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Post Info TOPIC: Blood Transfussion Hemoglobin level


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RE: Blood Transfussion Hemoglobin level
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No I have not been sent to one or seen one yet.  the Specialist is an Infectious Diese specialist, was an RN until relieved of duties and my own GP who is new only a GP for two years. I am 61 and fairly healthy and was active walked 2-5 miles a day, Diabetic type 2 but good levels.  reduced pills from 7 to 4 to slow crash and just starting Eprex second shot.  On my own which I understand is not going to dramaticly change things I take Hemo Gen and B12. Hem was low before treatment started as it was at 134 last May.  Anyways thanks for the information best response I have had as of yet.  some saying 70 is lowest and they gave him three pints and raised it one point per pint.  If this was so then the Exprex which runs $3,000.00 per 8 shots, one per week would not be needed possibly and transfusssion would be no cost.  RN that I had from Access said " no blood transfussions on her watch" a real town clown and this made me wonder about levels for transfussions

Thanks again Bill



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Geno type 1  rib and peg September 2012 , 5 weeks tripple and viral down to < 15 und april Aug 25 finished stay at peg 3 rib and eprex + blood transfussion finished treatment Aug 25 2013



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Bill, rereading my post made me realise that this is purely guesswork. Young ,fit people can drop their Hb to 5 (50). I realise that you're trying to get your Hb up so you can start Victrelis. The drop from 13.5 to 8.2 seems a bit extreme- have you seen an Haematologist?



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Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm



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Hi Bill, there is no easy answer. Each patient is different, and Hepatologists have differing opinions. When my Hb was 8.9 (89 here), I asked my doc about reducing Riba. At the time he was treating 6 cirrhotics. He would not reduce Riba unless my Hb was <8. One cirrhotic had 2 bags of blood- from memory his Hb was in the low 7's. Obviously patients with ischaemic heart disease or chronic pulmonary disease would be treated differently. My answer would be 7-7.5 in an otherwise normal patient.



__________________

Geno 1b, IL28B CT,  x3 prior relapser,  ex-cirrhotic, 75 yo, did 48 weeks with Victrelis/Peg./Riba.  VL 1.28m at start, UNDET. at 8 ,12 ,16 ,24 ,30  and 48 weeks.  EOT 15 Feb 2013 , UNDET. at EOT + 28 weeks. SVR!  Still Undet. at EOT +5 years

Malcolm



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The Hemoglobin level that they use here for normal range is 139 to 179.  Does anyone know at what reading is it necessary for a blood transfussion. If it drops to 80, 60 etc.  no need for other information about reduceing pill, eprex etc just if anybody has needed a transfussion and what was their level at.

Bill



__________________

Geno type 1  rib and peg September 2012 , 5 weeks tripple and viral down to < 15 und april Aug 25 finished stay at peg 3 rib and eprex + blood transfussion finished treatment Aug 25 2013

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