Summarize the following:
Certain signs and symptoms require immediate help. Even if these TB symptoms don't result in a TB diagnosis, they might point to other severe illness. Many conditions, both harmless and dangerous, can cause chest pain, but you should always report it and allow a doctor to perform an EKG exam.  Consistent weight loss might indicate malnutrition or cancer. When combined with bloody cough, weight loss can more specifically suggest lung cancer. High fever and chills can also be caused by an underlying blood infection or sepsis, though this usually causes a drop in blood pressure, dizziness, delirium and high heart rate. If left untreated, it can be potentially deadly, or lead to severe dysfunction. The doctors will order IV antibiotics and blood work looking at the white blood cells (immune cells that fight infection). It can be difficult to know how to care for someone experiencing delirium, but by taking time to better understand the condition you can avoid common mistakes. Even if you don't suspect you have tuberculosis, there are cases in which you may have to be screened for latent TB anyway. Those starting work in a healthcare environment require a test followed by yearly screening. If you're traveling to or returning from at-risk countries, have decreased immunity, or work or live in crowded, poorly ventilated conditions, you should also get screened. Simply make an appointment with your primary care doctor to get tested for TB. A latent TB infection will not cause any symptoms or sickness, and cannot be spread to other people. However, five to ten percent of people with a latent TB infection will eventually develop TB. This test is also referred to as tuberculin skin test (TST) or Mantoux test. The doctor will clean the area with a cotton swab and water, then inject you with a purified protein derivative (PPD) near the top of your skin. A small bump will appear from the liquid injection. Do not cover the location with a bandage as this may alter the liquid in place. Instead, give the liquid a few hours to be absorbed.  If you have antibodies to TB, it will react to the PPD and form an "induration" (thickening or swelling around the area). Note that it is not the redness that gets measured but the size of the induration. After 48 to 72 hours you will return to the doctor for measurement of the induration. For different categories of people, there is a maximum induration size considered negative for screening. However, any induration over that size indicates that the patient has TB. If you have no risk factors for TB, an induration of  up to 15mm (0.59 inches) is considered a negative result. However, if you have any of the risk factors listed earlier in this article, an induration of up to 10 mm (0.39 inches) is considered negative for screening. If any of the following describes you, an induration of up to 5 mm is considered a negative result:  Immunosuppressive drugs like chemotherapy Chronic steroid use HIV infection Close contact with a TB-positive individual Organ transplant patients Those who show fibrotic changes on a chest x-ray IGRA stands for "interferon gamma release assay," and this blood test is more accurate and quick than a PPD. However, it does cost more to perform. If your doctor opts for this test, he will take a sample of your blood and send it to a lab for analysis. Your results should be ready within 24 hours, and a subsequent appointment will be made to go over test results. A high level of interferon (determined by a preset normal range by the lab) is a positive result that indicates you have TB. A positive result in either the skin or blood test indicates, at minimum, a latent TB infection. To determine whether you have active TB, your healthcare provider will order a chest x-ray. A patient with a normal chest x-ray will be diagnosed with a latent TB infection and given preventive treatment. An abnormal chest x-ray on top of a positive skin or blood test indicates active TB.  The doctor will also order a sputum culture. A negative result indicates latent TB infection, and a positive result indicates TB. Note that sputum can be difficult to collect from infants and young children, and diagnosis is often made without it for children. If the x-ray and sputum cultures confirm active tuberculosis, your doctor will prescribe a multi-drug regimen. However, if the x-ray is negative, patients are considered to have latent TB. Follow your doctor's treatment directions carefully to prevent latent TV from becoming active. TB is an infection that is reported to the CDC, and treatment may include Directly Observed Therapy (DOT), which consists of a healthcare worker observing a patient take each dose. The BCG vaccine may decrease the risk of infection, but does not eliminate it. BCG vaccination causes a false-positive PPD test, so individuals who have been vaccinated should be screened for TB with the IGRA blood test. The BCG vaccine is not recommended in the US, which has a low incidence of TB, because of its interference with PPD screening. However, individuals from other, less developed countries are commonly vaccinated.

summary: Know when to seek immediate medical attention. Arrange for latent TB infection screening if called for. Ask for a purified protein derivative (PPD) test. Understand how to interpret the results. Request an IGRA blood test as an alternate to a PPD. Follow up on test results. Follow your doctor's advice after diagnosis. Consider getting the Bacillus Calmette–Guérin (BCG) vaccine.


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The transition to a new home is stressful for a cockatiel, and your bird will need time to rest and get acclimated.  Try to let the bird rest for 2-3 days before handling it. Try to keep children and other household pets away from the bird, but do talk to it frequently in a low, calming voice to help it get used to you. Remember that cockatiels are very social animals.  You might leave music or the television on when you leave the house during the day so the cockatiel has something to listen to. You should spend some time researching the best ways to train a cockatiel, but a great place to start is teaching the bird to be near you outside of the cage.  Gently remove the bird from the cage and take it to a small room with a door, like a bathroom or large closet. Close the door so the bird does not escape, and let the bird go. Then sit near the bird and talk to it every once in a while as it adjusts to your presence. Eventually, you can work on training the bird to climb onto your finger. Training a cockatiel can take time, but your patience will pay be rewarded with a well-socialized, friendly companion. Cockatiels can be very dusty birds and need to be bathed every few days. Fill a plant mister bottle with clean, slightly warm water, and acquaint your cockatiel with the routine by giving it just a spray or two in the beginning. It won't be long before the sight of the spray bottle will bring the cockatiel to a close perch. They love the spray and will open their wings and turn their bodies until they are soaking wet, and then shake off the excess water.   Remember not to do bathe your cockatiel when it's too cold, or at night. Cockatiels also enjoy bathing in pans of water, and even playing in a regular bathtub filled with 1/2" of warm water.
summary: Allow your cockatiel to get used to its new environment. Begin to train your cockatiel. Get your cockatiel used to being bathed.