517301?1229801385
Thomas D Schiano, MD  
Male
New York, NY

Specialties: Internal Medicine, Gastroenterology

Interests: Viral Hepatitis, Nutrition in Liver Disease

The Mount Sinai Medical Center
877-241-4983
New York, NY
My Posts
Jun 23, 2014 in the Liver Transplant Expert Forum - 2
I hope that the liver can regenerate, especially if the HCV can be cured.
Jun 19, 2014 in the Liver Transplant Expert Forum - 19
you can continue the baraclude. we typically check the HBV labs every 4 months.
Jun 18, 2014 in the Liver Transplant Expert Forum - 1
for 4 years out this is an adequate level, especially if you are on cellcept as well, which is a common combination that many liver transplant centers use
Jun 18, 2014 in the Liver Transplant Expert Forum - 19
it can come back, but extremely unlikely if the patient is receiving some sort of prophylaxis
Jun 17, 2014 in the Liver Transplant Expert Forum - 2
there is no contrainidcation whatsoever to having or taking care of a dog while immunsouppressed as long as the dog has had the standard shots. cats are different because of the risk of organisms in their litter box. Enjoy the dog and congratulations on doing so well post transplantation.
Jun 17, 2014 in the Liver Transplant Expert Forum - 19
if you didnt have HSAg (+) before the transplant you didnt have HBV so wouldnt need prophylaxis post-transplant. any of these oral medications would be life-long. The HBSAg could become (+) again but that would constitute a recurrence
Jun 16, 2014 in the Liver Transplant Expert Forum - 19
there doesnt need to be an overlap period between the 2 medications. any of these to be switched to is OK. I am not sure though frankly why you need any treatment at all if your HBSAg was (-) prior to the btransplant
Jun 16, 2014 in the Liver Transplant Expert Forum - 3
this appears to be a drug reaction.
Jun 16, 2014 in the Liver Transplant Expert Forum - 1
i suspect that this indeed can be a drug reaction that will take some time to resolve. using skin moisturizers is imperative and taking atarax (similar to benadryl) may be helpful during the day. Your doctor can also prescribe actigall which might help the itching. The liver tests are trendigf down so the problem should totally resolve.