sneakypuss_01
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- Joined: Feb 2011
- Location: Newcastle
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Fri Feb 25, 2011 8:02 pm
Last edited Feb 25, 2011, 08:28 pm
Update #1
Hi There I am in my first semester of my Bachelor of Nursing degree with the University of Newcastle. I went to get my vaccinations started, and I found out that I can not have the chicken pox vaccination. I have Multiple Sclerosis, and I am currently on a drug trial called the 'Tower Study' at John Hunter Hospital. The trial is studying the 'efficacy and safety of teriflunomide in patients with relapsing multiple sclerosis' My Neurologist,who also happens to be the Doctor in charge of the trial, has advised me that teriflunomide is an 'immune modulator' drug and that I CAN NOT have any vaccinations that contain a live virus. I have never had the chicken-pox and I am unable to get vaccinated for it at this time.
I have sent an email to my Clinical Placement Coordinator, but I'm a bit worried about this and it may take some time until she gets back to me. Does anyone know if this is this going to be an issue for clinical placement? Thanks Sneaky P
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Upcoming RN
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Feb 25, 2011, 09:00 pm
Hey Pussy, Vaccines don't generally contain a 'live virus'. They contain a virus's protein coat and should not, as a rule, contain DNA or RNA; therefore they are unable to grow in host cells. Chicken pox is also more prevalent in young children, possibly the elderly too. It may affect healthy adolescents such as yourself but it is not a huge risk, unless you do a paediatrics placement and nurse a child with chicken pox, touching the sores etc. Speak to your neurologist, or a GP. GP's are probably more likely to be knowledgeable about vaccines and know more in this area than a highly specialised brain physician (neurologist) who does not necessarily specialise in immunology.
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AngelaM
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Feb 25, 2011, 09:42 pm
Sneakypuss have a chat to your GP. When I was getting all of my vaccines, I was informed by both my GP and the staff health nurse in the hospital where i work that chicken pox, rubella etc are live vaccines. Therefore, you can only have one vaccination combination at a time and have to have a certain time frame between various vaccines. Also you cannot fall pregnant during the vaccination program. Something about having 2 different forms of live organisms within your body at the same time. It was quite a while ago so I cant remember the specifics.
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sneakypuss_01
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- Location: Newcastle
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Feb 25, 2011, 10:17 pm
Thanks for your prompt replies. The chicken pox vaccine (Varicella) that they almost gave me today, but I said I'd better check with my neuro first, is a live vaccine, so I declined it. I was able to get the Hep B and the vaccination for diphtheria, tetanus and whooping cough.Although my neuro did warn me the Hep B may trigger a MS relapse.
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Upcoming RN
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Feb 26, 2011, 08:16 am
I don't want to be rude, so instead I'll be blunt and get straight to the point. You do not need a degree in medicine to know what I am about to tell you. Viruses are not really 'live organisms'. They do not share the defined characteristics of living things. Living things can reproduce. Viruses can only reproduce inside a host, not on their own. Therefore, the varicella vaccine does not contain, or at least SHOULD not contain a live organism, as viruses - they're not really organisms. You're getting viruses confused with bacteria by the sound of things. This is simple knowledge. GP's might say a vaccine is 'live' but they are oversimplifying what can be a complex issue (there is scientific debate about whether or not a virus can actually be called a living thing). GP's are acute generalists and it is their job to give medical advice that is easy for the consumer, or patient, to understand. Please don't keep saying that the varicella vaccine contains a live organism, because this is simply not the case. If it did contain a live virus, it would also contain a host (e.g. a human cell). Viruses are only really 'live' within a host, and if you were injected with a live virus, I think that you would get varicella/chicken pox. You are sounding very silly and unscientific when you use consumer medicine terms. Do you even know what a virus is made up of? Please find out for me. I'm in year 12, and to answer that question, all I need to do is look at my Biology text, Biology in Focus HSC course. I'm sick of nurses not being able to answer questions that I know the answer to - basic stuff, practical knowledge... 3 years of nurse training and some of them don't even know what a mole (chemistry definition) is! Or, when I had my operation, they had to check with the surgeon - has he done enough poo to be clear enough for the ...colonoscopy? For crying out loud, I want to be a nurse just like you, and we could be co-workers one day (after we both graduate from uni) so can you please learn your stuff? I have had a virus when I was 12 or 13 (the GP needed to check for meningoccal) and at the hospital the paediatric male nurse was a godsend. He could answer all my questions without having to fetch the doctor. Sorry. I ranted and raved a bit there. Have met some very lazy, sloppy nurses who don't do the job properly. Good luck with your studies, check with a good GP (I could recommend Dr Peter Roach, or Dr Rebecca Roach - but this is out in Turramurra area... there's Kellyville Family Medical Practice (NSW 2155) though - ehm... do you live in Newcastle or are you commuter?) It's just that your neurologist is so specialised she probably doesn't do a lot of immunisations, unless that (immunology) is her sub-speciality). So a GP, or a GP practice nurse even - someone with more generalised knowledge who actually does immunisations and knows the pharmacology of them, would be better maybe.
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Upcoming RN
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Feb 26, 2011, 09:32 am
Sneakypuss, Sorry about my last post - I was rude and should be more patient. You could be an adult, I shouldn't assume you're 17-18 like me and fresh out of school. Live just seems like misleading word to use if you are talking about viruses. If you are talking bacteria - like the ones that will be on this pizza from last night I'm eating - then the word live is fine. I can't wait to be in your position, starting my nursing degree! (and it's only one year away!) I've heard a lot of good things about Newcastle too (it's a wonderful place to live, and I heard the campus itself is beautiful at Callaghan). Nursing is a great career choice in my opinion - you're not stuck at a desk all day, you get to meet new and interesting people everyday, master your technical skills through practice... and don't forget, you get to meet beautiful doctors and orderlies! :-P Kidding! Will it be hard to be a nurse with MS? I don't know much about it - just that it can give you tremors (like my medication gives me). If it's under control at the moment, of course you have done the right thing in talking to your neuro. Tell me, are you my age - a teenager/young one? Or are you a mature-aged student?
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sneakypuss_01
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- Joined: Feb 2011
- Location: Newcastle
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Feb 27, 2011, 06:06 pm
Last edited Feb 27, 2011, 06:06 pm
update #2
Upcoming RN If you read my first post, it was actually my NEUROLOGIST who said I can't have the vaccination because it contains a LIVE virus. I also said I was on an 'immune modulator' drug and you can't give a virus to someone who is immunosuppressed...like me As per the Victoria Health Chickenpox Immunisation information:
Chickenpox vaccine
The chickenpox vaccine contains modified live virus
at a reduced strength and a small amount of the antibiotic, neomycin. (http://www.health.vic.gov.au/__data/assets/pdf_file/0012/813/chickenpox.pdf) I'm a matured aged student who was 6 credits short of finishing my law degree, before I decided I wanted to go into Nursing so I can work with people with MS Good luck in your studies.
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naughtynurse
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Feb 27, 2011, 09:23 pm
Hi Sneaky, I suggest speaking to your GP or the Practice nurse at your GP if you haven't heard from your Clinical Placement Co-ordinator. They administer vaccinations on a regular basis and they would probably advise you on what is best for you. Upcoming RN - I don't want to be rude, but I found that post of yours to be rude and condescending. Would you speak to one of your patients like that?
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Kitallea
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- Location: Perth
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Feb 28, 2011, 10:57 pm
Upcoming RN I suggest that it is YOU that needs to actually check your facts before posting such statements! The below I have taken from the National Centre for Immunisation Research and Surveillance.
Vaccines
Two monovalent vaccines containing live attenuated
(weakened) varicella-zoster virus are currently available
in Australia (Varilrix® and Varivax Refrigerated). These
vaccines are both derived from the Oka varicella-zoster virus strain. Apart from the above I think that the Neuro in charge of a trial would know their stuff and be more than qualified to say what can and can't be given to trial participants. If you are planning on studying nursing then you need to have a big change of attitude or you will not get far when it comes to prac and learning from those who have a great amount of knowledge and experience. You would be eaten alive on prac by many nurses if you where placed with them and took that tone and attitude with them. Sneakypuss, you should find that as long as you advise your uni and I think sign a form to say you are aware of the risks of not having immunisations you should be fine with the uni side of things. I know people in my course who have objected to having annual flu vax and it hasn't been a problem.
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sneakypuss_01
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- Joined: Feb 2011
- Location: Newcastle
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Mar 02, 2011, 12:54 pm
Last edited Mar 02, 2011, 12:54 pm
update #1
I just want to say thanks to AngelaM, naughtynurse, and kitallea for their supportive and non- disparaging remarks. I was pretty angry by Upcoming RN's remarks and decided I'd better wait before I reply to him. I see that some of you have already done that for me, so thank you. Regards Sneaky P
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sez82
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- Location: ballan
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Mar 03, 2011, 10:13 am
Upcoming RN, Being a 17yr old no it all is not a good attitude to have if you plan on being a nurse after high school. There is no need to be a cow now. The attitude you have aint going to get you anywhere in life. Its attitudes like yours that get others hurt or killed in health care. DON'T GIVE MEDICAL ADVICE IF YOUR NOT QUALIFIED TO DO SO.
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AngelaM
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Mar 04, 2011, 08:10 pm
Upcoming RN, as someome who works on a busy hospital ward, a know it all attitiude is only going to get you as far as the next doubly incontinent patient, bad reputation with other co-workers and regular visits to the NUM's office. "Knowing" all the theory in the world is not going to get you anywhere in a world that depends heavily on the empathy and caring attitude that is a major requirement to succeeding as a nurse. Now I am not a theroy wizz, i couldn't tell you how a virus strain is made up....that was 10 subjects ago and I have a few more important things to worry about now. I can tell you however that in my time working on a busy, high turnover ward, no patient has ever asked how virus etc are constructed. I would suggest that a specialist with 20 years ++ training and practice would know more then a 17 year old school kid. I would also think that a hospital staff immunisation co-ordinator, well respected GP and respiratory clinic staff would also know more then you. No problem sneaky puss :) i am happy to help with any questions that I am able to.
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sash
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Mar 04, 2011, 09:42 pm
Upcoming RN; no-one likes a know it all. (meaning, someone who THINKS they know everything, not some one who actually DOES know everything). You are coming across very arrogant in this thread. Maybe you should go into microbiology instead of nursing.
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Upcoming RN
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Jan 16, 2012, 11:18 am
Angela and others, I sense a lot of hate and not a lot of empathy, which Angela given the content of your post is somewhat hypocritical. How can you tell me I'll get nowhere in nursing because I'm not compassionate, then tell me you're an experienced nurse. So you got somewhere yet now you resort to hurting the less experienced. Your comments were offensive and unnecessary as I had already apologised. I am now 18 years old actually, and enrolled in first year Bachelor of Nursing at Avondale College, starting my studies on 22 February with Chemistry bridging course, then moving on to start nursing with registration day and orientation on 27 February 2012. I'm young and inexperienced, but am by no means an emotionless know-it-all who will get nowhere other than the NUM's office. If you judged me on who I am, rather than a few short words on a screen Angela, you'd realise that I'm a kind, considerate person, who sometimes makes mistakes but who learns from these mistakes. Please make sure you read the whole thread first next time so you can notice my apology before biting my head off. I'm so sorry to cause such a fuss by saying that there is no such thing as a live virus and that 'live' is in colloquial usage.
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