I had my yearly check-up with my Infectious Disease Specialist to see how my liver is functioning and to check my Hepatitis C viral load. She also checks for any signs that my TB may becoming active, but so far, so good.
BACKGROUND:HEP C: I did the treatment for the Hep C nearly 5 years ago - started in August of 2004 and finished July 2005...three weeks earlier, I might add :) Since that point, I have remained undetectable - something I am extremely pleased about. The type of Hep C I have (called a "genotype) is Genotype 1a...the most common in North America and unfortunately, the most resilant to treatment. I know of two women who have responded and then relapsed after treatment...causing one to go through various other versions of the treatment. I was fortunate and extremely blessed to have time and age on my side - they figure I got the Hep C from a tattoo I recieved in 2003 and it was diagnosed at the beginning of 2004, so I didn't have the virus in my system long (I COULD have gotten the Hep C from blood transfusions as a NICU patient as a wee one, but my dad donated most of the blood and he's tested negative and the amount I had wasn't enough for it to have been festering in my body for 22 years) AND I was young. The youngest patient ever treated by my Infectious Disease Specialist.
Of course, I threw everyone for loops during treatment - had a rather clean liver biopsy (something not expected), had to terminate student teaching for a year and had to move back home with my parents, left one Infectious Disease specialist and met/developed a great relationship with my current one, had heavy side effects, got very ill, ended up in the ER due to the flu, was on at one point, 12 different medications to combat the side effects and 2 actual chemotherapy-type drugs for the virus, lost my hair in patches, showed signs of and had confirmation that I am allergic to Ambien and have seizure activity because of the allergy....BUT, I cleared the virus after only 4 months of treatment...something that doesn't happen too often. And I've been clear ever since.
TB: When I applied for the Kindergarten teaching position back in 2006, I had the usual medical exam, including a TB test. The test was given at the doctor's office on a Tuesday afternoon - by the time I got home (it's a 20 minute drive), my injection site was raised, red and uncomfortable....by the time I returned the following day, my injection site was still raised and red, but has spread out to the size of a half dollar. After tears, fear, sputum tests and intense chest x-rays, we found no evidence of ACTIVE TB. I was exposed to it at some point -the State Health Department called and had to report my case because you don't see it too often. The woman stated that Native Americans are high-percentage carriers and I worked near a reservation during my student teaching, I had 5 Native American students in my classrooms...there's not a way to tell where I got that either but they said I could have gotten it in line at the grocery store. I tried to do the treatment but it caused uncomfortable/painful loss of feeling in my hands and feet (something that is usually common later on in treatment) and quit the treatment. The treatment was not absolutely necessary at the time as my TB infection was/is not active.
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CURRENT:
HEP C: I have been undetectable of the virus since August of 2005. I was tested every 6 months for the first two years and then last year, I had to be tested only once a year. This year was the same. The bloodwork takes about a week to get the results in (the test has to be sent to the Mayo Clinic) but the doctor is confident that this year will be no different than previous years.
We discussed how this may affect the baby/pregnancy. She said that since finding out that we were pregnant, she a) panicked - she seriously thinks she's a bad luck charm because every time I've seen her/passed her while pregnant, we either just lost the baby or was going to find out that we had lost the baby and b) she called many of her colleagues to see what THEY thought about our situation. All agreed that the chance is so low to get Hep C that the baby won't need to be tested, at least not right away. I, however, will be need to be tested 2 months after the baby is born (and subsequently thereafter if the situation needs it) to see if the Hep C is detectable. Often times, patients with Lupus, Hep C, etc. feel exceptionally well during the pregnancy but afterwards, can have a relapse. She said it's also an excuse to see the baby, who she thinks will be a girl :)
TB: Not much. I didn't think to ask her if the TB acts the same way after pregnancy as the Hep C...I'll try to remember to call tomorrow and ask.
We have our 16 week OB appointment this afternoon and honestly? I'm scared. I always am a bit fearful when we go - and I think I will be until we hold the baby . If you think about, pray for some peace and calmness today for both my husband and I. He gets just as, if not more, nervous as I do !