Aa
Twinrix
Years ago when I was treating it was standard to give is the hepA hepB vaccines. My PCP just told me I had had hepA. No...but I do carry the antibodies (just like when he told me my hepc was back and wouldn't PCR me...which they did in the hospital and it was neg.)
My question if anyone knows..why wouldn't I have the hepB antibodies too?
This PCP recently told me I had cirrhosis..he was wrong about that too. he told me there was no such thing as a hepA vaccine. I sent him the links for Twinrix.
Hope you are all doing well!
Deb
My question if anyone knows..why wouldn't I have the hepB antibodies too?
This PCP recently told me I had cirrhosis..he was wrong about that too. he told me there was no such thing as a hepA vaccine. I sent him the links for Twinrix.
Hope you are all doing well!
Deb
I might have but I was semi-comatose for almost a week. They could shake me to rouse me and ask basic questions and I'd slip back in again.
I'm going to go to a GI. It's too much for "God Doc".
I'm going to go to a GI. It's too much for "God Doc".
Deb, get tested for Hep B also, not just the antibody, but get tested to see if you have Chronic Hep B. That is what is recommended in the guidelines. The guidelines indicate that, if you have Hep B, it won't show up in the antibodies.
"It is possible that a person who does not respond to the vaccine may already be infected with hepatitis B. Therefore, testing for the presence of the virus (HBsAg) is recommended before diagnosing a person as a "vaccine non-responder". "
Personally, I would go straight to a GI and not fool around with a doctor who would not even run an HCV RNA on you.
Surprised you did not have a GI when you had the GI bleed. Seems like a GI should be managing your care.
I sure hope that you continue to improve and don't have anymore health problems like you have been having.
"It is possible that a person who does not respond to the vaccine may already be infected with hepatitis B. Therefore, testing for the presence of the virus (HBsAg) is recommended before diagnosing a person as a "vaccine non-responder". "
Personally, I would go straight to a GI and not fool around with a doctor who would not even run an HCV RNA on you.
Surprised you did not have a GI when you had the GI bleed. Seems like a GI should be managing your care.
I sure hope that you continue to improve and don't have anymore health problems like you have been having.
Massive upper GI bleed, almost bled out in my hallway ( poor carpets!). Then in the hospital got the c- diff while I was semi-comatose. Horrible thing omg! Isolation. Transfusions. I have had a heart condition for almost a year but sat least diagnosed...I just thank God my son knew something was bad and he put my cell in my hand. At that time I wasn't spewing blood and I refused him to call 911. I finally called. I would have died I couldn't walk or crawl. So, that's it.
I'd like to blame it on 72 weeks of interferon LOL! Got used to blaming everything on it.
Pooh thank you for the info. I will see if this doc will order the shots for me. Who knows. He thinks he's up on liver stuff...and he has a God complex...might have to go to GI.
I'd like to blame it on 72 weeks of interferon LOL! Got used to blaming everything on it.
Pooh thank you for the info. I will see if this doc will order the shots for me. Who knows. He thinks he's up on liver stuff...and he has a God complex...might have to go to GI.
This is the stuff that is supposed to be good for CDIFF Saccharomyces Boulardii + MOS
They sell it on Amazon
Take Care
They sell it on Amazon
Take Care
Hey there! I am so very very happy to see you!
I have missed you. I think about you all the time, especially when I wash my hair LOL
I am really sorry to hear that you were hospitalized. If you don't mind me asking, what happened?
My sister had CDIF, that is awful. In fact they told her to take probiotics. and another thing to help kill the bad help the good. I will find out what it was. People take it after they have CDIF
Oh to see OH pictures you click on her name and it will take you to her page and then you can see her paintings they are pretty.
Love
Chick-a-dee
I have missed you. I think about you all the time, especially when I wash my hair LOL
I am really sorry to hear that you were hospitalized. If you don't mind me asking, what happened?
My sister had CDIF, that is awful. In fact they told her to take probiotics. and another thing to help kill the bad help the good. I will find out what it was. People take it after they have CDIF
Oh to see OH pictures you click on her name and it will take you to her page and then you can see her paintings they are pretty.
Love
Chick-a-dee
I am sorry that you have been ill and have had all of these problems. I hope you improve soon.
As to why you don't have any Hep B antibodies ..... either the first vaccine series was not administered correctly (although you said you have the Hep A antibodies) or you were a Hep B vaccine non-responder.
It looks like you should be tested to see if you have Hepatitis B (the disease) and, if not, then you should be given another 3 dose series of Hep B vaccine.
Here is some information about Hep B vaccine non-responders and the CDC recommendations:
Vaccine Non-Responders
A "vaccine non-responder" is a person who does not develop protective surface antibodies after completing two full series of the hepatitis B vaccine and for whom an acute or chronic hepatitis B infection has been ruled out.
Although the majority of persons vaccinated against hepatitis B successfully respond to vaccination, an estimated 5-15% of persons may not respond. It is possible that a person who does not respond to the vaccine may already be infected with hepatitis B. Therefore, testing for the presence of the virus (HBsAg) is recommended before diagnosing a person as a "vaccine non-responder".
CDC Recommendations for Vaccine Non-responders
Persons who do not respond to the primary vaccine series (i.e., anti-HBs <10 mIU/mL) should complete a second 3-dose vaccine series or be evaluated to determine if they are HBsAg-positive.
Revaccinated persons should be retested at the completion of the second vaccine series. Persons who do not respond to an initial 3-dose vaccine series have a 30%--50% chance of responding to a second 3-dose series.
Persons exposed to HBsAg-positive blood or body fluids who are known not to have responded to a primary vaccine series should receive a single dose of HBIG and restart the hepatitis B vaccine series with the first dose of the hepatitis B vaccine as soon as possible after exposure. Alternatively, they should receive two doses of HBIG, one dose as soon as possible after exposure, and the second dose 1 month later.
The option of administering one dose of HBIG and restarting the vaccine series is preferred for non-responders who did not complete a second 3-dose vaccine series.
For persons who previously completed a second vaccine series but failed to respond, two doses of HBIG are preferred.
Non-responders to vaccination who are HBsAg-negative should be considered susceptible to HBV infection and should be counseled regarding precautions to prevent HBV infection and the need to obtain HBIG prophylaxis for any known or probable percutaneous or permucosal exposure to HBsAg-positive blood.
Non-responders to vaccination who prove to be HBsAg-positive should be counseled regarding how to prevent HBV transmission to others and regarding the need for medical evaluation.
http://www.hepb.org/professionals/vaccine_non-responders.htm
As to why you don't have any Hep B antibodies ..... either the first vaccine series was not administered correctly (although you said you have the Hep A antibodies) or you were a Hep B vaccine non-responder.
It looks like you should be tested to see if you have Hepatitis B (the disease) and, if not, then you should be given another 3 dose series of Hep B vaccine.
Here is some information about Hep B vaccine non-responders and the CDC recommendations:
Vaccine Non-Responders
A "vaccine non-responder" is a person who does not develop protective surface antibodies after completing two full series of the hepatitis B vaccine and for whom an acute or chronic hepatitis B infection has been ruled out.
Although the majority of persons vaccinated against hepatitis B successfully respond to vaccination, an estimated 5-15% of persons may not respond. It is possible that a person who does not respond to the vaccine may already be infected with hepatitis B. Therefore, testing for the presence of the virus (HBsAg) is recommended before diagnosing a person as a "vaccine non-responder".
CDC Recommendations for Vaccine Non-responders
Persons who do not respond to the primary vaccine series (i.e., anti-HBs <10 mIU/mL) should complete a second 3-dose vaccine series or be evaluated to determine if they are HBsAg-positive.
Revaccinated persons should be retested at the completion of the second vaccine series. Persons who do not respond to an initial 3-dose vaccine series have a 30%--50% chance of responding to a second 3-dose series.
Persons exposed to HBsAg-positive blood or body fluids who are known not to have responded to a primary vaccine series should receive a single dose of HBIG and restart the hepatitis B vaccine series with the first dose of the hepatitis B vaccine as soon as possible after exposure. Alternatively, they should receive two doses of HBIG, one dose as soon as possible after exposure, and the second dose 1 month later.
The option of administering one dose of HBIG and restarting the vaccine series is preferred for non-responders who did not complete a second 3-dose vaccine series.
For persons who previously completed a second vaccine series but failed to respond, two doses of HBIG are preferred.
Non-responders to vaccination who are HBsAg-negative should be considered susceptible to HBV infection and should be counseled regarding precautions to prevent HBV infection and the need to obtain HBIG prophylaxis for any known or probable percutaneous or permucosal exposure to HBsAg-positive blood.
Non-responders to vaccination who prove to be HBsAg-positive should be counseled regarding how to prevent HBV transmission to others and regarding the need for medical evaluation.
http://www.hepb.org/professionals/vaccine_non-responders.htm
Mending on the couch. Have a heart thing that's been going on so, not working cause of that too.
Pm me how Marc is doing. I realized I didn't change my email add...I updated it now. I never thought of it before!
Pm me how Marc is doing. I realized I didn't change my email add...I updated it now. I never thought of it before!
Wow, so sorry to hear about your ordeal and your bleeding. Sounds very serious! I hope you are on the mend. Susan400
I pop in from time to time but since I don't know anything about the newfangled meds I just poke around without much to add.
I'm tied to this doc for now, I had a massive Gi bleed four weeks ago and was semi-comatose for a week. Then because I list half my blood (all over my bed and carpets :( my immune system was compromised and I got C-difficile. Man oh man so they kept me another week. So until the future.....
Good news is regardless of all the fears liver is good! My tumor marker is very high but he said retest again...you almost died a few weeks ago your body is revolting, everything is off. :-/
Wow got long, sorry!
So...how are you my dear friend? I'm going to go check your pictures to see if anything is new. :)
Luv ya glad you hit me up!
Deb
I'm tied to this doc for now, I had a massive Gi bleed four weeks ago and was semi-comatose for a week. Then because I list half my blood (all over my bed and carpets :( my immune system was compromised and I got C-difficile. Man oh man so they kept me another week. So until the future.....
Good news is regardless of all the fears liver is good! My tumor marker is very high but he said retest again...you almost died a few weeks ago your body is revolting, everything is off. :-/
Wow got long, sorry!
So...how are you my dear friend? I'm going to go check your pictures to see if anything is new. :)
Luv ya glad you hit me up!
Deb
Well, after my transplant I was given a vaccination for both hep A and B.
My advice is the obvious, you need a new better informed PCP !
Good to see you popping in here.
My best~
OH
My advice is the obvious, you need a new better informed PCP !
Good to see you popping in here.
My best~
OH
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