Hepatitis C: More Widespread Than HIV And AIDS - page 2

by TheCommuter Senior Moderator | 10,988 Views | 21 Comments

An insidious killer has attacked an estimated 170 million people globally and continues to lurk in the shadows. As a nurse, nursing student, other type of healthcare worker, or member of the public, you have undoubtedly... Read More


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    Many people with HCV do not clear depending on the type of HCV virus. He may not have been compliant due to the side effects he was experiencing.
    Please, please make sure that he is screened for HCC on a regular basis. Usually AFP level (which is not a 100% indicator) and an ultrasound every 6 months.
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    Quote from blueheaven
    The chances that Hep C would be transmitted sexually are very small in committed relationships, but still there is a chance. No sharing of razors, toothbrushes and use protection during sex are the rule. I know much about hepatitis C and the havoc it causes in people's lives. The most common HCV in US is type 1a. This particular strain is very resistant to treatment and only permanently effective in a low number of patients. Prior to the new antivirals that were finally OKed by the FDA, only treatment available was PEG-interferon and Ribavirin. These two drugs have a lot of side effects and sometimes they are so bad that the patient goes off treatment. There are other factors that will cause a patient to be taken off treatment by their doctor, such as viral load not lowering enough within treatment parameters.

    The new antivirals along WITH PEG interferon and Ribavirin are a major step in treatment. More patients (esp. 1a) have a faster decrease in viral load and clear the virus. Treatment protocols do not have to be as long as previous but this is up to the individual hepatologist.

    Vietnam era veterans have a high number of HCV occurances. When talking with your patient, ask if they were in the military and during what conflict. If it was during Viet Nam era encourage them to get tested.

    All people with the virus need to be regularly screened for Hepatocellular Cancer!! This virus contributes to the development of HCC (hepatocellular carcinoma) This cancer is not usually detected until it is quite advanced.

    As to the person in NH who spread the virus...he wasn't only in NH. He was in many other places too. Sad that this *^%$ cannot be tried for attempted murder.

    I just lost my wonderful husband of 8.5 years 6 weeks ago to this damnable virus. He found out he was infected in 1996. When he had his first biopsy he was told that he probably caught it in the early 70s. The same time he was in the Army. We feel that the air guns that were used by the military for vaccination was the cause for many of the infections. There was no cleaning between people and there was blood spatter. Of course, Hep C is not service connected. It was the wild 60s-70s.

    He had tried treatment 3 times. First time was when it was just interferon and ribavirin. This required 3xweek injections along with the daily pills. It didn't work. Second time he developed sepsis from a UTI and had to be taken off PEG interferon and riba. Last attempt with PEG and Riba was 3 years ago and he did not decrease his viral load enough to meet criteria. When the new antivirals came out, he didn't want to try again. He was rushed through a liver transplant workup 18 months ago due to two bean sized lesions "were not definately HCC but were suspicious" and the decision was made to "watch" them every three months. AFP levels did not rise. His biopsy came back negative. July 2011-same on MRI, Nov-9, 2011 9 tumors. No chance of transplant. Tried with SIR spheres to zap them and hopefully get him in transplant criteria. What happened after that is another post for another day. I took him home on June 20 and he passed on June 25th.

    VA has a lot of information on their website on HCV
    I am so sorry for your loss.......:kiss
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    Being a critical care nurse was a blessing and a curse through all of this. I think everyone here could understand that. Knowing what needed to be done and when was the blessing part. Knowing all about things that occur with ESLD was the curse part. Fortunately Gazz didn't have many of the problems that are associated with ESLD. Didn't have to have regular paracentesis (except for a diagnostic one) no bleeding varices, TIPs etc. He had primarily weakness that progressed, headaches, abd. pain. That was bad enough.
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    Quote from blueheaven
    I just lost my wonderful husband of 8.5 years 6 weeks ago to this damnable virus.
    I am so very sorry for your loss.
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    I was curious about this topic, and this is the most recent thread I could find. I am SO sorry for all of your losses!!! (((( hugs ))) to all of you!

    Many years ago, our infection control nurse told me that SEVERAL employees (mostly nurses) at our large hospital were hep C positive......have any of you been told this, too?
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    Quote from nervousnurse
    I was curious about this topic, and this is the most recent thread I could find. I am SO sorry for all of your losses!!! (((( hugs ))) to all of you!

    Many years ago, our infection control nurse told me that SEVERAL employees (mostly nurses) at our large hospital were hep C positive......have any of you been told this, too?
    I have not been tested for the hepatitis C virus, but I wouldn't be entirely shocked if I tested positive.

    After all, I shared living quarters with my HCV+ parents throughout my growing-up years. During those years my father was sometimes careless and occasionally cooked meals with cuts on his hands. They once pricked my finger with an old-fashioned lancet to check my glucose level; the platform of the lancet might have had their dried HCV+ blood.

    Also, nail salons are places where HCV infection happens if the equipment is not sanitized. I have gotten several pedicures without any idea about the cleanliness of the tools used.
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    I was curious about this topic, and this is the most recent thread I could find. I am so sorry for all of your losses!
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    Quote from rizzamdeslate
    I was curious about this topic, and this is the most recent thread I could find. I am so sorry for all of your losses!
    Welcome! Did you have any specific questions regarding HCV?
  9. 0
    My dad was in the military and contracted the Hcv at that time in the Vietnam era. We are hoping he gets approved for sovaldi soon as the interferon was too harsh to tolerate a few years back. I know sovaldi may not cute but it is worth a try.
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    When I was little I got a microscope set for Christmas yes I was a nerd then too lol my Hcv+ dad was the only one that would give me a blood sample to look at on my slide. This was a few years before we found out about his infection. I wish more testing could be a standard practice for his age group at least.


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