Hepatitis C Community
Infected 45 years and still only F1? Is it possible?
About This Community:

This forum is for questions about medical issues and research aspects of Hepatitis C such as, questions about being newly diagnosed, questions about current treatments, information and participation in discussions about research studies and clinical trials related to Hepatitis. If you would like to communicate with other people who have been touched by Hepatitis, please visit our new Hepatitis Social/Living with Hepatitis forum

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Infected 45 years and still only F1? Is it possible?

Hi, guys. It's me, Mike the forum lurker, back again with another mind-twister question that will no doubt cause dissention and get me into trouble, but here goes:

Has anyone here ever heard of someone having HCV for over forty years and still being only at the F1 stage of liver fibrosis?

This is the story (I say "story" for lack of an adequate censor-passing epithet) that my hep MD has been feeding me for a year now. He says that from my medical history I probably got infected from contaminated blood when I had a motorcycle accident at the age of nineteen (I am now 65) and was transfused at the hospital that treated me for concussion.

Personally, I think this story is a lot of self-serving hooey, and that in reality I was infected by a bad dentist here in Argentina just a few years ago.

My biopsy six months ago showed F1-F2 fibrosis, but my blood markers and GGT have been going steadily upwards in a continuous progression through eight blood tests over the past 14 months, and I definitely do not have the energy I had even one year ago.

So, my hep MD thinks that I was infected 45 years ago and am a very slow progressor, and I think that I was infected a coupla years ago and am progressing rapidly.

This is not an academic question. My hospital is postponing treatment based on their diagnosis: they think I can wait a few years for a better tx. Whereas I think I may have cyrrhosis before they ever get to my next biopsy.

What say you all? Is it possible to be F1-F2 after forty-five years of HCV?

Mike
Related Discussions
83 Comments Post a Comment
Blank
Avatar_m_tn
It really doesn't matter when or how you got it. What matters now is what your biopsy report said. Personally I would wait for the new drugs coming out in the next few years. I would monitor blood tests every 3-6 months. I would not treat based on LFT's alone, especially with an F1-F2 biopsy six months prior. Best of luck whatever you decide.
Blank
717272_tn?1277594380
I have read that there are lots of people who are little affected over the years but have also heard that as you get older (more wear & tear I guess) the disease begins to progress faster.  You can still live with compensated cirrhosis but the danger of developing liver cancer goes up exponentially; so you don't want to go there.

Search for Natural History of Hepatitis C and you'll find some of those articles about progression.

Have you mentioned your concerns about the marker tests to your doctor?
Blank
9648_tn?1290094807
I've had HCV as long as 48 years or perhaps only 37 years and my liver was biopsied at stage 1 grade 2 in both 2002 and last November, so yes I think it's possible to have your liver stats after 45 years.
Blank
619345_tn?1310345021
Yes it is possible I was dx with hep C in July 2008
I was dx with Hep B in 1964  and it was not Hep B but Hep C
I had a Hep B panel just recently to see if I ever had Hep B or had both and no never had Hep B so 45 years later it is possible
I have issues from having it so long but can wait for the newer drugs
Not sure why I am not more advanced either
I am sure there are many around our age that have never been dx and will most likely live to a ripe old age  

Blank
Avatar_f_tn
The strongest assumption in my case is that I've had it since 1969. That doesn't put me into your stellar category of possibly having had it for forty-five years but almost!

And my damage is negligible. Of course, like you I could wonder about my dentist and a whole slew of potential and more recent sources but there's no way to know. I do agree with the doctor, though, that 1969 was most likely my year.

If you're worried, try for a sooner-rather-than-later follow-up biopsy, maybe in another six months instead of a year and a half.

I looked at an interesting thread recently in which Upbeat mentions a study of some older Japanese women who had almost no disease progression and died of other causes.

http://www.medhelp.org/posts/Hepatitis-C/Reality-Check--/show/416662?personal_page_id=10229&post_id=post_2418889

Neither of us is a Japanese woman, as far as I know, but we COULD genetically or based on lifestyle not be prone to rapid progression.

I'd wait to see how the triple or quadruple therapy pans out if possible, based on a sooner follow-up biopsy.
Blank
374652_tn?1311302831
I hope I'm in that same boat, I too was dx w/ hep in 71 but I dont remember wether it was B or non B, I was REAL symptomatic SICK for a good 2 - 3 weeks.  I had no clue what it all meant.
Now I show hep C with grade 1 , stage 1 and you guessed it Genotype 1, so I'm waiting as long as I can.
Waiting for some advances in our USA health care coverage, and in the treatment (if possible)  
I know someone who was in a horse riding accident, had emergency surgery (she rammed into a tree with her head) and now they wont release her because she cant afford the medication for her injuries even with insurance.  Can you imagine the hospital bill, what is wrong with this system?  its nuts.
Anywhoo, I hope every one has the best outcome and the least suffering.  May all beings be free from suffering.
Blank
Avatar_f_tn
I'm as sure as I can be that I was infected with Hep C during a blood transfusion when I was an infant 54.5 years ago.  I didn't find out that I have Hep C until April 08 and my liver bx in May 08 was G1/S1.

When I received my Hep C diagnosis last April, I went on a mission to try to find out how long I've had it and maybe even where I got it from since I had no obvious risk factors other than the transfusion in December 1954.  I ordered all of my old medical records and I found them back to the early 70's.  I was astonished to find that my LFTs were elevated way back then and, over the course of the years, my WBCs were low -- but none of my docs ever told me about these abnormal lab results.

That takes me back to age 16 with documented elevated LFTs.  I couldn't find my medical records back any further than that but it's pretty much likely that I had Hep C for a good long time before those documented elevated LFTs in order to have elevated LFTs by age 16 -- only obvious insult was the transfusion.

So, in answer to your question, yes it is possible to be infected 54.5 years and have a Stage 1 liver.  Oh, and my viral load was 30,100 in July 08. My GI backs me up on this and he backed me up on it even before I showed him my old records.
Blank
Avatar_f_tn
I probably have had G1a for 30 years from from blood transfusion in1979 but I also had a questionable dental appt in 1975. Dentist was old then in 1975 and I am sure he was in the height of his practice in 1940's and still did not used clean syringes because I remember him using an old metal instrument that I have seen in museum archives. It really doesn't matter now. I am 50 yrs old and dx was Stage 1 Fibrosis May 1979. I started tx 8/29/08. Slow responder, on week 32 of attempting 72 weeks. I am hoping for SVR because this tx is awful but keeping my mind open for better cure for the future. I still question my decision to treat now but I really thought I would respond better. I was in great health and it just seemed like a good time in my life to try. Now I have too much time invested to quit unless medically necessary.
Blank
408795_tn?1324939275
Yes it certainly is possible.  I think I was infected in 1973 and that's a little over 35yrs and I had a bx in 2008 and there was zero fibrosis.  My bx was a zero and grade 2, so maybe most of us on this thread have the same subtype.  I consider myself lucky in that respect, but after one has had it for this long it would definitely be most important to stay on top of it.  I am waiting to tx until the new PI's come out, maybe you should do the same.  We are lucky that it's been progressing slowly, but unlucky we're infected.  good luck
Blank
412873_tn?1329178055
Looks like many of us are in the same boat.  

My best estimate is that I have had HCV for 30-40 years based on 2 possible exposures. I was diagnosed iaand biopsied in 2008...Grade 1, Stage 0.

Even more surprising about those results is the amount of alcohol drinking that was going on prior to dx.

Bottom line, for me anyway, figuring the when/how of getting this virus drives me crazy.

I also think it would make you feel better to get the second biopsy sooner rather than wait a year-  but I don't know if that is possible where you are.  Can you come back here for it??


Good luck to you, Mike.

Blank
751342_tn?1297434382
You and the others have got me way beat on length of time, but I believe I got it between 1980 and 1988, and have the same grade 1 stage 1 numbers. Little to no damage was what the report said. I've heard it could take up to 50 years to act up or may never act up..but then again it might and can destroy your liver. Most likely scenario is you die with it, not of it. I decided it's like living with a time bomb inside me, so I'd give tx a try.  Wasn't there a thread on here a few weeks back about "healthy, chronic carriers"?  I think that we fall into that category.
Blank
Avatar_m_tn
Mike,

It's always a **** shoot but unlikely you will progress from F1-2 to F4 within the next couple of years, therefore waiting for the better drugs is a reasonable option. That said, I'd personally biopsy again in 1-2 years considering your age and studies that suggest most will reach cirrhosis by around 65 regardless of infection date. Lastly, I'd get hold of your biopsy report and original slideset and have them reevaluated by a pathologist at a major U.S. teaching hospital to confirm your stage
Blank
Avatar_f_tn
Anything is possible with regards to this disease!  I am 99% certain that I was infected in 1983, however I've had bridging fibrosis for the past 7 yrs, (past 2 biopsies), grade 2 stage 3.  So, 26 yrs now.   I am 47, will be 48 in June.  I will be 2 yrs. since the last biopsy, in another couple of weeks.

Susan400
Blank
475555_tn?1303617674
Thanks, everyone, for all the support on this. I no longer feel out on a limb by myself. Looks like it´s fairly common to go on for a long time without progressing much; but, as some said, you never can tell when it´s gonna act up. And being 65 isn´t so good, especially re that scary report that jmjm530 mentioned. (Yeah, I read it, too. Wish I hadn´t.)

The real dilemma here is that there´s no good diagnostic that you can do once a year. They won´t do a biopsy more frequently than every 2-3 years at my hospital, which I think is generally true everywhere, and it´s probably for good reasons: sticking needles into a sick liver isn´t cool.

I talked it over with the hep today and he calmed me down, as usual. According to him, the increases in liver enzymes aren´t directly correlated with disease progression. I checked back in the literature when I got home, and apparently there is no consensus on this issue: ALT may or may not be related to progression, there are arguments on both sides. The GGT isn´t, that´s apparently agreed on. What else the blood tests show is anyone´s guess. But if they don´t show disease progression why waste time with them? (Possible answer: the MDs don´t know what to do so they just keep busy with a lot of tests. Makes it look they´re doing something useful. Earning their pay, so to speak.)

Anyway, I´m back in "Don´t worry, be happy", "Wait for better tx" mode.

What the heck, I´ve had a mostly fun 65 years and can´t complain. So I don´t mind checking out, really. I just don´t want to end it with a lot of pain. So I´m making plans.

But everyone´s got a different take on what life´s all about, I guess.

Again, thanks to all.

(I´ll send a few directed posts after this.)

Mike
Blank
475555_tn?1303617674
Hiya, Baja (huh?)!  [Are you Bajawoman ´cause you live in Baja California, you lucky thing?]

What, if you don´t mind my asking, are your "issues from having it so long"?

Mike
Blank
Avatar_f_tn
My recent biopsy said stage 0 grade 2. The only exposure I can think of was 33 years ago. In the time between then and diagnosis I had 2 to 2 bottles of wine per week.
So maybe we are after all the lucky ones.
Blank
626749_tn?1256519302
quote from mike716
The real dilemma here is that there´s no good diagnostic that you can do once a year.
===============================================================

Yes there is.
A fibroscan or a fibrosure blood test that confirms a current bx is a good indicator for liver damage progression. Along with your blood work a hepatologist can get a good handle on your progression. These are non evasive test. Either one or both can be done twice a year if you want.

I had HCV for at least 38 years and was a stage1-2 at dx last year.

apache
Blank
475555_tn?1303617674
You may not be a Japanese woman, my dear, but how do you know I´m not?

Kidding aside (uh-huh...), I don´t trust too many reports and especially not the Japanese ones (no, I´m not a racist). I´ve read quite a few, particularly about nutrient therapies, that directly contradict all other research. There´s something suspicious about all those HCV+ women over 60 dying of other causes. You can get almost any result you want by choosing your study population and your controls and procedures.

M.
Blank
Avatar_m_tn
Ive had it since 1980...thats 30 years ago...im a stage 2
Blank
475555_tn?1303617674
What do you mean they won´t release your horse-riding friend? Is she being held hostage by the hospital? What are they gonna do if she can´t come up with the money, liquidate her and sell her organs to cover the bills? Has it finally come to that?
Blank
Avatar_m_tn
and i may add i was a weeked warrior for all those years....i finally stopped in 2005...its amazing im still alive
Blank
Avatar_m_tn
It happens in China...big business....Thank God for Canadas health care system...i can even go on disability while im on this trial
Blank
475555_tn?1303617674
Hey, that´s a good idea, finding old medical records to see if they did liver enzyme blood tests. I may try it myself, although I´m not sure how to find the records, or if clinics and hospitals save them for so long.

You wrote: "none of my docs ever told me about these abnormal lab results." That´s not too surprising Most regular docs don´t know peanuts about the liver or HCV. Dig this: I had a hepatogram done in 2005, saw that the ALT was over the Upper Limit of Normal, and showed it to a hepatologist, who said "Don´t worry, it isn´t so high. Forget it" !!!
Blank
475555_tn?1303617674
Dentists are dangerous, period. I´ll bet there is as much virus being spread by dentists as all other health care infection put together. Some use ancient syringes. Others don´t sterilize the glass in them long enough. Still others re-use partly-used anesthetic vials in order to save money. And how many use disposable scalpels?

There´s only one thing worse than a doctor: a dentist. Money, money, money, Greed, greed, greed. Retire at 40 and play golf. Now it´s implants. Pull out all those dirty ol´ teeth and stick implants in. Just 5 large ones each, crown included. Step right up and get ém while they´re hot. Yessirreee. Whoops, forgot to sterilize that syringe. Don´t worry, you can go forty maybe fifty years with HCV before ya kick the bucket. No implants today? How about a little periodontal surgery? We´ll just mash up all your gum for ya and it´ll be like new. Just four thou. No charge for the virus, ha-ha.
Blank
475300_tn?1312426726
Glad to see you are back in rare form LOL.  Also glad you have almost no damage!!

Denise
Blank
475555_tn?1303617674
Hi, Jim. I wish you hadn´t mentioned that article on the over-65s. I´m trying to forget I ever read it [grin].

Get hold of my biopsy and slide set and send them to the U.S.? You must be joking, my friend. A red light and siren go off if I even approach the pathology department of my hospital in B.A., after they lent me the biopsy core to take to another hospital here, who lost it. When I go see my hep MD now, I have to sneak around the building or they´ll grab me and punish me.

M.

Blank
475555_tn?1303617674
2 bottles a week? When I lived in France and could get a 1988 estate-bottled Bordeaux for five bucks, I used to have two bottles before lunch.
Blank
Avatar_f_tn
"We´ll just mash up all your gum for ya and it´ll be like new. Just four thou. No charge for the virus, ha-ha."

Ok, different types of humor but I officially rank you right up there with FlGuy, jmjm and few others that make me pee my pants laughing.  It's a damn good thing this office chair is pleather.  Might have to strap on a Depends before entering the forum.  

Trin the pee pee lady
Blank
475555_tn?1303617674
Thanks for the suggestion, but I guess you don´t know that Im stuck in Buenos Aires, where I came for dental work, was diagnosed HCV+, and am on a hospital health plan. No insurance in the U.S., so I´m not going back. My hospital in B.A. has a big and quite good hepatology department, but as for fibroscan and such new diagnostics, it´ll be ten years before they have them set up. When they did my viral load, they used a Roche PCR that only went down to 50. Guess why I´m not in a hurry to tx.

I figure I´ll just tango til I drop.

M.
Blank
475555_tn?1303617674
I know I should have split to Canada during ´Nam like my friends were doing, but I got hooked on senoritas south of the border.
Blank
475555_tn?1303617674
What´s a Depends, Trin? No, on second thought forget I asked.
Blank
475555_tn?1303617674
"Can you come back here for it?"

I may be able to answer that after the IRS finds me.
Blank
619345_tn?1310345021
Hola love Buenos Aires was there a couple of years ago great wine then I could drink some as I did not know  But I am well let's see  symptoms started in my 30;s when I think back  panic attacks were starting  leg cramps  back pain  went to the doctor many times over the years have been dx with STRESS the number one dx MENOPAUSE the number 2 dx  FIBROMYALGIA the number 3 dx
al of the above at least 3 times with Stress being the major culprit  

As I could never pinpoint my distress always pain always panic with the pain started having asthma attacks which I had not had since pregnant with my daughter  
the most distubing sx  was with drinking I have been a heavy drinker which is 4 5 strong drinks a night for many years  not every night but most nights
as I am an artist and fancied to drink and paint fun
anyway too long here but the short of it is
pain in extremities nagging pain upon waking bad attitude   short tempered and panic attacks
with the pain  didn;t drive for 3 years because of the panic attacks  then finally found xanex which helped me a lot tried many ad's nothing really worked until recently with lexapro
BACK TO THE DRINKING about 13 years ago   I started to black out with just 3 drinks I had a couple of severe accidents lost all ability to judge distance would 3 day hangovers so had to quit drinking hard liquor  switched to wine and just had to finally stop my body would not let me drink

fatigue with pain over the past few years post menopause and Brain Fog to the point of being scary could multi task with the best and making decisions in a snap  that has become limited now and a real effort  it is not age My mom is 85 and has a boyfriend 65 she rides her bike and dances just of late she is getting brain foggy  

However thinking back ;Over the years have had  several relapses of Hep C but besides the first time in 64 only two times  I turned yellow and had white stools  those times and others but without jaundice
othes severe flu like symptoms for a week or more the last one last year I ended up in the hospital and after that one ended up with a local GI and he found the hep C finally!
I was happy someone finally put a name to it but not happy with having Hep C

so long hope you are not sorry you asked

Baja is great yes lived here 25 years on the Bay of La Paz
Blank
Avatar_f_tn
I request medical records for a living (law office) so it was no big deal for me to get my old records.

Here's what to do:

Send a signed letter to each medical facility you want records from and tell them what you want.  (I asked only for copies labs from some facilities because there is a fee for copies but from the doctors I asked for all records when I knew there wouldn't be too many copies).  State your name (and any previous names, if any) and birth date and tell them the approximate years you would have been seen by them.  Be sure to sign the letter otherwise they will send you a release that you have to sign and send back to them.  Some of them might do that anyway but a signed letter sometimes will satisfy them without the release.  Of course, if you are requesting someone else's records you most definitely have to have a release signed by the individual.

You are right that some facilities are destroying records (the law in my state says after 7 years it's okay to destroy records but I personally feel that's a crime to be able to destroy medical records without offering them to the patient first).   You will, however, probably find that you will have greater success than you are expecting.  

As I said in my earlier post, I was able to get all my records back to the early 70's.  The only reason I didn't get them back further is because I just stopped there.  I could still send a letter to the small town doc office where I had my care from age 5 until age 16 but I highly doubt they ever checked my LFTs...because I was sick and never had to be taken to the doc except for vaccinations.  I was satisfied with the information I got to that point.

Many people say "just forget about when and where you got it" but I found it to be a cathartic process for me and I got much satisfaction with the information it gave me.  Sometimes the unknown can just nag at me and I was able to put the nagging to rest.

Good luck Mike.  I most certainly understand your desire to find out more about "when".  
Blank
Avatar_f_tn
A couple more tips:

Address the letter to the medical facility (Attention:  Medical Records) and also ask them to let you know if there is a charge for the records (give your phone number as a call back if you want) so that you can have a heads-up on how much it might cost.  Some charge the patient for copies and some don't.
Blank
Avatar_f_tn
correction....   "because I was NEVER sick and never had to be taken to the doc except for vaccinations."
Blank
Avatar_n_tn
Hi everyone,

Well, I am grade 0 stage 1 - I am 41 years old and contracted hep C when I was around 21 - I was a phlebotomist in a hositial in the early 90's. The virus was hitting the scene pretty fast then.

I am waiting for any traditional therapy - it all seems rather bad right now.  The hardest part living as a carrier is of course dating.

I would like to know who on this list that has carried for so long, has given it to their partner?  I am very interested to understand this more and more esp. as I am single now and recently had a guy not move forward in a relationship b.c of the hep c.

Has anyone passed it on - I have dated in the 20 years that I have had it and have never passed it on to anyone.  The websites really do not have good information out there, I think mostly b.c they do not have any real situations to report.

Any thoughts on this?

Thanks.

Doggie
Blank
Avatar_m_tn
Reading all your histories gives me some hope for minimal damage,as I am waiting for my biopsy results
Blank
475555_tn?1303617674
Good thing you quit drinking.

Bahia La Paz looks swell. Must be a great harbor for sailboats. Reservame una hamaca en la playa, ya llego.

Mike
Blank
475555_tn?1303617674
Thanks for the info on getting medical records. I´ll give it a try, although I frankly can´t imagine the hospital in California keeping records from 1964. Still, if I could prove I didn´t get a transfusion, that would be a big help in dealing with my hepMD.

Lord knows when I had a hepatogram/blood test done. I think I´d need the help of a shrink to remember [grin].

M.
Blank
475555_tn?1303617674
Hi, Doggie. I hear you on the dating problem. I am not currently in a relationship, but it´s a real can of worms. Everyone pretends that they´re straight with safe sex, but when it comes down to the nitty-gritty...

Tel me, did you get infected on your job as a phlebotomist? If so, how did it happen? I´m very interested, if you don´t mind sharing that with us.

M.
Blank
619345_tn?1310345021
Doggie it was my first concern I discussed it with my doctor as I have had different sexual partners over the years  not one that I know of has contracted the virus from me
as I always thought I had Hep B at 17 but was misdiagnosed as recent tests showed I never had Hep B they just didn't know what it was back then I went to a specialist in Berkeley CA  since I have always told dentists and doctors I had many manicures and pedicures over the years and surgeries too always told my intimate partners and husband never gave blood because of it so I really do not know what to say just truly hope in my heart I never infected anyone it really leaves you with a sense of unknown guilt?

Not in a relationship now or have I been for a while and now that I am dx a bit leery of dealing with the whole situation  

However from what I understand from the Doc and from the forums  It Is Very difficult percentages wise super small  
to transmit the virus through normal sexual practices

Really rough or violent sex where blood is exchanged may be very risky

baja
Blank
Avatar_f_tn
Let me know if you have any success with the records search and, if you do, what it turns up.  Good luck.
Blank
866339_tn?1255936592
Hi was reading this forum and was wondering if anyone could help explain the difference in  VL 800,000    and  VL 13,600,000  I was trying to think when I contracted it and remember Donating Blood via Red Cross in the late 90's.
Ex hubby had a fling and found out a few years back his G/F passed from HCV
also received a tatoo in the early 2000's   so I guess I have a choice...  But was wondering about the higher the VL #'s
Blank
475555_tn?1303617674
Will do.

M.
Blank
85135_tn?1227293372
Viral load changes. Sometimes up, sometime down. That is why it's recommened to get your VL at the start of tx.
Blank
866339_tn?1255936592
TYVM  I already have. just wonder even with  constant changing what is the importance of the VL?
Thanx again
Pat
Blank
Avatar_m_tn
If your not on treatment the only difference viral load makes is that low viral load is easier to treat. There is no difference between high and low viral load in terms of how severe the disease is or how much liver damage you have. Viral load can go up and down.

As stated, if you decide to treat, low viral load gives you a better chance of being cured although the majority of people have high viral load and can also do very well on treatment.

Once you start treating, viral load becomes much more important because the rate of  viral decline significantly determines your chances of being cured.

-- Jim
Blank
866339_tn?1255936592
hat is a very good explaination of what I was asking  tyvm for taking the time and putting it into layman terms for me, Believe it or not I have never had it explained in such a simple form ...at least nor where I can digest it so fast... tytyty   LOL
I truly do love this forum and the gang.
Pat
Blank
Avatar_f_tn
Another long-term slow progressor here.  Probably infected in 1961 (at age 5) via blood transfusion.  No symptoms at any time.  Biopsy in Dec07 after 41 years showed stage 1, grade 2.  Finished 6 months of treatment with peg/riba/telaprevir in Jan09.  Still at zero viral load on April 15.  Hoping for good news in July.  Yeah, if you're lucky you have a really really long time before this virus'll get ya.
Blank
Avatar_f_tn
Hi Mike, I was infected with Hepatitis C 45 years ago when I gave birth to my only child. At the time, Scripps research foundation called it an Unidentified Virus as there was no name for it in 1969.  I was very ill for about two years only because city doctors where killing me with Antibiotics. My organ began to shut down. Apparently, doctors did not know the antibiotics are not affective for a virus and only make the body fight harder.  This caused Cytomegalow virus confusing my cells.. At any rate, after two years of city doctors, the doctors at Scripps immediately took me off all medications.  I began to heal, but never with the same vitality I had before the onset.  However I remained fairly healthy and active through the future years,, more so than many not affected. It was about 1989 or 90 that I was told the virus had a name Hepatitis C...
   Today I am 68 and I find my self sleeping much more than I did and not as much energy as I should have.  Actually, my doctor is amazed that I am still not having sever symptom as many with Hep C.  I do know that when I stop taking the vitamins I take and a special herb vitamin (Nu-Liver) which I can only order online, I notice a great difference in my energy. I have been taking Nu-liver, and Q-10, Herb Multiple, B-12, Milk thistle for years.  Today I seldom go to a doctor.  There is nothing they can do for me.  To me, current treatments are killers.  Even my doctors tell me the treatments are not a cure and simply hide the virus for a period, and these are research doctors.  They have never recommended treatment for me and say:  "Whatever you are doing, keep doing it because it is working.  So yes, I have had Hepatitis C for 45 years and still kicking.  Just old now.  But my doctors did say, that because my body has been fighting this virus for so long, that my organs are probably older than my age, meaning I will probably die earlier than my family history in the 90's. My advice would be to eat good food, take vitamins and sleep until your body awakes on its own.  This is what my doctors told me. By sleeping until your body wakes on its own, your liver has stored enough energy to begin the day.  For how many hours will depend on your liver status.  This really does help me.
Blank
Avatar_f_tn
I think its great that you have done so well for so long.  Knowing you had the virus gave you an opportunity to take of yourself in a way that protected your liver from getting severely damaged. Unfortunately, not everyone knows they have the virus until their liver is severely damaged, my husband being one of them.

So our hope is that this virus can be cured with these new treatments because that is his only opportunity for survival.

I think if I were you I would not lose out on an opportunity to possibly live a little closer to those 90's. But that's just me.

I wish you the best. May you continue to feel good and live well.

Nan



Blank
1840891_tn?1383280315
Suzy, this is a very old (2009) post you responded to. I think if you visit a good hepatologist at any large facility now, you will find a great deal has changed since the days when doctors gave the kind of advice you received in the past. HCV is much easier to defeat now than it used to be. The drugs are still not very easy but they are improving at a rapid rate, especially for those who are treatment-naive. SVR (sustained viral response) is achievable for the vast majority, and it is not thought of as a mere remission, but as a permanent cure. It is exceedingly rare for the virus to return after one has achieved SVR (defined as being unable to detect any viral RNA in the blood at the end of treatment and for at least six months after end of treatment). You may still choose to surrender to the virus and to the risk of dying from liver failure and/or liver cancer, but you should make that choice from a fully informed position, knowing the actual status of your liver, the possibilities of treatment and odds of success, the expected difficulties and side effects of treatment, and finally, balancing those risks against an informed understanding of your personal risk of liver failure/liver cancer (longtime HCV infection brings much increased risk of this cancer) and an understanding of what that would bring.

I'm 60 now and in 2013 I finally achieved SVR after having the virus since 1984, having cirrhosis since 2004, and having undergone three very difficult treatments. Those treatments were probably far worse and much longer than what you would have to do if you pursued treatment now, in fact, they were hell. In the same situation I would definitely do them again however. I know a lot about what it is like to die of liver failure, and I would choose treatment again over and over if I had to, to avoid that kind of death. We all have to die of something, but that, in my opinion, is one of the hardest ways to go. Its a personal decision, but you should make it with all the current facts available.

Your supplements are probably helping your liver to function somewhat better than it would otherwise function, but they are not curing you of the virus, and the virus is still working every day at killing more liver cells. No decent hepatologist today would tell you to just keep doing what you are doing, except maybe if you had already flatly refused any kind of treatment. The supplements are probably better than nothing, but not by very much. I hope you will reconsider whether it is in your best interests to remain ignorant of the current status of your liver and ignorant of the current possibilities for treatment and eradication of the virus.  Personally, I hope you will seek out a good hepatologist at a large institution, preferably one capable of liver transplants (not because you want one, but because these are the doctors who know the most about treating patients with seriously damaged livers, and your liver is almost certainly in that category after living so long with HCV). Best wishes, and may you always be content with the choices you are making.
Blank
1840891_tn?1383280315
On re-reading my post I've realized it sounds kind of condescending and I really did not intend that. I apologize! I can't help doing sermonizing some, because I feel so strongly about this subject, but I do mean to be respectful of others at the same time. Please try to mentally subtract the condescending qualities of my post!
Blank
Avatar_m_tn
suzy2000 can offer her own experience and personal opinion about how she treated herself such as "I take and a special herb vitamin (Nu-Liver) which I can only order online,"

FYI for anyone reading posts at this site if you haven't already or can't remember please read the small print at the bottom of every page.

Because these forums are public, search engines may show new topic post or replies to older topics nearer to the top depending on the search terms.

I am not a doctor nor a medical expert and can not say that any specific herb, remedy or other natural substance can cure, reduce, have no effect or even be harmful to someone with Hepatitis C. But when I see a statement like "only can be ordered online"  for me that's a red flag. If it's not carried in a local health food & supplement store even they could be concerned about potential legal problems.    

In many countries including the US, only a medical doctor is legally allowed to make a diagnosis and prescribe treatment for a specific medical condition.  

Because HCV progression can be very long some early attempts at treatment like antibiotics or even INF & riba can cause serious side effects that may get better when treatment is stopped. Just because someone started taking natural herbs or not is not any real proof that the herb is making it better.  Many people with low fibrosis and/or no or mild symptoms may do well for many years just following medical advise for chronic HCV.  

About (Nu-Liver)
http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/ucm162771.htm
This is to advise you that the Food and Drug Administration (FDA) reviewed your websites in March 2009 at the Internet addresses: www.nu-liver.com, www.hepatitisc-remedy.com, www.nu-liverpc.com and www.storesonline.com/members/459211/hepatitis-c-herbs.htm and has determined that the products “Nu-Liver” and “Nu-Liver PC” are promoted for conditions that cause the products to be drugs under section 201(g)(1)(B) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 U.S.C. § 321(g)(1)(B)]. The therapeutic claims on your websites establish that the products are drugs because they are intended for use in the cure, mitigation, treatment, or prevention of disease. The marketing of the products with these claims violates the Act.
....
...The reference citations and other claims are supplemented by metatags used to bring consumers to your websites through Internet searches. Examples of these metatags include “liver disease treatment,” hepatitis C treatment,” “hepatitis C remedy,” “hepatitis remedy” and “liver disease remedy.”

Your products are not generally recognized as safe and effective for the above referenced uses and therefore, the products are “new drugs” under section 201(p) of the Act [21 U.S.C. § 321(p)]. New drugs may not be legally marketed in the U.S. without prior approval from FDA as described in section 505(a) of the Act [21 U.S.C. § 355(a)]. FDA approves a new drug on the basis of scientific data submitted by a drug sponsor to demonstrate that the drug is safe and effective. Your products “Nu-Liver” and “Nu-Liver PC” are also misbranded within the meaning of section 502(f)(1) of the Act in that labeling for these drugs fails to bear adequate directions for use [21 U.S.C. § 352(f)(1)].....

http://hepatitiscnewdrugs.blogspot.com/2010/11/hepatitis-c-fda-sunday.html
Chronic hepatitis C and those questionable websites profiting from individuals suffering with chronic illness.
Therapy for Hepatitis C is an arduous treatment regimen currently with a less then desirable success rate. The majority of people infected with HCV seek out medical treatment while others search for a more alternative approach, however both groups may turn to the Internet.
The latter group of people seeking an alternative may find themselves a prime target for online medical quackery. The Internet is full of sophisticated marketing ploys with snake oil salesmen ready to take advantage of the numerous people in this unfortunate situation. The operating method used by these unscrupulous websites is to prey on the fear or uncertainty when diagnosed with a chronic illness. As humans we have an innate ability for survival at any cost. With these emotions in place it isn't uncommon to justify a few unrealistic expectations. Hence we begin a search that may lead down the path to a potentially dangerous result.
Chronic illness is a good investment for any entrepreneur especially when all ethics are effectively dismissed. Thousands of these all-purpose, herb selling, self promoting salesmen; are waiting online to finance their new enterprise.

General for Herbal medicine University of Maryland Medical Center
it is important to consult with your doctor or pharmacist before taking herbal medicines
http://umm.edu/health/medical/altmed/treatment/herbal-medicine
excerpts
Is there anything I should watch out for?
Used correctly, herbs can help treat a variety of conditions, and in some cases, may have fewer side effects than some conventional medications. But because they are unregulated, herbal products are often mislabeled and may contain additives and contaminants that aren’t listed on the label. Some herbs may cause allergic reactions or interact with conventional drugs, and some are toxic if used improperly or at high doses. Taking herbs on your own increases your risk, so it is important to consult with your doctor or pharmacist before taking herbal medicines. Some examples of adverse reactions from certain popular herbs are described below.

Some herbal supplements, especially those imported from Asian countries, may contain high levels of heavy metals, including lead, mercury, and cadmium. It is important to purchase herbal supplements from reputable manufacturers to ensure quality. Many herbs can interact with prescription medications and cause unwanted or dangerous reactions. For example, there is a high degree of herb/drug interaction among patients who are under treatment for cancer. Be sure to consult your doctor before trying any herbal products.


Blank
475555_tn?1303617674
Hi, Suzy.

Thanks for telling me your personal history. I found it very interesting. Although I'm not convinced that the new meds won't eliminate the virus, I do believe that a good combination of nutrients and supplements can do a lot to slow down liver damage. And of course diet and exercise are super important.

I think your idea of sleeping as long as your body wants to sleep is very good. I've been practicing it all my life. Unfortunately, it has ruined my work life. I can't keep a work schedule because I never know what time I'm going to get up, and I frequently have to lie down during the day. Of course, no one understands.

Keep up the good fight, Suzy.

Mike

Sorry to hear what all those bad pill-pushers and saw-bones did to you years ago. I have no great love for doctors, believe me. A researcher friend once said to me: "We do all the work, they (the MDs) make all the money". That about sums it up. One doctor in a hundred went into the business (I don't consider it a profession) in order to help people. The other 99 just wanted the money.

Blank
475555_tn?1303617674
I agree with you that with the new non-IFN med regimes, which have hardly any side effects, there is really no reason not to treat, at any age. If you can get the meds.

Mike
Blank
Avatar_f_tn
I have done all you suggested.  Some of the top doctors do not recommend I treat as it may make me more ill and less able to fight the virus as my body has been doing.  Doctors will not tell you this, but there still is no cure. I am 68 and doing quite well considering.  Research doctors still claim to me that the virus is just hidden and there is no absolute cure.  And often, the treatments makes a person worse off than before they began treatment, putting more stain on their immune system..  There are some if caught early enough, do conquer the virus, but those are not the majority, especially if you are 68 years like me. I still see the research doctors about once a year.  I just don't go to city doctors much because it was city doctors that almost killed me from them being uninformed.  Even after the researchers information, they still did not understand the seriousness of the virus I had.  I know they are more informed today, but I simply do not put my life in the hands of another human.  I know what works for me.  And again, the doctors still tell me to keep doing what I am doing because I am far more healthy than many of their Hep C patients., so much so they are amazed.  Heck, I am 68 now.  If Hep C was going to kill me, and it is such a slow process, how much older can I get?  I think I still have 10 years or so before the virus disables me or something.  Heck, that would make me 78.  How long can I live?  I just will not put myself through the painful treatments.  I don't even believe in Chemo for cancer as I have seen it kill too many of my friends that would have lived longer.  My mother had the worst cancer in her back at 60. She refused treatment and lived to be 89 years old with no effects of the cancer until her very last year. Chemo would certainly have killed her and her immune system that stayed so strong for so many years. It is my belief she hindered the growth of the cancer with a special herb formula, formulated just for her from a Chinese Dr. in NY. . Doctors said Mom would die within a few years without Chemo etc..  She proved them wrong. She lived another 29 years with a dormant cancer next to her lungs and back that was supposed to be the fastest growing cancer. I am glad she refused treatment for cancer.  
Blank
Avatar_m_tn
  Doctors will not tell you this, but there still is no cure.
--------------------------------
To any new forum members reading this thread....this is absolutely and categorically factually   'incorrect"

  Also said: above "I just will not put myself through the painful treatments"
---------------------------
ditto for this opinion to as tx. today is for the most part not at all painful shown by extensive reasearch


Also said above:
There are some if caught early enough, do conquer the virus, but those are not the majority
----------------------------
Factually incorrect ...........as extensive docummented reasearch with 100's of thousands in studies and treated clinically show cure rates of approx . anywhere from 50 to 100% with most studies showing currently  approx.  80 -90 %..   This is  by far  "THE MAJORITY.

Also said above: Some of the top doctors do not recommend I treat as it may make me more ill and less able to fight the virus as my body has been doing.
------------------------------------------
Possibly this is the case for the above poster personal case ,,however shown by the extensive research ..,,not factually correct for most(as shown in link below

.http://www.todaysthv.com/news/story.aspx?storyid=197143

.About 3.2 million Americans are estimated to have chronic hepatitis C, but at least half of them may not know it. The virus, which affects 170 million people worldwide, can gradually scar the liver and lead to cirrhosis or liver cancer. It is a leading cause of liver transplants.
      
A CDC study published Monday analyzed a decade of death records and found an increase in death rates from hepatitis C. In fact, in 2007 there were 15,000 deaths related to hepatitis C, higher than previous estimates - and surpassing the nearly 13,000 deaths caused by the better-known AIDS virus.



Everyone here is more than entitled to their opinions...  however expressing them as if they are facts  is grossiy misleading to other members

Best...
Will
.  

Blank
1840891_tn?1383280315
I wish you continued good luck and especially hope you are fortunate enough to outlive your HCV. I just shudder at the thought of liver failure being the end, as from what I've seen and read, it is an exceptionally unpleasant way to end life, and I am extremely happy and relieved that I no longer have this virus attacking my liver. Mine was getting way too close to the end of the line, with full cirrhosis having been present for at least 10 years, and I couldn't risk any more damage from the virus. It has been undetectable in my blood for over 2 years now, since about  6 weeks into my final treatment for it, and my hepatologist tells me that while my liver may never fully recover, it will be gradually getting healthier all the time. I do use some supplements to try to help it get healthier, and I think they are probably more effective when their good work isn't constantly being undermined by continued viral activity.

We do each have to make our own decisions however, and you clearly have very strong personal beliefs regarding treatment and perhaps about the medical profession itself.  I just hope you continue to feel good and to be content with your choices. Best wishes!
Blank
317787_tn?1373214989
Hi I just saw this and wanted to say that I am cured.  Many many of us are cured.  The virus is gone, my blood work looks better than is has since the late 80's.

I have a family member who had HCV and treated it a few years before I did, he is cured.

I know a couple of others, not on this forum who have been cured for many years.

The odd thing about him is that he got it when he was about 14 so had it a very long time til 48 or so.  He drank for many many years. A 6 pack a night and a case on the weekends.
He was an F2.  The doc could not believe it so he tested him again.  Then told the guy that he was very lucky not to have more damage.

Take care
Blank
Avatar_f_tn
I wrote an explanation but my post was not permitted.  I think because I voiced facts I leaned about the FDA and Pharmacy/doctors profits. Sorry, I have no faith in the FDA.  It is each persons choice weather to treat or not.  I see top doctors once a year at Scripps research foundation.  I travel to San Diego from Texas.  I stay in the institution a few days of testing once a year.  This is the hospital where all the movie stars go to be treated and it is very costly per day. These doctors at Scripps will not lie or cover for another doctor who has made an error. Through an experience with my sister, I know this for a fact.   I DO NOT YET HAVE CIRRHOSIS. That's quite good considering I have had this virus for 45 years.  But I realize there are different strains of the virus.  I do not drink alcohol and never have. As far as being cured with the horrible treatment, I still say what I have been told.  Eventually the virus shows its face until there is an absolute cure. Example, if one was to start drinking a lot, the virus could resume. I believe when they say you are cured, it is simply dormant, just like a cancer can be dormant and suddenly show its face. I tell you the truth. Many doctor tell me the virus hides.  All I am saying is if you think you are cured to live a healthy life style and perhaps it will not come back.  I choose not to take myself through horrible treatments and my doctors say this is okay for me.  My faith, I know the Lord will bless me with enough good years.  Did not mean to discourage anyone.  To each his own.    
Blank
Avatar_m_tn
Apparently some Scripps doctors believe that HCV can be cured.

"Scripps Research Institute Scientists Achieve Most Detailed Picture Ever of Key Part of Hepatitis C Virus

A Silent Killer

There has long been an urgent need for an effective vaccine against hepatitis C virus. Once confined to isolated geographical regions, the virus spread globally during the 20th century, chiefly via blood transfusions, unsterilized medical instruments and re-used hypodermic needles. Although hospitals have screened blood products for hepatitis C virus (HCV) since the early 1990s, as many as 200 million people currently are thought to harbor the virus. These include more than 3 million people in the United States, where the virus is responsible for more deaths each year than HIV.

HCV was able to spread so widely because it typically causes few or no symptoms when it infects someone. In many cases it establishes a long-term infection of the liver, damaging it slowly for decades—until liver cirrhosis and/or cancer develop. “It’s known as a ‘silent killer’,” said Law. Expensive and risky liver transplantation is often the only way to save a patient’s life. Some antiviral drugs are useful in treating and even CURING CHRONIC HCV INFECTION, but the more effective ones are extremely expensive—and most HCV-positive people don’t even know that they’re infected and need treatment...."

http://www.scripps.edu/news/press/2013/20131128hepatitis_e2.html
Blank
979080_tn?1323437239
"......live a healthy life style and perhaps it will not come back "

Oooh please not this again......

When you are cured you are cured. The virus is considered eradicated .


b
Blank
Avatar_m_tn
Amen!
Blank
Avatar_f_tn
I think you have done an incredible job taking care of yourself and your liver.
I would just like to say that amazing things are happening in medical research in general. I do not agree with you that Hep C can not be cured but I certainly agree that you are entitled to your opinion.

This video is why I believe the best is yet to come in HCV treatments and prevention:
http://www.youtube.com/watch?v=8gRJMaCa3IM&feature=youtu.be

I respectfully suggest you keep yourself open to the possibility of being cured of this virus sometime in the near future.

Best.
Nan
Blank
475555_tn?1303617674
Hi, all!

Just thought I'd put in my two cents on the question of "cure". I've had some experience with this still-debated issue, as I worked for five years on a bibliographic research project on HIV at the Pasteur Institute in Paris. And while HIV is not HCV, they are both viruses that work slowly to destroy you.

The thing about viruses, or at least most viruses, is that they are intracellular pathogens. This means that they go inside cells, primarily in order to use the cell's machinery to replicate themselves. Thus there is always the posibilty of cells, whether of the liver or some other tissue, harboring the virus even though blood in blood vessels shows no trace of viral RNA.

This is what is probably happening when people do Tx, achieve SVR, and then relapse later on. It's not necessarily because the VL tests used to determine "undetectable" were too insensitive to register the few virions still in the blood. It can also be due to virus that was not in the blood stream, perhaps not even in the liver, replicating again in cells in sufficient amounts so that some virions end up in the blood.

When a pathogen is under attack it tries to protect itself, to survive. One method of doing this is to mutate, maybe even to become more virulent. Another way is to stop presenting viral antigens on the surface of infected cells so that the immune system can't spot them. Still another method is to hide inside cells and stop replicating, at least for a time.

Smart doctors who treat infectious diseases, and the microbiologists who search for ways of fighting pathogens, have become hesitant to speak of "cure" when it comes to viruses. Too little is known about the strategies of viruses to hide and survive. For example, some of the herpes viruses can apparently hide in nerve cells for decades and reappear to cause all sorts of lesions.

We all hope that achieving HCV undetectability in the blood (SVR) also means that it no longer exists in the liver and in the rest of the body. But this virus has only been studied for 22 years, and the current chemical treatments for even less time.

People who achieve SVR need to be vigilant. And those who have had the infection for many years without major symptoms need to not fall into complacency, believing that it will be so always.

We need to be objective and a little scientific. After all, we are part of a huge experiment going on in nature between the human species and the hepatitis C virus. Who will win?

Mike
Blank
Avatar_f_tn
Thank you for your excellent post.  I totally understand what you are saying.  My husband experienced this when he went on triple treatment. He lasted only 5 weeks because he became very anemic and decompensated. Yet the virus remained "unquantifiable" for 8 months until his liver transplant. We were warned that the virus WOULD return after transplant  (not "might") and of course, it returned, much more virulent than before. He now has cirrhosis of the new liver.

From what I'm reading, these new drugs work differently in that they prevent the virus from replicating.  Once treatment ends, for some, the virus returns but for most, it remains undetected.  So even if some of the virus may still be in the body hiding,  the patient has a much better quality of life going forward.
No one can really say for how long. BUT, on the other hand, it may never replicate again.

I believe that anyone having gone through this Hep C experience,  even after achieving SVR, will nevertheless forever remain vigilant of this old nemesis.
God willing, they will never meet up again.

Thank you again for your post. Knowledge is power for everyone.
Nan

Blank
475555_tn?1303617674
Hi, Nan. Thanks for your kind post. Terribly sorry to hear about your husband's misfortunes.

I wonder if your husband's HCV infection increased after transplant because of increased virulence of the virus, or because of the immunosuppression required by the transplant?

Would he be a good candidate for the Phase IV trials of the new DAAs? If they can cure his infection now, after transplant and reinfection, that would be kudos for the new drugs. Might be worth looking into.

Mike
Blank
Avatar_f_tn
When I say healthy lifestyle I mean no alcohol or drugs that cause the immune system to work harder.  Many people with Hep C just can not stop the alcohol and then wonder why they are taken down so rapidly.  Actually, I was told not to take medications foreign to the body, ( even antibiotics or an Aspirin) unless absolutely necessary.  This causes the body to work harder to fight the virus. Perhaps I was told this because, for me antibiotic cause me to acquire cytomegalo virus.  Explained to me that my blood became confused, not only destroying the virus but was destroying my good red blood cells. The minute a foreign substance enters the body your cells begin to fight.  The medications caused the confusion.  I became very low on red cells, my skin paste white. Even a sunburn would not show. This was years ago when I was at my most ill point.  When Scripps took me off all medication, my blood improved within two weeks and later I became better and better with each year to living normal. So, Bali05, you see I was speaking of healthy lifestyle as No harmful substances consumed. I have seen several people with Hepatitis C that refuse to stop partying or just drinking alcohol until they are jaundice.  And also I HAVE NEVER BEEN JAUNDICE through all my trials with this Hep C.  
Blank
979080_tn?1323437239
Once you are cured of HCV infection there is no need to be vigilant or scientific ect..... The virus is considered eradicated.

You should go back to a normal healthy life with normal routine check ups. A prudent thing to do is to include an ultrasound with your normal check ups because of possibly still increased HCC risk. An ultrasound
is a very easy non-invasive procedure and the chance of cure from
HCC when caught early is just so much better.

That`s it. You are cured !

What treatment is concerned ,yes, you need to be very vigilant in terms
of taking your meds on time , right dosages and run the most sensitive
PCRs you can get your hands on and run them at the critical times during
your tx. Unquantifiable is not Undetectable.

It is amazing how far we have come in the last few years. When I first
signed on to this forum the cure rates for Geno 1/4 were still  around
50% at best and that only with many many months of PegINF/RBV.

b


Blank
Avatar_f_tn
You inferred that you understand that the virus, irregardless of how pure ones' lifestyle is, can and will progress to ESLD for many. This is not disputable, but is also not predictable. Some folks are lucky (consider yourself lucky - I hope your luck continues). Some people live a lifetime with no ill effects, and some progress to ESLD, some clear the virus with treatment and some don't (hopefully that is changing-it seems so),

No one doubts or disputes that a pure and healthy lifestyle is essential to not aggravate whatever the virus, on its own, will do.
Please do not use accusatory language (illustrated by all CAPITALS) that infers that those who have not been as lucky as you may not have not been living a healthy lifestyle. Its insulting and ignorant.

Many of us are choosing to live a healthy lifestyle AND seek treatment to erradicate the virus. Its a wonderful thing to have choices.

Good Luck. Joanne.
Blank
Avatar_f_tn
Your post has been hijacked (how did that happen? Grin). I will now slither back into the shadows again. Joanne.
Blank
Avatar_m_tn
Nursehepc..."Your post has been hijacked (how did that happen? Grin)."

That's OK, the thread is 5 years old...:). Besides your post was great. Suzy all I will say is I hope Hep c doesn't end up biting you in the backside like it has so many of us. Trust me the CURE is much better then what can be the end results... Good luck
Blank
Avatar_f_tn
Thanks so much  for your suggestion. My husband unfortunately has another serious complication that the pathologist says is also responsible for his new cirrhosis. He has extensive bilary tree damage  caused by a hepatic artery blockage found  two months post transplant. Because of this, I doubt he would be a good candidate for this trial. He has been through hell so he just wants to stick with this treatment recommended by his doctor.

We are both looking forward to the day we hear he too has reached SVR.
But I promise when we do, we will remain vigilant!  Everything he has been through these last three years won't let us be anything else.

Nan
Blank
475555_tn?1303617674
No problem about the hijacking. I'm happy that an old thread turned out to be useful again. I think we all learned something here.

Regarding Bali05's post, that's a psychologically comfortable position to take, and trusting the MDs and labs implicitly the way you seem to do may give you peace of mind, but telling people not to be vigilant or scientific or objective isn't such a good thing to do, is it?

Nobody knows yet what the full extent of the consequences of infection are, and won't for many years? And how can you have such total faith in what the drug companies say, when they are in competition for cure rates?

Total reliance on a 24-week post-Tx blood PCR is just a pleasant illusion, in my opinion. It suits everyone (MDs, drug companies, insurance companies, etc.) except us.

Best to rely on one's own vigilance, don't you think?. I don't believe in magic bullets, myself. I hope I'm wrong, but. . .

Mike
Blank
475555_tn?1303617674
Have his MDs said that a 12-week course of the new DDAs w/o IFN is contraindicated for his present treatment?

Mike
Blank
Avatar_m_tn

"Total reliance on a 24-week post-Tx blood PCR is just a pleasant illusion, in my opinion. It suits everyone (MDs, drug companies, insurance companies, etc.) except us."

Studies have shown way more follow up then just 24 weeks. As posted below..."and showed that serum HCV RNA remained undetectable in 1300 samples, indicating that none had a relapse with up to 18 years of followup ." to me 18 years is a pretty solid track record.

One of these studies followed 344 patients for a median duration of 3.3 years (range, 0.5 to 18 years) after completion of interferon-based therapy with an SVR, and showed that serum HCV RNA remained undetectable in 1300 samples, indicating that none had a relapse with up to 18 years of followup . It is unclear if late detection of serum HCV RNA after an SVR in a small number of patients represents true relapse, especially if the detection occurs only once or is intermittent and with use of a very sensitive assay. Although additional followup studies may provide further clarification of this distinction, an SVR appears for now to be durable and an accurate reflection of a cure.

http://hepatitiscnewdrugs.blogspot.com/2010/10/hepatitis-c-treatment-long-term-effects.html
Blank
Avatar_m_tn
Good point I was working on a similar reply last night

Sustained virological response: a milestone in the treatment of chronic hepatitis C.
abstract(Excerpts)
AIM:To evaluate the long-term eradication of hepatitis C virus (HCV) infection and liver-related complications in chronically infected patients that have achieved sustained virological response.
METHODS:One hundred and fifty subjects with chronic hepatitis C (CHC) or cirrhosis and sustained virological response (SVR) between the years of 1989 and 2008
SVR was achieved by interferon-based therapy, both conventional and pegylated, with and without ribavirin treatment
RESULTS:The median follow-up was 8.6 years (range 2-19.9 years). HCV RNA remained undetectable in all patients, even in patients who eventually developed liver-related complications, indicating no risk of HCV recurrence.
CONCLUSION:Patients with CHC and SVR show an excellent prognosis with no risk of recurrence and a very low rate of mortality. Our data indicate that virus-eradication following interferon treatment can last up to 20 years
http://www.ncbi.nlm.nih.gov/pubmed/23687416

20 years so far is pretty damn good especially for those of us over 60 years old.
Blank
979080_tn?1323437239
"Total reliance on a 24-week post-Tx blood PCR is just a pleasant illusion, in my opinion. It suits everyone (MDs, drug companies, insurance companies, etc.) except us."

I could have said something like that about 5 years ago ....lol.

Wishing you nothing but a smooth and successful tx so you can finally get cured of this horrible disease.

There are a lot more options than 5 years ago too.


Cheers
b
Blank
475555_tn?1303617674
I was unaware of that information. Thank you very much for bringing it to my attention.

M.
Blank
475555_tn?1303617674
It's been a while. I'm glad to see you're still around in the forum. Old friends are the best friends.

I haven't forgotten your great line: There is no such thing as a healthy patient you only simply have not been examined enough.

M.
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Hepatitis C Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
9 hrs ago by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
Top Hepatitis Answerers
1747881_tn?1358189534
Blank
hrsepwrguy
Greeley, CO
317787_tn?1373214989
Blank
Dee1956
DC
Avatar_m_tn
Blank
can-do-man
IN
163305_tn?1333672171
Blank
orphanedhawk
Rural Mural, CA
683231_tn?1408489117
Blank
flyinlynn
Auburn, WA
Avatar_f_tn
Blank
susan400
FL