I'm a patient with CPMC in Sacramento, and I remember noticing that their website showed two Las Vegas outreach clinic locations. These are from their site: http://www.cpmc.org/advanced/liver/physicians/outreach.html#Las%20Vegas
Robert Gish, M.D.
3150 N. Tenaya #630
Las Vegas, NV 89128
Physician Foundation at California Pacific Medical Center
3006 S. Maryland Parkway #470
Las Vegas, NV 89109
Give them a call and see if they can help. They're a great outfit, by the way--
I forgot to mention... call them back anyway. They are accustomed to working with other doctors in outreach participation-- for example they might consider working up a Tx plan, then work with your internist in NV and let him be the
Sounds like Gish is willing to work with you. Face it, they get bored with your typical geno 1's and a geno 4 acute with a possible con-infection of Hep B can break up their day:) Unlike your local doc appears, he knows his stuff. My suggestion is to get copies of ALL bloodwork, procedures, etc, pre and during treatment and Fedex or fax them to Gish. You might then consider a single trip out to SF for a consultation. After that, you might be able to stay local, with Gish calling the shots and a local doctor taking care of the day to day. Of course, discuss this in advance via email with Gish before you decide to lug out there.
All the best,
I had an old recollection that Gish saw pts in Las Vegas. I remember thinking at the time, that it both made sense and didn't.
Certaininy anybody in this game with his level of street cred (I've been wanting to use that expression for a while, thanks) is pretty good at identifying odds, and beating them a fair amount of the time.....
Deb, so happy to hear you don't have Hep B. There is a lot of confusion when it comes to ACUTE Hep C simply becuase there's not a lot of research/info out there on it. General rule of thumb: treat if VL positive at 3 months (like Gish said), you could wait 4 but don't wait more than 5. As you increase time it's in your body, you decrease your chances of getting rid of it, but you have to weigh the pros and cons of the situation. You may not get a Dr. who understands your case and gives you definitive answers, but you CAN get what you need -- a Dr. who is willing to give you the meds... if, in fact, you need them. I waited until week 17 and my starting VL was 140. In your shoes, I'd wait a couple more weeks, until the 16th week -- only because your numbers warrant it and the tx is so challenging -- however if at week 16, no UND, I'd start tx ASAP. That's my Un-MD'd but heavily researched opinion. The jury is still out though as to if I obtain SVR, so the data from my own case is not yet complete. All my best, Aiuta