Piken article 4 / 3-1-06

 

My friends are all talking about the silent killer Hepatitis C.  What is it and do I need to be checked?

 

Hepatitis C is a virus, which most often was obtained via blood transfusions prior to 1980, needle stick exposure or free life experimentation in the 70's and 80's.  Anyone who participated or partnered with a participant may have been exposed.  The virus is slow acting and 65% of exposures will lead to a chronic low-grade infection.  Previously we asked our doctors to check our liver enzymes for damage as a screen for the test but now we know the virus is so incipient that even people with normal blood tests may develop cirrhosis an end stage liver disease. Current recommendations call for an antibody test to determine exposure and then an actual viral count to confirm infection.

 

The good news is that our treatment successes are becoming more frequent with certain strains of the virus having a 90% permanent cure rate.  Reduction in liver damage and therefore the need for transplantation and likelihood of cancer can also be achieved in the vast majority of patients.

 

If you fit the profile for this disease ask your doctor to test you.  Your life may well depend upon the answer.

 

Edward Piken, M.D.

Diplomate, American Board of Gastroenterology

Member, South Bay Independent Physicians Medical Group, Inc.