Jump to content


[PSA] Rabies, the importance of vaccination, side-effects & my experiences so far.


  • Please log in to reply
36 replies to this topic

TLWiz #21 Posted Feb 02 2019 - 05:22

    Major

  • -Players-
  • 22142 battles
  • 9,765
  • [DSSRT] DSSRT
  • Member since:
    12-26-2014
Good choice not to take a chance with this. Sorry it is such an ordeal - makes tank complaints seem pretty lame.

Edited by TLWiz, Feb 02 2019 - 05:23.


BigDollarBillz #22 Posted Feb 02 2019 - 06:00

    Major

  • Players
  • 38772 battles
  • 4,449
  • [SBW] SBW
  • Member since:
    08-28-2011
Get well man and I'm glad you didn't take any chances. It is always better to get the shots, than taking a chance on dying.

jamieliu #23 Posted Feb 02 2019 - 08:55

    First lieutenant

  • Players
  • 46794 battles
  • 882
  • Member since:
    07-04-2012

View PostScorpiany, on Feb 02 2019 - 00:13, said:

Hey folks. This is going to be an odd post to see on the Tanks Forums. It's going to be a different post - But I feel like it's an important PSA to make. And don't worry... I'm fine, mostly.

 

We're going to be talking about rabies. In particular, we're going to be talking about bats.


 

What happened?

 

About 1 week ago I was bitten by a bat while outside. It was very dark, and I was doing some work nearby one of my air duct vents. All of a sudden, I felt a prick in my hand, and a sudden shuffling next to me. I didn't know what had happened at first, until I got into the light. 2 little marks on my hand, just under 1cm apart. A little bit of pain, some redness. It was a bat that had bitten me. The bugger flew away right after the incident.

 

The question became, what do I do? What should I worry about? The first thing I did was begin washing off my hands thoroughly with soap and water, and I disinfected the wound. It didn't look bad after the washing. Two tiny little marks. A little bit of pain, but it would register a mere 2/10 on the pain index. Surely it's not serious - Right?

 

Well, a thought came to my mind - I remember reading about a case a couple years back about a girl dying from rabies after a bat bite. I went ahead and did some research on the matter, and decided to figure out if it's something to be worried about.


 

What makes a bat bite so serious?

 

"Left untreated, rabies is nearly 100% fatal. Bites to the hand are considered Category III exposures. Bat bites should be treated as Category III exposures. You should speak with a medical health professional as soon as possible after being bitten to determine your risk. If treatment is necessary, it must not be delayed."

 

Jesus, that's terrifying! Who's writing this? Is this WebMD or Wikipedia explaining the extreme? No, it's the Centers for Disease Control and the World Health Organization's information! The International Rabies Alliance also confirms the same information.

 

And so, I quickly went to the ER. I was seen at the check-in gate and was immediately taken to a bay. I probably only sat in the waiting room for 1-2 minutes before being seen by an ER doctor. A quick examination of the wound, and the doctor recommended the same thing as the CDC and WHO would - Immediately begin undergoing PEP (post-exposure prophylaxis).


 

What is PEP for? What's it like?

 

PEP is a barrage of vaccinations and neutralizating antibodies given to a person who is believed to have suffered a Category III exposure to the rabies virus.

 

It consists of a series of shots, given on 4 different days - Day 0 (First day of treatment, preferably same day of the exposure), Day 3, Day 7 and Day 14.

 

Day 0:

 

Day 0 is probably the most intrusive, and the most important, day of treatment. You receive 3 shots on Day 0. These include:

  • HRIG (Human Rabies Immunoglobulin) - As much as possible is injected into the wound site as possible. This is by far the most uncomfortable injection you will receive.
  • Rabies vaccine (PCEC or HDCV). There are two different vaccines you may receive, and both are equally effective, although rate of certain side effects may very from the two vaccines. This is what you receive on all 4 days.
  • Tetanus shot - If you haven't received a tetanus booster in the past 5 years, you'll receive one of these shots. If the wounds are more extensive, you may receive on regardless of your last shot.

 

The HRIG is injected directly into the wound site, and as much as anatomically possible is injected into the region as possible. Depending on your body mass, this may range from 6 CC to 15 CC (ml) of HRIG. In a region such as the wrist, that's a lot of HRIG to be receiving in a fairly small site. The needle is inserted... And physically prods around at an angle to lift as much of the surrounding skin around the wound as possible. As you'd expect, this site will swell and be painful for a while.

 

The remaining HRIG is then delivered as far away from the wound site as possible, into a muscle. In the case of my wrist bite, this meant I also received 1/3rd of the dose into my right shoulder.

 

The rabies vaccine and tetanus shot were then both delivered into my left shoulder.

 

Days 3 / 7 / 14:

 

Days 3, 7 and 14 all require follow up visits, but they're not nearly as intense or intrusive as Day 0's visit. You'll only be receiving one dose of the rabies vaccine with each of your follow up visits. While these visits are also extremely important, they should go much more smoothly for you - Assuming you don't experience any side-effects.


 

Why the ER?

 

While 30,000-50,000 people receive rabies PEP each year, that's only 1 in 10,000 people in the United States. It's not a common occurrence, and the urgency / severity of some animal bites, the rabies PEP regiment is considered a medical urgency. The vaccines also aren't usually carried in a local health care facility - Often times, only ER pharmacies will carry the necessary medications.

 

This means that for all 4 of my visits, I'll be going straight to the ER.


 

How am I feeling now?

 

Not well. After the Day 0 vaccines, I just had typical soreness and swelling, but nothing too bad. By Day 3, most of that was better, and the Day 3 vaccine went just fine.

 

Yesterday however, I received the Day 7 vaccine. And today has not been a good day for me, at all. I've been feeling very sick, my head hurts, I'm not hungry, I had diarrhea, my muscles are all aching, I'm super sore all over, I don't have much energy, I have chills going all down my body and I just can't feel warm.

 

I'll be calling my ER doctor from yesterday later this evening, and check in. While these side-effects from the vaccine are not all that uncommon, it's definitely not a common site to be seeing them after a rather normal Day 0 / Day 3. My body should be feeling better with these shots for Day 7 and Day 14 - Not worse.


 

What's my prognosis?

 

I should be absolutely fine. As poorly as I'm feeling today, these aren't unheard of side-effects from the vaccines.

 

When the rabies vaccine and PEP regiment is administered promptly and according to WHO guidelines, there's been a 100% success rate in the United States.

 

That being said, it is still going to be a roller coaster over the next couple of weeks. Monitoring for symptoms and making sure that vaccine side-effects don't become seriously (While rare, is certainly possible), is going to be the most important thing. Also keeping my immune system up and taking care of myself is going to be crucial.

 

I am going to be calling my ER doctor to discuss my current side-effects and treatment. I should be fine. But I may not be feeling well for the next couple of weeks.


 

Why the post?

 

This certainly has been a frightening experience for me. Even with the 100% success rate of PEP within the United States, even the PEP procedure itself has been an uncomfortable roller coaster.

 

It's also absolutely crucial that you take potential rabies exposures seriously. Rabies when left untreated is not only nearly always fatal, but it's considered to be one of the most painful and brutal disease deaths a person can suffer.

 

The thing is, it's also 100% treatable. If you seek prompt medical treatment, and follow through with your PEP regiment promptly and according to WHO and CDC instructions, then you can prevent the disease from developing in the first place.

 

Even though rabies exposures aren't very common in the US, why take the chances? Don't mess around with your life. Don't take your chances when this otherwise 100% fatal disease is 100% preventable and avoidable with proper post-exposure prophylaxis treatment.

 

How much did the entire treatment cost you?

Klaatu_Nicto #24 Posted Feb 02 2019 - 19:10

    Major

  • Players
  • 44044 battles
  • 10,740
  • Member since:
    09-21-2012

Sorry you had to go through that Scorp.

 

I've only seen a bat once when it landed in front of my business in the daytime. I thought if it's flying around in the daytime there might be something wrong with it, like rabies, and my front door was propped open so I hurriedly shut it. It flew away a few seconds later.  



Oxboy1212 #25 Posted Feb 02 2019 - 21:50

    First lieutenant

  • -Players-
  • 48398 battles
  • 694
  • Member since:
    09-21-2015
There is a good Batchat joke to come out of this somewhere.

Scorpiany #26 Posted Feb 02 2019 - 22:39

    Major

  • Game Knowledge Expert
  • 36971 battles
  • 13,046
  • [N1NJA] N1NJA
  • Member since:
    06-27-2013

View PostOxboy1212, on Feb 02 2019 - 12:50, said:

There is a good Batchat joke to come out of this somewhere.

 

One of my friends has already said that he's only going to play BatChats with me from now on. The cheek of him. :teethhappy:

 

 

View Postjamieliu, on Feb 01 2019 - 23:55, said:

 

How much did the entire treatment cost you?

 

My insurance is going to cover most of the cost, so I'm only spending a small amount luckily. The hospital otherwise would have billed around 5 grand ($5,000 USD).

 

 


Edited by Scorpiany, Feb 02 2019 - 22:40.


jamieliu #27 Posted Feb 03 2019 - 20:53

    First lieutenant

  • Players
  • 46794 battles
  • 882
  • Member since:
    07-04-2012

View PostScorpiany, on Feb 02 2019 - 21:39, said:

 

One of my friends has already said that he's only going to play BatChats with me from now on. The cheek of him. :teethhappy:

 

 

 

My insurance is going to cover most of the cost, so I'm only spending a small amount luckily. The hospital otherwise would have billed around 5 grand ($5,000 USD).

 

 

 

I heard that US medical system bankrupts people, is that true?

PapioTitan #28 Posted Feb 03 2019 - 21:11

    First lieutenant

  • -Players-
  • 45497 battles
  • 678
  • Member since:
    12-21-2013

View Postjamieliu, on Feb 03 2019 - 13:53, said:

 

I heard that US medical system bankrupts people, is that true?

 

Generally no. You may have to spend down your assets before getting assistance but I'm not aware of anyone having to go in the hole for healthcare. There may be rare instances of it though particularly if the care is considered elective vs. life threatening.

cKy_ #29 Posted Feb 03 2019 - 23:03

    Major

  • -Players-
  • 4504 battles
  • 2,292
  • [PUBBY] PUBBY
  • Member since:
    09-29-2018

View PostScorpiany, on Feb 03 2019 - 09:39, said:

 

One of my friends has already said that he's only going to play BatChats with me from now on. The cheek of him. :teethhappy:

 

 

 

My insurance is going to cover most of the cost, so I'm only spending a small amount luckily. The hospital otherwise would have billed around 5 grand ($5,000 USD).

 

 

 

I'm sorry - they would have charged you $5000 for accidentally getting bit by a bat, and getting treatment to prevent you from possibly dying? That is ludicrous.

Klaatu_Nicto #30 Posted Feb 04 2019 - 00:12

    Major

  • Players
  • 44044 battles
  • 10,740
  • Member since:
    09-21-2012

View Postjamieliu, on Feb 03 2019 - 11:53, said:

 

I heard that US medical system bankrupts people, is that true?

 

Last October a retired friend of mine was driving down the road with his grandson when someone driving the opposite way pulled out to pass a vehicle and caused a head on collision. My friend badly broke his wrist and ankle and his medical bill is over $108,000. The bill for his grandson, who was not injured at all, is $41,000 but $31,000 of that was for the medical helicopter. My friend and his grandson went by ambulance to a local rural hospital but that hospital wanted to send the grandson to a larger hospital 50 miles away that has a special unit for children. The driver who caused the wreck has no insurance to cover himself or my friends bills and my friend's auto insurance does not cover personal injury.

 

Most of the blame for the high cost of healthcare in the U.S. goes to government and medical organizations which both restrict the number of people who can enter the medical profession or practice medicine.


Edited by Klaatu_Nicto, Feb 04 2019 - 00:16.


cKy_ #31 Posted Feb 04 2019 - 00:25

    Major

  • -Players-
  • 4504 battles
  • 2,292
  • [PUBBY] PUBBY
  • Member since:
    09-29-2018

View PostKlaatu_Nicto, on Feb 04 2019 - 11:12, said:

 

Last October a retired friend of mine was driving down the road with his grandson when someone driving the opposite way pulled out to pass a vehicle and caused a head on collision. My friend badly broke his wrist and ankle and his medical bill is over $108,000. The bill for his grandson, who was not injured at all, is $41,000 but $31,000 of that was for the medical helicopter. My friend and his grandson went by ambulance to a local rural hospital but that hospital wanted to send the grandson to a larger hospital 50 miles away that has a special unit for children. The driver who caused the wreck has no insurance to cover himself or my friends bills and my friend's auto insurance does not cover personal injury.

 

Most of the blame for the high cost of healthcare in the U.S. goes to government and medical organizations which both restrict the number of people who can enter the medical profession or practice medicine.

 

That is absolutely terrible. $108,000 for a broken wrist and ankle that was in no way his fault. 

Scorpiany #32 Posted Feb 04 2019 - 01:00

    Major

  • Game Knowledge Expert
  • 36971 battles
  • 13,046
  • [N1NJA] N1NJA
  • Member since:
    06-27-2013

View PostcKy_, on Feb 03 2019 - 14:03, said:

 

I'm sorry - they would have charged you $5000 for accidentally getting bit by a bat, and getting treatment to prevent you from possibly dying? That is ludicrous.

 

It's surprisingly cheap compared to most ER visits. In this case I'm mostly just paying for the HRIG and vaccines.

 

I had an ER visit 7 or 8 years ago after an accident where I was taken by ambulance (Which I didn't call by the way, somebody else did). They took me to a bay, did a CAT scan and an xray, and then I sat around in one of the beds waiting for the results. The bill totaled somewhere around $20,000; mostly just for waiting for the results in one of the bays. My injuries didn't need any hospital treatment, even though it took me a while to recover. 

 

It was $1,500 for the ambulance trip, $5,000 for the CAT scan and xray, and then nearly $15,000 just for spending the few hours in the bay and being examined by a doctor. Once again, insurance covered most of the costs there. But the costs for medical treatment can be pretty ridiculous. That's why healthcare and medical insurance is such a big deal in the United States. For individuals with insurance that won't cover certain costs, getting medical treatment can be a significant decision.


Edited by Scorpiany, Feb 04 2019 - 01:01.


jamieliu #33 Posted Feb 04 2019 - 02:19

    First lieutenant

  • Players
  • 46794 battles
  • 882
  • Member since:
    07-04-2012

View PostScorpiany, on Feb 04 2019 - 00:00, said:

 

It's surprisingly cheap compared to most ER visits. In this case I'm mostly just paying for the HRIG and vaccines.

 

I had an ER visit 7 or 8 years ago after an accident where I was taken by ambulance (Which I didn't call by the way, somebody else did). They took me to a bay, did a CAT scan and an xray, and then I sat around in one of the beds waiting for the results. The bill totaled somewhere around $20,000; mostly just for waiting for the results in one of the bays. My injuries didn't need any hospital treatment, even though it took me a while to recover. 

 

It was $1,500 for the ambulance trip, $5,000 for the CAT scan and xray, and then nearly $15,000 just for spending the few hours in the bay and being examined by a doctor. Once again, insurance covered most of the costs there. But the costs for medical treatment can be pretty ridiculous. That's why healthcare and medical insurance is such a big deal in the United States. For individuals with insurance that won't cover certain costs, getting medical treatment can be a significant decision.

 

what's your insurance cost annually?

Klaatu_Nicto #34 Posted Feb 04 2019 - 02:19

    Major

  • Players
  • 44044 battles
  • 10,740
  • Member since:
    09-21-2012

View PostcKy_, on Feb 03 2019 - 15:25, said:

 

That is absolutely terrible. $108,000 for a broken wrist and ankle that was in no way his fault. 

 

That is terrible but they were very bad breaks. He had to spend several days in the hospital and could not use his hand or walk for two months. He does have some medical insurance but it only covers about half the cost. He might have been better off not using insurance. The last time I saw a doctor, when I went to pay, they said it would be $190 and asked for my insurance information. When I said I was paying cash they dropped the price to $85. A few years ago a friend's wife a had simple procedure done at a hospital. After talking to the hospital's billing department he found out it would be cheaper to pay cash for the entire bill instead of using his insurance and paying the deductible. 



cKy_ #35 Posted Feb 04 2019 - 02:39

    Major

  • -Players-
  • 4504 battles
  • 2,292
  • [PUBBY] PUBBY
  • Member since:
    09-29-2018

View PostKlaatu_Nicto, on Feb 04 2019 - 13:19, said:

 

That is terrible but they were very bad breaks. He had to spend several days in the hospital and could not use his hand or walk for two months. He does have some medical insurance but it only covers about half the cost. He might have been better off not using insurance. The last time I saw a doctor, when I went to pay, they said it would be $190 and asked for my insurance information. When I said I was paying cash they dropped the price to $85. A few years ago a friend's wife a had simple procedure done at a hospital. After talking to the hospital's billing department he found out it would be cheaper to pay cash for the entire bill instead of using his insurance and paying the deductible. 

 

 ​I'm just thankful for where I live now. 

 

"For injuries resulting from an accident, treatment is free. That covers any accident, not just road crashes, and even if the person who is injured caused the accident."



jamieliu #36 Posted Feb 04 2019 - 04:15

    First lieutenant

  • Players
  • 46794 battles
  • 882
  • Member since:
    07-04-2012

View PostcKy_, on Feb 04 2019 - 01:39, said:

 

 ​I'm just thankful for where I live now. 

 

"For injuries resulting from an accident, treatment is free. That covers any accident, not just road crashes, and even if the person who is injured caused the accident."

 

marmite, 3guys and wakato beer...yeah...and dishwashing without rinsing and just wipe those bubbles off...

Edited by jamieliu, Feb 04 2019 - 04:37.


cKy_ #37 Posted Feb 04 2019 - 04:39

    Major

  • -Players-
  • 4504 battles
  • 2,292
  • [PUBBY] PUBBY
  • Member since:
    09-29-2018

View Postjamieliu, on Feb 04 2019 - 15:15, said:

 

marmite, 3guys and wakato beer...yeah...and dishwashing without rinsing and just wipe those bubbles off...

 

What?




1 user(s) are reading this topic

0 members, 0 guests, 0 anonymous users