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 / May 2007

Tip: Looking for answers? Try searching our database.

Tx Begins on the 30th of May...

Thread view: 
Enable EMail Alerts  Start New Thread
Thread rating: 
amzolt - 22 May 2007 06:36 GMT
I've done a bit of posting here; done a lot of reading, though.
Tx starts soon and I feel "ready", whatever the hell that means...
Got a question from my last visit with the PA-C (physicians assistant-
certified) who's got my case (I'm with the VA hospital here in Dayton,
OH)....

So, there's some sort of "scale" from 0 to 4 used to evaluate the
biopsy...

My inflammation was 3.
My fibrosis was 2.

I'm a geno-1a

She said I'm "right where they want me".
Anybody familiar with this type of measurement?
greyhackles - 22 May 2007 14:13 GMT
>I've done a bit of posting here; done a lot of reading, though.
>Tx starts soon and I feel "ready", whatever the hell that means...
[quoted text clipped - 12 lines]
>She said I'm "right where they want me".
>Anybody familiar with this type of measurement?

Your PA has a wicked sense of humor. One can only wonder what she'd have said
if you scored an F4...

The biopsy rates the current level of inflammation or "activity", along with
the level of accumulated fibrotic damage. You clearly have an active battle
going on with an A3, and you're right about in the middle of the damage scale
with the F2.

It's definitely time to treat.

Cheers

/greyhackles
Kozure Ookami - 22 May 2007 23:31 GMT
>I've done a bit of posting here; done a lot of reading, though.
>Tx starts soon and I feel "ready", whatever the hell that means...
[quoted text clipped - 12 lines]
>She said I'm "right where they want me".
>Anybody familiar with this type of measurement?

Yeah, that's the most common scale.  The lower the number the better
for both the fibrosis and inflammation.  Sometimes people particularly
genotype 1s with no damage or minimal damage elect to wait a while and
see if a better tx comes along.  Less sides, shorter treatment period,
better success rate the goal.  But you're right where they want you I
suppose  because you've progressed beyond that stage but fortunately
you're not too bad off.  You have an opportunity to stop this from
becomming cirrhosis.   And that's good.  Right now at least any damage
to your liver is completely reversible.  Good look with your tx.  Kill
that dragon.

Don
amzolt - 23 May 2007 17:44 GMT
> Yeah, that's the most common scale.   Right now at least any damage
> to your liver is completely reversible.
> Don

Thanks for that opinion, Don.

You, too, Greyhackles!

Also, Grey..., do ya think Don's statement above is "accurate"? I've
read various debates here about "clearing" vs "cure" etc and you seem
like a straight-shooter. Whadaya think?
Thomas Wagner - 23 May 2007 22:19 GMT
>Also, Grey..., do ya think Don's statement above is "accurate"? I've
>read various debates here about "clearing" vs "cure" etc and you seem
>like a straight-shooter. Whadaya think?

Here's a recent article that cautions about the "completely reversed"
label, but is very optimistic otherwise:

Reversibility of Hepatic Fibrosis and Cirrhosis--Is it all Hype?
Scott L Friedman

Now that the idea that hepatic fibrosis is reversible is taking root,
many clinicians are beginning to ask why, if fibrosis is reversible, is
there so little progress in the clinical setting, and will patients ever
really benefit from antifibrotic therapies? Underlying such questions is
a subtle cynicism that the reversibility of fibrosis and cirrhosis has
been overhyped—yet another example of the medical media 'spin machine'
giving false hope to desperate patients. The situation has been fueled
by the actions of ambitious institutional press relations officers. One
such example is the worldwide media focus on the use of sulfasalazine to
treat hepatic fibrosis, with claims that half of all liver deaths could
be avoided[1] even though the drug's reported efficacy was based on a
single study in rodents.

So what is the truth, and how do we maintain perspective? First of all,
progress has been tremendous. The mere idea that fibrosis can regress
when the initial disease is controlled or cured is exciting, given the
decades of dogma that suggested scar formation was a unidirectional
pathway. Ample evidence that fibrosis regresses with control of
hepatitis B, hepatitis C, or other chronic liver diseases[2] attests to
the tremendous regenerative power of the liver, and the rapid progress
made in the development of targeted antiviral and disease-specific
treatments. Without such advances a discussion of reversibility would
have been moot, but this discussion has raised some semantic issues that
sow controversy and obscure continued progress. Specifically, use of the
term 'reversal' implies a complete return to normal histology, whereas a
better term would be 'regression'—a more accurate and relevant term that
indicates improvement in fibrosis without necessarily a return to normal
histology. Of equal importance, stasis of disease or delayed progression
are clinically meaningful, as they might prevent the development of
cirrhosis, which is the only stage of chronic liver disease associated
with significant and predictable complications.[3] A related issue is
the failure of some clinical studies to distinguish between cirrhosis,
which connotes distinct architectural and structural changes (including
nodules of fibrosis that encapsulate hepatocytes), and advanced
fibrosis, which lacks these features.
[...]

Complete text at
http://www.medscape.com/viewarticle/556253?src=mp
(Requires free registration)

Thomas
Signature

To reach me, complete my last name in the address.

amzolt - 24 May 2007 01:08 GMT
Well, Thomas, seems to be along the same lines as some "recent" stuff
I've seen about brain cell regeneration which was thought
impossible...
Thanks for the info...
 
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.