need to hear the truth

[Eve316]

found out last year that I had hepc. I suspect that I got it from work. Got stuck w/needle that was placed in the trash not once...but on two separate occasions while cleaning a surgical center about 8yrs ago. Needless to say it was a huge supprise as we are newley weds.Shortley after our wedding we became pregnant,at 3mo I miscarried. And again 4mo l8tr.I was only 5 1/2wks. Im 40 and took good care of myself. I just recently had blood work done at my job and my bun/creatinine ratio is rising.
Last yr: bun 10 & creatinine 0.59
This yr: bun 16 & creatinine 0.66
We have no insuance...is my disease getting worse? are my kidneys failing? please be honest! It my explain why we lost our babies.

[James10500]

Doubtful HCV was the cause of a miscarriage.  See a Doc.  Very stance a surgical center wouldn't dispose on needles properly.

[eureka254]

As mentioned above, your test results do not indicate any presence of hepatitis c nor renal dysfunction. I'm very sorry to hear about your recent losses, but you should feel reassured that there should not be any concern that your miscarriages are the result of either hcv or kidney issues.

If your ob/gyn has not offered testing or further options in regards to investigating causes for your pregnancy losses, it might help you to know that miscarriages do become more frequent as women get progressively older, and it's not unusual for a first pregnancy to result in miscarriage, even in younger women.  However, because you are now 40 and have had two miscarriages in a row, it might be worthwhile to ask your ob/gyn to refer you for a consultation with a genetics or perinatology specialist to investigate possible causes.  

Also, it's important to keep in mind that pregnancy, especially for women at older ages, have a higher frequency for need of intervention:  you might want to seek out health insurance to make sure you'll be able to provide for the medical needs of a future pregnancy and delivery as appropriate.  Best wishes. ~eureka

[Bill1954]

Or Labcorp:

http://tinyurl.com/3e9d2gp

[Bill1954]

Any HCV RNA by PCR Qualitative test should be fine; sensitivity/specificity isn’t an issue unless you are undergoing antiviral therapy.

An example from Quest Diagnostics like this is probably suitable:

http://www.questdiagnostics.com/hcp/intguide/jsp/showintguidepage.jsp?fn=TH_HCV_RNA_QualPCR.htm

The ICD-9 code for chronic HCV w/o coma:

070.54

As Fznol mentioned, at the time the previous viral assay was performed you did not have HCV; this should be sufficient evidence. If you feel you have been re-exposed, of course additional testing is required.

Good luck-

-Bill

[Fnzol]

You had a PCR.  Your viral load was undetectable according to the test that was run.  You don't have a measurable viral load, and there is no HCV genetic material to type.  

[Eve316]

thank you for answers and  your kindness . ps I work at a clinic and can have bldwk done inexpensively. we use labcorp. what tests should i mark to look for viral load/ geno-type.And an Icd 9 code please. if you can it would be greatly appreciated. thanks again God Bless

[Bill1954]

If those test results are yours, you do not have Hep C.

You should speak with a doctor about this; when you do, be sure to bring those and any other test results with you to the appointment.

You have no detectable viral load, according to the test results. Without that, you are not infected with active, RNA virus. You may have been infected at some point in the past, but cleared the virus spontaneously in the first six months of infection. This is called the ‘acute’ phase.

If this is indeed the case, you will continue to test positive for HCV antibodies, will be unable to donate blood, etc; but the virus should not be a problem for you in the future.

Again, verify this with a *knowledgeable* specialist. A guarded congratulations to you,

-Bill

[Fnzol]

"hcv rna pcr: result<43  units.IU/ml
hcv rna pcr: results<1.63 units Log IU/ml"

These are two ways of stating the same thing:  HCV virus was undetected in your blood sample.  

[Eve316]

I have not been treated,nor was I offered or told I needed treatment. Dr, Domingo Garcia of Borinquen health care center in Miami fl said" I could be asymptomatic for up to 20yrs"
he had requested a quantitative    hcv rna pcr: result<43  units.IU/ml  range<43 status F
                                        hcv rna pcr: results<1.63 units Log IU/ml  range<1.63 staus F

dont understand this stuf...I was compparing recent bldwk and noticed higher levlesin bun/creatinine....I beleive my liver is getting worse.
I have no health insurance :(

[Bill1954]

And as Fnzol says, see a doctor.

[Fnzol]

See a doctor.