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If it were me, I'd probably consult with another ENT to confirm permanent hearing damage is a possiblity and why not discuss it with your treatment doctor as well since they may have some tx related data on this.
Assuming permanent hearing loss is a possiblity --
If you do conclude that permanent hearing damage is a possiblity, then stopping treatment sounds like the right decision unless you have very advanced liver damage and then you have to weigh the relative risks.
As to an early PCR, -- it might make sense but frankly even if it shows you're non-detectibe, do you really want to continue and risk permanent hearing loss? That's the question. But again, first find out if your ENT isn't overreacting.
All the best,
-- Jim
And you can get your VL's before waiting until week 24. Myself, PDS, PLN and APK all got our VL's less than a week after our week 20 visit. Your doctor can call you and tell you verbally on the phone how you did. Personally I'd want to know ASAP, did you experience any INF or riba dose reductions? Especially in the first 12 weeks because no rescue drugs were allowed?
Sandy
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8561688&dopt=Abstract
With the increasing long-term use of interferon (IFN), several new adverse effects have been recognized. Very little attention, however, has been paid to auditory acuity. We encountered 3 cases of sudden hearing loss associated with IFN. We then conducted a prospective study to assess the auditory function of 73 patients receiving IFN. Auditory disability (tinnitus and/or hearing loss) occurred in 32 patients (43.8%) during IFN therapy, among which audiometry documented sensorineural hearing loss in 27 cases (36.9%); 17 (48.6%) of the 35 patients receiving IFN-beta had auditory disability, including hearing loss in 13 cases (37.1%), and 15 (39.5%) of 38 patients receiving IFN-alpha suffered from auditory disability. There was not much difference between the influences of IFN-alpha and -beta. Auditory disability frequently developed in the later stages of treatment, and most patients recovered 7-14 days after the discontinuation of IFN. The results demonstrate that sudden hearing loss can occur as a side effect of treatment with IFN. This may reveal the association between autoimmunity and sudden hearing loss.
And here's an old thread from medhelp, apparently with a doctor weighing in:
http://www.medhelp.org/forums/Hepatitis/messages/36008.html
There's a zillion other links online, just google it with interferon and hearing loss.
A friend of mine does have some permanent hearing loss due to treatment. I ran into her at a party over the holidays and she told me about it. First off, let me say that she treated twice, the last time for 15 months. She was also in a study, coincidentally the same study center and doctor as myself, (major teaching hospital) but this was a few years back. She incurred major hearing loss during her second treatment. Some of her hearing has returned but definitely not all. I wish I had an exact percentage to tell you but I don't. I noticed while I was talking to her several times she had to bend down and put her ear close to my face even though the noise level in the room wasn't particularly loud. Unfortunately for her, she never did clear.
I wish I could tell you more but that's all I know. If you are interested, I'd definitely contact her and ask specifics.
Maybe push for those viral load results from your study. If you weren't clear by week 4 and you only have stage 1 - 2 damage, perhaps think about quitting and waiting. I don't think it's very common to incur permanent hearing loss but I'm not sure. My husband recently finished treatment and I swear his hearing seemms impaired now and it didn't before. That's just anecdotal though. What happened to my friend is a fact. I wish you the best with your decision.
Hope that helps a little, Charlotte
I've had a permanent hearing deficit since my late 20s to the extent that I wear a hearing device. This is not due to either HCV or Tx. Fortunately hearing devices have improved over the years and if one is willing to invest like I have it is pricey but worth it. As you've mentioned you were tested at different frequencies & the devices presently do not just increase sound (like days gone by); but they're custom made and fine tuned, individually, depending upon what pitches you have problems with.
I was concerned starting tx but even if it would have deteriorated more (still a big fear of mine - tx or not) I knew it was more important (to me) to tx the HCV. I treated and I am now over 2 years SVR,
During treatment some odd occurred. I had a closing out of sound (all sounds) for 1.5 to 2 seconds. Extremely frightening. I mentioned it here @ medhelp. Tnhepguy was going through tx with me and described (I can't remember his exact terminology) a closing out of sound for a split second or so. Maybe if he see this and remembers his experience, he will explain his specific situation more clearly. If I remember correctly, it only occurred with him a couple of times, and only with me a few.
I have had my hearing checked twice post tx and I am maintaining the same level as prior to tx.
A hearing device (or hearing aid) well... It is the same concept as one with eyesight deficit - one receives either contacts or glasses and becomes accustomed to the inconvenience of the correction device. It is as complicated and simple as that.
I never had tinnitis or ringing in my ears. That's fortunate for me. I think that would be extremely difficult to deal with. It would be unnerving for me anyway. My hearing deficit can be an advantage to me at times. For instance at the grocery store, etc, I turn it off & cut the sounds, and it is more relaxing. Or in a conversation with a long winded person... depending on the substance of the conversation, I reach up turn it off (it looks as though I am scratching my ear) and then I just nod occasionally and smile politely. Well.... it works for me.
Look, if you want to complete treatment, and you do sustain some loss. Take it from a person that has lived with permanent hearing loss, it is doable. I totally forget. And there's a way to make it better. I have a business and it is critical that I hear. Unless it is a close personal friend that I've said something to, most people are not even aware of my loss. Now if I run out of batteries... welll I'm in trouble. However, I've made sure that doesn't happen. I wish you the best. If you do sustain loss, it is not the end of the world.
Dollface and others lost their thyroid and take meds daily. Some people have lost teeth and have had them replaced. There is decisions to make. We know the risks. And it is important to know the risks.
sjl: sounds brother me also. I have to wear ear plugs when going out or watching TV. If you are having this problem protect your ears as much as possible. You can use ear plugs to just filter out the hurtful noises. TV really pisses me off when commericals all of a sudden blast the sound. I have Panasonic Plasma with sound sensitivity, NOT working for this TX tinnitus SX patient.
Thanks again
Recently I got a referral to a consultant hepatologist who was formerly involved in researching effects of HCV infection on the brain at a major London hospital. Coincidentally(?)she also manages the local chronic fatigue service and is currently involved in ME/CFS research into gene-expression in ME/CFS seeking diagnostic markers for this poorly understood condition. I have now at last been diagnosed with CFS in addition to my HCV. I don't dare to treat HCV as this is likely to exacerbate CFS. Tinnitus is a recognised symptom of ME/CFS. If you need more information I suggest you start with the Canadian diagnostic guidelines which are thought to be superior to the CDC definition. But be warned CFS is a notoriously controversial and contentious subject and you wont find many easy answers.
I'm not a medical expert. I'm just Joe Bloggs with Hep-C and a bad case of ME/CFS. If there are any medical experts reading this please feel free to comment and correct me if I'm wrong!
The tinnitus/phantom hearing thing was one of my nuisance SX. The thing that drove me crazy was the almost constant sense of hearing a phone ringing in the background. Don't know how many times I got out of the shower to check the phone [which is what you do when you have a 20YO & 18YO driving in DC, I guess].
Its basically gone now, just five weeks after dosing ended. No sign of permanent damage in my case, but seeing an ENT is the smart thing to do just in case!
And speaking of which, APK how have your VL's been coming back? Haven't seen you report all your results yet. Plus you state above "I'm a Prove 1 lab rat, in Group C [24 weeks] and finished with dosing five weeks ago...Its basically gone now, just five weeks after dosing ended." I thought you stopped on January 7? That would place you at three weeks post treatment, not five. Remember?
-- Jim
http://medhelp.org/forums/hepatitis/messages/44711.html
Which of course concurs with the dates provided within this thread.
But then in the two links below he very clearly states his treatment ended on 1/7. And it's been well established all along (by apk) that his treatment has been exactly one week ahead of pln's, who stopped exactly 2 weeks ago (thereby making him on his 3rd week post treatment, not 5th week):
C17 at http://medhelp.org/forums/hepatitis/messages/44631.html
First post at http://medhelp.org/forums/hepatitis/messages/44524.html
I guess apk is still feeling the effects of treatment. That's certainly understandable, as we all know these drugs can really play with your mind.
My starting vl jumped around a bit - I don't have the exact nbumbers in front of me, but in June 2006 it was 8 million, then for my first screen (7/28/06) it was around 3 million, then my second screen a week later, it was 6 million. I was sort of surprised at how much it varied pre-treatment. Anyhow, I'll post the results when I get them just for comparison sake. I hope you're doing well and surviving your vx-less treatment!
I'm then assuming that the VX trials draw blood both at the 2 and 4 week post treatment junctures and no doubt at close intervals after?
This all does get confusing, especially when even doctors start counting at different junctures, but I'm counting from the last shot (1/7), not the last riba dose on the 15th.
In any event, while the 4-week post treatment draw would probably offer more information, the post 2-week draw is also important since so many relapses happen very shortly after the treatment drugs are stopped. Maybe that's why we haven't seen any press releases yet because I'm pretty sure they aren't going to draw conclusions based on just a 2-week draw. I do wonder however when they will post the 4-week post treatment data for the 12-week dosing arm. Maybe someone in the Vertex trial can find out from their coordinator, or maybe indeed the coordinator knows people in that ARM and how they fared.
-- Jim
So, what I'm assuming then is that the 1/22 draw is your first draw since finishing treatment with the exception of perhaps an EOT draw sometime close to 1/07?
-- Jim
Thats right, Jim. The first post tx draw was 8 Jan, and the next one is next Monday [and every two weeks for the rest of the year]. So far, so good.
Jan 22 (2 week post treatment) and next draw will be Feb 5th (4 week post treatment). Then viral loads will be drawn every two weeks thereafter for one year?
Very impressive that they will draw every two weeks post treatment for up to a year. And I thought I was neurotic post treatment drawing blood for viral loads at weeks 3, 6, 24, 36 and 48 (upcoming).
Do you know when you will be given the results on your Jan 8 and Jan 22 draw?
All the best luck with the tests.
-- Jim
-- Jim
As to the PCR results, we are literally seeing the results as soon as they are available from Covance. No more delays since the blinding was lifted.
And BTW, Vertex confirmed that the PCR assay stops the down steps at 30IU/ml if no viral RNA is detected in the qualitative test at that sensitivity. Your read on this was correct.
Be well,
-- Jim
Thanks for the info and if you get a chance try and ask your study nurse how the other 24-weekers are doing as well as any 12 weekers, if your center has them enrolled. The 12 week arm should have their 4 week results in by now, possibly even later test results.
All the best,
-- Jim
Be well,
-- Jim
I'm 1B VL 6,250,000 predose Ishak stage 2 grade 1
Day 29 72,800
Day 57 658
Day 71 78
Day 85 UND-WEEK 12
I had lower dose of 135mcg 7,8 AND 9-I had weeks wrong earlier post
DR said 70% chance to SVR if I go on. I see ENT about my ears on Monday. Going to find out about Vascular or Neuro question. I will also check out the new post info and SVR chances. What more data on that percentage if I'm going to risk my hearing. Shall I chance the hearing thing? Is my leg vascular IFN thing related to my ear problem? I got the Docs really doing their homework because of all your help. Thanks so much. Takes the weight off this decision to be armed with information!
months ago but hearing loss and tinnitus are still with me. I'm afraid they are permanent in my case.
Thanks,
Caseymack
I'm post tx 5 1/2 weeks now and my last CBC showed my blood levels improving which corresponds with my energy and attitude. Enjoy your walks on the beach.
I'll think of you while driving by to Santa Cruz. OH