Hi 
                      there,
                    I 
                      typically hate huge mailings but you are all waiting for 
                      the same info so here it goes........ 
                    
                      Well, C. and I just got back from the MD appt. ( 
                      follow up from the liver biopsy on 9/18 ) 
                      it was basically anticlimactic, the MD was arrogant and 
                      non forthcoming with information and HATED the wife who 
                      wouldn't stop asking questions. At first he non chalantly 
                      said that C's liver was as bad as he expected 4/4+. He guesses 
                      that C's cirrhosis is approx. 60% at this point but he is 
                      holding his own with the other 40% or so. He recommends 
                      an esophagus scope because of the risk of varicose (bleeding) 
                      from advanced cirrhosis. ( I think C. agreed to that procedure, 
                      he doesn't relish the thought of choking on his own blood! 
                      )
                    The 
                      MD feels the peg interferon should start after the phlebotomies 
                      are finished in 3-6 months because with the phlebotomies, 
                      C. is already anemic and the peg interferon will make that 
                      worse. He wouldn't even hear that C. wouldn't choose interferon 
                      or even have a discussion re: the statistical poor response 
                      rate to interferon with genotype 1A or the iron overload, 
                      from hemochromotosis. ( which hopefully will be better by 
                      then ).
                    No 
                      wonder Lloyd is so anti medical! The gastroenterologist 
                      basically said diet makes no difference, vitamins and supplements 
                      make no difference and herbs are a joke.
                      He even went as far as to say that my health insurance 
                      company knows best, peg interferon is the only 
                      thing they will pay for because its the only treatment there 
                      is.
                    BUT 
                      the good news is that he stopped signing C. up for the peg 
                      interferon because of the phlebotomies for the next 6 months. 
                      So, I feel like we have that time to continue the program 
                      of herbs/supplements and vitamins and do some bloodwork 
                      then and see if anything is better. The other good news 
                      is that the MD didn't think C. was so sick that he would 
                      immediately go on a transplant list. I tried to feel that 
                      was hopeful. As a matter of fact he got irritated at me 
                      again when I asked if C. would be a candidate for a living 
                      donor transplant and said that that conversation was not 
                      appropriate at this time. C. had to calm me down when we 
                      left the appt.!  I was really appalled at his attitude. 
                      He gives Germans a bad name!
                    So, 
                      that's the update. We are on hold. It feels ok to be on 
                      hold at this point. We shall continue with our supportive 
                      program. Keep us in your prayers.
                    Love,
                      H.