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Medical Forum / Diseases and Disorders / Hepatitis / April 2005

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Treatment!

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heydude61@juno.com - 28 Apr 2005 15:50 GMT
Hi everyone!
I was diagnosed 10 years ago but have recently got bad enough to start
treatment. It should begin on May 6th. I am very nervous about starting
treatment. The Dr. said I need 48 weeks of treatment.I am so glad that
I found people to talk to. Any advice on night of 1st shot?
Thanks for being here for me!
buster - 28 Apr 2005 17:43 GMT
Yes, with all due respect. Take some pain killer, a couple of sweat
absorbing towels to bed with you and have some kiss your a.s good bye for
about 16 hours. Then again u may fair better than that! Good luck.

What's your PCR count, why did u wait so damn long to start treatment! What
stage and grade is biopsy?  Buster

> Hi everyone!
> I was diagnosed 10 years ago but have recently got bad enough to start
> treatment. It should begin on May 6th. I am very nervous about starting
> treatment. The Dr. said I need 48 weeks of treatment.I am so glad that
> I found people to talk to. Any advice on night of 1st shot?
> Thanks for being here for me!
heydude61@juno.com - 28 Apr 2005 20:55 GMT
I don't know all the hep-c "lingo" which is one reason I wanted to get
on a group. I do know that something is at 1,000,000 and the biopsy
showed inflamation is at 2 and scaring is at 1. Does that answer your
question? Also when I had a  biopsy  8 years ago the Dr. said levels
were not high enough to do anything.
greyhackles - 28 Apr 2005 22:51 GMT
>I don't know all the hep-c "lingo" which is one reason I wanted to get
>on a group. I do know that something is at 1,000,000 and the biopsy
>showed inflamation is at 2 and scaring is at 1. Does that answer your
>question? Also when I had a  biopsy  8 years ago the Dr. said levels
>were not high enough to do anything.

- the 1 million is probably your "viral load" - the number of virus particles
in a milliliter of blood. 1 million doesn't quite reach the "high viral load"
threshold but it's getting there.

- biopsy inflammation of 2 likely refers to the A0 to A5 inflammation
"activity" level. You're on the low side of middle.

- biopsy scarring of 1 likely means "F1" on the F0 to F4 liver "fibrosis"
scale. F0 = no damage, F1-F2 are degrees of non-bridging portal fibrosis, F3
is bridging portal fibrosis, F4 is cirrhosis. You're low at F1 which is very
good - you caught it early. I'm F2 progressing to F3, fwiw, after 35 years
HCV+.

- at F1 you may still be low enough to wait - your labs are not so clear cut
as others (eg: me). If you're not suffering significant effects from the HCV
infection (and believe me you'd be surprised just how broadly HCV can wreak
its havoc on various/multiple systems) delaying therapy is an option you can
discuss with your doctors.

Bottom line: get educated *now*.

If you haven't seen this yet, give it a good reading...
http://www.californiahcvtaskforce.org/pdf/HCV%20Clinical%20Pathway%20S.F.Version4.PDF

Cheers, and best of luck.

/greyhackles
buster - 28 Apr 2005 23:01 GMT
Yes, 1 mil is the viral count. 8 years ago it was standard practice in early
stages to do nothing. That was the way it was but that way of thinking is
slowing turning around. They find better SVR rates for people who have mild
cases in lieu of the more serious cases. In other words the sooner the
better. Ask your doctor if I'm telling you a story?  (He will tell you don't
talk to us on the internet)

No, I wasn't kidding about the pain, body ache, and head! Bad flu type
symptoms with fever and breaking fevers which make you sweat allot. This is
usually for only the first few shots and it gets much better (but no cake
walk). You will learn the lingo in no time, SVR is the PCR count down to
"0"  and you hold it there without medicines for 6 months. You will want to
see a count of 0 in about 12 weeks after start of treatment. Keep it a 0 for
the length of treatment and like I said, sustain it for 6 months after
treatment. lol, that's all there is to it.  Good luck Bud, your on the way.

>I don't know all the hep-c "lingo" which is one reason I wanted to get
> on a group. I do know that something is at 1,000,000 and the biopsy
> showed inflamation is at 2 and scaring is at 1. Does that answer your
> question? Also when I had a  biopsy  8 years ago the Dr. said levels
> were not high enough to do anything.
Cactus Jammies - 28 Apr 2005 23:40 GMT
My initial shots, up to about number eight went pretty good compared to the
wilder sides some have like allergies and pre-exisiting immunilogical issues
(you may have), but not even suspect right off.  My first three or four
experiences after shot day (2 or 3 days following my tuesday night shot)
were pretty normal, just aches and pains mostly.  And dehydration and
urination.  But around week eight, the sides changed to bringing the riba
combination up to full synergy with the background of the Interferon running
interception.  That's when I started to notice I was getting really moody,
and now after week 30, the sides of the shots come on almost right away.  I
usually now spend tuesday, all of wednesday and most of thursday under the
covers listening to political radio.  So not everyone has similar waves of
side effects, but ususally we all go through some of the same as listed in
the PegIntron or Pegasys literature.  The buisness about planning for
appetite stims, anti depressants and sleep aids is good.  If you smoke pot,
plan on trying to use that (don't tell your doc unless you know them really
well)  Tomorrow is my regular dope run day to sunnier places and I spend
about $200 US (oz and a half of primo) per month on that.  I have a good
source.

hope this helps

cactus jammies
//////////////////////////////////////////////////////////////////////////////////////
> Yes, with all due respect. Take some pain killer, a couple of sweat
> absorbing towels to bed with you and have some kiss your a.s good bye for
[quoted text clipped - 9 lines]
>> I found people to talk to. Any advice on night of 1st shot?
>> Thanks for being here for me!
Gordo Mondragon - 29 Apr 2005 03:13 GMT
[...]

> If you smoke pot,
> plan on trying to use that (don't tell your doc unless you know them really
> well)

I second this strongly.  I baked it into brownies and it's the only
thing that worked on the Riba side effects of misery and rage.  It
actually made me able to giggle some.
Paul - 29 Apr 2005 08:16 GMT
On Thu, 28 Apr 2005 22:40:38 GMT, "Cactus Jammies"
<not@joshuatree.nemor>, in message ID <GDdce.11083$tg1.9265@edtnps84>,
in the newsgroup alt.support.hepatitis-c wrote:

> If you smoke pot,
>plan on trying to use that (don't tell your doc unless you know them really
>well)  Tomorrow is my regular dope run day to sunnier places and I spend
>about $200 US (oz and a half of primo) per month on that.  I have a good
>source.

I see a fair bit about this on here.  I used to smoke a lot over about
13 years until 1986.  Although I had some fun times with it, it often
made me anxious and paranoid too.  Personally, I don't think that dope
and tx would have mixed very well for me as the dope seemed to
exaggerate whatever I was feeling at the time.  Clearly it's not just
about the dope but also about the psyché of the person smoking it.
I'm sure it works well for some people on tx.  I believe that it would
have increased *my* anxiety levels though.
Signature

Paul

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Gordo Mondragon - 29 Apr 2005 03:12 GMT
> Yes, with all due respect. Take some pain killer, a couple of sweat
> absorbing towels to bed with you and have some kiss your a.s good bye for
> about 16 hours. Then again u may fair better than that! Good luck.

I didn't have much at all in the way of side effects from the
interferon, and never really any fever.  For the first couple of months
I'd get this weird speedy rushy feeling a couple of hours after the shot
which, when toned down with the proper meds, wasn't unpleasant.

Everyone is different.  You just have to wait and see.
Dwight - 28 Apr 2005 23:00 GMT
> Hi everyone!
> I was diagnosed 10 years ago but have recently got bad enough to start
> treatment. It should begin on May 6th. I am very nervous about starting
> treatment. The Dr. said I need 48 weeks of treatment.I am so glad that
> I found people to talk to. Any advice on night of 1st shot?
> Thanks for being here for me!

 If you work Monday - Friday, pick Friday night so you will have time
to recover if needed.  Don't plan on doing anything except resting for
the weekend and let the dragon know you're out to destroy him.

Good Luck

Dwight
Susie Quill - 29 Apr 2005 10:32 GMT
I was dx. about 10 years ago too with a viral load of about 27,000 I think.
They didn't think it was a problem at that low of a level.  Finally went
thru treatment last year, just passed 6 month viral load test with SVR
(sustained viral response).

Anti-depressants may be helpful.  You might want something on hand in case
you have any nausea to begin with.  Have a thermometer on hand.  I bought
two bags of ice every week and drank lots of water.  Drinking lots of water
seems to help.  I still had problems with dehydration. So, plan on drinking
lots of water.   Even with all the water, I had a really dry scalp.  Lost
lots of hair, but it is coming back in now.  I had so much hair that no one
really noticed except me.   What I lost is now about 2 or 3 inches long.  So
don't panic if you start to notice hair loss.

The worst shot for me was the first one. High fever.  Didn't have a fever
after that.   After that they weren't as bad, but my symptoms each week were
a bit more rough I think.  I hope it goes easy for you.  Sorry you have to
be here, but I'm glad you found us.
Susie

> Hi everyone!
> I was diagnosed 10 years ago but have recently got bad enough to start
> treatment. It should begin on May 6th. I am very nervous about starting
> treatment. The Dr. said I need 48 weeks of treatment.I am so glad that
> I found people to talk to. Any advice on night of 1st shot?
> Thanks for being here for me!
elmoemerson@webtv.net - 29 Apr 2005 13:50 GMT
Put your space helmet on and make sure the chin strap is pulled snug.
Welcome to the group!!!
Elmo

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

http://community.webtv.net/elmoemerson/TheFamilyAlbum
burningdaylight - 30 Apr 2005 00:33 GMT
Hey Heydude,
I expected the worse when I took my first shot, never got sick or fever
from it, however there are alot of things that can go wrong during the
next 48 weeks beside the side effects.
So make sure that you get regular blood tests by your doc.  And as Susie
Q. said drink plenty of water, this stuff drys you up and it also help
with sides. Also, eat right and regularly if possible.  Go back and read
some old posts on this site if you haven't already.
Ask this NG anything you want, remember that the only stupid question is
the one you don't ask, or something like that!
Get on Google and double check everything that your doctor does and says.
They are only human and can screw up too.
Welcome on board the C train.
Sue
 
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