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Author Topic: Chronic Hep B or Not Chronic Hep B --- That is the Question...  (Read 664 times)

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Offline phildinftlaudy

  • Member
  • Posts: 2,948
  • sweet Ann what you think babe...
Chronic Hep B or Not Chronic Hep B --- That is the Question...
« on: December 31, 2011, 12:13:56 AM »
So, here's the deal - in 2001 (pre-HIV) I was hospitalized for eight days with Hep A...nasty little bugger - had me feeling like crap and off work for a month and took a good three months to start feeling back to "normal."

In 2003 (pre-HIV), as part of a pre-employment physical, doctor found that I had antibodies for Hep B - at first they thought it was chronic - but then determined it was acute - and I had been asymptomatic.

Fast forward - I have always shown antibodies for Hep A and Hep B ---

But..... (there is always a but - isn't there)
The other day I checked in to my health insurance website which tracks my claims and various medical tests/conditions, etc - I had not looked at it for the past few months --

Well, I saw a new condition listed - that was listed as the result of a claim put in by my doctor in October --- the condition?   Chronic Hep B...

I called the insurance company - because I had never been informed that I had Hep B - they said that the condition was based on a claim my doc submitted back in October at the same time I was undergoing my syphilis treatments -

So, I called the doctor's office - she is out of town for the holiday - but the nurse checked the doctors notes in my file - and asked me three times "the doctor never told you that you have chronic Hep B" - to which I responded three times "No, why, do I have it?" The nurse said "well, that is what is in the doctor's notes in your file - but I would feel more comfortable if I send an email to the doctor to verify" ------

So, now I have to wait until Tuesday (at the earliest) to find out exactly what is going on ---- whether it was some type of coding mistake or whether I do have chronic Hep B - and if I do - then I need to find out why I wasn't told....

So... stay tuned ----- Chronic Hep B or not Chronic Hep B... That is the question.....  :-\
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

Offline wolfter

  • Member
  • Posts: 4,036
Re: Chronic Hep B or Not Chronic Hep B --- That is the Question...
« Reply #1 on: December 31, 2011, 06:35:12 AM »
Chronic Hep B was my AIDS defining illness back in 1991.  It caused quite a tiff between Bill and I as we both worked in the medical field and knew how it is contracted.  Even though I was in the hospital for 30 days with a nice shade of orange, with total organ failures, I argued with my then doc.  He assured me that the tests all indicated I had the infection.

Fast forward 18 years and my current doc suggested being inoculated for the Hep viruses.  After several blood tests, he assured me I NEVER had the virus.  3 shots later and I'm protected from it.  He can't hazard a guess as to what could have been going on and my old doctor doesn't have the original results....imagine that.

I almost wonder if the HIV and/or different medications can produce a false positive?  Look forward to hearing more.

Have a great day and a happy new year.

Wolfie
Judging someone does not define them, it defines you. 

True peace is not merely the absence of war, it is the presence of justice.

Offline surf18

  • Member
  • Posts: 525
Re: Chronic Hep B or Not Chronic Hep B --- That is the Question...
« Reply #2 on: December 31, 2011, 08:05:29 AM »
I had the acute hep b in 2005. shed it six months later.
I think the test was liver function so you can look up your last live function tests and see if they were elevated. if they are then good chance you have the chronic b and i believe there was an anti body test they did too and once something changed with that they knew i had shed it. but i do know for sure that for as long as i had it my liver function tests were all way high.

Offline newt

  • Member
  • Posts: 3,868
  • the one and original newt
Re: Chronic Hep B or Not Chronic Hep B --- That is the Question...
« Reply #3 on: December 31, 2011, 09:39:26 AM »
Diagnosis of hepatitis B is complex, Tests look at a range of antigens (parts of the hep B virus) and antibodies (pparts of you immune system produced to attack the virus).

It is particularly difficult to distinguish between a long-standing (6-9 months) infection that is resolving and chronic infection.

A positive test now for hepatitis B viral load and hepatitis envelope antigen (HBeAg) indicates active viral replication and therefore chronic infection. If both these are negative, but you test positive for hepatitis B antibodies, you have cleared the virus.

Hope this helps

- matt
"The object is to be a well patient, not a good patient"

Offline mikeyb39

  • Member
  • Posts: 881
Re: Chronic Hep B or Not Chronic Hep B --- That is the Question...
« Reply #4 on: December 31, 2011, 10:35:32 AM »
I don't know if this has anything to do with it, but when i got my hep A and hep B vaccine, the doctor had to put possible exposure to hep B in order for the insurance to pay for the vaccines.  So maybe its just an insurance coding issue.  This is just my two cents, brainstorming.
11/02/2010  cd4-251, vl-591000
12/09/2010  started Atripla
02/18/2011  cd4-425, vl-800
06/10/2011  cd4-447, vl-70
10/10/2011  cd4-666, vl-80
01/05/2012  swiched med (prezista,norvir ,isentress, )
02/10/2012  cd4-733, vl-UD  Viread removed
06/10/2012  cd4-614, vl-UD
12/14/2012  cd4-764, vl-UD
09/01/2013  cd4-785, vl-UD
03/06/2014. cd4- 1078, VL-UD

Offline phildinftlaudy

  • Member
  • Posts: 2,948
  • sweet Ann what you think babe...
Re: Chronic Hep B or Not Chronic Hep B --- That is the Question...
« Reply #5 on: December 31, 2011, 10:48:00 AM »
Thanks everyone for your replies -
They definitely cover a gamut of bases - which is a good thing -
I remember when I came up positive for Hep B in 2003, the one doc sent me to a specialist who said that I had the antibodies, along with the surface antigens - but that I had cleared the virus ---

With the complexity of the diagnosing it, I will just have to wait and see what my doc says -

It could be a coding issue, as it was coded on the claim the same time that I was receiving the penicillin injections for the syphilis - so, maybe it was just a way for the insurance to be billed...

At any rate, I will do what we do, which is to follow through with doc, ask questions, not overly-worry about something that is still an "if.... come" and go from there.

In the meantime, I shall continue to practice my Shakespeare --- through application to Hep B (to have or not to have).

And, keep appreciating the wisdom and sage advice (always wanted to use that phrase) that is available (along with support) from these forums....

Phil D (who is a walking talking INFECTIOUS DISEASE these days between HIV, never-ending syph, and now, possibly chronic Hep B..... not to mention GERD, hiatic hernia, sleep apnea and low grade COPD..... dayuuummmm, it's getting harder and harder to find a date for the prom   :o  )
September 13, 2008 - diagnosed +
Labs:
Date    CD4    %   VL     Date  CD4  %   VL
10/08  636    35  510   9/09 473  38 2900  12/4/09 Atripla
12/09  540    30    60   
12/10  740    41  <48   
8/11    667    36  <20  
03/12  1,041  42  <20
05/12  1,241  47  <20
08/12   780    37  <20
11/12   549    35  <20
02/12  1,102  42  <20
11/12   549    35  <20

 


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