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Hep C Discussion Forum -> On Treatment -> When did you have bloodwork for the 4 weeks treatment?
Post Info TOPIC: When did you have bloodwork for the 4 weeks treatment?
Suzanneaz


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RE: When did you have bloodwork for the 4 weeks treatment?
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HI, its so confusing. My Dr didnt even run the viral load after the first week, my Dr only disucced blood component tests. I was disappointed.  I find it really odd that there are so many variables to how each persons Dr handles things, it doesnt seem like there is a clear cut time frame *or is it the Drs not knowing enough about treatment maybe?  I guess maybe some variables might be what insurance companies will pay possibly?  Ok, its shot time.



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Hep 1A. 550,000. Starting tx on 1/06.

 
Shep


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I did my very first set of labs after only 2 weeks--they were just monitering initial reactions to make sure nothing was majorly amiss. Since I am doing Victrelis--the weeks that they look at response rate is week 8, 12 & 24. I know another factor guiding when I go in for appointments & lab work is my doctor's schedule--sometimes he is doing the hospital clinic & is just not in the office. I think the Incivek folks get tested on week 4, 8 & 12 for response rate.
And welcome to the forum Ms. Piggles! Really nice to meet you!
Shep

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Diagnosed 1996 genotype 1b VL alot tx starting 12/23/11 Victrelis UND week 8!!! 28 weeks of tx

Completed tx 7/6/12--still UND!!!!
Piggles925


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Wow, I am all kinds of confused.

I started treatment yesterday and was given a lab slip and a follow-up appointment for March 19.  

I keep looking at the calendar and I am pretty sure March 19 is in the beginning of week 4 for me.  Only I was instructed to get the labs drawn on March 14th, which is in the middle of week 3-exactly 20 days in.  28 days would be March 22nd.  

Seems kind of soon be be getting my labs drawn...

What do you guys think?



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~Ms. Piggles

HCV+ since 1988.  Genotype 1b.  Last viral load UNDETECTABLE at week 7 of treatment.  Last liver biopsy 2/0.  IL28B TT. 

Started triple drug therapy with Incivek 2/23/2012.  Taking it day by day.
Anna Christie


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Hope everyone gets to Undetected soon. It is a relief. I felt like jumping for joy I was so excited when I learned my result. Love to everyone.



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wilsondog


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Seems like it's different depending on whether you are doing Victrilis (sp?) or Incivek.  I'm on Incivek and had my blood drawn yesterday, my 5th shot coming up this Friday.  I'm told I'll have my results tomorrow or Friday, so I'll post them when I know (fingers crossed!).  I have great confidence in my practitioner and live in a medically progressive area, so I feel like they don't mess around.



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wilsondog
Shep


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I am have been very confused about the schedule myself--my nurse sort of explained that they want to make sure that you have completed the full 4 weeks of tx. So I had blood drawn this week after my 9th shot but don't get the results for another week. Seems like it should have happened between the 8th & 9th. Hhmm?
Shep

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Diagnosed 1996 genotype 1b VL alot tx starting 12/23/11 Victrelis UND week 8!!! 28 weeks of tx

Completed tx 7/6/12--still UND!!!!
TazKat


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yea.. my doc said the same. i was ahead of labs by a week. don't get their plan of this but hey.. i let them figure it out!!  smile



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TazKat Genotype 1A null responder x 3 riba & iterferon twice, relapsed from Incivek 2012 with only 12 weeks left to do. stage 4 mild cirrhosis 4/25/2014/ started sovaldi riba & interferon.. finished treatment 7/17/14  results 7/25  cleared..

 

 
Phil G


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That is indeed a good question, one that caused me a lot of grief for a while. I actually started Victrelis at the end of the 5th week (6th shot), but I was just following the doctor's instructions. After studying the various product literature over and over, I believe that I started a week late, and my labs may be off a week as well. After I started the Vic, I was so confused and frustrated that I had to force the nurses to give me a definitive schedule for the labs. So now, I know what to do and when, and whether its off a week or not doesn't matter anymore. I have been doing once a week CBC and hepatic function labs since starting Vic, so I really just need to remember when to do the viral load, too. This Thursday is my week 12 viral. Did one at week 8 (UND), but not at week 4 - just following the instructions I had. I use my Outlook calendar to track just about everything, but that's just the way I operate.



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Geno 1A, VL 1.9 mm, SOT 12/2/11 - Pegintron/Ribavirin/Victrelis, UND since wk 8, EOT 6/15/12 (28 wks), SVR 11/30/12
alohaKim


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Suzanne, I'm right here with you. My doc made it very clear to me, though. I do my 5th shot this Friday, and I am to go in for my 4 week labs that same afternoon. Because 5th shot marks exactly 4 weeks on tx. I also start the Victrelis on Friday.

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Genotype 1a, non responder to Peg/Riba in 2005. Started triple therapy 1-27-12 with Victrelis.  UNDETECTABLE as of 8wk labs (after 4 weeks of Victrelis) 4-3-12. UND at week 8, 12, 16 & 20 of tx. Completed triple therapy Oct 2012. relapsed 10/2012
Suzanneaz


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I need to have blood work done and the Dr left it up to me to go in to get it done and told me to make an office appt 10 days after taking the test.

My 4th shot is friday. That means that 3 weeks have gone by, so next friday after would be shot 5 and that would be the completion of 4 weeks.

Do people go in like the following Monday and then get their results 10 days after that? I will be starting with the Victrellis with the fifth shot (end of four weeks of treatment). Am I figuring this out correctly? My Dr did not do a viral load test after a week, so this upcoming blood work will be my first to do that test since starting tx.

thank you, Suzanne



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Hep 1A. 550,000. Starting tx on 1/06.

 
Anna Christie


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I questioned my Physician Assistant why she ordered 4 week labs for Incevik three days before my fifth shot. I was afraid it would come back positive if done 3 days early and told her If it did happen to be detected I would end  up having to do 48 weeks total TX.. She said it did not matter if done 3 days early and it was done 3 days before 5th shot. It was undetectable.I go to a big hepatology/liver transplant  center at a big teaching hospital. She was very sure it did not matter if done 3 days before the 4th shot, and she was correct.



-- Edited by Anna Christie on Wednesday 22nd of February 2012 10:48:03 PM

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news


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This is an excellent question. Because the shot usually marks the beginning of the week, you feel like you are one shot ahead all the time. The fifth shot marks the end of the fourth week. So, anytime after the fifth shot (like the very next Monday) would be time to get your labs. I get so confused when I look at the doses left in the box in the refrigerator, but after I think it over for a minute it always starts to make sense again.

Did they give you a starter kit with a journal book in it? I find mine to be a very useful tool, because there is a line for the date for all the major events, and the Week # is in bold type on the page. It helps equate date to week.

I almost said "Welcome aboard and good luck on your labs", but I realized I have seen you here before. Good luck on your labs anyway.

Alan



-- Edited by news on Wednesday 22nd of February 2012 04:37:40 PM



-- Edited by news on Wednesday 22nd of February 2012 04:38:51 PM

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Geno 1A  Started Pegasys/Ribavirin/Incivek Nov. 20, 2011 .  Completed July 28, 2012 (36 weeks). For a treatment history, see:  https://jshare.johnshopkins.edu/xythoswfs/webview/_xy-9921874_1

SVR on January 14, 2013!!
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