinic and it was still 30 B and only my weight, the BP was noted by nurses and then the doc listened to my heard for a few seconds.

No disclaimer regarding STDs or anything.

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btw, they only have to certify that it isn't "stage 2 Syphilis." If it is just plain Syphilis; you are good to go. Seems like even though you could get a false positive with the prick; that would be better than getting radiation every time you applied for a school job.

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I think you are getting mixed up between the Tuberculosis X-ray and skin test and the Syphilis test, which requires a blood test, not an X-ray.

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