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Viewing 15 posts - 1,006 through 1,020 (of 1,402 total)
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  • in reply to: My parcel of Magic Pills has arrived!! #9752
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hi Chejai,

    Great to hear you sounding more cheerful today. :cheer:

    If your old GP is really within reasonable* driving distance for non HCV related illnesses then it may be worth considering changing all you appointments back to him as someone you know and trust with yours and.presumably your son’s health. I suspect for you, once you get rid of HCV there will be less doctors visits but obviously your son will still need regular visits for a few years due to his age. A trade off between walking to the GP vs better health care as long as delays caused by longer travel distance won’t cause issues for either of you.
    Regardless of whether you take that path, I do think it would be a good idea to consider approaching him for monitoring during treatment anyway based on your available options.

    *(for overseas readers: this is Australia so ‘reasonable’ can be sometimes be considered several hours if you don’t live in a major city ;))


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Waiting game #9746
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hi PauliNO,

    Not much waiting left. :)

    Best wishes for your journey to SVR and keep us updated with your progress. I think you are the first here from Norway so no doubt others will be watching and learning from your example. :+1:


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Blood test for Vitamin D levels #9735
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Make sure you are comparing apples with apples though. There are two different measurement systems in use: ng/mL and nmol/l

    nmol/l is 2.5 times as high as ng/ml so:

    20 ng/ml = 50 nmol/l

    30 ng/ml = 75 nmol/l

    40 ng/ml = 100 nmol/l

    50 ng/ml = 125 nmol/l

    I suspect Dan’s result of 86 is nmol/l which is 34 ng/ml and is >30 ng/ml so should be fine?


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Blood test for Vitamin D levels #9719
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj
    flyingfox66 wrote:

    There seems to be a major disconnect between what is considered normal by my GP and by the Vitamin D council.

    Well, possibly the VitaminDcouncil are strong advocates of higher levels? They recommend more than everyone else they list. Here is a quote from wiki ( which of course could also be wrong :lol: ) but it does suggest your GP is in the ball park for general recommendations.

    ”The Institute found serum 25-hydroxyvitamin D concentrations above 30 ng/ml (75 nmol/l) are “not consistently associated with increased benefit”. Serum 25-hydroxyvitamin D levels above 50 ng/ml (125 nmol/l) may be cause for concern.[59] However, the desired range of serum 25-hydroxyvitamin D is between 20 and 50 ng/ml.[59]

    The risk of cardiovascular disease is lower when vitamin D ranged from 8 to 24 ng/ml (20 to 60 nmol/l). A “threshold effect” appears to occur once a level of 24 ng/ml (60 nmol/l) has been reached i.e., levels of vitamin D over 24 ng/ml (60 nmol/l) did not show added benefit.[145]”

    https://en.m.wikipedia.org/wiki/Vitamin_D

    And from the Doc’s post on the subject.

    “High rates of SVR were observed in HCV individuals with vitamin D levels above 30 ng/mL”

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3793147/

    That would suggest to me that during Tx for HCV we should be aiming for >30 Ng/mL but not too much more. Otherwise 23 Ng/mL is probably acceptable?

    – someone with very little knowledge on the subject but who is eagerly awaiting the results of his Vitamin D & B12 tests. :)


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: treatment showing success #9658
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Well done on taking charge of your health. :+1:

    Looking forward to hearing of your progress and milestones. :)


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Jaz’s Sof/Dac Journey Gen 3a #9625
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj
    Jaz wrote:

    So glad you finally got them back GAJ!! Now you know things are going in exactly the right direction!!

    Thanks Jaz,

    Sorry to steal your thunder in your thread, I’m sure yours will be the same when you get them too! :)


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: My parcel of Magic Pills has arrived!! #9618
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj
    Chejai wrote:

    She said that if my results came back ‘abnormal’ that she wouldn’t know what to do and she has a Duty of Care to do something!

    OMG! I wouldn’t put someone like that in charge of a chook raffle!

    Chejai,

    If this person calls themselves a medical professional they are sadly mistaken. What would she propose to someone else who’s test came back abnormal for something else? “Oh, I’m sorry, I don’t know what is wrong with you so my duty of care prevents me from helping you.” Has she never heard of referrals!!! Most medical professionals have been using them for ailments they don’t understand themselves since the dark ages. There is uninformed, misinformed and sheer bloody stupidity. I doubt you need to guess which I think fits your GP.

    #rant

    I’m not sure of your location given your comment about an island but can I suggest you find yourself a new GP long term if at all possible as obviously your current one does not have your health or best interests at heart. And certainly consider GP2U for your monitoring in the meantime.

    And please try not to worry about this, it will all work out fine in the end. :)

    on calming down and further reflection, I doubt your GP is uninformed, misinformed or stupid. However I do believe that she is trying to punish you for not doing as she told you by making you travel to Brisbane for monitoring. Given that you are an adult making an informed decision about your health this is really unacceptable behaviour in this day and age so my recommendations stand.


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Do you trust Resof-L by Dr Reddy’s ? #9614
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    I also understand your wish to help your fellow countrymen with lower priced medications but there is a need to ensure their safety and efficacy as well. Obviously the price/risk ratio is far easier to meet for those in higher income countries but I would hate to see a situation where people were suggesting that different risk factors be applied to residents of different countries depending on their income. I don’t believe that is what we should be aiming for in the future.


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Do you trust Resof-L by Dr Reddy’s ? #9613
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    dtdwfhpc,

    Apology for username accepted. ;)

    There is no need to apologise for your questions creating this debate. As Mike says, debate is healthy and these issues need to be discussed. And this site, unlike most, allows the discussions to occur in public so that everyone can see and understand what is at stake. (Although, at the end of the day the site owner gets to decide what the site’s policy is with regard to recommending sources, as does Greg for his sources.) Sometimes the debate will get heated because there are a lot of passionate people involved here but despite the differing views of how to achieve it we are all committed to helping people to treat their HCV with these new DAA medications, at an affordable price rather than the extortionate levels that big pharma has attempted to apply.

    As in any passionate debate it may sometimes be advisable to step back and take a breath away from the heat of the moment but I think that as long as we can keep our focus on working through the issues and not resort to name calling and insults then we are all good! :)


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Should I add Ribavirin to my Tx? #9593
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hi Tim,

    The good news is that you are UND. :)

    Looking at your other bloods I suspect you need expert medical advice regarding adding Ribavirin to your Tx rather than from layman forum members. Are you being monitored by a liver specialist?

    edit: Talking mostly your haemos, etc. re anaemia


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Greedfighter’s Generic Epclusa or Harvoni to USA Journal #9585
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Congratulations on seeking Tx rather than waiting. With your previous labs it sounds like you will require very little monitoring but please do let us know how you progress. :)


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Jaz’s Sof/Dac Journey Gen 3a #9580
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Well, just heard from my clinic that they have now got my VL retest results. Per my updated signature I was <15 at 4 weeks.

    #woohoo!

    (....wasn't given a reason for previous result, will discuss face to face in approx. 3 weeks)


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Ariel takes the Plunge #9568
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    Hi Ariel,

    I’m on Sof/Dac rather than Sof/Led so take that into account. A keen angler I have been getting out in the sun a bit lately. Always with covering and sunscreen but have been out for several hours on some very bright days without any issues. I wear sunnies for most of that time but do notice my eyes seemed to be a little more sensitive than usual. Perhaps time your sessions to avoid periods of highest UV? So early or late in day, and keep them short?

    Keep well and know we are here if you want to chat. #flower


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: psavic started TWINVIR treatment #9566
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj

    FibroScan® is the brand name for a particular transient elastography machine but has become the generalised name for the procedure.

    Here is some general reading about the process and variations in accuracy:

    http://www.racgp.org.au/afp/2013/july/fibroscan/

    And research data summary comparing biopsy and fibroscan.

    http://www.ncbi.nlm.nih.gov/pubmed/25528010


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

    in reply to: Australian PBS Listing – Almost Heaven #9503
    avatar876.jpegGaj
    • Guardian Angel
    • ★★★★★
    @gaj
    sabrecat wrote:

    …. at least for us in AUS that now have the PBS issue settled.

    Maybe…..I’ve stated previously that I will wait and see. If nothing else, this virus has taught me how to wait and in my lifetime I have seen many a slip twixt politician’s press statement and outcome. And don’t forget the stated “within a generation”.

    sabrecat wrote:

    But, there are those in other countries part of me cannot ignore…….

    True, and while this site was started by a Tasmanian doctor, it isn’t just for Australians and is reaching more and more people around the world everyday.

    I do understand and accept the wish of people after treatment, to put this disease behind them and move on with the rest of their life. That is a natural inclination and necessary for many. I may well find myself feeling the same in 4 or 10 months time, another case of wait and see.

    But for now if I can contribute to helping others seeking treatment for HCV then I am glad to do so. And that includes pointing out the excessive greed of Gilead and better ways that our government, and others, could work to extinguish this virus much as former generations did with polio, smallpox and many other diseases.

    #rant over.


    G3a since ’78 – Dx ’12 – F4 (2xHCC)
    24wk Tx – PEG/Riba/Dac 2013 relapsed
    24wk Tx – Generic Sof/Dac/Riba 2015/16 relapsed
    16wk Tx – 12/01/17 -> 03/05/17 NS3/NS5a + Generic Sof
    SVR7 – 22/06/17 UND
    SRV12 – 27/07/17 UND
    SVR24 – 26/10/17 UND
    :cheer: :cheer: :cheer:

Viewing 15 posts - 1,006 through 1,020 (of 1,402 total)