Wegs and being in close proximity to a recently vaccinated child

[ArlaMo]

I probably need to call Dr. Langford and ask about this, but just checking to see if anyone knows.

When I first got sick, the rheumy I saw in Spokane told me I should not be around anyone that had had a live vaccine (varicella for chicken pox, MMR, flu mist, etc.) My older children all had their vaccinations, but my youngest still needs the varicella and MMR. If I am currently in medical remission, but still on Cellcept, can he get that vaccine? I don't think I can avoid my six year old for very long :tongue1:

[drz]

I probably need to call Dr. Langford and ask about this, but just checking to see if anyone knows.

When I first got sick, the rheumy I saw in Spokane told me I should not be around anyone that had had a live vaccine (varicella for chicken pox, MMR, flu mist, etc.) My older children all had their vaccinations, but my youngest still needs the varicella and MMR. If I am currently in medical remission, but still on Cellcept, can he get that vaccine? I don't think I can avoid my six year old for very long :tongue1:

Let us know what doctors say. It might partly depend upon how your lab work looks too in terms of how weak is your immune system. How they assess your risk will be interesting info for us all.

[Sangye]

ArlaMo, if you're on cellcept you're still immune-compromised. Cellcept wipes out the B cells, which make antibodies. I don't know how long the vaccines will cause him to shed live virus, but I would limit close contact as much as possible. Maybe it's time for mommy to get a bit of vacation time?

[ArlaMo]

That's kind of what I was thinking, Sangye.

My local docs have been trying to reach Dr. Langford for a couple weeks without luck. Hard to have a good long distance patient relationship.

The varicella is not a huge deal in my eyes...except that I had chicken pox as a child and have not had (can't have) the shingles vaccine. MMR is a little more concerning to me.

[Sangye]

Varicella is a big deal. Being on Cellcept might have wiped out your antibody history. All 4 are a big deal because any infection can trigger Wegs, in addition to the trouble the infection itself can cause.

Can you call Dr Langford yourself? Is she your doctor or do your doctors just consult with her?

[ArlaMo]

I flew out and saw her last year and she put together a treatment plan which she forwarded to my docs here. I have not been back yet - life is crazy busy with my six kids and it was really hard to get out there. Worth it, yes, but a huge production to get it all coordinated. I'll try to get thru to her - both my internist and my nephro have been trying to reach her, but no return call for almost three weeks...

I'm actually looking into being seen at the Salt Lake Vasculitis Center. Much more accessible for me, plus my daughter is starting her freshman year in Utah next week. I'd love another excuse to visit :wink1:. They are scheduling waaaaay out though, so not sure when I'll get an appointment. I'm feeling pretty good right now and I grew up NEVER going to the doctor, so it is hard to want to go when nothing is really going on. Logically, I know I have to keep a very close eye on things, but I have been letting my life outside of Wegeners take precedence.

And yes, I know any infection could be a HUGE problem for me. I was thinking in terms of my son. If HE got chicken pox, most likely not that big of deal for him but potentially big problems for me. But measles, mumps, rubella could be a big issue for him if he were ever exposed. UGH! Wish he had been all done with shots when I got sick.

Is there a way to test for antibody history? Is that something I should consider doing? Not something I had ever thought of...

[norcalian]

Is there a way to test for antibody history? Is that something I should consider doing? Not something I had ever thought of...

I believe they do have tests to check for antibodies. I was at a family reunion this year with a brother who had shingles. I checked it with my ID doc who had me tested to see if I had the Chx Pox virus antibodies...so I know that they at least have a test for that particular antibody. I would assume they have it for others as well.

[Lightwarrior]

That's kind of what I was thinking, Sangye.

My local docs have been trying to reach Dr. Langford for a couple weeks without luck. Hard to have a good long distance patient relationship.

The varicella is not a huge deal in my eyes...except that I had chicken pox as a child and have not had (can't have) the shingles vaccine. MMR is a little more concerning to me.

Do whatever it takes to stay away from getting shingles, I had shingles from end of February until April and I still have a lot of pain and very ugly scarring in the C6 and C7 dermatones.

[Sangye]

You can do titers for antibodies, though your insurance is not likely to cover it. Also, since cellcept is continually wiping out B cell populations you might have an antibody today but not next month. Not much is known about antibody histories as it is, much less when you introduce immune-suppressants that specifically target B cells.

Measles, mumps and rubella are not problematic at all in an otherwise healthy child. Whether or not you vaccinate you still need to support the child's immune system. In my practice most of the parents did not vaccinate their children and not a single one of my pediatric patients had a complication to illness. Most childhood vaccinations were created to save parents from having to take time off work to care for a sick child, not because the diseases were dangerous.

BTW, not only did I survive measles as a child without the slightest problem, but I'm an example of vaccine failure. I had a live measles vaccine, then got full-blown measles about a year later. Despite the fact that I had a documented case of measles giving me lifetime immunity, my elementary school forced me to have another measles vaccine. And another. How idiotic is THAT?

[pberggren1]

I hate it when we are forced to have these vaccines. I had no choice but to get those vaccines when I had the cochlear implant surgery. My doc is certain many of my problems now are because of those vaccines.

[Debbie C]

I have a question..i know we are not supposed to be around people that just got vaccinated but does that count for the shingles vaccine also? My boyfriends mother just got vaccinated for it yesterday and we are going to a big cookout today and church tommorrow.

[Sangye]

Yes, that counts for the shingles vaccine. That vaccine is a live vaccine.

[Debbie C]

Thanks for the reply Sangye, I called the pharmacist and he wasn't sure if being aroung people that got the flu or pneumonia vaccine was bad.And he didn't know anything about shingles vaccine. But I kept my distance from her today an not going to church tomorrow.May go walk the dogs at the pound instead.

[KathyB]

Wow -- learned something new from you all today. I'll be contacting my rheumy to talk about live vaccines, etc. I have 4 grandkids and will find out where they are in their vaccine regiment. One is just a year out from starting school. Interesting. Keep the conversation going! :ohmy:

KB

[Sangye]

The Flu-mist (nasal) vaccine is a live virus. That's usually the one they give to kids. It is really bad to be around that one, since it's placed in the nose, so any time they sneeze or wipe their nose they're sharing live flu virus. I don't remember if the pneumonia vaccine is live or not.

[KathyB]

Thx, Sangye. I'll find out from my daughters-in-law. I had the flu vaccine after I got pneumonia last year. Never had the pneumonia vaccine...

KB