Hi Lloyd,
I hope that I am not bothering you too much, emailing you
3rd time today.
In reading and re-reading the summary in TRIUMPH,
I noticed some of the terms used. I would like to give you
information from my blood tests and ask you to please interpret
for me. I have gone the internet to get info- it is all very
confusing. I have asked my Dr. to explain this report to me.
This is what I was told, "THE ONLY THING THAT YOU HAVE
TO WORRY ABOUT IS THE GENOTYPING # AND THE VIRAL LOAD #.
The only thing that I have learned is that genotyping is
that subtypes 1a and 1b are the most common in the U.S. and
associated with lower response rates to current therapy. My
nurse told me that this is the best genotype! What is up with
that? When I first found out and need further bloodwork done,
I asked the doc if this is the worst kind of hep- he told
me no and that I would be ok, they could start the chemicals,
I refused.
D. P.
Age 42 female
HEPATITIS C VIRUS GENOTYPING BY PCR & SEQUENCING ARUP
# |
| |
| BILIRUBEN-TOTAL |
0.9 |
mg/dL 0.1-1.2 |
|
| BILIRUBEN-DIRECT |
0.1 |
mg/dL 0.0-0.3 |
|
| BILIRUBEN-INDIRECT |
0.8 |
0.1-1.1 |
|
| PROTEIN-TOTAL |
7.0 |
g/dL6.4-8.2 |
|
| BILIRUBEN-TOTAL ALBUMIN |
3.9 |
g/dL3.2-5.5 |
|
|
|
|
|
|
| |
REFERRAL TEST
HCV GENOTYPING 1a |
| |
*HEP C RNA, QUANT*
HEP C RNA BY PCR 6.9
PATIENT RESULT HEPATITIS C VIRUS (HCV) RNA:
IU/mL: 7,150,000 |
| |
| REPORTABLE RANGE: |
| |
IU/mL |
600-600,000 |
| |
LOG 10 IU |
2.8 TO 5.8 |
| |
COPIES/mL |
1,000 TO 1,000,000 |
| |
LOG 10 COPIES |
3.0 TO 6.0 |
|
| |
| A QUALITIVE ASSSAY WITH A DETECTION
LIMIT OF 50 HCV RNA IU/mL IS AVAILABLE FOR THE ASSESSMENT
OF HCV VIREMIA. THERE IS AN APPROXIMATE RELATIONSHIP BETWEEN
HCV RNA IU/mL AND HCV RNA COPIES/ML, HOWEVER THE ACTUAL
RELATIONSHIP MAY VARY BETWEEN KIT LOTS. |
My questions are: what is RNA, ALT, AST, and what does this
report actually mean?
Like I mentioned before, the doc and nurse told me that I
was ok. Another statement that was made by med staff
when I asked them to interpret this for was "WE ARE NOT
CHEMISTS"!
If it is not too much trouble, could you tell me what all
of this means?
Thank you so much--I will fax you my report if you like.
D.
Hi D:
This is typical of the doctors office.
1A is the geno type that about 90% of Americans infected
with hep c.
1A is the one that interferon's do not work on.
They really do not work on the others either, they just can
obtain a non-detected for a while, most relapse.
AST and ALT are the most important of the items you
ask about.
Yours are good. They can be lower, Drink lots of dandelion
root tea, it will make them go down. AST and ALT are
liver function tests or indicators of inflammation of the
liver, a report of how well your liver is functioning. if
they are high, damage is being done.
The RNA is Ribonucleic acid as opposed to DNA.
Most viruses are DNA virus, Hep C is a RNA virus. The
viral load can be basically any number. There is no relation
between AST, ALT Symptoms and viral load. I have seen
viral load at 100 million and no symptoms, I have seen viral
load at 200.000 and the person dies.
Geno types are the least of your worries.
It does not matter with my program and interferon does not
work anyway so no concern. Read the CBER
report on the front page of my web site www.hepatitiscfree.com
Your albumin is low, or below where I like to see it. The
higher the better.
Below 4 is not good. Read the chapter in my book and
follow it and your albumin will go up. If you can get
it up to 5 getting well is faster and easier. It takes
a lot of time. Albumin is made in the liver and there
are 12 Trillion cells in one point. It is a remarkable
protein.
If you can fax me the report I will keep it in your file
and it makes it easy for me to refer to it when you are getting
well. 310 457 9449
I am not a chemist either but I know how to read a blood
test. Your remarks are very similar to what I hear and
read daily from people with hep c. The doctors just
do not give a damn.
In good health
Lloyd
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