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  • 26 April 2018 at 6:42 pm #27908
    SHarmon
    • Topics: 4
    • Replies: 37
    • Total: 41
    • Recovery Champion
    • ★★★★
    @sharmon

    Many countries restrict covered treatment to over a certain liver damage level (eg F2) and/or co-infection to say whether it is covered or not. A viral load is a viral load no matter the count and once 2 tests come back positive over the period deemed to be chronic and not acute (6 months in mine) then the load itself is not a determining factor. The damage criterion steadily drops as time passes and more is known about the cost of leaving someone untreated so check with your countries health system as there is a good chance it may be completely covered.

    26 April 2018 at 6:46 pm #27909
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Thank you very much for the information I am keeping my fingers crossed but if all hope fails I know dr. Freeman will get me right :)

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    27 April 2018 at 8:27 am #27911
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Although your low level seems a good thing, what it means is that your body is having a “red hot crack” at trying to get rid of it. Your body does this by killing the liver cells containing it, so, as strange as it may seem:

    Patients with high viral loads are often less symptomatic than patients with low ones because all the virus wants to do is duplicate itself – it is your body’s immune system that is doing the damage by trying to kill it.

    There is some discussion here about this: https://www.webmd.com/hepatitis/c-hcv-viral-load#1

    While the 2 experts focus on what is high, what is low there is mention that viral load does not indicate disease severity, prognosis and progression.

    YMMV

    27 April 2018 at 7:09 pm #27916
    Cristine123
    • Topics: 5
    • Replies: 16
    • Total: 21
    • Treatment Warrior
    • ★★★
    @cristine123

    Dr James, Is there any data that suggests a high viral load (14 mil) is related to length of time having HCV? I’ve probably had the virus since mid 70’s.

    Also, is such a high viral load predictive of possible SVR failure after 12 weeks Harvoni? If so, wouldnt it be prudent to have viral load tested a few weeks before end of 12 week tx so, if necessary, one could continue for longer period of time without interruption? ❤️

    Probably had HCV since mid-1970s, Diagnosed HCV 2/2018, ALT:124 AST:83, GT:1b, Liver Ultrasound: Normal, Fibrosure: 0.68 or high end of F3, VL: 13,896,061, Started tx 4/9/18 w/Harvoni for 12 weeks. Scared but committed

    27 April 2018 at 9:54 pm #27917
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Thanks for the information! I will update as soon as i get some more updates i really want to know what genotype i have im not sure if ill need to do more labs or not.

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    28 April 2018 at 1:50 pm #27918
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Viral load is essentially meaningless. Anything over undetected is a problem and the response to treatment is great regardless of starting viral load.

    YMMV

    1 May 2018 at 4:25 pm #27922
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Alrighty i just got a call to go in for more labs this morning (bummer) and they scheduled a ultrasound appointment and will call me back for a date. To be honest the whole ultrasound thing makes me nervous, probably because im scared to know the state that my liver is in..
    Wish me luck guys.

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    1 May 2018 at 6:09 pm #27923
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    just got home from doing my labs they did a cbc (i think thats what its called) a genotype, iron & acouple other test for tumors i think. I also am scheduled for the ultrasound tomorrow morning. Ill update as soon as i get more information.

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    1 May 2018 at 7:00 pm #27925
    Avatar photoMar
    • Guardian Angel
    • ★★★★★
    @mar

    So things are finally starting to move, that’s great, good luck Nick.

    Making the world a better place – one patient at a time.

    1 May 2018 at 8:11 pm #27926
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Thanks Mar :)

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    2 May 2018 at 4:05 pm #27930
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Here are my CBC results please let me know if their is anything out of the ordinary.

    Name
    White Blood Cell
    Normal Range
    4.00 – 10.80 10*3/uL
    Your Results
    4.94 10*3/uL
    Name
    Mean Platelet Volume
    Normal Range
    7.4 – 11 fL
    Your Results
    9.7 fL
    Name
    Neutrophil Automated
    Normal Range
    35.0 – 80.0 %
    Your Results
    39.5 %
    Name
    Imm Gran Auto
    Normal Range
    N/A
    Your Results
    0.4 %
    Name
    Lymphocyte Automated
    Normal Range
    20.0 – 50.0 %
    Your Results
    43.9 %
    Name
    Monocytes %
    Normal Range
    2.0 – 12.0 %
    Your Results
    12.6 %
    Name
    Eosinophil Automated
    Normal Range
    0.0 – 6.0 %
    Your Results
    3.0 %
    Name
    Basophil Automated
    Normal Range
    0.0 – 2.0 %
    Your Results
    0.6 %
    Name
    Neutrophil Absolute Count
    Normal Range
    1.80 – 7.80 10*3/uL
    Your Results
    1.95 10*3/uL
    Name
    Imm Gran Absolute
    Normal Range
    N/A
    Your Results
    0.02 10*3/uL
    Name
    Lymphocyte Absolute Count
    Normal Range
    1.00 – 4.00 10*3/uL
    Your Results
    2.17 10*3/uL
    Name
    Red Blood Cell
    Normal Range
    4.60-6.00 10*6/uL
    Your Results
    5.15 10*6/uL
    Name
    Monocyte Absolute Count
    Normal Range
    0.00 – 0.90 10*3/uL
    Your Results
    0.62 10*3/uL
    Name
    Eosinophil Absolute Count
    Normal Range
    0.00 – 0.50 10*3/uL
    Your Results
    0.15 10*3/uL
    Name
    Basophil Absolute Count
    Normal Range
    0.00 – 0.20 10*3/uL
    Your Results
    0.03 10*3/uL
    Name
    Hemoglobin
    Normal Range
    14.0 – 18.0 g/dL
    Your Results
    13.8 g/dL
    Name
    Hematocrit
    Normal Range
    42.0 – 52.0 %
    Your Results
    43.2 %
    Name
    Mean Cell Volume
    Normal Range
    80.0 – 100.0 fL
    Your Results
    83.9 fL
    Name
    Mean Cell Hemoglobin
    Normal Range
    27.0 – 33.0 pg
    Your Results
    26.8 pg
    Name
    Mean Cell Hemoglobin Concentration
    Normal Range
    32.0 – 37.0 g/dL
    Your Results
    31.9 g/dL
    Name
    Red Cell Diameter Width
    Normal Range
    11.0-16.0 %
    Your Results
    13.4 %
    Name
    Platelet
    Normal Range
    140-400 10*3/uL
    Your Results
    230 10*3/uL

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    3 May 2018 at 6:38 am #27936
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    This is only your full blood count but it is remarkably unremarkable and quite normal.

    YMMV

    3 May 2018 at 4:50 pm #27939
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Thank you :)

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    3 May 2018 at 5:00 pm #27940
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    I just checked my email and got my results back from the ultra sound pretty interesting!

    EXAMINATION:
    Liver Ultrasound

    EXAM DATE:
    5/2/2018 10

    TECHNIQUE:
    Ultrasound of the liver, gallbladder, bile ducts, pancreas, right kidney, and spleen is performed.

    INDICATION:
    Hepatitis C.

    COMPARISON:
    None

    FINDINGS:

    Liver:
    The liver is normal size, configuration, and echogenicity. No mass is seen. No nodularity of the liver contour is identified.

    Gallbladder:
    There is comet tail artifact emanating from a portion of the anterior gallbladder wall compatible with adenomyomatosis. No gallstones are seen. There is no gallbladder wall thickening or pericholecystic fluid.

    Bile Ducts:
    No bile duct dilatation is seen. The internal diameter of the proximal common bile duct is 3.2 mm.

    Pancreas:
    The pancreas is normal.

    Right Kidney:
    The right kidney is normal size and appearance.

    Spleen:
    The spleen is normal size and appearance.
    No ascites is seen.

    Impression:
    There is no evidence of cirrhosis. Normal ultrasound of the liver.

    Cool stuff! What is this tail thing on my gallbladder that they mentioned?

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

    3 May 2018 at 5:10 pm #27941
    Avatar photoNick-Campfield-facebook
    • Topics: 2
    • Replies: 45
    • Total: 47
    • Recovery Champion
    • ★★★★
    @nick-campfield-facebook

    Also can the ultrasound determine any kind of fibrosis?

    Contracted 2011
    Gen 3
    VL 13000
    Treatment Start Date: SOON

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