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Medical Forum / Diseases and Disorders / Hepatitis / May 2005

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Can you work during treatment

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mags - 26 May 2005 23:05 GMT
I find out on Tuesday what treatment I will be receiving.  They have sent
away for my geno type and the results come back this week.  I have been
given a video on managing my pegasys treament alfa 2a so I assume that is
how I am being treated
My question is how nasty will the side effects be and will I be able to
work?? Should I apply for disability??  I do not have any symptons.

Mags
Canadave - 27 May 2005 01:58 GMT
Everyone is different.  You'll really have to wait and see.  I just took
needle #4...the first two weeks I worked, but then my hemoglobin plummeted,
and I'm really not up to it.  I've got two weeks of sick leave, and
hopefully by then the EPO (for the red blood cells) will have kicked in and
I'll feel well enough to work.

Keep asking those questions, good luck, and let us know what the doc says.

David

>I find out on Tuesday what treatment I will be receiving.  They have sent
>away for my geno type and the results come back this week.  I have been
[quoted text clipped - 4 lines]
>
> Mags
Gordo Mondragon - 27 May 2005 03:40 GMT
[...]

> Keep asking those questions, good luck, and let us know what the doc says.

Even my doctor, who has treated a number of people with Hep C, didn't
understand what I was going through so that he could tell me it was
normal, or tell me when I was going overboard.  The people here did.  
However you feel, just say it here and you're likely to hear from
someone who went through the same thing.

G
Susie Quill - 27 May 2005 02:05 GMT
>I find out on Tuesday what treatment I will be receiving.  They have sent
>away for my geno type and the results come back this week.  I have been
[quoted text clipped - 4 lines]
>
> Mags

Mags,
The severity of symptoms is different for everyone.  Some people seem to
have few, if any, symptoms.  With some, symptoms knock 'em on their butt.

I started out with taking each Monday off from work.  Would take my shot
Friday night.  Eventually, I had to start taking Mondays and Tuesdays
off....then right at the end of my six month treatment, I had to take
Wednesdays off too.
Luckily I only had to do six months of treatment.

The worst shot for me was the initial one.  I ran a high fever.  Some people
seem to have this happen with the first one, then the second shot isn't as
bad.  So, have a thermometer available,  a nice big container of water next
to the bed, some meds for fever.  Maybe something to settle your stomach if
your stomach gets up-set.

I have more to say on this....but I just took some pain med for this knee
that I had surgery on and I'm getting too dope.
Will write more later.
Susie
greyhackles - 27 May 2005 02:09 GMT
>I find out on Tuesday what treatment I will be receiving.  They have sent
>away for my geno type and the results come back this week.  I have been
[quoted text clipped - 4 lines]
>
>Mags

Hi Mags. You've come to the right place. Sorry you had to find this group...

- Yes, depending on your individual reaction to the combo drugs, you can work
while on therapy. Even though my blood work went to hell over the worst of the
winter, I've only missed one full work day in 30+ weeks on tx (though getting
from the parking lot to my office was a struggle during my worst month).

- Obtaining Disability status for HCV therapy may be difficult to achieve.
Don't count on it being made available to you.

- During my pre-tx work-ups I received the full Pegasys patient information
kit with all the plastic pieces and video tape. The tape and documents showed
the Peg IFN powder and diluent supplied in vials, and I learned how to mix
together and then load a syringe and all the other procedural stuff.

And what showed up the week of my first shot?
PegIntron - in Redipens. Sheesh.

So it might be worth verifying precisely which combo you'll be on before you
spend a lot of time studying the handouts. And if you have the choice, opt for
preloaded Redipens vs the two syringes and two vials crapola. Much simpler to
deal with...

Cheers - and here's hoping you have a nice weak Type 2 infection :-)

/greyhackles
Gordo Mondragon - 27 May 2005 03:38 GMT
[...]

> - Obtaining Disability status for HCV therapy may be difficult to achieve.
> Don't count on it being made available to you.

Where I work we have 3 months of short-term-disability before you have
to go out on long-term.  I struck a deal to be able to "work from home"
up to the point where I could then go out officially on STD for the last
few months (and when I was out on STD, I still did some work so it
balanced out.)  

You don't want to have to be figuring this stuff all out at the point
that you really need it, if it turns out you do.

G
Agua Girl - 28 May 2005 04:25 GMT
> >I find out on Tuesday what treatment I will be receiving.  They have sent
> >away for my geno type and the results come back this week.  I have been
[quoted text clipped - 11 lines]
> winter, I've only missed one full work day in 30+ weeks on tx (though getting
> from the parking lot to my office was a struggle during my worst month).

I was physically able to work most days (some Monday's were tough) but
mentally I was pretty much done by the 12th week.  As everyone has already
said...you're mileage may vary.  It depends on what if any sides you
feel....
and I would guess it depends on the type of work you do.  If it makes you
tired than you wouldn't want to be driving that school bus :-)

> - Obtaining Disability status for HCV therapy may be difficult to achieve.
> Don't count on it being made available to you.

I had no problem at all getting SDI.  Maybe it depends on the state you
live in but all I did was go on line and ask for the form, filled out my
part
and gave it to my Doc.  They filled out the rest...sent it in...and that was
it.
No interview, no problem.

> - During my pre-tx work-ups I received the full Pegasys patient information
> kit with all the plastic pieces and video tape. The tape and documents showed
[quoted text clipped - 3 lines]
> And what showed up the week of my first shot?
> PegIntron - in Redipens. Sheesh.

> So it might be worth verifying precisely which combo you'll be on before you
> spend a lot of time studying the handouts. And if you have the choice, opt for
> preloaded Redipens vs the two syringes and two vials crapola. Much simpler to
> deal with...

We had to go to a class where a nurse rep from the drug company went
over all the info and taught us how to use the redi-pens (not that they are
that hard).  Also got hand-outs and a video to take home...and even got
a little insulated bag to pick up the meds in.  Oddly enough the first time
I filled my prescription I got the vials.  Maybe they got the two of us
mixed up <g>

AG
Gordo Mondragon - 27 May 2005 03:36 GMT
[...]

> My question is how nasty will the side effects be and will I be able to
> work?? Should I apply for disability??  I do not have any symptons.

It varies a lot person-by-person.  I was out of work for most of it,
other people continue working the whole time.  I think the best advice
would be to have everything set before you start treatment for whatever
happens.  The list that I'd make is:

- what do you need to do to go out on disability?  Is there a limit to
how long you can be out?  What forms do you have to fill out and who do
you have to talk to?

- what if you need help cooking, cleaning, shopping, or just need people
around to keep your head from turning in on itself?  Let some people
know that you might need help from them, and hopefully you won't.

- ask your doctor about antidepressants and sleeping meds.  Lots of
people use them during treatment, and knowing what you will get if you
need them can help.

For me, making decisions was hard and I'd get all stressed out.  So if
you've got things set up to just say "now, I need...." and you'll get it
without much effort, that would be a good thing.

Gordo
Thomas Wagner - 27 May 2005 04:25 GMT
>I find out on Tuesday what treatment I will be receiving.  They have sent
>away for my geno type and the results come back this week.  I have been
>given a video on managing my pegasys treament alfa 2a so I assume that is
>how I am being treated
>My question is how nasty will the side effects be and will I be able to
>work?? Should I apply for disability??  I do not have any symptons.

As you've heard from the others, effects are different for everyone. I
was able to work full time through my treatments, but it also depends on
the type of work you do. If it's physically demanding, it may become
hard or impossible to work relatively soon. If it's a desk job (like
mine), it may be easier to handle. As a 2a, you'll "only" have to bear
it for 24 weeks, and if you're lucky your sides will be mild. The
suggestion to get all the info you might need now while you can still
think straight is excellent. But try to keep a positive attitude, don't
expect the worst sides from the start (then it's a pretty safe bet that
you will get them).

Thomas
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Paul - 27 May 2005 08:13 GMT
On Thu, 26 May 2005 23:25:54 -0400, Thomas Wagner <tomw@capecod.com>,

>As you've heard from the others, effects are different for everyone. I
>was able to work full time through my treatments, but it also depends on
[quoted text clipped - 6 lines]
>expect the worst sides from the start (then it's a pretty safe bet that
>you will get them).

Thomas.  The 2a referred to the interferon type - not the genotype.
Genotype still pending.  So don't get too excited Mags.  It *may* be
24 weeks tx or it may be 48 weeks.  48 weeks tx is more usual than 24
but let's hope you get lucky, eh?
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Thomas Wagner - 27 May 2005 15:48 GMT
>Thomas.  The 2a referred to the interferon type - not the genotype.
>Genotype still pending.  So don't get too excited Mags.  It *may* be
>24 weeks tx or it may be 48 weeks.  48 weeks tx is more usual than 24
>but let's hope you get lucky, eh?

Aarrghhh... that's what happens when trying to go through messages after
a long day... sorry for the confusion.

Thomas
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pajaritaflora - 27 May 2005 14:29 GMT
> I find out on Tuesday what treatment I will be receiving.  They have sent
> away for my geno type and the results come back this week.  I have been
[quoted text clipped - 4 lines]
>
> Mags

Hi Mags,
Before I started treatment I reviewed my options.My doc said he would
reduce the dose instead of have me go out on leave. Sorry, that
wouldn't do for me. I had to tell him twice that I have short and long
term disability and wanted to use it if I needed to. He agreed he would
let me. It was not my intention to use it. I did use intermittent FMLA
leave in combination with the short term disability starting around
week 12. But just this week (shot 23 of 48)folks at my job pointed out
that I was not doing my job to adequate standards. They knew it was
because of the treatment and had me call the HR office. Now I am in the
midst of getting all that paperwork rolling for disability. And if
everything goes smoothly I will be out till the end of treatment.
I think if my job had less walking and stress I may have been able to
do it longer.
There is no formula for knowing what sides you will have or when you
will have them. But rest assured , if you have a concern about side
effects, there is someone here who can relate.
So, glad you have found this group. It's a wonderful group of people,
at all stages of treatment. I've made very sweet friends here. Glad you
found us.
Take care,
Mary Ann
Canadave - 27 May 2005 22:06 GMT
"pajaritaflora" <birdspeak@gmail.com> wrote in message

>They knew it was because of the treatment and had me call the HR office.
>Now I am in the midst of getting all that >paperwork rolling for
>disability. And if everything goes smoothly I will be out till the end of
>treatment.

I hope it all works out!

David
pajaritaflora - 28 May 2005 14:02 GMT
> "pajaritaflora" <birdspeak@gmail.com> wrote in message
>
[quoted text clipped - 6 lines]
>
> David

thanks David.
Agua Girl - 28 May 2005 04:35 GMT
> But just this week (shot 23 of 48)folks at my job pointed out
> that I was not doing my job to adequate standards. They knew it was
[quoted text clipped - 3 lines]
> I think if my job had less walking and stress I may have been able to
> do it longer.

That is also what happened to me.  I was working from home a
couple of days a week before going on the meds so I incorrectly
assumed my company would work with me. In fact I use to praise
them for being so understanding.  Then around week 12 they decided
that I wasn't dealing with everything very well emotionally so they
gave me a disciplinary letter (that was last Sept. and it still ticks me
off <G>).  I went out on disability the very next day.  Smartest
thing I could have done.  I finished last November, went back
to work in December...ohh...and by the way....they demoted
the guy who was in charge of the dept when I was disciplined.
Three months later they fired the new boss and put me in charge...yeah..
the emotional one.  And one month after that I made my own
employee changes <G>.   Life is good (and payback's a bitch. ;-)  )

AG
pajaritaflora - 28 May 2005 14:08 GMT
> > But just this week (shot 23 of 48)folks at my job pointed out
> > that I was not doing my job to adequate standards. They knew it was
[quoted text clipped - 19 lines]
>
> AG

Quite a story. I'm thinking I may not go back to my job after
treatment. I'm not exactly thrilled with the whole scene. I also used
to praise our company for their understanding. And, for myself I still
do ,but I have seen all too often lately how the politically correct
company can use their " good intentions" as weapons.

MaryAnn
Gordo Mondragon - 28 May 2005 18:35 GMT
[...]

> Quite a story. I'm thinking I may not go back to my job after
> treatment. I'm not exactly thrilled with the whole scene. I also used
> to praise our company for their understanding. And, for myself I still
> do ,but I have seen all too often lately how the politically correct
> company can use their " good intentions" as weapons.

Some of the insights I had on tx where good, other ones where just
completely lame.  I think that in retrospect their asking you to take
time off might turn out to be the best thing they could have done.

G
Agua Girl - 28 May 2005 17:01 GMT
> [...]
>
[quoted text clipped - 7 lines]
> completely lame.  I think that in retrospect their asking you to take
> time off might turn out to be the best thing they could have done.

I agree with that.  If my company had told me it wasn't working and
"suggested" I opt for the disability I wouldn't have been as upset
and definitely would have thanked them for it once I was off tx.
Writing someone up for what they knew was a medical condition
is not only wrong...it's illegal.  If they had tried to use the disciplinary
letter to fire me, demote me or in any way punish me I would have
tested the labor laws.
But your right about SDI being the best thing for both me and the
company.

AG
Jack Black - 28 May 2005 11:16 GMT
I could take myself to work but it was a struggle to perform my duties. I
managed to do this for nine months all up but next time, I'd try to take a
year off. Depends on you and your job. Wait and see how you go.

Jack
> I find out on Tuesday what treatment I will be receiving.  They have sent
> away for my geno type and the results come back this week.  I have been
[quoted text clipped - 4 lines]
>
> Mags
heppiechik - 30 May 2005 03:05 GMT
I'm a nurse and I worked up until the end of my 6 month and I wish I would
of stopped a lot sooner. I made my life and those I worked with really
miserable. I was truly blessed because my fellow employees welcomed my back
with opened arms!!!
hc

> I find out on Tuesday what treatment I will be receiving.  They have sent
> away for my geno type and the results come back this week.  I have been
[quoted text clipped - 4 lines]
>
> Mags
 
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