Home Forums Main Forum Experts Corner Don’t undertreat, but don’t overtreat either…..

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  • #23125
    Avatar photobeaches
    • Guardian Angel
    • ★★★★★
    @beaches

    Do you recommend any tests after treatment?


    Genotype 1a
    Diagnosed in 2004, had HCV for all my adult life. Until 2016!!!!
    Harvoni treatment, started 19 March 2016
    4 week results Bilirubin 12 down from 14 pre treatment,
    Gamma 25 down from 52, ALT 19 down from 63, AST 19 down from 47,
    VL <15 down from a lazy 6 million or so

    EOT Results
    Bilirubin 10, GGT 18, ALT 19, AST 21, VL UND

    12 Weeks post EOT
    Bilirubin 11, GGT 16, ALT 22, AST 20, VL UND
    Cured baby

    #23126
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Do you recommend any tests after treatment?

    It’s hard to make blanket recommendations because each patient is different, both in terms of what they have already had done, and what should be done. Leaving aside routine things like SVR viral load testing and routine bloods…..

    For cirrhotics looking for HCC via AFP/US/CT/MRI should certainly be there

    Diabetes and thyroid issues need a check from time to time

    But other than that it really needs to be tailored.


    YMMV

    #23144
    Avatar photoAriel
    • Guardian Angel
    • ★★★★★
    @ariel

    Yes we are all made differently and my GP requested these
    Here is a real life example of the tailoring James spoke of in the previous post:

    Post tx tests for Ariel:
    *note (I have had four years of chemicals of various toxic levels eg peginf plus riba (three in morning two at night) no idea why so many, vl was 420,000 liver F0. Also predisolone. For actinic and allunare granuloma. Weaning doses but from 50mg down, that’s a lot.) There are others here who have had more chemicals than me.

    Post DAAs tests list:
    August 2016:
    CT KUB, cystic kidneys
    Abdo scan; liver, spleen, gall bladder, aorta, pancreas, kidneys
    No further action required but for watch kidneys.
    Colonscopy; Removal of dysplasia adenoma not invasive, second time so now more frequent colonscopies.
    Current: dental work, tooth extraction, root canal filling, resolved oral thrush
    Near future: Breasts, pap smear and R axial node check. History: benign tissue and calcification

    We are all different and I have an extremely healthy lifestyle and had no illness at all prior to peginf no lumps no nothing.

    I don’t think that the DAAs are my issue
    I’m better than I was definitely.
    However I think it’s smart to be safe rather than sorry.
    My colonscopy is enough to testify to that.

    A

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