Rule
# 1, don't freak out. |
Rule
#2- Feel out your doctor's opinion on homeopathic. Don't
let on that you heavily dislike the chemo approach up
front.- - more on this will follow below. |
**
Full Blood work Highlights: |
Flags:
|
Phosphorus-
|
2.2
'low' |
AST
(SGOT)- |
44
'high' |
ALT
(SGPT)- |
61
'high' |
Hep.
B (S AB)- |
150
'high' |
INR-
|
1.1
'low' |
|
Quantitative
PCR Assay- SuperQuant for HCV RNA:
|
"greater
than 5,000,000 copies/ml" "equivalent to 2,000,000 IU/ml"
|
(shit
la merde!)
|
|
Hepatitis
C Genotype:
|
1a
variant |
"The
sequence of this sample is consistent with minor variations
not associated with any subtype" |
**
Biopsy Highlights: |
Final
Pathological Diagnosis: |
Chronic
Hepatitis, Clinically Hepatitis C |
Moderate
to severe activity (grade III-IV) (shit!) |
Septal
Fibrosis (stage 3) (not good, not catastrophic) |
No
abnormal storage iron (good) |
Operative
Findings: Grossly normal appearing liver tissue (tan in
color) |
Microscopic
Description:
Two
intact core needle biopsies are examined. There is overall
preservation of hepatic architecture although distortion
is evident centered around the portal tracts. There
is a moderate to marked inflammatory cell infiltrate
which circumferentially extends into the lobule in most
portal areas. This is associated with periportal fibrosis
with focal portal bridging, a pattern confirmed by Trichrome
stain. Within the lobule, piecemeal necrosis and Councilman
bodies are evident. Bile ducts are unremarkable. The
inflammatory infiltrate consists primarily of lymphocytes
with scattered eosinophils and histiocytes. Iron stain
shows no iron deposition.
|
|