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  • #3476
    Avatar photozhuk
    • Guardian Angel
    • ★★★★★
    @zhuk

    Well that’s a rubbish state of affairs LG…I am sorry you’re having such a hard time finding a doc. All you want is your levels to be monitored right, doesn’t sound like that large an ask…though apparently it is.

    Another UK member here might be able to suggest someone you can look up…but at least the side effects seem to be pretty minimal with the new treatments so intensive oversight isn’t necessary, unlike the old meds. No possibly life-threatening anaemia, no potential heart failure…I doubt that I could have lasted a year on interferon/riba. We are all far better off in that regard.

    Hey I guess you get a European trip as well as your teeth done heh. My English half brother went to Hungary to get his teeth fixed, I guess being employed he didn’t want to take the public system lottery. I do wish we had at least basic treatment here – most of our end-stage public dentistry here involves extractions as that’s how far gone most people are by the time they are allowed to access the system.


    GT1a since 1988, diagnosed 1990
    F0, tx naive
    VL 262,000 ALT 40 AST 26 GGT 13 Fibroscan 04/12/15 – 2.9
    Started Mesochem sof/dac 12 weeks 01/01/2016
    11/02/2016 – 6 weeks UNDETECTED
    AST 26
    ALT 26

    #3484
    Avatar photodointime
    • Guardian Angel
    • ★★★★★
    @dointime

    Hi LG, there’s no nice way to say this. Your consultant sounds like a right C***. How unfortunate that you drew the short straw with him. However, even a more helpful NHS consultant has their hands tied when it comes to supplying the drugs we need, courtesy of Big Pharma’s pricing and NHS collusion with it.

    Now, you have got me started on UK dentists, which are another UK professional body straight out of the dark ages. I could rant on about them for hours but will try to restrain myself. Their greed is every bit as invidious as Gilead’s. They insist you have to be registered with them even if you only want one little filling. My (private) dentist thinks that taking the time to match the colour of my front tooth with a filling is beneath him. He only likes the £500 root canal jobs – which then fail. Even the hygienist was salivating on my first visit hoping that she’d got another old fart with gum disease who’d need expensive periodontal treatment. When she found my gums perfectly healthy her face changed like she’d just sucked a lemon. I’d go someplace better but I’ve already been all over town and not found better and got myself a reputation for switching dentists (a bad thing, must be my fault). I really feel trapped in a system which is not serving my interests. To their credit, opticians don’t do this. I can walk in to any optician and get service. Which makes it even more irritating that with dentists I can’t.

    My point is that the UK is riddled with closed shops. We are just the cash cows for their convenience and they tie us up in knots with this enforced registration and transfer of records. The only viable action we can take is the one you are proposing. Go overseas to another country for treatment. If the UK population did this in droves then these dentisits would all go out of business, which they so richly deserve to do. Same for generic meds. India, China, Bangladesh & elsewhere will do business on our terms so take our business there.

    dt

    #3486
    Avatar photoLondonGirl
    • Guardian Angel
    • ★★★★★
    @londongirl

    Brilliant rant DT – and unfortunately, so true.


    GT1a Dec14 F2/8.7 VL 900000-2.5M
    Jan16 Hepcivir-L MonkMed/Redemption
    Baseline: VL 913575 Alt 76 Platelets low
    Wk2 VL1157 Alt 23
    DET Wk 8 VL 32 Alt19 ‘In the slow lane’
    June16 Fibro 5.7 F0/1 LIF 1.5
    Wk 11 VL<12 Alt 13 Det/Unq
    Extending tx 12 wks Mylan Sofo/Dac MonkMed
    Wk 14 VL <12 Det/Unq
    Wk 16 VL UNDETECTED
    Wk 22 + 4 Wks Sunprevir FixHepC
    Wk 24 UNDETECTED Alt 13
    Wk 12 post tx SVR12 Wk 26 SVR24
    Thank-you Tim, Dr Debasis @ MonkMed & Dr Freeman @ Fix HepC

    #3535
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hello everyone

    I will start my treatment this Friday (have arranged a week off work next week to see how it all goes)! I have noticed that mostly people on the Forum speak of taking Sof/Dac. I will be taking Sof/Ledipasvir. Is it because of the genotype you are and if there is liver damage etc. that the other combination is prescribed for me? I’m sure it is right, because of course Dr Freeman prescribed it for me however I was just wondering if anyone knew what the different meds were. My liver function, and fibroscan were both good news and I am genotype 1b with viral load of 3.13 million. These tests were done back in February and April respectively.

    Trepidation and excitement are setting in today….I have taken Joan’s advice and am just rolling with the feelings at the moment.

    Lynne


    YMMV

    #3536
    Avatar photoVicki
    • Topics: 5
    • Replies: 40
    • Total: 45
    • Recovery Champion
    • ★★★★
    @vicki

    Hi Lynne
    , I’m HCV 3. No fibrosis so i’m Sof/Dac for 12 weeks. I can’t speak for Ledipasvir.
    I was very anxious when I started treatment. It was hard to believe it was real. But it is, and you will be feeling more confident as the days follow on and especially when you get your next round of test results.
    All the best.

    #3537
    Avatar photoJoy
    • Guardian Angel
    • ★★★★★
    @joy

    Hi Lynne,

    Welcome to the club, how exciting that you’ve made the decision to go ahead. I’m genotype 1b as well, and taking Sof/Dac. Sof/Led is also used for our genotype and from memory has had a larger trial base. More info under ‘Getting Treated’ above – ‘Genotype Specific Requirements’.

    All the best with your treatment. Keep us posted.

    #3538
    Avatar photoChester
    • Guardian Angel
    • ★★★★★
    @chester

    Yes Lynne, what Joy says is correct. Sof/led has a larger trial base. These are the recommendations from the last EASL conference for treatments for the various genotypes (note the document may not render properly on tablets):

    http://www.easl.eu/medias/cpg/HEPC-2015/Summary.pdf

    I’m also 1b and on Sof/dac/Ribavirin. RIBA because of borderline cirrhosis and dac because led wasn’t available when I started and I was able to get dac under compassionate access. Frankly, I’d have been perfectly happy with any of the 4 options recommended for 1b. We are now the easiest genotype to cure. The results for both dac and led for 1b’s are so close to 100% we really shouldn’t waste any energy stressing about the risk of failure (but of course we all do any way!) The fact your disease has not advanced too far gives you even more reason to be extremely confident that at the end of treatment you will be cured. :)

    #3583
    Joan
    • Topics: 3
    • Replies: 68
    • Total: 71
    • Recovery Champion
    • ★★★★
    @joan

    Hi Lynne
    I have just started treatment on day 4 so we will be travelling the road together. The anxiety is hard to keep at bay and it seems to be part of the process. Its such a huge decision buying and taking the meds. And then the anticipation of how they will impact on you. Yes just try to roll with the uncertainty. Once I started I was surprised that I didn’t have any side effects. Mind blowing actually as I react to everything.
    I did feel exhausted on the second day and couldnt tell if it was the drugs or not. I put it down to all the pre treatment stress.
    It won’t be long now before you start. I wish you well and a side effect time.


    GT2B Diagnosed 1989
    Started Tx 6.Nov.2015
    F3 Fibroscan 17: April.2015
    Alt PreTx: 186 Ast PreTx: 157 VL PreTx: 733,000 27.10.2015
    Alt Week 4: 14 Ast Week 4: 28 VL Week 4: UND 7.12.2015

    #3584
    Joan
    • Topics: 3
    • Replies: 68
    • Total: 71
    • Recovery Champion
    • ★★★★
    @joan

    OOPS!! And a NO side effect time.


    GT2B Diagnosed 1989
    Started Tx 6.Nov.2015
    F3 Fibroscan 17: April.2015
    Alt PreTx: 186 Ast PreTx: 157 VL PreTx: 733,000 27.10.2015
    Alt Week 4: 14 Ast Week 4: 28 VL Week 4: UND 7.12.2015

    #3595
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hi Joan How wonderful that you are almost side effect free…..I sure hope I am too. Nonetheless, even if I do get some side effects hopefully they won’t be too bad. Like you, I pretty much react to everything too :) I seem to be not so nervous at the moment, the closer my start date gets the less anxious I am…..will post again over the weekend.


    YMMV

    #3653
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    Hello I have been to my GP this morning and he said he wasn’t sure which test to run at 4 weeks…..he is fully supportive but I guess just not clear on what tests to run. He has written out the following for me to check which one it is:
    HCVL RNA
    RES HCVL
    LOG HCVL

    Would someone be able to tell me which one it is so I can advise the Doctor when I go to him in 4 weeks. He has other Hep C patients but I suspect has not dealt with the follow up tests simply because the meds are not available here.

    Thanks in advance.

    Lynne


    YMMV

    #3655
    Avatar photoChapel
    • Guardian Angel
    • ★★★★★
    @chapel

    Hi Lynne, the GP Cheatsheet under the Forum heading at the top of the page describes Monitoring and I assume 4/52 means the 4-week point. Your GP will probably understand it, But maybe the GP’s query is on the type of viral load test? I am on the same drugs as you and my hep nurse has ordered a `PCR viral load’ test at the four-week mark. I hope this helps.


    M, 57, Live in Wellington,NZ.
    Genotype 1a diagnosed in 2013.
    Treating for the first time since October 31 with Buyers Club Sof/Led. Thanks so much guys. Minimal side effects apart from sore throat at the start..
    Viral load 5.4m when treatment started, Undetected at 4 weeks, 8 weeks, End of Treatment and 12-weeks post EOT. Yay!

    #3656
    Avatar photoemilio
    • Guardian Angel
    • ★★★★★
    @emilio

    Hi Lynne, I’m thinking HCV RNA quantitative and a full liver panel test to ascertain liver function alt, ast, ggt. Im definitely not a GP so James and others will answer shortly. Em

    #3657
    Avatar photoemilio
    • Guardian Angel
    • ★★★★★
    @emilio

    GP cheat sheet:
    4/52 into treatment FBC, Cr&E, LFTs, Hep C Viral Load – See more at: http://fixhepc.com/forum/forum-gp-cheat-sheet.html#sthash.Mm5wpXBp.dpuf. em

    #3660
    dope-on-a-rope.jpgDr James
    • Guardian Angel
    • ★★★★★
    @fixhepc

    I request a Hep C Viral Load which is reported as (say) reading a pre-treatment result

    HCVL RNA – HCV RNA Detected
    HCV Viral Load – 1,000,000
    HCV Log Viral Load – 6

    So essentially all 3 are reported.

    There is the Detected/Undetected. If it is undetected then they don’t report the viral load.

    If it is detected the the viral load is either a number > 15 or a < 15 (which is the quantification limit). If if is < 15 they don't report the log The Log Viral Load is what the viral load is in terms of 10^x so:

    Viral Load Log Viral Load
    100 2
    1000 3
    10,000 4
    100,000 5
    1,000,000 6
    10,000,000 7
    100,000,000 8

    Essentially the viral load is “count the 0s!”

    You can use the form as is and the lab will know what is required.


    YMMV

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