Aa
Report check
Please have a look at the attached report and give me your feedback on it. I dont know how severe is the case.
Another case. Hope this gives you encouragement.
⑶肝硬化，中医古称水鼓。
病人男性，1948年出生，北京丰台铁路医院的西医。1973年患肝炎，一直不停地进行中西药治疗。在医院工作，吃各种各样的药品是十分方便的。但是到了1988年，B超发现已经有了肝硬化，目前处于代偿期。如果有癌基因，下一步就是肝癌；如果没有癌基因，再发展下去就是失代偿期，就是肝昏迷，也就是死亡。作为一个西医，他心里是很明白的。于是他不耻下问，1989年9月13日找我来治疗。
...当我告诉他...，他不以为然，反驳说：“刘大夫，我吃饭很好，不是营养不良。主要是肝细胞变性，发生了纤维化。找您来，就是要解决纤维化的问题。”我说：“不客气地说，当个大夫得了代偿期肝硬化，不是什么露脸的事。你吃饭不少，可是都拉掉了。说你是个造粪的机器，你不爱听。人都快病死了，你怎么还不服气。...，懂不懂？死活取决于你自己，而不是什么药物。听我的话，你就活着。不听我的话，你老婆改嫁，跟我有什么关系？”他气得脸色通红，可能呆了一分钟才站起来，说：“好！刘大夫，我就...。真的假的，拿B超说话。”
过了半年，他体重增加了，脸色红润了，血液检查都正常了，B超检测肝脏没有进展。他觉得奇怪，对我说：“刘大夫，您的方法挺灵的。我觉得自己身上很有劲，肝区也不疼了。我没有吃多少药啊？”我说：“有病就是犯了错误，大夫要让病人自己纠正。急性病，大夫要动手帮忙，慢性病全靠病人自己。你得了肝硬化，...。可是你成了药罐子，反而加重了肝脏负担，所以肝功总是不正常。得了肝硬化是好不了的，这是瘢痕组织，只能一辈子调节。不要追求病理上的完全复原，身体健壮就行了。”从此，这个病人养成了正确的生活习惯，至今健康生存。
是的，许多肝硬化的病人，惶惶不可终日。到处寻找仙丹妙药，结果花了不少钱，生了不少气，还是阻挡不了病变的发展。其实，方法就在自己的手里，却端着金饭碗讨饭。无论是长期饮酒，还是长期吃化学药物，或者慢性病毒性肝炎未能根治，以及肝的寄生虫感染未能根治；其最后结局都是肝硬化。
什么是肝硬化呢？病理解剖发现：肝硬化的肝脏发生了，弥漫性的肝细胞变性、坏死、再生、炎症细胞浸润和间貭增生。因此，肝脏的解毒、以及合成肝糖元和血浆蛋白的功能下降了；使得病人出现了疲乏、食欲不振、饭后困倦、厌油、肝区疼痛、腹泻、腹水等一系列不适。
⑶肝硬化，中医古称水鼓。
病人男性，1948年出生，北京丰台铁路医院的西医。1973年患肝炎，一直不停地进行中西药治疗。在医院工作，吃各种各样的药品是十分方便的。但是到了1988年，B超发现已经有了肝硬化，目前处于代偿期。如果有癌基因，下一步就是肝癌；如果没有癌基因，再发展下去就是失代偿期，就是肝昏迷，也就是死亡。作为一个西医，他心里是很明白的。于是他不耻下问，1989年9月13日找我来治疗。
...当我告诉他...，他不以为然，反驳说：“刘大夫，我吃饭很好，不是营养不良。主要是肝细胞变性，发生了纤维化。找您来，就是要解决纤维化的问题。”我说：“不客气地说，当个大夫得了代偿期肝硬化，不是什么露脸的事。你吃饭不少，可是都拉掉了。说你是个造粪的机器，你不爱听。人都快病死了，你怎么还不服气。...，懂不懂？死活取决于你自己，而不是什么药物。听我的话，你就活着。不听我的话，你老婆改嫁，跟我有什么关系？”他气得脸色通红，可能呆了一分钟才站起来，说：“好！刘大夫，我就...。真的假的，拿B超说话。”
过了半年，他体重增加了，脸色红润了，血液检查都正常了，B超检测肝脏没有进展。他觉得奇怪，对我说：“刘大夫，您的方法挺灵的。我觉得自己身上很有劲，肝区也不疼了。我没有吃多少药啊？”我说：“有病就是犯了错误，大夫要让病人自己纠正。急性病，大夫要动手帮忙，慢性病全靠病人自己。你得了肝硬化，...。可是你成了药罐子，反而加重了肝脏负担，所以肝功总是不正常。得了肝硬化是好不了的，这是瘢痕组织，只能一辈子调节。不要追求病理上的完全复原，身体健壮就行了。”从此，这个病人养成了正确的生活习惯，至今健康生存。
是的，许多肝硬化的病人，惶惶不可终日。到处寻找仙丹妙药，结果花了不少钱，生了不少气，还是阻挡不了病变的发展。其实，方法就在自己的手里，却端着金饭碗讨饭。无论是长期饮酒，还是长期吃化学药物，或者慢性病毒性肝炎未能根治，以及肝的寄生虫感染未能根治；其最后结局都是肝硬化。
什么是肝硬化呢？病理解剖发现：肝硬化的肝脏发生了，弥漫性的肝细胞变性、坏死、再生、炎症细胞浸润和间貭增生。因此，肝脏的解毒、以及合成肝糖元和血浆蛋白的功能下降了；使得病人出现了疲乏、食欲不振、饭后困倦、厌油、肝区疼痛、腹泻、腹水等一系列不适。
Below is something I read about a patient with cirrhosis being cured. I am not sure about its validity, and sorry, I don't have time to translate it. Please ask one of your Chinese friends to explain the case.
Best wishes.
2003年7月，有一个广东省珠海市的男病人，坐着飞机找我来了。
病人说：“大夫，您救救我吧！”
我说：“你怎么啦？”
病人说：“大夫，我得了结节型肝癌。”
我说：“让我看看你的CT片子。”
于是病人递给我CT片子：“大夫，您看。”
我看了看：“你过去有肝炎吗？”
病人说：“大夫，我有慢性肝炎。”
我放下CT片子：“谁说你是肝癌？”
病人说：“大夫，肿瘤医院的大夫。”
我说：“怎么治的？”
病人说：“大夫，打了五个疗程的化疗。”
我说：“糊涂，这是肝硬化结节，不是结节型肝癌。”
病人又说：“噢，大夫，这里还有化验单，癌胚抗原1000多。”
我说：“我不看。”
病人说：“大夫，癌胚抗原1000多，还不是肝癌啊？”
我说：“我说你脑子有病啊？怎么非要得肝癌呢？”
病人说：“大夫，不是我要得，是医院说的。”
我说：“噢，医院说什么，就是什么？”
病人吃惊地说：“大夫，那您说我不是肝癌？”
我说：“对啊，这是肝硬化结节，至于癌胚抗原1000多，那是肝炎常有的事。”
病人说：“大夫，您肯定？”
我说：“它就是，肯什么定？”
病人说：“大夫，您给我写个书面东西。”
我说：“你有病跟我有关系吗？”
病人说：“大夫，我拿它跟医院打官司去。”
我说：“算了吧，医院没把你治死，你就知足吧。”
病人说：“大夫，误诊就完啦？”
我说：“不完又怎么办？”
病人说：“大夫，这赖谁啊？”
我说：“赖你！”
病人说：“大夫，怎么赖我啊？”
我说：“你怎么这么相信医院？”
病人说：“大夫，那我应当相信谁？”
我说：“要相信自己。”
病人说：“大夫，怎么相信自己？”
我说：“我问你，在化疗之前，能吃饭吗？”
病人说：“大夫，能吃。”
我说：“化疗后呢？”
病人说：“大夫，我不想吃饭，您看我瘦得就剩骨头啦。”
我说：“这不是自找吗？”
病人说：“大夫，那我现在怎么办？”
我说：“按照肝硬化去治。”
病人说：“大夫，我听您的，我是倒霉了。”
这 个病人回去之后，果真按照肝硬化去治，半年之后，再查癌胚抗原没有了。不知当时是拿错化验单了，还是化验员喝酒喝晕了；不过，医院的大夫说还是化疗起作用 了。然而这个病人半年之后，能吃能喝，体重也增加了；复查肝脏结节不变大，也不缩小。医院的大夫说，还得做化疗，这个病人说没钱。于是医院的大夫不理他 了。
Best wishes.
2003年7月，有一个广东省珠海市的男病人，坐着飞机找我来了。
病人说：“大夫，您救救我吧！”
我说：“你怎么啦？”
病人说：“大夫，我得了结节型肝癌。”
我说：“让我看看你的CT片子。”
于是病人递给我CT片子：“大夫，您看。”
我看了看：“你过去有肝炎吗？”
病人说：“大夫，我有慢性肝炎。”
我放下CT片子：“谁说你是肝癌？”
病人说：“大夫，肿瘤医院的大夫。”
我说：“怎么治的？”
病人说：“大夫，打了五个疗程的化疗。”
我说：“糊涂，这是肝硬化结节，不是结节型肝癌。”
病人又说：“噢，大夫，这里还有化验单，癌胚抗原1000多。”
我说：“我不看。”
病人说：“大夫，癌胚抗原1000多，还不是肝癌啊？”
我说：“我说你脑子有病啊？怎么非要得肝癌呢？”
病人说：“大夫，不是我要得，是医院说的。”
我说：“噢，医院说什么，就是什么？”
病人吃惊地说：“大夫，那您说我不是肝癌？”
我说：“对啊，这是肝硬化结节，至于癌胚抗原1000多，那是肝炎常有的事。”
病人说：“大夫，您肯定？”
我说：“它就是，肯什么定？”
病人说：“大夫，您给我写个书面东西。”
我说：“你有病跟我有关系吗？”
病人说：“大夫，我拿它跟医院打官司去。”
我说：“算了吧，医院没把你治死，你就知足吧。”
病人说：“大夫，误诊就完啦？”
我说：“不完又怎么办？”
病人说：“大夫，这赖谁啊？”
我说：“赖你！”
病人说：“大夫，怎么赖我啊？”
我说：“你怎么这么相信医院？”
病人说：“大夫，那我应当相信谁？”
我说：“要相信自己。”
病人说：“大夫，怎么相信自己？”
我说：“我问你，在化疗之前，能吃饭吗？”
病人说：“大夫，能吃。”
我说：“化疗后呢？”
病人说：“大夫，我不想吃饭，您看我瘦得就剩骨头啦。”
我说：“这不是自找吗？”
病人说：“大夫，那我现在怎么办？”
我说：“按照肝硬化去治。”
病人说：“大夫，我听您的，我是倒霉了。”
这 个病人回去之后，果真按照肝硬化去治，半年之后，再查癌胚抗原没有了。不知当时是拿错化验单了，还是化验员喝酒喝晕了；不过，医院的大夫说还是化疗起作用 了。然而这个病人半年之后，能吃能喝，体重也增加了；复查肝脏结节不变大，也不缩小。医院的大夫说，还得做化疗，这个病人说没钱。于是医院的大夫不理他 了。
Your condition requires the care of liver experts. Hope the info below helps:
Diagnosis of Liver Disease and Cirrhosis
The symptoms of cirrhosis may be insidious, or there may be no symptoms at all for many years. If symptoms are present, they can include jaundice (yellowing of the eyes and skin), lethargy, bleeding from varices, and spidery veins under the skin.
While it can be difficult to diagnose liver disease by its symptoms alone, early liver damage is often apparent from blood test results. Standard blood tests of liver enzymes or bilirubin may show a suspicious elevation and alert the clinician to the possibility of liver dysfunction.
The deposition of fat in the liver (such as in fatty liver disease) can also be detected by diagnostic imaging techniques, such as computed tomography scanning, ultrasound, and magnetic resonance imaging.
Treatment of Liver Disease
The goal of medicine with regard to the liver is to prevent liver disease and, if it is diagnosed, to stop its progression toward cirrhosis. Cirrhosis is an end-stage disease with a poor prognosis and can require a liver transplant if liver failure occurs. Thus, lifestyle changes that support liver health, especially abstention from alcohol, are the cornerstone of treatment for liver disease. No matter the cause of cirrhosis, alcohol aggravates the condition and should be avoided.
In addition, physicians will attempt to treat the complications of cirrhosis, including portal hypertension and ascites, with various medications. In general, however, the use of medications must be approached with caution in people with liver disease because the liver metabolizes many of these substances. For example, aspirin should be avoided in patients with cirrhosis because of its effects on coagulation and the gastric mucosa (Kasper DL et al 2005). The following conventional medicines are often prescribed to treat cirrhosis or fibrotic liver disease:
* Corticosteroids. These drugs have been shown to reduce the inflammation that characterizes liver disease. While they may be helpful to patients with alcoholic hepatitis and encephalopathy, they are less helpful to patients with alcoholic cirrhosis (Kasper DL et al 2005; Glanze WD 1996; Mathurin P et al 2002).
* Ursodiol. Among people with biliary cirrhosis, this drug replaces lost biliary acids. Side effects are rare. This drug may not halt progression of the disease (Kasper DL et al 2005).
Diagnosis of Liver Disease and Cirrhosis
The symptoms of cirrhosis may be insidious, or there may be no symptoms at all for many years. If symptoms are present, they can include jaundice (yellowing of the eyes and skin), lethargy, bleeding from varices, and spidery veins under the skin.
While it can be difficult to diagnose liver disease by its symptoms alone, early liver damage is often apparent from blood test results. Standard blood tests of liver enzymes or bilirubin may show a suspicious elevation and alert the clinician to the possibility of liver dysfunction.
The deposition of fat in the liver (such as in fatty liver disease) can also be detected by diagnostic imaging techniques, such as computed tomography scanning, ultrasound, and magnetic resonance imaging.
Treatment of Liver Disease
The goal of medicine with regard to the liver is to prevent liver disease and, if it is diagnosed, to stop its progression toward cirrhosis. Cirrhosis is an end-stage disease with a poor prognosis and can require a liver transplant if liver failure occurs. Thus, lifestyle changes that support liver health, especially abstention from alcohol, are the cornerstone of treatment for liver disease. No matter the cause of cirrhosis, alcohol aggravates the condition and should be avoided.
In addition, physicians will attempt to treat the complications of cirrhosis, including portal hypertension and ascites, with various medications. In general, however, the use of medications must be approached with caution in people with liver disease because the liver metabolizes many of these substances. For example, aspirin should be avoided in patients with cirrhosis because of its effects on coagulation and the gastric mucosa (Kasper DL et al 2005). The following conventional medicines are often prescribed to treat cirrhosis or fibrotic liver disease:
* Corticosteroids. These drugs have been shown to reduce the inflammation that characterizes liver disease. While they may be helpful to patients with alcoholic hepatitis and encephalopathy, they are less helpful to patients with alcoholic cirrhosis (Kasper DL et al 2005; Glanze WD 1996; Mathurin P et al 2002).
* Ursodiol. Among people with biliary cirrhosis, this drug replaces lost biliary acids. Side effects are rare. This drug may not halt progression of the disease (Kasper DL et al 2005).
I checked. I'm not sure these reports are for the same person. Dunno. The poster is a little vague.
if you click on syedanarjis's previous message from a year ago.. its a big big big jump from being almost normal to having cirrhosis in one year. makes me wonder if they were treated at all or led a healthy lifestyle.
Is this your report or someone else's?
I am not a doctor and there is a lot going on that I couldn't begin to figure out. It looks like this person is having an acute flare of his or her chronic Hep B and they have underlying cirrhosis.
I am not a doctor and there is a lot going on that I couldn't begin to figure out. It looks like this person is having an acute flare of his or her chronic Hep B and they have underlying cirrhosis.
i read your post from almost a year ago. this is 10 times worse than you were a yewar ago which makes me wonder if you are or have been under any type of medical treatment or not.
have you been taking any medicine since you posted your results a year ago ?
diagnoses are very clear. looks as if you have liver cirrhosis. you need immediate medical help
i would love to be wrong .. maybe SteveNY, cajim , or Zellyf can help with your report than i do since they've been here longer and understand Hep B better than I do.
best of luck
have you been taking any medicine since you posted your results a year ago ?
diagnoses are very clear. looks as if you have liver cirrhosis. you need immediate medical help
i would love to be wrong .. maybe SteveNY, cajim , or Zellyf can help with your report than i do since they've been here longer and understand Hep B better than I do.
best of luck
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