Is liver in bad condition

[Brilorra]

Dear Dr.

I am looking for advise with regards to my husband.  He is in the usa and can not get treatment for his hep c.  he has sent me some medical records that were taken from December 2007. i can give you certain information that i understand pertain to this disease.  I am looking to understand if he will 1- decompensate quickly or possibly and 2- how bad his liver is from reading test results - chances of liver transplant and timing.

he is genotype 3 - which is good from what i understand.  his viral load is at about 700,000 or slightly higher, again i understand that isnt too bad.  now keeping in mind this is pretty much all from december 2007.  his plateletss are very low and have been now for over 3 years right now they are at about 75,000. but have been lower.  his cbc is all off, whit blood cell 4.5  red blood cell 4.31 hemoglobin 12.4, it was 11.0 hematocrit 36.6 it was 32.4 he was put on lactucose for encelapathy. sorry about the spelling - disease of the brain.  and his liver is always hurting.  he has been told that is very sick and then been told he isnt.  he has been told he cant get treatment - interferon due to the low platelets as it eats them while continuing tx.  there should be something to take prior to interferon to raise the platelett count though.

i really need to know if he is ill. a very well know doctor online dr, ben cecil who has been conversing with me - has indicated from the records that i sent him, that he has severe liver damage.  

he had a ruptured appendix and they couldnt operate due to the platelets being so low and the hep c so they inserted a t-tube for drainage, saying he was way too high risk for operation. and at that same time he was compensated.

please can you give me your medical advise and if need be i could and would surely email or fax or scan his medical records that i have for your perusal.

thank you so much doctor for you input and helping me to understand if he might be very ill.  

Leslie

[Douglas Dieterich, MD]

He is very sick, however he needs to be seen at a medical center where there are experienced liver doctors. That level of platelets would not stop us from treating him, unless there are other things that may be a problem. DTD

[copyman]

Like dr d said he needs to get to a liver center at a teaching hospital as soon as possible. best of luck

[Brilorra]

Thank you so much for getting back to me.  ok so you say he is very sick, what sir is this based on.  also how low do platelets have to get before you wont treat?  if he is already compensated cirrohsis, and i surely believe he wasnt 4 years ago, i your opinion how long could this liver last.

would you be interested in seeing some scans that i have from his appendix that was ruptured and it must show also in there the liver as one doctor who saw him but wouldnt do anything to him until the appendix was healed. said he is compensated.  i would love for you to see them along with the reports that i have,  if i can email them to you please give me the correct address and i will forward them asap.

thank you again for helping me  and i am learning alot about this diseasr.

Leslie

[yetzabee1]

I dont know much about that condition but have a freind who does have it and has been feeling really good when she drinks unfiltered organic apple juice, infact she has been lowering the numbers on the activation of the hep c in the liver.  She tells me I dont know whats in the juice but i will keep drinking it.  Hope this helps with something