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Your brother-in-law needs information. He needs to learn more about the treatment and the disease both. If he would get further into the screening process for treatment he would have more information to make a decision. People who decide against treatment should have a liver biopsy, a simple out-patient procedure that takes a small sample of the liver that is looked at by a pathologist to determine how much damage has already been done to the liver. That will either reassure him about his decision not to treat the disease or change his mind. It's a disease that progresses slowly with no signs until terrible damage has been done. It's a terrible risk to ignore it. If his damage is not too great, he would be safer to wait until several new HCV treatment drugs come onto the market in 2011 or so. They have the potential to reduce the treatment time to 24 weeks instead of the current 48.
If Pamela Anderson has cured the disease that would be great. I suspect that she just hasn't gotten any worse on homeopathic medicines. It's not the same. Good luck dealing with it all.
Alisemaria, Listen to newleaf; your brother-in-law might enjoy reading, and possibly participating in the dicussion group with us. Good luck to you all--
Bill
Things that do matter are how advanced his liver damage is and the only way you can find that out is by having a biopsy. It sounds painful but is not as your liver has no nerves for pain inside it - so it's really sort of like just getting a needle. His liver enzyme levels do matter because they can show how much liver cell death might be occuring. Viral load - really has nothing to do with either of these things.
The only way to be cured of this disease is by taking the medications. They do cause side effects but mostly they are manageable. Even for a widow like me with two children I was able to do them and come to work and take care of my children - and I had the side effects pretty drastically at times. I just knew I did not want to wait until it was too late to do anything about it and then regret it.
Many times there are no symptoms but that does NOT mean that the damage isn't being done. They call this disease a Silent Killer because of that reason.
Please advise him to join the forum or go to a good heptologist and learn these things before it is too late. The biopsy would be the best / only way to tell that he has time to wait or not - and even with wait you must stay on top of these things and be checked every few years at most because the damage can go very slowly at first and then zoom up as it advances.
You'd hate to find out he had advanced cirrhosis when he could have been cured way before that.
Good luck.