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Post Info TOPIC: test
Dover514


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RE: test
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hello,

Usually a full hep c panel during labs will show how the albumin & bilirubin levels are

with the hep c, I had a bx in 2000 and haven't had one since, basically if he has a lab

workup done at least once a year after the bx, they will be able to measure the

deterioration to the liver if cirrhosis is present, if only seeing a primary it may be

wise to schedule with a gastroenterologist to monitor the labs, the liver will continue

to become more damaged until the virus is cleared.

I myself didn't find that I had hep c until nearly twenty years later and just today began

the first test on my way to being placed on donor list for transplant due to cirrhosis caused

by the virus.

 

Good Luck

Dave

 



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mallani


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Hi sw,

We're not getting very far, are we.  You still haven't given us hubby's GGT, Bilirubin and Albumin.  As I said previously, these are part of the LFT's which you obviously had done. Hubby has chronic HCV, was A1F1 6 years ago, and needs treatment.  Why haven't you asked for a referral to an experienced Hepatologist?  Personally I would demand a biopsy to assess the extent of liver damage, and decide on Rx after that. With your concerns about jaundice and ascites (from previous posts), I would have thought you wanted some answers. We now know he's Geno 1, but is it 1a or 1b, and what is his VL (Viral Load).  Sorry to be so blunt.  Cheers.



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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
supportive wife


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Got the labs back from doctor the results read ALT RHC 34U/L and the AST RHC read 27U/L but people said need more test ran



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supportive wife


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We can also determine  if he needs a bx after the test results right?



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Tig


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Well, those are the tests you need have done. I see he had a biopsy 6 years ago. Looks like his liver was fairly healthy back then. A-1/F-1 (if I interpreted that right) is pretty decent. I don't know why it was necessary to even treat him at that point. If it was up to me I would ask for another biopsy now. That's the only way you're going to have proof of the current liver inflammation and fibrosis levels. That is what truly determines the immediate need for treatment (or not).

 



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Tig

68yo GT1A - 5 Mil - A2/F3 - (1996) Intron A - Non Responder, (2013) Peg/Riba/Vic SOT:05/23/13 EOT:12/04/13 SVR 9+ years!

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supportive wife


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We found out he had geno 1 stage 1 grade 1 6 years ago when we did the bx.  we did the riba/peg treatment but it didnt work.  so now here we are and I want to know how the liver is doing. 



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supportive wife


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Ok so since my husband is not seeing a specialist now ur doctor is going to run some more test to see where he stands with this disease so can yall tell me what kind of test he needs to run so I can take my list when we go to see the doctor?  We ran the AST/ALT which were 27 and 34 on  9/4/13.  If these test come back and there is a problem then we will go to a specialist.  I know it is better to see a specialsit but hey I will take this right now


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Tig


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If he hasn't had any tests done at all then the list can be lengthy. Some people encourage genetic tests to determine how the patient will react to Interferon, and is probably a good idea. I'll find that information for you but someone will probably beat me to it. As far as the other tests, there is the CBC w/differential, Chem Profile (LFT'S), TSH (Thyroid), HCV RNA Quantitative Real Time PCR (Will show the viral load). That is typical of the tests required to establish a baseline understanding of your husband's blood work.

The genetic test I mentioned is for the "IL28B Gene"  http://www.treatmentactiongroup.org/hcv/factsheets/il28b

Another test you need if you don't already know is the HCV Genotype



-- Edited by Tig56 on Wednesday 18th of September 2013 09:35:27 PM

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Tig

68yo GT1A - 5 Mil - A2/F3 - (1996) Intron A - Non Responder, (2013) Peg/Riba/Vic SOT:05/23/13 EOT:12/04/13 SVR 9+ years!

Hep C FAQ   Lab Ref. Ranges  HCV Resistance

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