P.S. I hate a laptop I"M always double clicking on that little pad and Dell hasn't sent my mouse, sorry folks.
Then I am sorry I misunderstood you, the "be careful" and "if dx'd" and charted" took me in a different direction, either she has it and it will be charted or she doesn't, but my only problem is that whatever a person has that slows reaction time, and can cause cofusion, may cause some people not to reveal this problem, especially if a job depends on it, as it did mine, but this problem can be intermittant, and makes them dangerous on the road and kill someone, I have my wife drive me around and sold my harley, but my Hepatologist said I would be tested every 4 wks durring tx, and the lactolose has helped a lot, it may be hard getting my head straight, but it was my wife that told the Dr. I was talking strange because I didn't even realize it.
Then I am sorry I misunderstood you, the "be careful" and "if dx'd" and charted" took me in a different direction, either she has it and it will be charted or she doesn't, but my only problem is that whatever a person has that slows reaction time, and can cause cofusion, may cause some people not to reveal this problem, especially if a job depends on it, as it did mine, but this problem can be intermittant, and makes them dangerous on the road and kill someone, I have my wife drive me around and sold my harley, but my Hepatologist said I would be tested every 4 wks durring tx, and the lactolose has helped a lot, it may be hard getting my head straight, but it was my wife that told the Dr. I was talking strange because I didn't even realize it.
I wasnt saying she shouldn't alert her doctor at all. I was warning her that that can be a consequence of being diagnosed with encephelopathy which is far different than the insinuations in your post that I was telling her to keep it secret. Most people are not aware that having your liscense lifted is a consequence of that diagnosis. I would not ( and did not) tell anyone to withhold information that their doctors need to know.
I agree that scenario is possible but I have no evidence that's what's really going on and do have evidence that suggests the contrary. I see nothing to indicate that changes in either direction - expanding or contracting of the capsule - can cause URQ. The stuff I've read states swelling, distention, pressure and so forth. And, I do believe that, in light of the many people who've treated and cleared, that if your theory is correct there would be something written somewhere mentioning this and particularly in the side effect profile of the drugs. But again, this is merely speculation and I have no firm evidence you aren't correct aside from the lack of evidence that you are.
I am not trying to be picky here but since we're both searching for the truth (although it doesn't really impact either argument) allow me to make an observation as I think you'll be interested:
You said "The swelling *is* caused by the virus infecting the liver cells, so when the virus is removed from the scenario it would certainly stand to reason that its byproduct (i.e. swelling) would also start to subside." This isn't really settled as far as I know. There is a recent article that states that the virus itself may not be cytopathic but rather the host's immune response to the virus.
Bantel et al.
describe the correlation between the degree of
inflammation of the liver and the number of apoptotic
cells as measured by detection of activated
caspases, including caspase-3, a hallmark of Fas-
FasL activation [86]. Moreover, recent in vitro
data from our group show that 0.8%
You are only restricted from driving until the encephelopathy is absolutely controlled, of course if a Dr. feels the problem is bad enough, heck with all the other people and kids in and out of the car, keep the condition secret, dont tell the Doc you had a seizure either, they may not let you drive, and if you're diabetic and become disorientated don't say a word, of course all these symptoms can be controlled with proper medication, but sure don't want to be inconvenienced. Not to mention that the root problem of encephelopathy is the free protien running through the body if not treated may cause kidney problems. I just hope she just absent minded and don't have it.