Treatment Complete - Welcome Back

2007-07-06
5:34 p.m.

An estimated 3.9 million (1.8%) Americans have been infected with hep C, of whom 2.7 million are chronically infected. There are about 30,000 new infections each year.

Ten or fifteen years ago, I became one of the statistics.

How Do You Catch It

Hepatitus C is a virus that lives in the blood and can be spread in a number of ways:

*When blood or body fluids from an infected person enters the body
of a person who is not infected.
*Blood transfusions prior to 1992
*Blood products before 1987
*Sexual contact with an infected partner (very rare)
*Sharing toothbrushes or razors
*Tattoos or body piercing
*Through sharing needles during drug use, or through needle sticks or
sharps exposures on the job.
*From an infected mother to her baby during birth. About 5 out of every
100 infants born to hep C infected women become infected.
*10-20% of people with Hepatitis C do not have identifiable risk factors.

I am one of the 10-20%.

80% of people have no symptoms of hepatitis C. By the time symptoms show up, it may be too late for adequate treatment

How Do You Find Out If You�re Infected

Don�t wait. It has been suggested by the CDC center and NIH taskforces that every person asks their doctor to add a Hep C antigen test to their next blood test. I have been infected for more than 10 years with no symptoms and perfectly normal blood tests. Only an antigen test would have showed that the antibody existed. I could have started treatment earlier when the viral load was low, and before my liver suffered damage.

I wouldn�t have exposed friends, family, and the men I've loved.

Health Consequences Without Treatment

*75-85% of infected persons develop a chronic liver infection, which
means that your body does not effectively fight off or get rid of the
virus.
*Chronic liver disease causes death in about 3% of people.
*Chronic hepatitis C infection is the leading reason for a liver
transplant.
*Chronic hepatitis can lead to cirrhosis of the liver (in about 15% of
those infected with hep C).
*Chronic hepatitis can lead to liver cancer and death.

There is no vaccine. There is no cure. There is only remission via chemo-therapy.

Conventional Treatment for Hepatitis C

*At the present time, optimal treatment regimen is considered to be a
24- or 48-week course of the combination of weekly injections of
pegylated alpha interferon and daily oral injestion of ribavirin.
*Patients with genotype 1 have a 40-45% rate of response (viral RNA
reduced to undetectable amounts for 6 or more months after treatment)
to combination therapy, and often need a 48-week course to attain a
better response rate.
*The combination therapy is extremely expensive. Side effects include
hemolytic anemia, nausea, diarrhea, headaches, muscle and joint pain,
hair loss, constant fatigue, suicidal ideation, and severe depression.

I wrote these words a year ago, just before the start of forty eight self-injections, 1700 anti-viral pills, 35 blood tests, dozens of medical tests and procedures, two hospitalizations, and a plethora of drugs to treat the brutal and often debilitating side effects. The last injection was taken today. The last pills will be taken next week. The final blood test a week after that. It's over.

And it's time to move on with life.

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