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Medical Forum / Diseases and Disorders / Hepatitis / November 2004

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Week 12 VL still at 100,000

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BC - 06 Nov 2004 02:27 GMT
Since I started at 3.2 million my doc thinks it is progress but since my
geno is 2a I was looking for complete eradication. Is there any point in
continuing? My doc says he will consult with other heptologists but my
feeling is it is not going to work and why waste my time and energy when
something else may come along? My liver 2 yrs ago showed almost no ill
effests I think I remember stage 0-1, but 2 years later who knows? I plan on
getting a biopsy and taking it from there. I was sure the odds were in my
favor but then who knows how accurate this 80% svr is anyway, afterall the
drug comapnies have a history of embellishmenbt.
thoughts anyone?

bc
Russ - 06 Nov 2004 02:56 GMT
Not a good sign BC since it is type 2a. You may be right about stopping and
making a decision about trying again with the heavy artillery or holding
off.

I would wait and see what your doc says before stopping.

Did you have any symptoms from having Hep C before your treatment??

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Russ

http://www.tannersacre.com

> Since I started at 3.2 million my doc thinks it is progress but since my
> geno is 2a I was looking for complete eradication. Is there any point in
[quoted text clipped - 8 lines]
>
> bc
BC - 06 Nov 2004 17:44 GMT
No symptons except a little fatigue,

bc

> Not a good sign BC since it is type 2a. You may be right about stopping and
> making a decision about trying again with the heavy artillery or holding
[quoted text clipped - 21 lines]
> >
> > bc
elmoemerson@webtv.net - 06 Nov 2004 02:58 GMT
My opinion is it's time to rethink this round of tx, bc.  But then
again, I don't know what drugs or how much of them you're doiing.  I
wouldn't be very encouraged by those numbers either.  Obviously, what
you're doing isn't achieving the desired results.  Have you discussed it
with your doc?
Elmo  

http://community.webtv.net/elmoemerson/DocElmosHepFile

http://community.webtv.net/elmoemerson/TheFamilyAlbum
BC - 06 Nov 2004 17:45 GMT
Doc seems to be at a loss, I tink I need to decide to end thisround and try
again maybe when other options become available.

bc

> My opinion is it's time to rethink this round of tx, bc.  But then
> again, I don't know what drugs or how much of them you're doiing.  I
[quoted text clipped - 6 lines]
>
> http://community.webtv.net/elmoemerson/TheFamilyAlbum
elmoemerson@webtv.net - 06 Nov 2004 18:09 GMT
If you don't mind a suggestion, here's what I'd do since you've already
got your viral load down.  Try daily Infergen and Amantadine along with
the maximum dose of riba (for your body weight) for a month, then check
your viral load again and overlap tx regimens with Pegasys so you
maintain interferon in your system while waiting for the results from
your pcr. If you've gotten satisfactory results, use Pegasys, Amantadine
and riba for another 10 months.   I'm betting that would do the trick.
At least you wouldn't have wasted 12 weeks of tx for nothing.  You'll
only be on tx another 6 weeks to see if it's going to get you where you
need to be.  Think about it and discuss it with your doc before you quit
this round.  
Elmo (The Infergen Nazi)
/////////////
Doc seems to be at a loss, I tink I need to decide to end thisround and
try again maybe when other options become available.
bc
<elmoemerson@webtv.net> wrote in message
news:7246-418C2FBB-106@storefull-3256.bay.webtv.net...
My opinion is it's time to rethink this round of tx, bc. But then again,
I don't know what drugs or how much of them you're doiing. I wouldn't be
very encouraged by those numbers either. Obviously, what you're doing
isn't achieving the desired results. Have you discussed it with your
doc?
Elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum
BC - 06 Nov 2004 21:04 GMT
Of course I do not mind a suggestion, I welcome it!
So let me get this straifgt, infergen daily plus riba pls amatadine for 6
more weeks, recheck vl and if down completely at that point continue for 10
more months?
If it is present at all in 6 weeks I shouls probably just give it up?

I will talk to my Doc and see if he will do this.

thanx
bc
> If you don't mind a suggestion, here's what I'd do since you've already
> got your viral load down.  Try daily Infergen and Amantadine along with
[quoted text clipped - 22 lines]
> http://community.webtv.net/elmoemerson/DocElmosHepFile
> http://community.webtv.net/elmoemerson/TheFamilyAlbum
elmoemerson@webtv.net - 07 Nov 2004 01:47 GMT
You got it right!  That's my suggestion.  But if you're VERY close to
being undetectable, another week or two of Infergen might be called for.
Do your best to get your viral load to <10.   If you can do that,
another 10 months on Pegasys, Copegus and Amantadine will almost
certainly do the trick.  I'll send you a silver bullet to put the death
blow to the f.cking dragon.   Don't give up the ship!!!
If you're willing and your doc isn't, tell him to go f.ck himself and
make him give you the drugs.  It's YOUR treatment, not HIS!
Elmo
////////////
Of course I do not mind a suggestion, I welcome it! So let me get this
straifgt, infergen daily plus riba pls amatadine for 6 more weeks,
recheck vl and if down completely at that point continue for 10 more
months?
If it is present at all in 6 weeks I shouls probably just give it up?
I will talk to my Doc and see if he will do this.
thanx
bc
<elmoemerson@webtv.net> wrote in message
news:16129-418D0545-61@storefull-3255.bay.webtv.net...
If you don't mind a suggestion, here's what I'd do since you've already
got your viral load down. Try daily Infergen and Amantadine along with
the maximum dose of riba (for your body weight) for a month, then check
your viral load again and overlap tx regimens with Pegasys so you
maintain interferon in your system while waiting for the results from
your pcr. If you've gotten satisfactory results, use Pegasys, Amantadine
and riba for another 10 months.   I'm betting that would do the trick.
At least you wouldn't have wasted 12 weeks of tx for nothing. You'll
only be on tx another 6 weeks to see if it's going to get you where you
need to be. Think about it and discuss it with your doc before you quit
this round.
Elmo (The Infergen Nazi)
/////////////
Doc seems to be at a loss, I tink I need to decide to end thisround and
try again maybe when other options become available. bc
<elmoemerson@webtv.net> wrote in message
news:7246-418C2FBB-106@storefull-3256.bay.webtv.net... My opinion is
it's time to rethink this round of tx, bc. But then again, I don't know
what drugs or how much of them you're doiing. I wouldn't be very
encouraged by those numbers either. Obviously, what you're doing isn't
achieving the desired results. Have you discussed it with your doc?
Elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum
BC - 07 Nov 2004 03:00 GMT
Thanx, definately worth a try .

bc
You got it right!  That's my suggestion.  But if you're VERY close to
being undetectable, another week or two of Infergen might be called for.
Do your best to get your viral load to <10.   If you can do that,
another 10 months on Pegasys, Copegus and Amantadine will almost
certainly do the trick.  I'll send you a silver bullet to put the death
blow to the f.cking dragon.   Don't give up the ship!!!
If you're willing and your doc isn't, tell him to go f.ck himself and
make him give you the drugs.  It's YOUR treatment, not HIS!
Elmo
////////////
Of course I do not mind a suggestion, I welcome it! So let me get this
straifgt, infergen daily plus riba pls amatadine for 6 more weeks,
recheck vl and if down completely at that point continue for 10 more
months?
If it is present at all in 6 weeks I shouls probably just give it up?
I will talk to my Doc and see if he will do this.
thanx
bc
<elmoemerson@webtv.net> wrote in message
news:16129-418D0545-61@storefull-3255.bay.webtv.net...
If you don't mind a suggestion, here's what I'd do since you've already
got your viral load down. Try daily Infergen and Amantadine along with
the maximum dose of riba (for your body weight) for a month, then check
your viral load again and overlap tx regimens with Pegasys so you
maintain interferon in your system while waiting for the results from
your pcr. If you've gotten satisfactory results, use Pegasys, Amantadine
and riba for another 10 months. I'm betting that would do the trick.
At least you wouldn't have wasted 12 weeks of tx for nothing. You'll
only be on tx another 6 weeks to see if it's going to get you where you
need to be. Think about it and discuss it with your doc before you quit
this round.
Elmo (The Infergen Nazi)
/////////////
Doc seems to be at a loss, I tink I need to decide to end thisround and
try again maybe when other options become available. bc
<elmoemerson@webtv.net> wrote in message
news:7246-418C2FBB-106@storefull-3256.bay.webtv.net... My opinion is
it's time to rethink this round of tx, bc. But then again, I don't know
what drugs or how much of them you're doiing. I wouldn't be very
encouraged by those numbers either. Obviously, what you're doing isn't
achieving the desired results. Have you discussed it with your doc?
Elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum
Don - 06 Nov 2004 04:29 GMT
>Since I started at 3.2 million my doc thinks it is progress but since my
>geno is 2a I was looking for complete eradication. Is there any point in
[quoted text clipped - 8 lines]
>
>bc

That's disappointing.  Sorry to hear about it.  Sometimes I think they
should keep an ongoing anonymous database about patients undergoing
tx, their bloodwork, sides, pcr results to get more info on this
treatment.  I'd probably want to hear what the heptolgists have to say
and also consider how treatment has been going for you.  Even with 80%
odds 1out of 5 are not going to make it.  That adds up.  
Thomas Wagner - 06 Nov 2004 05:57 GMT
>Since I started at 3.2 million my doc thinks it is progress but since my
>geno is 2a I was looking for complete eradication. Is there any point in
>continuing?

Not in my book. But only your doc has all the info about your treatment
(what dose did you get, any interruptions or reductions...). In general,
if you don't get that "2 log" drop (2 decimal places) by week 12, your
chances are slim to none that you'll get an SVR. But your particular
circumstances may be different.

If you didn't have much damage 2 years ago, chances are good things
haven't changed much since. Getting a biopsy and taking things from
there sounds like the right plan.

Thomas
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Anonymous - 06 Nov 2004 14:18 GMT
> Not in my book.

*We* know about your book.

How to look like a cartoon character in a *pretty red shirt*

*snigger*
 
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