Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 I don't know where you are located but in San Francisco there is a wonderful doctor, Gish. saleem chaudhary <saleem.charudhary@...> wrote: DEAR MEMBERS. I need your help and support in advising me the way of management and treatment of hep c. please advise. CASE HISTORY. AGE. 52 YEARS. MARITAL STATUS. MARRIED 23 YEARS. GENDER. MALE. FAMILY HISTORY. FATHER SUFFERED FROM PROSTAT CANCER DUE TO WHICH KIDNEYS FAILED. MOTHER IS PATIENT OF HYPERTENTION. NO SUGAR IN THE FAMILY. SUFFERING FROM:- HYPERTENTION SINCE 1995. FIRSTLY TAKING TAB. TENORMIN 25 M.G. ONE DAILY, FROM 1999, 50. M.G. DAILY. FROM 2002, 50. M.G TWICE A DAY. FROM DEC 05. TAB TENORMIN 50 M.G. ONE DAILY AND TAB NORVESIC 5. M.G ONE DAILY. DEPRESION.SINCE 1998. TAKING TAB. CIPRAM 20.M.G.ONE DAILY. GASTRIC PROBLEM SINCE 15 YEARS. NO CONSTIPATION. HELICOBACTER PYLORI TEST POSITIVE. AS PER DOCTOR’S ADVICE APD+ HELICOBACTER PYLORI ANTIBODIES NEEDS TREATMENT. HEPATITIS C POSITIVE. THE TESTS REPORTS ARE REPRODUCED HEREUNDER:- SEROLOGY DATE OF TEST TEST NAME RESULT NORMAL RANGE NOVEMBER 09, 2005 Hep Bs Ag Negative See below * Performed on 3rd Patient S/N 0.6 <2 Non Reactive generation MEIA -DO- Anti – HCV Positive See Below * Performed on 3rd Patient S/CO <1 Non Reactive generation MEIA 1-8 Borderline > 8 Reactive QUALITATIVE HCV PCR Hepatitis C Virus (RNA) detected. METHOD: The HCV RNA detection test is based on RT – PCR of HCV RNA followed by hybridization to specific probes and colorimeteric detection. The sensitivity of HCV assay is 95% and the specificity is 99%. LIVER FUNCTION TEST APRIL 03,2000 Total Bilirubin 0.6 mg/dL 0.1 – 1.01 SGPT (ALT) 30 mg/dL Upto 40 Alkaline Phosphatase 230 U/L 80 – 306 Na 145 mmoi/L 130-145 K 3.8 mmoi/L 3.2 – 5.2 Inozied 1.1 mmoi/L 1.1 -1.3 NOVEMBER 08, 2005 Total Bilirubin 1.0 mg/dL 0.2 – 1.1 (Adult) < 12.0 (Neonate) SGOT (AST) 111 U/L 9-40 SGPT (ALT) 186 U/L 9-40 Alkaline Phosphatase 123 U/L Adults 30-115 Upto 15 years <345 15 to 17 years <483 DATE OF TEST TEST NAME RESULT NORMAL RANGE DECEMBER 05, 2005 Total Bilirubin 0.9 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 142 U/L 10 – 40 U/L SGPT (ALT) 218 U/L 10-40 U/L Alkaline Phosphatase 261 U/L 100-290 U/L T. Protien 7.9 G/dl 06-08 G/Dl Albumim 4.2 G/dl 3.2 – 5.6 G/dl DECEMBER 16, 2005 Total Bilirubin 0.7 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 145 U/L 10 – 40 U/L SGPT (ALT) 215 U/L 10-40 U/L Alkaline Phosphatase 287 U/L 100-290 U/L DECEMBER 27, 2005 Total Bilirubin 0.6 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 126 U/L 10 – 40 U/L SGPT (ALT) 196 U/L 10-40 U/L Alkaline Phosphatase 251 U/L 100-290 U/L JANUARY 17, 2006 Total Bilirubin 0.6 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 88 U/L 10 – 40 U/L SGPT (ALT) 163 U/L 10-40 U/L Alkaline Phosphatase 243 U/L 100-290 U/L FEBRUARY 02, 2006 Total Bilirubin 0.9 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 88 U/L 10 – 40 U/L SGPT (ALT) 102 U/L 10-40 U/L Alkaline Phosphatase 278 U/L 100-290 U/L FEBRUARY 14, 2006 Total Bilirubin 0.9 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 123 U/L 10 – 40 U/L SGPT (ALT) 101 U/L 10-40 U/L Alkaline Phosphatase 241 U/L 100-290 U/L RENAL FUNCTION TEST NOVEMBER 08, 2005 Blood Urea 18 Mg/dl 10 – 50 Mg / dl Creatinine 0.8 Mg/dl 0.7 – 1.2 [Men] Uric Acid 6.3 Mg/dl 3.4 – 7.2 [Males] FEBRUARY 02, 2006 Blood Urea 34 Mg/dl 10 – 50 Mg / dl Creatinine 0.9 Mg/dl 0.7 – 1.2 [Men] Uric Acid 5.6 Mg/dl 3.4 – 7.2 [Males] DATE OF TEST TEST NAME RESULT NORMAL RANGE BLOOD COMPLET PICTURE NOVEMBER 08, 2005 WBC COUNT 6000 / mm3 4000 – 10,000 RBC COUNT 5.33 mil/mm3 4.5 – 6.0 BEMOGLOBIN 15.7 g/dL 14-18 (Males) HEMATOCRIT 46% 40 – 50 MCV 87 fl 82 – 98 MCH 30 pg 27 – 31 MCHC 34 g/dL 32 – 36 RDW-CW 14% 11 – 16 PLATELETS 171,000 140,000-425,000 Mm3 DIFFERENTIAL COUNT NOVEMBER 08, 2005 Neutrophils 39 % 55 – 70 Lymphocytes 50% 25 – 40 Monocytes 07% 2 -6 Eosinophils 04% 0 -4 Basophils 00% 0-1 Bands 00% 0-1 ESR 16 mm/ 0-15 Males 1st hour LIPID PROFILE NOVEMBER 08, 2005 Cholestrol 154 mg/dL <200 Preferred 200-220 borderline HDL Cholestrol 44 mg/dL 30 -65 (Males) 35 – 80 Females LDL Cholestrol 87 mg/dL 90 – 160 Triglycerides 116 mg/dL <150 Preferred 150-200 Borderline SEROLOGY NOVEMBER 08, 2005 Helicobacter Pylori Positive Negative (Antibodies) ULTRASOUND ABDOMEN AND PELVIS LIVER It shows smooth margins and normal texture. No focal lesion or dilated channels are seen. Right dome moves freely. The portal vein is normal. GALLBLADDER It shows multiple stones, largest measure 11 mm. No mass or thickening of its wall is seen. No fluid collection is seen around it. CBG is of normal caliber. PANCREAS It shows normal echotexture. No mass/focal lesion is seen. Pancreatic duct is normal in caliber. SPLEEN It is normal in size and echo texture. No focal lesion is seen. Rt. KIDNEY Normal in size, shape and echo texture. No mass, cyst, calculus or hydronephrosis is seen. The ureter is not dilated. Lt. KIDNEY Normal in size, shape and echotexture. No mass, cyst, calculus or hydronephrosis is seen. The ureter is not dilated. URINARY BLADDER No stone or mass is noted. PROSTATE It is midly enlarged measuring 34 x 35 x 53 mm and weighs 25 gm. No ascites detected. No para-aortic lymphadenopathy is seen. MEDICAL DOCTOR OPINION 1) Long term use of B-Blocker [Tenormin] may have depressive effect. 2) Cipram [Citalopram] may also raise Liver enzymes. 3) APD+ helicobacter pylori antibodies needs treatment. --------------------------------- Messenger with Voice. PC-to-Phone calls for ridiculously low rates. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2006 Report Share Posted April 4, 2006 SEAR JANET. FIRST OF ALL I WOULD LIKE TO THANK YOU FOR SHOWING YOUR CONCERN BY SENDING ME E-MAIL AND GIVING ME DOCTOR'S NAME. IN FACT I AM LIVING IN ISLAMABAD PAKISTAN. I DID CONSULT THE SPECIALIST WHO IS MEMBER OF AMERICAN ASSOCIATION OF GASTEREOUNOLOGY AND SPECIALIST BUT THERE ARE TWO OPINIONS ONE THAT I SHOULD GO FOR INTERFERON THERAPY IMMEDIATELY BUT IT HAS NUMEROUS SIDE EFFECTS, ONE IS DEPRESION. I AM ALREADY PATIENT OF DEPRESION SINCE 1998. THE OTHER SAY THAT ISHOULD WAIT BECAUSE MY LIVER IS NORMAL AND I AM SAFE AND CAN WAITE. TO ME, I AM LEAST WORRIED ABOUT HEP C. BUT SIMULTANEOUSLY I ANNOT LEAVE IT UNATTENDED, THEREFORE, WANT TO REMAIN IN TOUCH WITH THE DOCTORS AND PEOPLE WHO CAN GUIDE ME. SINCE A LOT OF RESEARCH WORK IS GOING ON IN USA, THEREFORE, I FEEL IT BETTER TO CONTACT WITH ANY DOCTOR AT USA THROUGH E-MAIL TO GET ADVICE AS TO I SHOULD GO FOR INTEFERON THERAPY. ARE YOU IN A POSITION TO GIVE ME EMAIL OF ANY DOCTOR TO ADVISE ME ABOUT INTERFERON THERAPY. THANKS ONCE AGAIN. GOD BLESS YOU AND YOUR FAMILY. WAITING FOR YOUR REPLY. SAALEEM Janet iano <polentapot@...> wrote: I don't know where you are located but in San Francisco there is a wonderful doctor, Gish. saleem chaudhary <saleem.charudhary@...> wrote: DEAR MEMBERS. I need your help and support in advising me the way of management and treatment of hep c. please advise. CASE HISTORY. AGE. 52 YEARS. MARITAL STATUS. MARRIED 23 YEARS. GENDER. MALE. FAMILY HISTORY. FATHER SUFFERED FROM PROSTAT CANCER DUE TO WHICH KIDNEYS FAILED. MOTHER IS PATIENT OF HYPERTENTION. NO SUGAR IN THE FAMILY. SUFFERING FROM:- HYPERTENTION SINCE 1995. FIRSTLY TAKING TAB. TENORMIN 25 M.G. ONE DAILY, FROM 1999, 50. M.G. DAILY. FROM 2002, 50. M.G TWICE A DAY. FROM DEC 05. TAB TENORMIN 50 M.G. ONE DAILY AND TAB NORVESIC 5. M.G ONE DAILY. DEPRESION.SINCE 1998. TAKING TAB. CIPRAM 20.M.G.ONE DAILY. GASTRIC PROBLEM SINCE 15 YEARS. NO CONSTIPATION. HELICOBACTER PYLORI TEST POSITIVE. AS PER DOCTOR’S ADVICE APD+ HELICOBACTER PYLORI ANTIBODIES NEEDS TREATMENT. HEPATITIS C POSITIVE. THE TESTS REPORTS ARE REPRODUCED HEREUNDER:- SEROLOGY DATE OF TEST TEST NAME RESULT NORMAL RANGE NOVEMBER 09, 2005 Hep Bs Ag Negative See below * Performed on 3rd Patient S/N 0.6 <2 Non Reactive generation MEIA -DO- Anti – HCV Positive See Below * Performed on 3rd Patient S/CO <1 Non Reactive generation MEIA 1-8 Borderline > 8 Reactive QUALITATIVE HCV PCR Hepatitis C Virus (RNA) detected. METHOD: The HCV RNA detection test is based on RT – PCR of HCV RNA followed by hybridization to specific probes and colorimeteric detection. The sensitivity of HCV assay is 95% and the specificity is 99%. LIVER FUNCTION TEST APRIL 03,2000 Total Bilirubin 0.6 mg/dL 0.1 – 1.01 SGPT (ALT) 30 mg/dL Upto 40 Alkaline Phosphatase 230 U/L 80 – 306 Na 145 mmoi/L 130-145 K 3.8 mmoi/L 3.2 – 5.2 Inozied 1.1 mmoi/L 1.1 -1.3 NOVEMBER 08, 2005 Total Bilirubin 1.0 mg/dL 0.2 – 1.1 (Adult) < 12.0 (Neonate) SGOT (AST) 111 U/L 9-40 SGPT (ALT) 186 U/L 9-40 Alkaline Phosphatase 123 U/L Adults 30-115 Upto 15 years <345 15 to 17 years <483 DATE OF TEST TEST NAME RESULT NORMAL RANGE DECEMBER 05, 2005 Total Bilirubin 0.9 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 142 U/L 10 – 40 U/L SGPT (ALT) 218 U/L 10-40 U/L Alkaline Phosphatase 261 U/L 100-290 U/L T. Protien 7.9 G/dl 06-08 G/Dl Albumim 4.2 G/dl 3.2 – 5.6 G/dl DECEMBER 16, 2005 Total Bilirubin 0.7 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 145 U/L 10 – 40 U/L SGPT (ALT) 215 U/L 10-40 U/L Alkaline Phosphatase 287 U/L 100-290 U/L DECEMBER 27, 2005 Total Bilirubin 0.6 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 126 U/L 10 – 40 U/L SGPT (ALT) 196 U/L 10-40 U/L Alkaline Phosphatase 251 U/L 100-290 U/L JANUARY 17, 2006 Total Bilirubin 0.6 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 88 U/L 10 – 40 U/L SGPT (ALT) 163 U/L 10-40 U/L Alkaline Phosphatase 243 U/L 100-290 U/L FEBRUARY 02, 2006 Total Bilirubin 0.9 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 88 U/L 10 – 40 U/L SGPT (ALT) 102 U/L 10-40 U/L Alkaline Phosphatase 278 U/L 100-290 U/L FEBRUARY 14, 2006 Total Bilirubin 0.9 mg/DL 0.2 - 1.0 Mg/DL SGOT (AST) 123 U/L 10 – 40 U/L SGPT (ALT) 101 U/L 10-40 U/L Alkaline Phosphatase 241 U/L 100-290 U/L RENAL FUNCTION TEST NOVEMBER 08, 2005 Blood Urea 18 Mg/dl 10 – 50 Mg / dl Creatinine 0.8 Mg/dl 0.7 – 1.2 [Men] Uric Acid 6.3 Mg/dl 3.4 – 7.2 [Males] FEBRUARY 02, 2006 Blood Urea 34 Mg/dl 10 – 50 Mg / dl Creatinine 0.9 Mg/dl 0.7 – 1.2 [Men] Uric Acid 5.6 Mg/dl 3.4 – 7.2 [Males] DATE OF TEST TEST NAME RESULT NORMAL RANGE BLOOD COMPLET PICTURE NOVEMBER 08, 2005 WBC COUNT 6000 / mm3 4000 – 10,000 RBC COUNT 5.33 mil/mm3 4.5 – 6.0 BEMOGLOBIN 15.7 g/dL 14-18 (Males) HEMATOCRIT 46% 40 – 50 MCV 87 fl 82 – 98 MCH 30 pg 27 – 31 MCHC 34 g/dL 32 – 36 RDW-CW 14% 11 – 16 PLATELETS 171,000 140,000-425,000 Mm3 DIFFERENTIAL COUNT NOVEMBER 08, 2005 Neutrophils 39 % 55 – 70 Lymphocytes 50% 25 – 40 Monocytes 07% 2 -6 Eosinophils 04% 0 -4 Basophils 00% 0-1 Bands 00% 0-1 ESR 16 mm/ 0-15 Males 1st hour LIPID PROFILE NOVEMBER 08, 2005 Cholestrol 154 mg/dL <200 Preferred 200-220 borderline HDL Cholestrol 44 mg/dL 30 -65 (Males) 35 – 80 Females LDL Cholestrol 87 mg/dL 90 – 160 Triglycerides 116 mg/dL <150 Preferred 150-200 Borderline SEROLOGY NOVEMBER 08, 2005 Helicobacter Pylori Positive Negative (Antibodies) ULTRASOUND ABDOMEN AND PELVIS LIVER It shows smooth margins and normal texture. No focal lesion or dilated channels are seen. Right dome moves freely. The portal vein is normal. GALLBLADDER It shows multiple stones, largest measure 11 mm. No mass or thickening of its wall is seen. No fluid collection is seen around it. CBG is of normal caliber. PANCREAS It shows normal echotexture. No mass/focal lesion is seen. Pancreatic duct is normal in caliber. SPLEEN It is normal in size and echo texture. No focal lesion is seen. Rt. KIDNEY Normal in size, shape and echo texture. No mass, cyst, calculus or hydronephrosis is seen. The ureter is not dilated. Lt. KIDNEY Normal in size, shape and echotexture. No mass, cyst, calculus or hydronephrosis is seen. The ureter is not dilated. URINARY BLADDER No stone or mass is noted. PROSTATE It is midly enlarged measuring 34 x 35 x 53 mm and weighs 25 gm. No ascites detected. No para-aortic lymphadenopathy is seen. MEDICAL DOCTOR OPINION 1) Long term use of B-Blocker [Tenormin] may have depressive effect. 2) Cipram [Citalopram] may also raise Liver enzymes. 3) APD+ helicobacter pylori antibodies needs treatment. --------------------------------- Messenger with Voice. PC-to-Phone calls for ridiculously low rates. Quote Link to comment Share on other sites More sharing options...
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