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Hep C Discussion Forum -> On Treatment -> Got the Low Down on the biopsy,
Post Info TOPIC: Got the Low Down on the biopsy,
Huey


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RE: Got the Low Down on the biopsy,
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I just got back  from the Doctors, The Smooth muscle tissue was from a blood vessel and the needle poked through, He used the mono currant on the front but not the other side because he could not see it,  It was not my diaphragm because he poked from the other direction but it was not ware he wonted the needle  to be none the less.

/I go back to work tomarow,

/We are all in this together Keep your stick on the ice. Red Green Show



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Isiscat2011


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Hi Huey:

Something obviously went wrong because you needed a second emergency surgery to correct damage caused by the first surgery.  The only way to evaluate the cause (Da Vinci malfunction, surgeon not properly trained to use Da Vinci, etc.) is to have a neutral surgeon who is familiar with Da Vinci technology and procedures review your medical records.  An attorney can help you find one if it comes to that. 

There is also no way for you to know the extent of the damage at this point.  Hopefully, nothing worse will happen, and you will have a full recovery.  All surgeries carry risks of complications but DaVinci surgeries have been the subject of a great deal of controversy following significant numbers of injuries and deaths. Within the medical community some docs question whether the evidence actually supports the usage of them.  

Be careful here.  Don't force yourself to do more than you can and don't worry about upsetting the doctors you "like."  Your health is your first priority.  

http://well.blogs.nytimes.com/2013/09/09/new-concerns-on-robotic-surgeries/



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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
Matt Chris


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Hey Huey

So how did the Bleeding subside? I was reading on this  (monopolar) electrosurgical coagulation, doesn't it have a camera?

Sounds like your past the worst of it so hope all from here goes well.

matt 



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"And in the end, the love you take is equal to the love you make"

61 year old Geno type A1, F4 Cirrhotic, started 24 weeks on Harvoni 12-17-14 ,EOT-5 week = UND, 8-31-15 =UND , SVR-24 Baby YES! 
Huey


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Word today is I go see the Doc 145, get to work tomorrow.aww



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Huey


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Isiscat2011 wrote:
Huey wrote:

My Job however has a  requirement on a return to work without restrictions, so NOW I have to file a  FMLA and ShortTerm Dissablity, I might even file for SSD, 

A friend says i should sue the Doctors, I like those guys and I hope it doesn't come to that,  The Employer may wind up with one though by not finding me work I could do,, Is that possible Hep-C discrimination?

Anyway couldn't go to work today,

/we are all in this together Keep your stick on the ice. Red Green show.

HepC can qualify as a disability under the ADA, Huey.  They look at it on a case by case basis with the focus on how one is impaired rather than just the diagnosis.  Not my area of practice, however.  When do you have to return to work and will you be up to it?

I hope it doesn't come to that either.  Not all undesirable outcomes are due to negligence.  What happened with your Robo Doc surgery, anyway?

   The robot stuck my liver but went through it, getting some smooth muscle tissue in the biopsy, If he would have seen it, the mono-poller current would have stoped any bleeding right away, hidden by the liver it must have went undetected.  I woke up , I have never had an operation before so I don't know how much pain is normal. My ride takes me home pain is worse, pain quickly too much, within 2 hours I was back in emergency room.

They started looking for a leak in the bile duct going through my common bile duct, No leak found,but they put a stint in just in case./

 the return to work needs to be yesterday according to my budget and for what i do, It is crazy to say I am too unfit for any kind of work when all they do is put stickers on books.



-- Edited by Huey on Tuesday 5th of August 2014 10:01:04 AM

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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Isiscat2011


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Huey wrote:

My Job however has a  requirement on a return to work without restrictions, so NOW I have to file a  FMLA and ShortTerm Dissablity, I might even file for SSD, 

A friend says i should sue the Doctors, I like those guys and I hope it doesn't come to that,  The Employer may wind up with one though by not finding me work I could do,, Is that possible Hep-C discrimination?

Anyway couldn't go to work today,

/we are all in this together Keep your stick on the ice. Red Green show.

HepC can qualify as a disability under the ADA, Huey.  They look at it on a case by case basis with the focus on how one is impaired rather than just the diagnosis.  Not my area of practice, however.  When do you have to return to work and will you be up to it?

I hope it doesn't come to that either.  Not all undesirable outcomes are due to negligence.  What happened with your Robo Doc surgery, anyway?



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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
Huey


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mallani wrote:

Hi Huey,

That makes you A2- F2 which is great. How they got smooth muscle in the biopsy is a mystery!

The iron accumulation is not uncommon. You may want to get your iron parameters done. All good, buddy.

 Thanks and guess what, the 3 days I was off solvaldi, my sugar spiked as my ATL's went down, That is that insulin resistance i was telling you about. The sugar went back down because my body was handling it.  I think I am good too,. Keep in mind I was under controlled iv glucose at the time.  My sugar should not have spiked at all.



-- Edited by Huey on Tuesday 5th of August 2014 02:32:09 AM

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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
wmlj1960


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Of course the whole report is Greek to me, but since everyone says it's good, I say congrats!!! I'm happy for you Huey. smile



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Tx #1 - 24wks Sov+Riba /SOT 7-24-2014/UND@EOT/DETECTED@EOT+16 wks
Tx #2 - 24wks Harvoni /SOT 7-25-2015/UND@EOT,+12,+24,+52 = SVR

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mallani


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Hi Huey,

That makes you A2- F2 which is great. How they got smooth muscle in the biopsy is a mystery!

The iron accumulation is not uncommon. You may want to get your iron parameters done. All good, buddy.



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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
Huey


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My Job however has a  requirement on a return to work without restrictions, so NOW I have to file a  FMLA and ShortTerm Dissablity, I might even file for SSD, 

A friend says i should sue the Doctors, I like those guys and I hope it doesn't come to that,  The Employer may wind up with one though by not finding me work I could do,, Is that possible Hep-C discrimination?

Anyway couldn't go to work today,

/we are all in this together Keep your stick on the ice. Red Green show.



__________________

  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Isiscat2011


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Huey wrote:

Thanks Isiscatt  This is a F2 in Mallani speek

 Also grade 2 inflammation which is moderate as well.  Your body should be able to repair that on its own....no problemo.  biggrin

 



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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
Huey


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Thanks Isiscatt  This is a F2 in Mallani speek



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
Isiscat2011


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This is good, Huey.  About what you expected, right?  Hopefully, 2014 will be your year for SVR, and you and your liver will go on to live and long and happy life!  



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Diagnosed in 2011, Incivek triple in 2011, tx discontinued, Genotype 1a, CT, VL 7mill, cirrhosis dx in 2012, age 67, waiting for new DAAs.
Huey


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I guess I could call this my State of the Liver Address. lol/

The liver core biopsy, specimen B, contains two cores of hepatic
parenchyma and
one small core fragment of benign smooth muscle.No significant
steatosis is
seen.The portal areas are expanded by a mild chronic inflammatory
infiltrate,
predominantly lymphocytes with a few lymphoid aggregates present.There
is
focal extension of inflammatory cells across the limiting plate, and
minimal
lobular inflammation.No bile duct lesions, ductopenia or granulomas
are seen.
Special stains including iron, digested PAS and trichrome stains were
performed.
The digested PAS stain is negative for diastase resistant PAS positive
globules.The iron stain shows moderate iron overload (2-3 out of 4),
with
hemosiderin present in Kupffer cells and in hepatic parenchyma.The
trichrome
stain shows periportal fibrosis.Complete bridging fibrosis or
cirrhosis is not
seen.
The patient is reported to have a history of hepatitis C, and is on
therapy.
The current biopsy shows chronic hepatitis with mild activity (grade 2
of 4) and
periportal fibrosis (stage 2 of 4).Clinical correlation and follow-up
are
suggested.
Please contact the lab if quantitative iron studies are needed on the
core
biopsy.



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  HCV Genotype 3a , now Psot-Tx was on S/riba. First VL was 5.8 mil on 7-5-13 then "und" at 3.8 weeks. 06/13/14 still und. off meds 3 days back on 7/29 Last pill 08/10/14 SVR+4

 
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