fishdocs lost file

[fishdoc]

It appears the archives have disappeared into cyber space, sorry for an ugly post, but hey its 5am on turkey day- things are in sequential order, but lose formatting in pasting.  I kept an excell file all through tx.
2 week.... 4 week.... 8 week.... 12 week....18 week... 21 week... 24 week... 28 week......
32 week... hosp.... hosp.... 34week... 36week... 37week... 39 week... 48 week... 67 wks
HGB...... 14.6..........14.8......... 13.5....... 14(increasriba)12.3... 12.2 11.8 11.6 11.6 10.6 11.4 10.6 10.6 11.5 11.4 12.1 14.2
beginning viral load: 2,9**,*** million, 12 week 38,700. undetectible at 24 weeks, remain undetectible, now 7 months post tx.
type 1a, BMI 26 when I started tx, 180lbs, female, 50 years old.
got a copy of Consult Drs. recommendations:

1) after review of the patients records it was noted that despite 1200 mg of ribavarin per day, her hemoglobin has remained persistently high, over 13.  She may be in the category of what would be termed a quick metabolizer of ribavarin, which may render the dose she is currently on less efficacious for treatment of her virus.  AT this time we would recommend increasing her ribavarin first to 1400 mg a day, and then sequentially by 200 mg until her hemoglobin is appr. 10. (OH GOD).  We would, 12 weeks after that point, recommend repeating a hep c viral pcr to determine if her viral load would in fact be negative on a more efficacious dose.  Would recommend continuing interferon at this time.  We recommend a maximum dose of ribavarin of 1600 mg.  If patiend does in fact have an adequate response in that her viral pcr is und. after the increase in riba. on current interferon dose, then at that week would recommend continuing her tx to 48 weeks from that point on that dose of interferon and ribavarin.  If she does not have an adequate response, she may require a longer duration of therapy.  hbg values:
14.6,14.8,13.5,14 (doseincrease)12.3,12.2,11.8, long way from 10!!

tell you the truth, I was way symptomatic at 11.8, but the last couple of weeks I feel better, so I am either compensating or the HBG is going back up... Dr. here did decide to do cbc every two weeks, instead of the two months I was scheduled for..

This dr said at between 9 and 10 he will prescribe both procrit and a transfusion.... my take: we're dammed if we do, and dammed if we dont....

[fishdoc]

if your on 57, your a pro!!  Alt/Ast declined steadily, settle around 19/20........stayed there.  Good luck- did I mention that I went 60 weeks, but was declined by insurance to go 72 because "continuation of tx after relapse was not an indicated ".  So I sent in the paperwork-all my neg PCRs, and was told "after a review by external physicians, it was determined that "continuation of tx after relapse was not an indicated".  Gotta love blue cross/blue shield!!  Morons at the helm...

[Proactive]

thank you very much. Interesting, damn near mirrors my treatment, although my 13 week pcr was lower @ 256. After 56 full weeks hemo has settled between 11.2 and this week all the way up to 11.9(g)...same riba dosages and increases as you 1200-1400-current 1600mg @ 167#'s..Did you have much ast/alt fluctuation on tx? I've noticed in August my ast was 19 and alt was 20 (had a steady decline down from 30/58 pre tx)..ticked up a bit this month to ast 24 and alt 34, was ast 20 and alt 24 last month.(still in the normal range, but always looking for things to worry about(lol)) I did have a pcr 3 weeks ago and was und <10. Also put on 5 lbs last month and was a bit more active..

Oh well, did shot #57 this morning to celebrate Thanksgiving...damn the torpedoes and full speed ahead...;^)pro

Happy Thanksgiving and again thanks for this post,I've looked and looked, but never was able to find it..;^) Pro