Hypotension HEP C ?

Back and very worried...
Medical team want to evacuate me out of the Mission area...
they say that I have developed a HEP C PROBLEM that I need to treat NOW...
No exams have been made, except a touch, ecography and Enzymes... by the way, enzymes are perfect in the normal numbers, touch, a little inflamed due to MALARIA, ECO... looks a bit inflamed...

Background:
Two weeks ago I have been treated for MALARIA, obviosly I still have the symptoms of malaria (FATIGUE) but sometimes I have been getting a low blood pressure and very unusual I get a 98.9 to 99.8 fever associated to it and I feel dizzy... The doctors can do nothing in the Mission area but ASSUME I have a problem associated with my liver.
I am a CHRONIC HEP C active and GEN 1A with 1.675.048 ui/ml  Stage I
My specialist said that with a good diet, I can go at least another 3 to 5 years before another BIOPSY (this is before malaria)

Please any imput... I NEED TO FIGURE IT OUT FOR A QUICK DECISION...

[sfwandwow]

Iamnot sure of that combination togather..maybe some one else on forumn can help ya..I will pray for ya..

[copyman]

i believe malaria affects the spleen and causes it to enlarge not sure about the liver. you may want to go to a big city and get evaluated. wishing you luck

[ladywhy]

Aren't you heading home to Bayside soon for vacation? Those symptoms you are now having sound like they are coming from the bout of malaria....fevers, chills, dizziness.... I  would think you just need to go home and rest for awhile...then find a hepatologist. I had a great doc. in Long Island. It seems she has become famous (Writes Liver Books)long after txing me. Then again...NYC has the best hospitals, Mt, Sinai for one. Easier going there than the Island. I'd want to make sure the Malaria is out of your system before txing. If I had known about the trials for teleprevir...i probably would have wanted to wait. Again, it's a personal decision. So if you are evacuated...what does that mean...do you lose your job? It doesn't sound like these dr.s you are now dealing with have a good understanding of HepC. Seems like my best advice to you is to pray and ask for direction. "Be stll, and Know that I AM God."
Wish you the very best.
Y

[jmjm530]

Good to see you back, we were concerned because of the Hurricane. I wouldn't be at all surprised if it turns out to be a false alarm in terms of your liver, but it does sound  like you have to be evaluated by a liver specialist, as the mission doctors probably don't have the experience.

For a number of reasons, including poss complications of the recent malaria, I'd see a liver specialist (hepatologist)  in a larger medical center.

Four excellent world-renowned liver specialists associatred with major hospitals on the East Coast are Dr. Ira Jacobsen and Dr. Douglas Dieterich in NYC;  Dr. Nezam Afdahl in Boston; and Dr. Eugene Schiff in Miami.  Dr. Afdhal and Dr. Schiff happen to have a Fibroscan machine, which is sort of a non-invasive biopsy to access liver damage. The other doctors may or may not have the machine as it is relatively new in this country. Some contact info below:

Hope things work out.

-- Jim

http://bidmc.harvard.edu/display.asp?leaf_id=11676
http://tinyurl.com/ynqc5j
http://directory.mssm.edu/faculty/facultyInfo.php?id=21794&deptid=18
http://www.hepccenter.org/jacobson.php
http://www.med.miami.edu/med/faculty.asp?id=34887

[jmjm530]

If travel now is not an option, don't be hesitant to email any of these doctors with your complete story, including test results, your mission situation, malaria,  etc. All of the doctors listed are used to long-distance consultations for Hep C related matters. Perhaps, you could set something up where they could work/consult with your mission doctors on your case. Certainly worth a few emails and it may at least develop some good contacts if you later see them in the states.

-- Jim

[brazeagle]

Thanks guys,
I will seek for LEGAL and Medical help imidiatelly.
YES, SOON I will be going to BAYSIDE, hopefully eill advance my trip for Sep 1st.

Regards to all.

brazeagle

[jmjm530]

My very non-professional opinion is that you're just experiencing the tail end of your bout with malaria. I don't see any connection to the Hep C, whatsover. As to feeling "dizzy", that is associated with low blood pressure. Are you drinking enough water? I assume Malaria must be dehydrating? Try and drink at least 8-12  eight-ounce glasses of water a day, or half your weight in ounces of water. Might make a difference with the blood pressure as dehydration can cause blood pressure it to drop and therefore dizziness.

-- Jim

[brazeagle]

VOILA Jim
that is probably the cause,
I am not drinking a whole lot of water...
i will go to NY next week...almost approved my vacation and will get checked.

Take care guys.
brazeagle

[jmjm530]

Water up for 3-4 days (maybe 12, 8 oz glasses minimum) and then see how your bp and dizzy spells go. An easy enough experiment. And if you see a doc in NY, try one from the list -- your average Gastroenterologist probably knows less about Hep C than the doctors at the mission. Personally, wouldn't even bother with one, unless he/she was a hepatologist (liver specialist).

-- Jim