Home | Contact Us | FAQ | Search & Site Map | Link to Us
Sign In | Join | Other 45 Sites in Network
Home
Discussion Groups
General
GeneralCardiologyVisionDentistryPharmacyLaboratoryNutritionAlternative
Diseases and Disorders
AIDSAlzheimer'sArthritisAsthmaCancerBreast CancerDiabetesEpilepsyGlaucomaHepatitisHerpesLupusProstate BPHProstate CancerProstatitisSinusitisTinnitus

Medical Forum / Diseases and Disorders / Hepatitis / March 2005

Tip: Looking for answers? Try searching our database.

communication issues with BCLD clinic

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
Cactus Jammies - 15 Mar 2005 05:16 GMT
I spent most of the day driving to an appointment with my handler so that
she could be sure my 24 week VL was done at their collection centre
properly.  I get there and after considerable other mistakes like
overlooking my moderate steatosis and my weight concerns and effectiveness,
etc. she says :  "oh, I didn't realize it before, you got more than a 2 log
drop at week 12 and your other chemistry seems normal for what your're
doing, so you don't have to be here."  Oh.  I knew I got the big drop at new
years so I thought she had some other concerns, she was trying to work out
what kind of a 2 log drop I would get on the 12 week numbers not the first
VL.  She said my load is so small (after 12 weeks I hope so) that I would
have to clear in order to make the 2 log drop.  guuuuug!

She asks me about stress.  I say, gee you got a new haircut.  G'be see you
in september just endore continuing my tx rx thanks.  I am allowed to talk
to guys.  figure that out?

cactus jammies
no expectations
Gordo Mondragon - 15 Mar 2005 07:52 GMT
> [...] she says :  "oh, I didn't realize it before, you got more than a 2 log
> drop at week 12 and your other chemistry seems normal for what your're
[quoted text clipped - 3 lines]
> VL.  She said my load is so small (after 12 weeks I hope so) that I would
> have to clear in order to make the 2 log drop.  guuuuug!

> She asks me about stress.  I say, gee you got a new haircut.  G'be see you
> in september just endore continuing my tx rx thanks.  

You're not serious - no tests intil September?  

> I am allowed to talk
> to guys.  figure that out?

They sometimes allow that when you're an adult.

G
elmoemerson@webtv.net - 15 Mar 2005 15:04 GMT

communication issues with BCLD clinic  

Group: alt.support.hepatitis-c Date: Tue, Mar 15, 2005, 4:16am (CST+6)
From: not@joshuatree.nemor (Cactus Jammies)
I spent most of the day driving to an appointment with my handler so
that she could be sure my 24 week VL was done at their collection centre
properly. I get there and after considerable other mistakes like
overlooking my moderate steatosis and my weight concerns and
effectiveness, etc. she says : "oh, I didn't realize it before, you got
more than a 2 log drop at week 12 and your other chemistry seems normal
for what your're doing, so you don't have to be here." Oh. I knew I got
the big drop at new years so I thought she had some other concerns, she
was trying to work out what kind of a 2 log drop I would get on the 12
week numbers not the first VL. She said my load is so small (after 12
weeks I hope so) that I would have to clear in order to make the 2 log
drop. guuuuug!
She asks me about stress. I say, gee you got a new haircut. G'be see you
in september just endore continuing my tx rx thanks. I am allowed to
talk to guys. figure that out?
cactus jammies
no expectations
////////////
What a ya mean you have 'no exectations'?  You'd better get some, pal.
I mean it!  :-)  Folk who have a positive attitude fare better than
those who don't.  I have no doubt your 24 week test will come back
'undetectable', as you should.  Count your blessings you've made it half
way thru without any major setbacks or events that would make you have
to stop tx.  You're on the right tracks.......full speed ahead!  
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Cactus Jammies - 15 Mar 2005 19:41 GMT
Elmo,
Well it appears that I cannot find ways of expressing my dismay that yet
again, no matter how well prepared and 'supported' you are, the lowest
common denominator in effective treatment is having your physician knowing
the details of your individual case.  This is a rural urban situation we're
in here.  There are no HCV support mechanisms in our home town, just the
Shering pamphlets.  My Clinical nurse should know that I cannot drop in and
chat at a live sistuation, she warned me away from "you guys"  when I
mentioned I was an Internet fiend, and now she says she thinks that is just
great.  So did I teach her that because of the continuous litany of
mistakes?  Do I think she even pays enough attention from day to day to any
of her files to learn a lesson?  The record in my case is a solid not
applicable.  And furthermore you don't wait until the patient gets to your
office and then fumble the only calculation the patient depends upon because
nothing is ever written down on that file folder.  That the vet has more
information on our cats in a file than the damn district BCLD treatment
centre seems to have on this very important treatment, which is essentially
just an endurance fiasco requiring lots of understanding, and lots and lots
of drinking water.  and she really have a nice haircut and she is really
pretty which still distracts me.  8-)  She's been working on that look since
I was first referred to their clinic, and it finally looks as though "the
look" is looking good and together.

I am not getting any more pcr vl tests between week 12 results until week
48.  I guess the good guys have the liver baddies on the run suitably enough
and having my monthly as required blood samples of enzymes and and
monitoring for any radical changes in my thyroid functions.   I have lost 20
pounds since tx, 10 since holidays) so I am no longer in the medically obese
catagory (20% over bmi and weight charts) and that is looking good and on
schedule too, because at least for me I feel I am contributing to my own
care by trying to jam myself into the weight chart that the pegetron seems
to be most effective at.  So that is a minor victory for me, or I am
counting coup on it anyway.  (Yes, Chemo Sabbe I am in war party mode)

So there, I am not too agitated, but lots of stuff happening in my life that
deserves a little respect.  Lots of things going on right now I have always
wanted to be part of, so I have to effectively manage the tensors day to day
and keep my head above water.  So count on it, I will rock with you.

cactus jammies
/////////////////////////////////////

communication issues with BCLD clinic

Group: alt.support.hepatitis-c Date: Tue, Mar 15, 2005, 4:16am (CST+6)
From: not@joshuatree.nemor (Cactus Jammies)
I spent most of the day driving to an appointment with my handler so
that she could be sure my 24 week VL was done at their collection centre
properly. I get there and after considerable other mistakes like
overlooking my moderate steatosis and my weight concerns and
effectiveness, etc. she says : "oh, I didn't realize it before, you got
more than a 2 log drop at week 12 and your other chemistry seems normal
for what your're doing, so you don't have to be here." Oh. I knew I got
the big drop at new years so I thought she had some other concerns, she
was trying to work out what kind of a 2 log drop I would get on the 12
week numbers not the first VL. She said my load is so small (after 12
weeks I hope so) that I would have to clear in order to make the 2 log
drop. guuuuug!
She asks me about stress. I say, gee you got a new haircut. G'be see you
in september just endore continuing my tx rx thanks. I am allowed to
talk to guys. figure that out?
cactus jammies
no expectations
////////////
What a ya mean you have 'no exectations'?  You'd better get some, pal.
I mean it!  :-)  Folk who have a positive attitude fare better than
those who don't.  I have no doubt your 24 week test will come back
'undetectable', as you should.  Count your blessings you've made it half
way thru without any major setbacks or events that would make you have
to stop tx.  You're on the right tracks.......full speed ahead!
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Gordo Mondragon - 16 Mar 2005 05:50 GMT
[...]

> So there, I am not too agitated, but lots of stuff happening in my life that
> deserves a little respect.  Lots of things going on right now I have always
> wanted to be part of, so I have to effectively manage the tensors day to day
> and keep my head above water.  So count on it, I will rock with you.

CJ - maybe as a way of lessening the worry a bit about the care you're
receiving, can you feel better that you seem to have responded to the
treatment quickly and you're not having any stop-inducing side-effects,
so that you seem to be the model patient and can hopefully look forward
to getting through this successfully in spite of a lack of attentive
care?

I have a bunch of photoshop projects I did during treatment.  The early
ones are all harsh and schitzy and later on everything is faded out,
like watercolors left out in the sun.  It is good you're doing this
music, I think.
Cactus Jammies - 16 Mar 2005 11:59 GMT
Gordo, I am dismayed but not really all that 'worred' if you know what I
mean?  I just found early in my relationship with that clinic that I was to
have to pay attention to anything to do with treament regiemes, and on my
own in my basement in far away Smallville, to watch for extreme sides if
they begin to manifest themselves.  And communicate with those places that
best support the success of your treatment schedule

I would probably not feel nearly this confident and headstrong had I not
received the 2 log drop at week 12, now we're in the home stretch, and as
Juanita says "Giddie up go".

And yes, I have built up quite a little folk tale about me and music and
vibes and all that embroidery, and that quite frankly is what I was looking
forward to doing anyway before the Gastros drafted me.  Now, having myself
pinned into this basement doing music stuff, actually starting my guitar
building and supplies deals going on while I am down here on tx, that is is
just too cool.  The sound recording aspect and posting the ash sea stuff on
the web, that just popped up spontaneously.  I saw what a threat a certain
eminence gris out there found rather too unmoderated for his peculiar
tastes, so I knew the idea
would work for those of us that see support as an emotional care and self
confidence concern as well as a physical care issue.  And that this function
seemed to deserve some work and dedication as an organic community workshop.
Organic in this case means growing and changing

Its good to know that there are others that find creativity and creating
modes and themes like art and sonic art, that seems to be farily common.
There sure a lot of it in blogs all over the place.

That description of the art becoming less jagged and frenzied looking, I am
seeing that now in what I have been able to do so far.

Photoshop, eh?   I have been using PaintShopPro for years and I like it a
bunch for all kinds of things.  I won't be laying any of my guitars out in
the sun, though. 8-)

Now the question is, all this yacking, is it beneficial to others?  Do many
others on Tx also find a creative outlet helpful to focus their feelings and
confidence in seeing things they're building and getting better with?
Sounds as though there is some resonance with the idea and it seems many of
them are audiophiles and have been for a long time.  And after all,
musicians are convinced, love is the seventh wave.

cheers

Cactus Jammies
\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\
> CJ - maybe as a way of lessening the worry a bit about the care you're
> receiving, can you feel better that you seem to have responded to the
[quoted text clipped - 7 lines]
> like watercolors left out in the sun.  It is good you're doing this
> music, I think.
Russ - 16 Mar 2005 15:04 GMT
> Now the question is, all this yacking, is it beneficial to others?  Do many
> others on Tx also find a creative outlet helpful to focus their feelings and
> confidence in seeing things they're building and getting better with?

In short, yes. I've been involved in support groups since the '80's and
always found that, not just listening but speaking out is very therapeutic.
The sharing of what we are/were went through helps to get one away from that
"I'm the only one that feels nuts" and thus to carry on.

Music was and still is my salvation and carry's me away. I about wore a hole
in my thumb the other night from the banjo, just flat out wailing on that
puppy! I like the clawhammer sound and am going with it instead of the
picks. And as time goes on my fingernails are getting stronger so that makes
it all possible. For months after treatment my fingernails were like paper.

Signature

Russ

Visit Alaska @ http://www.tannersacre.com

> Gordo, I am dismayed but not really all that 'worred' if you know what I
> mean?  I just found early in my relationship with that clinic that I was to
[quoted text clipped - 54 lines]
> > like watercolors left out in the sun.  It is good you're doing this
> > music, I think.
elmoemerson@webtv.net - 16 Mar 2005 15:39 GMT

Re: communication issues with BCLD clinic  

Group: alt.support.hepatitis-c Date: Wed, Mar 16, 2005, 10:59am (CST+6)
From: not@joshuatree.nemor (Cactus Jammies)
Gordo, I am dismayed but not really all that 'worred' if you know what I
mean? I just found early in my relationship with that clinic that I was
to have to pay attention to anything to do with treament regiemes, and
on my own in my basement in far away Smallville, to watch for extreme
sides if they begin to manifest themselves. And communicate with those
places that best support the success of your treatment schedule
I would probably not feel nearly this confident and headstrong had I not
received the 2 log drop at week 12, now we're in the home stretch, and
as Juanita says "Giddie up go".
And yes, I have built up quite a little folk tale about me and music and
vibes and all that embroidery, and that quite frankly is what I was
looking forward to doing anyway before the Gastros drafted me. Now,
having myself pinned into this basement doing music stuff, actually
starting my guitar building and supplies deals going on while I am down
here on tx, that is is just too cool. The sound recording aspect and
posting the ash sea stuff on the web, that just popped up spontaneously.
I saw what a threat a certain eminence gris out there found rather too
unmoderated for his peculiar tastes, so I knew the idea
would work for those of us that see support as an emotional care and
self confidence concern as well as a physical care issue. And that this
function seemed to deserve some work and dedication as an organic
community workshop. Organic in this case means growing and changing
Its good to know that there are others that find creativity and creating
modes and themes like art and sonic art, that seems to be farily common.
There sure a lot of it in blogs all over the place.
That description of the art becoming less jagged and frenzied looking, I
am seeing that now in what I have been able to do so far.
Photoshop, eh?   I have been using PaintShopPro for years and I like
it a bunch for all kinds of things. I won't be laying any of my guitars
out in the sun, though. 8-)
Now the question is, all this yacking, is it beneficial to others? Do
many others on Tx also find a creative outlet helpful to focus their
feelings and confidence in seeing things they're building and getting
better with? Sounds as though there is some resonance with the idea and
it seems many of them are audiophiles and have been for a long time. And
after all, musicians are convinced, love is the seventh wave.
/////////
Music became my escape from the unpleasantries of tx also.  I found
myself at home not able to work during the first round of tx.  I was
gonna say that getting my first guitar and trying to play it was the
only thing that kept me from going insane, but tx put me over the edge
anyway (as all of us can attest to).  My insanity manifested itself in a
manic sort of way.  Not only did I need one guitar, ahahahahaha, I owned
6 of em when I did my last shot of interferon a year or so ago.  After
coming to my senses, I've reduced my inventory by upgrading, selling or
giving away some of them.  I'm down to 3 now.  
Nothing soothes the soul any better than music.  It's the perfect
getaway when you don't feel good.  Of course, a big fat doobie AND music
is even better (unless it's Barry Manilow)  :-)
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
elmoemerson@webtv.net - 16 Mar 2005 14:16 GMT
Sounds like Canadian health care sucks, to me.  Are you telling me they
have never taken a pcr to confirm your 'undetectable' status?  Are they
going to draw blood to monitor your overall health each month.  Sorry,
friend, I have a difficult time decyphering your posts sometimes.  :-)
Elmo
////////
Elmo,
Well it appears that I cannot find ways of expressing my dismay that yet
again, no matter how well prepared and 'supported' you are, the lowest
common denominator in effective treatment is having your physician
knowing the details of your individual case. This is a rural urban
situation we're in here. There are no HCV support mechanisms in our home
town, just the Shering pamphlets. My Clinical nurse should know that I
cannot drop in and chat at a live sistuation, she warned me away from
"you guys" when I mentioned I was an Internet fiend, and now she says
she thinks that is just great. So did I teach her that because of the
continuous litany of mistakes? Do I think she even pays enough attention
from day to day to any of her files to learn a lesson? The record in my
case is a solid not applicable. And furthermore you don't wait until the
patient gets to your office and then fumble the only calculation the
patient depends upon because nothing is ever written down on that file
folder. That the vet has more information on our cats in a file than the
damn district BCLD treatment centre seems to have on this very important
treatment, which is essentially just an endurance fiasco requiring lots
of understanding, and lots and lots of drinking water. and she really
have a nice haircut and she is really pretty which still distracts me.
8-) She's been working on that look since I was first referred to their
clinic, and it finally looks as though "the look" is looking good and
together.
I am not getting any more pcr vl tests between week 12 results until
week
48. I guess the good guys have the liver baddies on the run suitably
enough and having my monthly as required blood samples of enzymes and
and monitoring for any radical changes in my thyroid functions.   I
have lost 20 pounds since tx, 10 since holidays) so I am no longer in
the medically obese catagory (20% over bmi and weight charts) and that
is looking good and on schedule too, because at least for me I feel I am
contributing to my own care by trying to jam myself into the weight
chart that the pegetron seems to be most effective at. So that is a
minor victory for me, or I am counting coup on it anyway. (Yes, Chemo
Sabbe I am in war party mode)
So there, I am not too agitated, but lots of stuff happening in my life
that deserves a little respect. Lots of things going on right now I have
always wanted to be part of, so I have to effectively manage the tensors
day to day and keep my head above water. So count on it, I will rock
with you.
cactus jammies
/////////////////////////////////////
<elmoemerson@webtv.net> wrote in message
news:24265-4236EB5A-364@storefull-3256.bay.webtv.net...
communication issues with BCLD clinic
Group: alt.support.hepatitis-c Date: Tue, Mar 15, 2005, 4:16am (CST+6)
From: not@joshuatree.nemor (Cactus Jammies)
I spent most of the day driving to an appointment with my handler so
that she could be sure my 24 week VL was done at their collection centre
properly. I get there and after considerable other mistakes like
overlooking my moderate steatosis and my weight concerns and
effectiveness, etc. she says : "oh, I didn't realize it before, you got
more than a 2 log drop at week 12 and your other chemistry seems normal
for what your're doing, so you don't have to be here." Oh. I knew I got
the big drop at new years so I thought she had some other concerns, she
was trying to work out what kind of a 2 log drop I would get on the 12
week numbers not the first VL. She said my load is so small (after 12
weeks I hope so) that I would have to clear in order to make the 2 log
drop. guuuuug!
She asks me about stress. I say, gee you got a new haircut. G'be see you
in september just endore continuing my tx rx thanks. I am allowed to
talk to guys. figure that out?
cactus jammies
no expectations
////////////
What a ya mean you have 'no exectations'? You'd better get some, pal. I
mean it! :-) Folk who have a positive attitude fare better than those
who don't. I have no doubt your 24 week test will come back
'undetectable', as you should. Count your blessings you've made it half
way thru without any major setbacks or events that would make you have
to stop tx. You're on the right tracks.......full speed ahead! Elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Cactus Jammies - 16 Mar 2005 16:38 GMT
Elmo
No I am not undetectable, I got a 2 1/2 log drop at week 12 (new years) on
my big pre start (October) pcr test.  She now says that is good enough for
the pharmacare folks who cover most of the cost of the Schering stuff.  The
difficulty arose at that particular time when all this misplaced or not
evaluated information suddenly hit them two months after I talked with her
on the phone about my successful 2 log drop in January.  So apparently the
schedule is standard across the board like this everywhere with this stuff
so I don't know, but I understand also that the 24 week PCR is a bit of a
throwback because it doesn't seem as though it was required, that statistics
showed from data collected over recent years that this test was no longer
"standard" maybe I am wrong. (?)  She also told me the case size their
clinic the number of patients in my home town (there is another clinic down
the road the other way out of the valley) and the success rates.  She is
used to working with genotype 2 and 3 and then admitted she was more
familiar in a practical sense with those patients and the 24 week tx.  Can
this help you connect the dots, or am I raving nuts?

Cactus Jammies
///////////////////////////////
Sounds like Canadian health care sucks, to me.  Are you telling me they
have never taken a pcr to confirm your 'undetectable' status?  Are they
going to draw blood to monitor your overall health each month.  Sorry,
friend, I have a difficult time decyphering your posts sometimes.  :-)
Elmo
////////
Elmo,
Well it appears that I cannot find ways of expressing my dismay that yet
again, no matter how well prepared and 'supported' you are, the lowest
common denominator in effective treatment is having your physician
knowing the details of your individual case. This is a rural urban
situation we're in here. There are no HCV support mechanisms in our home
town, just the Shering pamphlets. My Clinical nurse should know that I
cannot drop in and chat at a live sistuation, she warned me away from
"you guys" when I mentioned I was an Internet fiend, and now she says
she thinks that is just great. So did I teach her that because of the
continuous litany of mistakes? Do I think she even pays enough attention
from day to day to any of her files to learn a lesson? The record in my
case is a solid not applicable. And furthermore you don't wait until the
patient gets to your office and then fumble the only calculation the
patient depends upon because nothing is ever written down on that file
folder. That the vet has more information on our cats in a file than the
damn district BCLD treatment centre seems to have on this very important
treatment, which is essentially just an endurance fiasco requiring lots
of understanding, and lots and lots of drinking water. and she really
have a nice haircut and she is really pretty which still distracts me.
8-) She's been working on that look since I was first referred to their
clinic, and it finally looks as though "the look" is looking good and
together.
I am not getting any more pcr vl tests between week 12 results until
week
48. I guess the good guys have the liver baddies on the run suitably
enough and having my monthly as required blood samples of enzymes and
and monitoring for any radical changes in my thyroid functions. I
have lost 20 pounds since tx, 10 since holidays) so I am no longer in
the medically obese catagory (20% over bmi and weight charts) and that
is looking good and on schedule too, because at least for me I feel I am
contributing to my own care by trying to jam myself into the weight
chart that the pegetron seems to be most effective at. So that is a
minor victory for me, or I am counting coup on it anyway. (Yes, Chemo
Sabbe I am in war party mode)
So there, I am not too agitated, but lots of stuff happening in my life
that deserves a little respect. Lots of things going on right now I have
always wanted to be part of, so I have to effectively manage the tensors
day to day and keep my head above water. So count on it, I will rock
with you.
cactus jammies
/////////////////////////////////////
<elmoemerson@webtv.net> wrote in message
news:24265-4236EB5A-364@storefull-3256.bay.webtv.net...
communication issues with BCLD clinic
Group: alt.support.hepatitis-c Date: Tue, Mar 15, 2005, 4:16am (CST+6)
From: not@joshuatree.nemor (Cactus Jammies)
I spent most of the day driving to an appointment with my handler so
that she could be sure my 24 week VL was done at their collection centre
properly. I get there and after considerable other mistakes like
overlooking my moderate steatosis and my weight concerns and
effectiveness, etc. she says : "oh, I didn't realize it before, you got
more than a 2 log drop at week 12 and your other chemistry seems normal
for what your're doing, so you don't have to be here." Oh. I knew I got
the big drop at new years so I thought she had some other concerns, she
was trying to work out what kind of a 2 log drop I would get on the 12
week numbers not the first VL. She said my load is so small (after 12
weeks I hope so) that I would have to clear in order to make the 2 log
drop. guuuuug!
She asks me about stress. I say, gee you got a new haircut. G'be see you
in september just endore continuing my tx rx thanks. I am allowed to
talk to guys. figure that out?
cactus jammies
no expectations
////////////
What a ya mean you have 'no exectations'? You'd better get some, pal. I
mean it! :-) Folk who have a positive attitude fare better than those
who don't. I have no doubt your 24 week test will come back
'undetectable', as you should. Count your blessings you've made it half
way thru without any major setbacks or events that would make you have
to stop tx. You're on the right tracks.......full speed ahead! Elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
elmoemerson@webtv.net - 17 Mar 2005 15:01 GMT
Ok.  I think I've got it now.  :-)  I'm still baffled as to why your doc
won't do a 24 week PCR, other than to save the health care system a few
bucks.  Personally, if I wasn't clear of virus at 24 weeks, I'd stop.
That's why I'd insist on a pcr at that point.  Rest easy tho, because if
you got your 2.5 log drop at 12 weeks, you have probably cleared.  But
you won't know unless you get the damn test.  
Elmo
//////  
Elmo
No I am not undetectable, I got a 2 1/2 log drop at week 12 (new years)
on my big pre start (October) pcr test. She now says that is good enough
for the pharmacare folks who cover most of the cost of the Schering
stuff. The difficulty arose at that particular time when all this
misplaced or not evaluated information suddenly hit them two months
after I talked with her on the phone about my successful 2 log drop in
January. So apparently the schedule is standard across the board like
this everywhere with this stuff so I don't know, but I understand also
that the 24 week PCR is a bit of a throwback because it doesn't seem as
though it was required, that statistics showed from data collected over
recent years that this test was no longer "standard" maybe I am wrong.
(?) She also told me the case size their clinic the number of patients
in my home town (there is another clinic down the road the other way out
of the valley) and the success rates. She is used to working with
genotype 2 and 3 and then admitted she was more familiar in a practical
sense with those patients and the 24 week tx. Can this help you connect
the dots, or am I raving nuts?
Cactus Jammies
///////////////////////////////
<elmoemerson@webtv.net> wrote in message
news:10282-4238319D-526@storefull-3252.bay.webtv.net... Sounds like
Canadian health care sucks, to me. Are you telling me they have never
taken a pcr to confirm your 'undetectable' status? Are they going to
draw blood to monitor your overall health each month. Sorry, friend, I
have a difficult time decyphering your posts sometimes. :-) Elmo
////////
Elmo,
Well it appears that I cannot find ways of expressing my dismay that yet
again, no matter how well prepared and 'supported' you are, the lowest
common denominator in effective treatment is having your physician
knowing the details of your individual case. This is a rural urban
situation we're in here. There are no HCV support mechanisms in our home
town, just the Shering pamphlets. My Clinical nurse should know that I
cannot drop in and chat at a live sistuation, she warned me away from
"you guys" when I mentioned I was an Internet fiend, and now she says
she thinks that is just great. So did I teach her that because of the
continuous litany of mistakes? Do I think she even pays enough attention
from day to day to any of her files to learn a lesson? The record in my
case is a solid not applicable. And furthermore you don't wait until the
patient gets to your office and then fumble the only calculation the
patient depends upon because nothing is ever written down on that file
folder. That the vet has more information on our cats in a file than the
damn district BCLD treatment centre seems to have on this very important
treatment, which is essentially just an endurance fiasco requiring lots
of understanding, and lots and lots of drinking water. and she really
have a nice haircut and she is really pretty which still distracts me.
8-) She's been working on that look since I was first referred to their
clinic, and it finally looks as though "the look" is looking good and
together.
I am not getting any more pcr vl tests between week 12 results until
week
48. I guess the good guys have the liver baddies on the run suitably
enough and having my monthly as required blood samples of enzymes and
and monitoring for any radical changes in my thyroid functions. I have
lost 20 pounds since tx, 10 since holidays) so I am no longer in the
medically obese catagory (20% over bmi and weight charts) and that is
looking good and on schedule too, because at least for me I feel I am
contributing to my own care by trying to jam myself into the weight
chart that the pegetron seems to be most effective at. So that is a
minor victory for me, or I am counting coup on it anyway. (Yes, Chemo
Sabbe I am in war party mode)
So there, I am not too agitated, but lots of stuff happening in my life
that deserves a little respect. Lots of things going on right now I have
always wanted to be part of, so I have to effectively manage the tensors
day to day and keep my head above water. So count on it, I will rock
with you.
cactus jammies
/////////////////////////////////////
<elmoemerson@webtv.net> wrote in message
news:24265-4236EB5A-364@storefull-3256.bay.webtv.net... communication
issues with BCLD clinic
Group: alt.support.hepatitis-c Date: Tue, Mar 15, 2005, 4:16am (CST+6)
From: not@joshuatree.nemor (Cactus Jammies)
I spent most of the day driving to an appointment with my handler so
that she could be sure my 24 week VL was done at their collection centre
properly. I get there and after considerable other mistakes like
overlooking my moderate steatosis and my weight concerns and
effectiveness, etc. she says : "oh, I didn't realize it before, you got
more than a 2 log drop at week 12 and your other chemistry seems normal
for what your're doing, so you don't have to be here." Oh. I knew I got
the big drop at new years so I thought she had some other concerns, she
was trying to work out what kind of a 2 log drop I would get on the 12
week numbers not the first VL. She said my load is so small (after 12
weeks I hope so) that I would have to clear in order to make the 2 log
drop. guuuuug!
She asks me about stress. I say, gee you got a new haircut. G'be see you
in september just endore continuing my tx rx thanks. I am allowed to
talk to guys. figure that out?
cactus jammies
no expectations
////////////
What a ya mean you have 'no exectations'? You'd better get some, pal. I
mean it! :-) Folk who have a positive attitude fare better than those
who don't. I have no doubt your 24 week test will come back
'undetectable', as you should. Count your blessings you've made it half
way thru without any major setbacks or events that would make you have
to stop tx. You're on the right tracks.......full speed ahead! Elmo
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum
http://community.webtv.net/elmoemerson/DocElmosHepFile
http://community.webtv.net/elmoemerson/TheFamilyAlbum

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Cactus Jammies - 17 Mar 2005 16:22 GMT
Elmo  (re: no PCR at 24 if on track)
Maybe its the same reason they reduce your riba dose up here if you're
having rbc and anemia difficulties rather than prescribe procrit or whathave
you for that.  Nuepogen is mostly wbc and cancer chemo territory, she said.
I believe that the stats now say that those that reach a 2 log drop at week
12, then procede to the 48th week without any further issues, the chances
change from 40% to over 80% effective treatment.  Do I have this right?  You
can see that I have been working myself into the probability of success
curve as best I could.  I really don't want to do this again.  She said if I
don't clear at 48 I would probably be 3 or 4 yrs before my next biopsy
(level 3 stage 3 now with some steatosis maybe gone) and that the next
generation tx would start with that 5 year wait for the genetics stuff.  RNA
inhibitors?  It will almost certainly be IFN of some type in combo.  No
riba.  yay for that.  So I am feeling fairly confident.  The numbers from my
routine monthly plus the thyroid thing comes by fax today.  The instant
results at the test collection centre showed my thyroid as N but I want to
see the number. I had those samples taken on Monday.  Having read some of
the trials on here, including yours, I am happy just to know I can complete
the tx anyway.

cactus jammies

> Ok.  I think I've got it now.  :-)  I'm still baffled as to why your doc
> won't do a 24 week PCR, other than to save the health care system a few
[quoted text clipped - 4 lines]
> Elmo
> //////
elmoemerson@webtv.net - 18 Mar 2005 14:20 GMT
I'm sure it's for the same reason they reduce riba dosages.  Dose
reduction can have some serious consequences, like not getting an SVR.
Money.....that's all it is.  
I can't say one way or the other whether the stats you quoted are
accurate or not.  They sound reasonable.  My problem with not doing a 24
week pcr on everyone who is in the same boat as you (2 log drop but not
undetectable at 12 weeks) is that it assumes you went undetectable.  And
according to the statistics you cited, that means one out of every five
is going to continue tx an additional 5 months when there is little or
no benefit.  Yeah, staying on tx reduces fibrosis to a degree and all
that rot, but only if it clears the virus.  Not to throw up a red flag,
but tx drugs can be pretty nasty.  They can cause permanent health
problems and if they aren't doing what they're meant to, people
shouldn't be taking them.  
Elmo
//////////  
Elmo (re: no PCR at 24 if on track)
Maybe its the same reason they reduce your riba dose up here if you're
having rbc and anemia difficulties rather than prescribe procrit or
whathave you for that. Nuepogen is mostly wbc and cancer chemo
territory, she said. I believe that the stats now say that those that
reach a 2 log drop at week 12, then procede to the 48th week without any
further issues, the chances change from 40% to over 80% effective
treatment. Do I have this right? You can see that I have been working
myself into the probability of success curve as best I could. I really
don't want to do this again. She said if I don't clear at 48 I would
probably be 3 or 4 yrs before my next biopsy (level 3 stage 3 now with
some steatosis maybe gone) and that the next generation tx would start
with that 5 year wait for the genetics stuff. RNA inhibitors? It will
almost certainly be IFN of some type in combo. No riba. yay for that. So
I am feeling fairly confident. The numbers from my routine monthly plus
the thyroid thing comes by fax today. The instant results at the test
collection centre showed my thyroid as N but I want to see the number. I
had those samples taken on Monday. Having read some of the trials on
here, including yours, I am happy just to know I can complete the tx
anyway.
cactus jammies
<elmoemerson@webtv.net> wrote in message
news:8754-42398DD7-646@storefull-3258.bay.webtv.net...
Ok. I think I've got it now. :-) I'm still baffled as to why your doc
won't do a 24 week PCR, other than to save the health care system a few
bucks. Personally, if I wasn't clear of virus at 24 weeks, I'd stop.
That's why I'd insist on a pcr at that point. Rest easy tho, because if
you got your 2.5 log drop at 12 weeks, you have probably cleared. But
you won't know unless you get the damn test. Elmo
//////

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Kozure Ookami - 17 Mar 2005 21:39 GMT
>Elmo
>No I am not undetectable, I got a 2 1/2 log drop at week 12 (new years) on
[quoted text clipped - 13 lines]
>familiar in a practical sense with those patients and the 24 week tx.  Can
>this help you connect the dots, or am I raving nuts?

I don't know.  It seems to me the 24 week test can spare somebody from
doing another 24 weeks of tx when it isn't going to do any good.  But
I guess if people do not relapse after 12 weeks but before 48 then it
wouldn't matter.  Wonder what the stats are on that.
Cactus Jammies - 17 Mar 2005 22:01 GMT
I just checked with the BCLD clinic, I was right the 24 week pcr is a
discretionary choice, and in my case there was no reason to suspect I was
having any more than fatigue issues.  My thyroid number is now up to 3.03
which is well into the normal range and looking good.  RBC and Hgb are a
little low, still. 3.33 and 103 respectively.  AST  37   ALT 40  (Normal,
has been for three months)  So unless I pay for one myself, then I guess the
good providers consider me a walking success story and I don't need one.
The Schering folks will probably be paying some off-set money because of the
catastrophic cost of treatment to those without adequate 3rd party coverage
(coverage that normally is paid out by my province's health care system if I
had a lower deductable).   I just happened to be in the wrong place at the
wrong time.  (again)  :-)

Shot 24 last tuesday nite, all downhill from here.

Tried to post a song to Dmusic.com where the cactus jammies folio is. didn't
work. will be trying again shortly.  Mary Ann's first with probably nothing
much else for a while other than dub tracks I will put into the workspace
where they can be downloaded and used as a resource.  I still am trying to
sing in the key of C, man that is a chore.  I cannot sing unless I force my
voice into every note, because my ear and voice has not yet been trained to
"hear ahead of yourself" I would take informal voice coach tutoring if I
could find an easy tx type of source..

cactus jammies

"Kozure Ookami" <swargler@yahoo.com> wrote in

> I don't know.  It seems to me the 24 week test can spare somebody from
> doing another 24 weeks of tx when it isn't going to do any good.  But
> I guess if people do not relapse after 12 weeks but before 48 then it
> wouldn't matter.  Wonder what the stats are on that.
pajaritaflora - 18 Mar 2005 05:24 GMT
> Shot 24 last tuesday nite, all downhill from here.
>
[quoted text clipped - 8 lines]
>
> cactus jammies

I can't sing in C either, I go up half step.
:)
Mary Ann
I can change the key in acid.

> "Kozure Ookami" <swargler@yahoo.com> wrote in
>
> > I don't know.  It seems to me the 24 week test can spare somebody from
> > doing another 24 weeks of tx when it isn't going to do any good.  But
> > I guess if people do not relapse after 12 weeks but before 48 then it
> > wouldn't matter.  Wonder what the stats are on that.
JV - 18 Mar 2005 06:38 GMT
Well I think that BCLD clinic should be
       Severely Punished, I mean
                     Severely
For treating CJ like this for his 24 wk pcr.
I would have started having a instant psychological disturbance towards
the BCLD clinic.
Anyway sorry CJ their useless shoulder shruggers. anyway. Thank the
buddha your staying healthy and enduring tx well enough.
Juanita
elmoemerson@webtv.net - 18 Mar 2005 14:25 GMT
Those are darned good numbers, CJ, especially the LFT's.  Looks like
you're in the lucky 80 % that went on to clear the virus.  Full speed
ahead!!!  After all, it IS all downhill from here.  :-)
Elmo
///////////
I just checked with the BCLD clinic, I was right the 24 week pcr is a
discretionary choice, and in my case there was no reason to suspect I
was having any more than fatigue issues. My thyroid number is now up to
3.03 which is well into the normal range and looking good. RBC and Hgb
are a little low, still. 3.33 and 103 respectively. AST 37   ALT 40
(Normal, has been for three months) So unless I pay for one myself, then
I guess the good providers consider me a walking success story and I
don't need one. The Schering folks will probably be paying some off-set
money because of the catastrophic cost of treatment to those without
adequate 3rd party coverage (coverage that normally is paid out by my
province's health care system if I had a lower deductable).   I just
happened to be in the wrong place at the wrong time. (again) :-)
Shot 24 last tuesday nite, all downhill from here.
Tried to post a song to Dmusic.com where the cactus jammies folio is.
didn't work. will be trying again shortly. Mary Ann's first with
probably nothing much else for a while other than dub tracks I will put
into the workspace where they can be downloaded and used as a resource.
I still am trying to sing in the key of C, man that is a chore. I cannot
sing unless I force my voice into every note, because my ear and voice
has not yet been trained to "hear ahead of yourself" I would take
informal voice coach tutoring if I could find an easy tx type of
source..
cactus jammies
"Kozure Ookami" <swargler@yahoo.com> wrote in
I don't know. It seems to me the 24 week test can spare somebody from
doing another 24 weeks of tx when it isn't going to do any good. But I
guess if people do not relapse after 12 weeks but before 48 then it
wouldn't matter. Wonder what the stats are on that.

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Russ - 18 Mar 2005 15:57 GMT
Nice looking numbers there on the blood work CJ, you're doing great!

Key or C is a bit out of my range too, G or A is ok though.

Signature

Russ

Visit Alaska @ http://www.tannersacre.com

> I just checked with the BCLD clinic, I was right the 24 week pcr is a
> discretionary choice, and in my case there was no reason to suspect I was
[quoted text clipped - 28 lines]
> > I guess if people do not relapse after 12 weeks but before 48 then it
> > wouldn't matter.  Wonder what the stats are on that.
Russ - 16 Mar 2005 14:57 GMT
Right on CJ, your sounding just fine. Hang in there bud!

Signature

Russ

Visit Alaska @ http://www.tannersacre.com

> Elmo,
> Well it appears that I cannot find ways of expressing my dismay that yet
[quoted text clipped - 71 lines]
>
> http://community.webtv.net/elmoemerson/TheFamilyAlbum
pajaritaflora - 15 Mar 2005 16:22 GMT
> I spent most of the day driving to an appointment with my handler so that
> she could be sure my 24 week VL was done at their collection centre
> properly.  I get there and after considerable other mistakes like
> overlooking my moderate steatosis and my weight concerns and effectiveness,

I hate it when they don't pay attention to details. Haven't they a clue
that we want to be concerned about details of our bodies!

> etc. she says :  "oh, I didn't realize it before, you got more than a 2 log
> drop at week 12 and your other chemistry seems normal for what your're
[quoted text clipped - 5 lines]
>
> She asks me about stress.

AAaaahh!!

 I say, gee you got a new haircut.  G'be see you
> in september

September!?

just endore continuing my tx rx thanks.  I am allowed to talk
> to guys.  figure that out?
>
> cactus jammies
> no expectations

I'm glad we have us for support.
chin up, cheereo
Mary Ann
 
Sign In
Join
My Latest Posts
My Monitored Threads
My Blog
My Photo Gallery
My Profile
My Homepage

Start New Thread
Enable EMail Alerts
Rate this Thread



©2008 Advenet LLC   Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.