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Genotype 1A

My husband has Hep C Genotype 1A.  He thinks he contracted the virus in 1980 with a blood transfusion.  He is 54 years old and feels like ****.  He is currently working and is exhausted most days.  Morning is the worst.  He really isn't doctoring and refuses treatment because he heard his genotype does not respond well to the treatment.  We have young children and he seems depressed and tired and nauseous most of the time.  I guess I am at wits end and it really is affecting our marriage in many ways.  Any thoughts of encouragement would be appreciated.
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Avatar universal
I am 1A, treated and and have been cleared of the virus for over 3 years.  I always heard that it was one of the easier genotypes to clear the virus.  
Helpful - 0
338734 tn?1377160168
Maybe ask him to do it for you and the children. Otherwise, if he doesn't like doctors now wait until he needs a transplant! Seeing a doctor, or even TX,  now may preclude the need for transplant later. Not getting evaluated is choosing ignorance over truth, a risky game.  It is foolish not to take advantage of opportunities like that or at least find out if there is an opportunity available.
Helpful - 0
Avatar universal
having small children around would kick my butt into the dr , the biopsy , and yes ,treatment  too easy for blood contamination .I mean thats my opinion. and other than trying to add years to my life .my daughter is 8 . I am a 51 yr old , w gene 1a . I am giving it a try ,even though its  50/ 50 . who  would not go to the dr ? w children in the picture ?  well good luck   and the posts hear said it all ..
Helpful - 0
142354 tn?1228246748
Ditto
          The truth will set you free. It is better to know whats wrong than to ignore it. Sometimes people have simple problems than can be treated and life goes on. some have bigger problems that can also be managed. Its sad to read about a spouse or loved one that won't at least see a doctor .
Helpful - 0
96938 tn?1189799858
Even though it's kind of nice outside today maybe we can stir up a little crapstorm.

I belive that many people point the finger at hcv as the cause for all the ills that they feel.  Sure, it can be a factor or a contributing factor but I believe it's overstated.  Especially when a person has not been fully evaluated.

Let's take your husband for example; and I don't mean to pick on him but just as an example.  What 54 year-old, who has been in the workfroce for about 30 years, does not slink out of the bed every day?  We are looking forward to another day, just like the prior 11,000 with the boss, co-workers, spouse and kids cackeling, demanding and expecting the great and awesome.  At 54, the body has had a half-century of wear and tear and we probably have not treated it as we should for 95% of that time.  We sit on the couch and exercise with an 8 ounce remote control as we loosen the belt and top button after downing a caloric smorgasaboard of excessive intake.  We carry around a few extra pounds that seem to disappear conviently as we suck it in and scurry past a mirror.

Contrast that to a person who has got it right. Springs out of bed at 'o dark thirty, runs a few miles, has a job that's more like a hobby, makes a zillion dollars and has always make the right decisions and has a wife and kids who look more suited to live in Stepford.  

The guy is getting old and it's probably starting to show.  With hcv, and decideing to nothing about it, he may be successful in accelereating the process even more.  If that's his decision you all get to live with it.  But, the guy is not 30 anymore with a libido and a lit fuse.
Helpful - 0
146021 tn?1237204887
Have you  heard it enough times yet?:) He needs to see a dr and find out what is making him feel so bad. I was asymptomatic for at least 15 yrs with hep C. I really didn't know that it was chronic till I had it rechecked in 06.
I treated, I cured and now I'm here to help others. The best tool is information, you know that, convince hubby that he needs to pull his head out of the sand and move forward.
Good luck, husbands can be very stubborn.
Bug
Helpful - 0
179856 tn?1333547362
By the way sometimes plain old depression and nauseau are caused by other things...he should see the doctor about that too (I didn't mean to imply that the hep was causing these I just don't know to tell the truth).
Helpful - 0
179856 tn?1333547362
I had geno 1A and also 1B and cleared and have been cured for over two years.

New information that we have shared around the forum here have helped up the odds into our favor greatly.  When I was diagnosed the chance was 50/50 - now that might not sound so great unless you figure you had a 50/50 chance to win the lotto then you'd be ecstatic!  The odds have gone up for people like me who take the time to read the studies and then inform their doctors of the new things we can do to help. Doctors DONT mostly pay too much attention to them unless they are a heptologist (and sometimes not them) so it is important to learn all you can from people who have been there and done that.

The hep could definitely be causing his situations - the biopsy is not painful at all even though it sounds it and it could turn out being a life saver. I had NO symptoms and was shocked to discover I had the disease and when my biopsy was done I was even MORE shocked to find out I was already at stage 3.  Not much room left to see if treatment would work.

Unfortunately this disease is not one you can stick your head in the sand and ignore.  It's often called The Silent Killer because sometimes you dont have symptoms until you have cirrhosis and at that point is the point of no return. If he successfully clears while he does not have cirrhosis the liver can in fact be cured of the fibrosis but once it's cirrhosis........too late.  You really do want to do treatment before then or risk failing and having transplant.

Tell him to get the biopsy and take it from there. If he has very little liver damage he can ignore it and just biopsy every few years but at least you and he will know where you stand.
Helpful - 0
Avatar universal
"depressed and tired and nauseous most of the time."

Not necessarily caused by the hepc virus.  Even if he is opposed to treating, he should be seen by a physician for those symptoms.  I can understand being at your wits end but if he refuses to find out the exact status of his health there is nothing you can do.  He's a big boy and obviously has a loving wife and children.  That should prompt him to run to the doctor and if he won't tell him this time mommy can't make it better.

Trinity



Helpful - 0
Avatar universal
A liver biopsy is a simple, quick, usually painless procedure that will tell you both how his liver is doing. It's important that he get one. Keep in mind his symptoms could be related to undiagnosed problems.

A biopsy sounded ominous to me before I had mine.  I didn't want one but it turned out to be a piece of cake.

People with little damage can afford to wait for new treatments that will provide better odds in less time.

People with more advanced disease are usually encouraged to treat right away, unless the doctor is aware of other issues.

See if he'll agree to a liver biopsy. It doesn't take long at all, literally a few minutes and then some observation time.
Helpful - 0
Avatar universal
"He really isn't doctoring and refuses treatment because he heard his genotype does not respond well to the treatment."

I had genotype 1a and cleared treated successfully.  It was rough, but well worth it to clear the virus.  Think it over.

jd
Helpful - 0
Avatar universal
Has he had a liver biopsy?  If not, he probably should have one so he can know for sure what shape his liver is in.  If his liver has minimal damage he can probably safely take the wait and see approach and not do treatment yet but, if he has a lot of damage, treatment might become more of a necessity.

Good luck to both of you.

By the way, I'm 54 years old, and I am currently doing the treatment.  I'm at week 32 of 48 and was undetectable by week 4 (which is good).
Helpful - 0
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