1. Hep B - well we did do it on the first well visit but wouldn't do it again unless I myself was hep B positive, I just don't see the need.
2. Rabid Dog - only way to test for rabies is to cut the head off the suspected animal and submit to the state lab or other appropriate entity to examine the brain. Not sure the time frame on it but having worked in a shelter with the unfortunate experience of seeing a dog be put down after biting a coworker for this reason, the results did come in very quickly. That said, I'd def treat with the RIG, and I'd really have to look into the actual rabies vax following....it's a HIGHLY reactive vaccine in animals and it's no different in humans. I was offered it as a preventative in the shelter and declined because of this. One of those things where I'd have my ND on speed dial to help lessen reactions. At the very least I would hope for quick test results (assuming the animal was caught) and would make my decision based on the results. If the animal wasn't caught I guess I'd go with the vax and hope for the best reaction-wise.
3. Philipines/Measels - I have no reason to go there and even if I changed the place, if there was an outbreak of anything I'd probably not travel there with a 9mo because it's not worth the risk. I'm not worried about measles in general, but I wouldn't intentionally increase the risk in a young child.
4. Tetanus - If I truly suspected tetanus, then TIG it is, and in reading about the reactions people may have to TIG another cause to have the ND close by!
5. Cocooning for pertussis - absolutely not. I do not believe the risks for one, negates or supersedes the risk of another. I'd rather know no one in the fam is vaxxed so as to try and avoid spreading without symptoms.
6. Nephew with chemo - Just wouldn't visit - Skype is a great alternative
7. Meningococcal at college - I'd leave it up to my adult child at that point, their body their choice.
8. Cochlear implants - I would have to do major research before doing the implant to begin with because I'm not sure why the implant even increases the risk. So put that at a maybe.