Mnkr said: ... read all these horror stories of people losing site, and memory and other brain damage cases
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Unfortunately, your posing your question to much of that same group of impaired people since many of us are currently treating :)
That said, liver biopsy carries some slight risks but these risks are outweighed if your individual case warrants it. A good liver specialist (hepatologist) should help you make the decision. The procedure itself, is usually done while awake -- sometimes with mild sedation -- and isn't half as bad as most of us expect. Hey, I've had five or six since 1969 :) You should be in and out of the hospital the same day.
Regarding the different interferons -- most treat with one of two pegalayted interferons -- Peg Intron (Shearing) or Pegasys (Roache). Personally, I'd stay away from either of them until you weigh the risks and rewards of treating with your doctor. A lot of this decision this has to do with genotype, liver damage, age, health, etc. But if you do decide to treat, both of these pegalayted inteferons have their advocates.
-- Jim
HI sorry about your dilema but be assured there are a LOT of us out here who are going through treatment right now and a bunch of people who HAVE and are CURED! It can't get better than that!
The biopsy while it SOUNDS like it's going to...isn't painful at all. Everyone is initially just as freaked out about it as you - but once they have it done they all come back and say hey that wasn't painful at all! It's more just nerve wracking expecting it.
Try to remember - your liver has no nerves in it at all and it's just a needle - not a big knife or anything like that!
It's so important for you to have it - it REALLY let's you know exactly where your liver stands in the progression of the disease. It lets you determine if you really need to start treatment or if you can wait. It's WORTH HAVING!
I was diagnosed last year but have had this for probably 25 years. I am on week 22 or 48 (but will most likely be extending to 60 minimum).
Did you find out from your doctor what your genotype, viral load and ALT and AST are? They are important in deciding treatment and how long you will treat and things like that.
I don't know anything about law suits and types of interferon. I can tell you that I have made out pretty well injecting all these poisons in to my body.
I have to admit I have administered MANY other TYPES of poisons in my life...without ANY thought except how to get more of the...and never gave it a second thought.
At least THIS poison is helping to heal my liver and rid me of a disease that can not only destroy my liver but also cause liver cancer and kill me for sure.
The good thing is your ultrasound was clear so you dont have tumors or anything in there.
Get the biopsy and find out where you stand then you can see what is really going on.
Please post the other info I said above if you can.
Oh you know nobody in here is a doctor...we are just all in the same boat as you and have asked question after question just like you are doing now.
Best of luck
Thanks guys...The byopsy doesnt sound so bad now :)
As far as the genotype, viral load and ALT and AST are I am not sure yet. I am waiting for the test to get back to my doctor and also waiting to hear from the nurse to make a byopsy appointment.
I will keep everyone posted and am sure I will have a ton more questions when I do get more info.
Talk to you soon.
I had a liver biopsy in 1996, at the direction of my doctor, to check the extent of liver damage from the hep c. He told me it was a painless procedure and I would not feel a thing. In my case that was far from the truth and him telling me not to jerk while he hit me with a needle in the side and sorry NY it hurt. I believe my nervousness and stress caused most of the problem but why go through the stress if medically they can make it painless. Push for sedatives. If they can do it with a colonostopy (from Tennessee can't spell) then certainly they can do it with a biopsy. Get the biopsy though its the only way (based on my Einstein doctor) they can know the extent of the damage. Believe me they would want to sedate me before attempting that one again. Good luck to you. Dale
Hello and welcome, this is a great forum to visit, as close to the funny farm and zoo as you can get. :)
By all means find a hepatolgist. I to was scared of having a bx. But mine went real smooth, had some pain meds thru a iv and the bx. was done guided by ultra sound. Was awake the whole time but didn't feel a thing. The worst part for me was having to lay for 4 hours afterwords. Slightly sore for a couple days but wasn't anything to need any meds for. wait till you get your bx. reports before you worry to much about tx.
As for causing brain damage, well im not the best one here to answer that one. :) Visit often as admission here is free. Best of luck to you
Welcome...we have all been there. I have had 2 bxs and with the meds they give nowadays you will be pleasantly surprised. I was just as terrified my second one but all went well and I am glad I did both. It really gave me information to go on as to when, if ever to treat. You are most likly in panic stage now but gather all the info you can, keep coming back to this site and go through the archives, lots said about liver bx and fear.
Hang in there... it gets better
Wow, you guys are great. It is good to know I found a place to come to. I posted on a few other boards over the couple of days and no where near the hospitality and info as this one.
I post the test results etc when I get them.
Thanks again.
Just hope you have a sense of humor, cause there is a few here that like to clown around. Not going to mention any names, but they know who they are.
Congrats on the 8 years of a better life. I don't kow the risks of bx but mine also went smooth, and i was just getting clean and sober then. Basically felt like a stomach punch or good hit at football. Layed up the next day.
As far as treatment you probably want more info before you decide or jump in. I waited til I had 2 yrs sober, saw a therapist, and went to a local hep support group for 6mos BEFORE starting. But I was new to sober so was afraid of jeapordising sobriety if the sides hit me, especially mentally/emotionally.
This week will be shot 23/48. and what sx are I have are livable. For me I keep close here and in recovery meetings. Still working construction when I have work. Sides on tx are a Cr**shoot that not everybody even gets. Ya prepare for it best ya can and get through it the same way ya got here and got sober. I figure the after effects are probably the same. some have it a rough time and others say it's a new life.
This place has helped me a ton. Don't stress, read up and talk it out.
Be Well,
Don
Sorry to get your dander up. Two other members were also critical of your "there's no harm in trying it" comment. In my opinion, it's immature to dismiss constructive feedback when it's well-intended.
Susan
Welcome aboard. I too was an addict for many years and shared some of your concerns and apprehensions going into this Hep C treatment thing. Thankfully I too have been clean for many years. My biopsy was really a piece of cake, no pain except a minor dull ache afterward for a couple days. The worst part was just plain thinking about it ahead of time. One small concern I did have was with one of the meds used for pain/anesthesia, Fentyl, which is a close cousin of heroin. I had no ill effects from it. Ask the doc too if he can use Versed during the procedure. They used this on me and though I'm told I was awake and talking during the procedure, I have no recall of it. I came to foggy and yacking away in the recovery room and was out the door in an hour or two. They will not let you drive home from this procedure.
Sounds like you have a head start on educating yourself which is one of the best things you can do at this point.
my biopsy was not bad..i think i got demerol& once they were in,i told take all they needed....little ache for couple days..and bob's yur uncle! seriously GOODLUCK
I don't know if I'm the right person to ask or not. I'm kind of a treatment pro. And right now, I'm on off label doses. But, if you need encouragement, I'm here!
Susan400
I'm not a hero and I'm a big baby -- also not thrilled with drs. After putting it off for two years, I finally had my first bx last week. It was done at a radiologist office under CT scan and local anasthestic. I felt only slight pressure when the first needle was inserted, and NOTHING when three samples were taken. I had no pain the rest of the day and none since. Just make yourself RELAX, DO WHAT THEY TELL YOU, and you should be fine. You'll be more uncomfortable if you tense up. My team gave me the option to come back another time because I was so nervous, but I just wanted to get it over with once and for all. Piece of cake. Again, it's your first time, but not theirs. they know what they're doing. Just remember to relax and do what they tell you. Be well.
susan says...I'm kind of a treatment pro. Now thats a understatement if i ever heard of one. After 8 trys at this im sure i saw your name in the guinness book of world records.
I'm sure you've seen, heard, and had it all. If anybody is qualified to give advice it has to be you. I don't know how some of you gals here do it. Eisbein doing over 2 years non stop, Lvdbygod 2 years and still counting??? You still fighting after 8 trys, you gals alot stronger then i am. Good luck to you. You deserve to win.
Hello,
I found out in jul 05. I was very nervous as you are. I got my biopsy done in a hospital at their radiology dept. It was done using a cat scan to make sure they didn't accidently poke a hole in my liver. My biopsy was painless. You have to be awake because you have to hold your breath when the poke you. Mention what area you live in, and maybe someone can refer you to a good place to get it.
As for treatment, my first three shots were the worst. Sooner or later you will become somewhat anemic and your white blood counts will fall. When this happens it may hit you like a ton of bricks. It did me. After a week or two, I felt alot better. I'm going on shot/wk 15, and feel great. Still have chills after shot day, and feel kinda dizzy, but not bad. I work 8 hours a day, take a brisk walk at least 3 times a day, and do some sort of physical labor at home. Ask questions thru the forum as you go along and don't be scared. Take time and learn about what your undertaking and go slow. You've had this for quite some time and several months of planning and education will not make a difference. Take charge of your illness!
Congratulations on your recovery!! I have been in since 1983 and it's still a day at a time no matter how far away from a drink or a drug I am.
You do not have to make a decision about treatment today! A step at a time, that's what we can handle right? And step one is getting your biopsy.
You will hear a lot of opinions on this forum and they are all great but you and I (and others here) need to keep it in perspective as persons in recovery. This is not a recovery forum, it's a hep C forum so lots of folks do not have our experiences and will suggest or encourage pain meds not knowing that to an addict this can not only be harmful but fatal. Setting off the compulsion will lead me down a path that I probably won't come back from. I have read many a post and thought 'well this person takes such and such, why can't I?'. The truth is that I can't.
My biopsy was not bad at all, the worst part was getting the local, then it was a breeze. I expected a lot worse. My daughter who is NOT an addict had one also and she chose not to have any medication either except a local and she was fine as well.
Most importantly for you is that your doc know your history with narcotics 8 years is something to be proud of. Good luck
mnkdrt. I was in the same place as you. Can't stand the sight of a needle now.
If you want some kind of sedation (I demanded it), make sure it's prearranged before your bx, both at the Dr's office and on the morning you have the procedure. The bx Dr did not know about my Dr's Rx so I halted the bx until I was dosed. It annoyed the bx Dr but it was me on the table, not him.
Everything went great after that. I only had a very slight ache that night afterwards.
I hope this helps, Dana
All. My old desktop crapped out a month ago but I'm back now. I'll post a 6 wk post tx report later.
It is so good to see you and dancegirl back on here.
I am so glad you are alright and it was just your stupid computer! I've wondered WHERE you were and it's FANTASTIC to see you again...finally!
dancegirl54-Glad you brought that up about those of us in recovery. Tell you the truth, when I walk into a drs office, whether eye dr, dentist or what, I tell em I'm in recovery and a garbage can before I even mention the hep c. No question between my doc and me. Booz and drugs alone will kill me a lot faster than hep c. When I went for my bx I was still struggling after a 2 year run, bouncing in and out of recovery. I had like 2 wks clean(again) that day, I took the local but when my ride home came the hospital insisted I take an oxycodone before leaving. I argued a little but was new to it and crazily had let my active brotherin law pick me up instead of someone sober. I did take it and one at night, but in my case I shouldn't have. I don't blame my going back out a few days later on it(I just wasn't 'finished' yet. However I learned a lesson, including having someone sober w/me. Because the hospitals don't make it easy. After I was clean 6mos I went in for a eye injury from work. Made it clear about my addictions when I walked in the door, again before the eye docs touched me I said DO NOT give me pain meds. "Sure no problem." They fix my eye, 1/2 hr later the same nurse that heard me tell the doc comes in and says 'here, the doc wrote you a script for percocets.' Sat bolt upright! NO! ARE YOU PEOPLE NUTS! Just give me my paperwork. Fortunately my tx doctor knows what my priorities are. First think he says everytime I see him. "Well?"
'Still sober today, doc.".... " Excellent! Now what's up?"
Recovery on tx was my biggest fear about starting. One guy in a hep group put it best for me, 'If you work a good program you'll do fine.'
Thanks, may we all heal.
Don
boy can I relate to everything you said above
Also...Doctors are very great at addicting patients then cutting them straight OFF and into withdrawl. They don't stop and consider what all their take one every four hours pain pills can DO.
The thing we CAN do for ourselves is to spit it straight out to any doctor we ever go to RIGHT AWAY so it's charted...otherwise...one little slip up and it's BAM right back out there.
And honestly I don't EVER want to be scrambling for money for a bag again in my entire life. Nothing is worse than withdrawl........not all the anemia I've ever experienced. it freaks me out and if I have to be pushy to do doctors...so be it.
The thing we "CAN do" for ourselves is to spit it straight out
Hey now what i ever do you? baldy beeny saggy azz.
Oh my GOD that was so funny you really DID make me spit I swear..............................I laughed so hard I snarfed out part of a chocolate chip cookie onto my computer screen.
You do like to bust my butt and make me laugh don't you?
But this is just GROSS it's everywhere.... :) ;-) ;-P
ok - I've got to ask--- what is mnkdrt ? Now if it's your real initials don't tell, but what does it mean? I know what it would be for me ----- My Nasty Kat Dirtied the Rug Today......
So welcome to the forum.. I am frijole, diagnosed (dx) in May altho I tested positive for the antibodies in 1993, biopsied (bx) in June and started treatment (tx) in July. Not much I can add about biopsies, besides mine was a laproscopic biopsy done by a surgeon and they put me cold out. Didn't feel a thing. I suggest reading on the Janis7 sight about biopies - getting them, and understanding them. It helped me understand the procedure. ...http://janis7hepc.com/biopsy.htm
I am ignorant about what you can safely take when you are a recovering addict, but surely there is something that you can take to relax. I wish you well, and when you have your results, please post them.