Email & Reply-->可可转移

liver411

Deena,

Liver is a very hardy organ , I suggest you eat a

normal balanced diet including  proteins , which

do not put any load on the liver. Take minimal

iron as that can lead to faster HBV replication.

Take fruits and vegs( including green leafy ones)

but do not overdo anything.

Swelling of the liver does cause dragging right

upper quadrant pain but it has no correlation with

your ongoing disease activity.



Dr Sharat C Misra MD,DM,FACG













> Dr. Misra,

>

> I've been reading a lot of information regarding

what I need to do to

> increase my immune system and to help my liver

along. I'm not sure which is

> the best route to take. Some mentioned stay away

from protein because it

> would put more weight on the liver, but increase

more fruits and dark green

> leafy vegetables and beta carotene. But then I

also have heard, not to intake

> so much dark green leafy vegetables, herbs, and

beta cartone (because vitamin

> a can be toxic to the liver). So I do not know

which is the best route to go?

> I do not want to do more harm than good to my

liver.

>

> Also, is it normal to have slight liver pain?

Does that mean I am getting

> worse?

>

> Deena

>

> Subj:    [HB] Re: Dr. MIsra (Deena)

> Date:   12/4/2001 3:38:56 AM GMT

> From:   "gidoctor"

> To: "Sexy8unnie"

> CC: [email protected]

>

> Hi Deena,

> I quite undersatnd your anxiety, esp because you

> have an infection, no real symptoms, a list of

> comlications and no curative treatment.

> In order to  find out the extent of liver

disease

> by HBV, liver biopsy is the gold standard, it

will

> you if you have mild hepatitis, fibrosis or

> cirrhosis. I think you should discuss this with

> your doc and have it when ALT goes up.

Ultrasound

> is a rather poor test for the liver, it is used

> mainly for follwo up reagrding development of

> liver cancer.

> If you have chronic hepatitis, then you have a

> chance of spontaneously clearing  the virus ( 1%

> per year), progression to fibrosis and cirrhosis

> (25%) and increased risk of liver cancer (5%).

If

> you have minimal liver changes, then you are

> compatible with normal life.

> So you really need to know the stage and grade

of

> your liver disease to have more answers.

> Modifications in lifestyle include briefly, no

> alcohol or saturated fats, more proteins and

> plenty of rest.

> Regarding your docs view of IFN, maybe you

should

> ask him for some hard data, not just opinion.

> Remember ignorance is bliss!

>

> Dr Sharat C Misra MD,DM.FACG

>

>

>

>

>

>

>

>

> ----- Original Message -----

> From: "Sexy8unnie"

> To: "gidoctor"

> Cc: [email protected]

> Sent: Tuesday, December 04, 2001 8:37 AM

> Subject: Dr. MIsra (Deena)

>

>

> Dr. Misra,

>

> If my alt does go up, is it necessary for a

liver

> biopsy? Would a ultrasound be sufficient?

>

> You mentioned I can live a healthy long life

with

> some modification. What type of modification? Is

> there a way I can control my own destiny? Would

> diet and change of lifestyle help in my quest of

> conquering this horrible disease? I am currently

> reading up on the disease and still learning

from

> it. I'm known to be much of a pessimist so

please

> reconfirm any positive outlook in living a long

> healthy life til my golden age.

>

> Its so strange. If interferon does work on a

> percentage of asian why would my doctor said

dont

> bother since its expensive and not effective on

> us?

>

> Deena

>

> Subj: Re: [HB] Dr. Misra (Deena)

> Date: 12/3/2001 5:28:07 AM Pacific Standard Time

> From:    "gidoctor"

> To:    "Sexy8unnie"

> CC:    [email protected]

>

> Dear Deena,

> Read within:

>

>

> > Dear Dr. Misra,

> >

> > You mentioned it is common for people like

> myself to have normal ALT and high

> > viral load. How long can I remain in this

> situation before I see any problems?

>

> 25% of people in your situation will have some

> symptoms( chr hep or cirrhosis) in 5 years but

> this is only a statistical figure. You should

keep

> a tab on any new symptoms and  ALT levels every

6

> months. When ALT goes up , you ssould have a

liver

> biopsy.

>

>

> > Actually this question is for anyone who wants

> to comment, I am so

> > uncomfortable with this disease. I constantly

> think this is the end of the

> > world. Do you see people living a long and

> healthy life til their golden age

> > with this disease or do you find people having

> problems and complication with

> > this disease ?

>

> Yes, you can live a healthy life for long with

> some modifications. You should read about the

> disease and its consequences and have realistic

> expectations rather than fearing the worst.

>

> > Dr. Misra, from speaking to my current

> physician, he seems to have had

> > experience with patients with hepatitis b. he

> even mentioned putting those

> > patients on lamuvidine. I do not know if their

> situation is similar to my

> > position or if worse.

> > Hopefully those patients are more well

informed

> before deciding to go on

> > lamuvidine.

>

> It is a question of arming yoruself as well with

> the knowledge about the illness and its

treatment.

> Lamivudine, is just one of the instruments and

by

> no means the best one.

>

> > Do you know if interferon works on asian

> patients? my doctor said if I decide

> > to go on the medication, it would be

preferable

> for me to go on lamuvidine

> > and not interferon since it does work on asian

> people. Do you know how true

> > that comment he made?

>

> Yes, it does work wonderfully in Asians

patients.

> For  some American Docs, being of Asian lineage

> may mean, like an excuse for not offering you a

> particular kind of treatment. Not true, even if

> you are precore mutant ( E antigen -ve) , you

can

> do well with IFN.

>

> Dr Sharat C Misra MD,DM, FACG

>

>

>

>

>

>

>

>

>

>

>

>

> -----------------------

__________________________________________________

_____________

> A blank message to these addresses performs the

following -

>   [email protected] gets you on the

list.

>   [email protected] gets you off the

list.

>   [email protected] toggles you

to/from the fancy digest

> version.

>   [email protected] toggles you

to/from the vacation list.

>   [email protected] posts your message

to the list.

>

>

>

> -----------------------

Headers --------------------------------

> Return-Path:

<[email protected]>

> Received: from  rly-xa04.mx.aol.com

(rly-xa04.mail.aol.com [172.20.105.73])

> by air-xa05.mail.aol.com (v82.22) with ESMTP id

MAILINXA55-1203223856; Mon,

> 03 Dec 2001 22:38:56 -0500

> Received: from  dispatch.mail-list.com

(dispatch.mail-list.com [208.239.1.4])

> by rly-xa04.mx.aol.com (v82.22) with ESMTP id

MAILRELAYINXA44-1203223816;

> Mon, 03 Dec 2001 22:38:16 -0500

> Received: from discuss by dispatch.mail-list.com

with local (Exim 3.16 #8)

>     id 16B6NX-0001tH-00

>     for [email protected]; Tue,

04 Dec 2001 03:36:19 +0000

> Message-ID: <001001c17c73$dde6ac90$a48391cb@Doc>

> From: "Doc" <[email protected]>

> To: <[email protected]>

> Cc: <[email protected]>

> References: <[email protected]>

> Date: Tue, 4 Dec 2001 08:59:22 +0530

> X-Priority: 3

> X-MSMail-Priority: Normal

> X-Mailer: Microsoft Outlook Express

5.50.4807.1700

> X-MimeOLE: Produced By Microsoft MimeOLE

V5.50.4807.1700

> X-OriginalArrivalTime: 04 Dec 2001 03:29:22.0915

(UTC)

> FILETIME=[DDE83330:01C17C73]

> Subject: [HB] Re: Dr. MIsra (Deena)

> X-Unsubscribe: send a blank message to

[email protected]

> Precedence: bulk

>

>

>







_______________________________________________________________

A blank message to these addresses performs the following -

  [email protected] gets you on the list.

  [email protected] gets you off the list.

  [email protected] toggles you to/from the fancy digest version.

  [email protected] toggles you to/from the vacation list.

  [email protected] posts your message to the list.