Hepatitis C Dragon Slayers profile picture

Hepatitis C Dragon Slayers

I am here for Friends

About Me



Welcome one and all. I've started this site for people looking for information about Hepatitis C Awareness. This page is for anyone wishing more to learn the A-Z of Hepatitis C Awareness, friendship or just plain old' understanding. Please make yourself at home. Feel free to ask questions and leave in my messages bar on the top left side of the page. For updated information please read my blogs on this page. When you open my blog site, please go to the left side of the page and click on Blog Archive [ Older Newer ] for more information. The Blgs go back until July, 2006
They call this virus "The Silent Killer." They're usually no physical symptoms till there's liver damage. This virus is our Generations Nightmare. Please read the below quiz and if you answer yes to any of the questions, please get tested. I felt great and went in for additional life insurance and found out I had Hepatitis C and Cirrhosis. I didn't fill sick at all, and I worked construction and was working 50-70 hour weeks. I know people who have seen their doctor and found out they already had liver cancer and going into liver failure already and only had months to live. I have lost a family member, and many of my old friends, and new ones I've met since I started this group to this virus.
Why the Hepatitis C Virus is called “The Silent Killer”
Hepatitis C is a type of virus that primarily attacks the liver. As the virus reproduces, it kills surrounding cells and triggers the body's immune system to fight back. This defense can lead to reactions, such as inflammation and/or fibrosis (scarring) of the liver. If left untreated, hepatitis C can result in liver damage, which can lead to serious conditions such as cirrhosis (in which healthy liver tissue is replaced by scar tissue) or liver cancer.
Most people who are infected with the hepatitis C virus go on to develop chronic hepatitis C. The infection becomes chronic (long-lasting) because the body's immune system is unable to fight it off.
You might think that such a condition would make you feel sicker and sicker over time. However, for many people, hepatitis C is an asymptomatic condition—which means they may not have symptoms for many years after they are infected. No one can tell you now whether or not you will have symptoms in the future.
Here's the tricky part: having no symptoms does not mean that hepatitis C is not attacking your liver. The virus can stay active in the body without producing recognizable symptoms. In fact, many people have no symptoms that they are aware of until significant liver damage has occurred. That's why it's so important to talk to your doctor about your treatment decision.
GET TESTED!!!
The History of Hepatitis C
Hepatitis C is a form of hepatitis caused by an RNA (Ribo Nucleic Acid) virus, and accounts for most of the hepatitis cases previously referred to as non-A, non-B hepatitis.
The Hepatitis C Virus (HCV) was first identified in 1988 and a hepatitis C antibody test (anti-HCV) to identify individuals exposed to HCV became commercially available in 1990. In 1995 the hepatitis C virus was seen for the first time by using an electron microscope.
The hepatitis C virus has a high mutation rate. These ongoing changes in the virus make it difficult for the body's own immune system to fight it off, as by the time the immune system figures out the virus, it has changed to look different. For the same reason it is very difficult to develop a vaccine.
What are the chances of persons with HCV infection developing long term infection, chronic liver disease, cirrhosis, liver cancer, or dying as a result of hepatitis C?
Of every 100 persons infected with HCV about:
•55%-85% of persons may develop long-term infection
•70 persons may develop chronic liver disease
•5-20 persons may develop cirrhosis over a period of 20 to 30 years
•1%-5% of persons may die from the consequences of long term infection (liver cancer or cirrhosis)
Hepatitis C is a leading indication for liver transplants. http://hivandhepatitis.com
HCV Symptoms and Progression
After exposure to HCV, there is an incubation period that usually lasts 2-26 weeks. The initial phase of HCV disease is called acute infection. Many people with acute HCV have no symptoms. Others may have a flu-like illness, nausea, fatigue, fever, headaches, loss of appetite, abdominal pain, and muscle or joint pain. Some develop jaundice (a yellowing of the skin and whites of the eyes). Acute HCV usually resolves after 2-12 weeks.
A majority of people infected with HCV do not clear the virus from their bodies, and become chronically infected. This percentage is typically estimated at 80%, but some experts believe it may be as low as 50% in certain people. Most people with chronic HCV do not have symptoms; others experience symptoms similar to those of acute HCV, but with more prolonged fatigue. In a majority of people, HCV progresses slowly, but in 10-25% of chronically infected people, HCV-related liver disease progresses over the course of 10-40 years.
Chronic HCV infection can lead to liver dam¬age, including the development of fibrous tissue in the liver (fibrosis), fat deposits in the liver (steatosis), and cirrhosis. In people with compen¬sated cirrhosis, the liver is heavily scarred but can still function relatively well.
In people with de¬compensated cirrhosis, the liver cannot function properly; these people may develop complications such as portal hypertension, bleeding varices (stretched and weakened blood vessels) in the esophagus and stomach, ascites (abdominal fluid accumulation), jaundice, pruritus (itching), brain damage (hepatic encephalopathy), and hepatic coma.
In the most severe cases, liver failure may occur and a liver transplant may be necessary. A type of liver cancer called primary hepatocel¬lular carcinoma develops in 3-5% of people with chronic hepatitis C. A number of different extra¬hepatic (outside the liver) conditions are associ¬ated with chronic HCV.
These include cryoglobu¬linemia, glomerulonephritis, lichen planus, por¬phyria cutanea tarda, Sjögren’s syndrome, sclero¬derma, fibromyalgia, arthritis, psoriasis, thyroid disease, blood cell deficiencies, and mental and psychological conditions. Most serious conditions are associated with late-stage HCV disease. Many people with HCV never experience any of these conditions.
Some Symptoms Of Hepatitis C Virus "The Silent Killer"
Although most people with chronic Hepatitis C do not exhibit symptoms of the "silent" epidemic, a significant number will experience its impact in organs other than their liver. Learn how to recognize these lesser-known conditions to help in the early detection and treatment of Hepatitis C.
by Nicole Cutler, L.Ac.
Many people infected with the Hepatitis C virus have no symptoms. Even if the person has been infected with Hepatitis C for a long time, no symptoms of the disease may present themselves until cirrhosis has developed. When symptoms are present, they can range from mild to severe. The most common symptom of chronic Hepatitis C is fatigue. Additional common symptoms of Hepatitis C include:
• Intermittent abdominal pain
• Reduced appetite and weight loss
• Nausea or vomiting
• Depression
• Jaundice – yellowing of the skin or whites of the eyes
• Low-grade fever
• Muscle aches
• Pale or grey colored stool
• Dark urine
• Generalized itching
• Ascites
• Bleeding varices – dilated veins in the esophagus
Extrahepatic Manifestations
People with Hepatitis C may exhibit symptoms and signs of infection that manifest in organs other than the liver. Known as extrahepatic manifestations, or immune-complex mediated diseases, these symptoms arise from the immune system's effort to fight off the infection. Chronic Hepatitis C infection leaves people vulnerable to the development of diseases involving the kidneys, the skin, eyes, joints, immune system and the nervous system. The occurrence of an extrahepatic manifestation does not correlate with the severity of the underlying liver disease. The following associated conditions are the most commonly seen as a result of liver disease:
1. Cryoglobulinemia – This condition is due to the presence of abnormal antibodies (called cryoglobulins) that come from Hepatitis C virus stimulation of lymphocytes (white blood cells). These antibodies can deposit in small blood vessels, thereby causing inflammation of the vessels (vasculitis) in tissues throughout the body. The skin, joints and kidneys (glomerulonephritis) are often targets of the vasculitis. People with cryoglobulinemia can present a variety of symptoms, including weakness, joint pain or swelling (arthralgia or arthritis), and a raised, purple skin rash (palpable purpura) usually in the lower portion of the legs. As well, people may experience swelling of the legs and feet due to loss of protein in the urine from the kidney involvement and nerve pain (neuropathy). What is more, this vascular condition can spawn Raynaud's phenomenon, in which the fingers and toes turn color (white, then purple, then red) and become painful in cold temperatures.
2. B-cell non-Hodgkin's lymphoma – This cancer of the lymph tissue is associated with the chronic Hepatitis C virus. Its cause is believed to be excessive stimulation by the Hepatitis C virus of B-lymphocytes, resulting in the abnormal reproduction of the lymphocytes. Most individuals with Hepatitis C virus-associated non-Hodgkin's lymphoma will require standard anti-cancer therapies.
3. Porphyria cutanea tarda (PCT) – PCT is a skin condition characterized by the overproduction of enzymes involved in the manufacturing of blood. People with PCT often have blisters and vesicles form on the back of the hands, forearms and neck, as well as the face. Lesions develop in areas exposed to the sun or have sustained minor trauma. Increased facial hair and pigmentation changes are also common. Major risk factors for the development of PCT include excessive iron exposure, heavy alcohol use, and the use of estrogens.
4. Lichen planus – A skin condition, Lichen planus appears as shiny, flat-topped bumps that often have an angular shape. This rash can occur anywhere on the skin, but often favors the inside of the wrists and ankles, the lower legs, back and neck. The mouth, genital region, hair and nails are affected in some individuals. Thick patches may occur, especially on the shins. About 20 percent of those affected with lichen planus of the skin experience minimal symptoms and need no treatment. However, in many cases the itching can be constant and intense.
5. Diabetes mellitus – An increasingly common metabolic disorder, diabetes mellitus is characterized by resistance to insulin, the hormone that regulates the amount of sugar in your blood. The accompaniment of Hepatitis C with diabetes is strongly associated with advanced liver fibrosis or cirrhosis. People with cirrhosis are believed to have decreased hepatic uptake of glucose, along with reduced hepatic clearance of insulin, leading to high levels of insulin and, therefore, insulin resistance syndrome.
Other conditions noted to be associated with Hepatitis C infection, include:
• Thyroid disease
• Kidney disease, especially Membranoproliferative Glomerulonephritis (MPGN)
• Vitiligo
• Arthritis
• Sjogren's syndrome
• Mooren's ulcer
• Neuropathy
While Hepatitis C is perceived as a virus attacking only the liver, clinical practice proves that its ramifications extend beyond solitary hepatic involvement. Perhaps due to the liver's involvement in nearly every aspect of health, Hepatitis C is a systemic problem.
The wide range of possible manifestations of this virus should signal increased public education for earlier diagnosis and treatment of Hepatitis C. Additionally, understanding the commonality between conditions associated with Hepatitis C can help a person suffering with multiple ailments recognize the likely origin of their extrahepatic manifestations.
References:
www.aocd.org, Lichen Planus, American Osteopathic College of Dermatology, 2006.
www.ccjm.org, Hepatitis C Infection: A Systemic Disease with extrahepatic manifestations, Aman Ali, MD, Nizar N Zein MD, Cleveland Clinic Journal of Medicine, November 2005.
www.hcvadvocate.org, Extrahepatic Manifestations of Chronic Hepatitis C, Roderick Remoroza, MD, Herbert Bonkovsky, MD, Hepatitis C Support Project, 2003.
www.idph.state.il.us, Health Beat: Hepatitis C, Illinois Department of Public Health, 2006.
www.medicinenet.com, What Conditions Outside the Liver are Associated with Hepatitis C?, Tse-Ling Fong, MD, MedicineNet, Inc, 2006.
In knowledge there is power over fear. You never have to be alone in your fight against the dragon again.
ARE YOU AT RISK FOR HEPATITIS C?
Take the Risk Quiz
1. Work History
Does your work ever put you in contact with blood, blood products, or needles? Examples include:
*Armed Forces: Army, Navy, Air Force, Reserves, VA Hospital or Home Care, Coast Guard
*Health Care: Doctors, Nurses, Dentists or Dental Worker, Oral Surgeons, Hospital Cleaning Service
*Emergency Services: Police Officers, Firefighters, Paramedics
*Prison Services: Corrections Officers, Prison Cleaning Services
*Science Laboratories
*Clinical Laboratories
*Tattoosists
*Beauticians, Barbers
*Institution Workers: Nursing Homes/Elderly Care, Psychiatric Hospitals, Substance Abuse Centers, Hospices
2. Medical History
Currently, or in the past, have you experienced any of the following:
*Blood transfusion prior to 1992
*Chronic fatigue/tiredness for which your doctor was unable to find an explanation
*Any surgery, including oral surgery
*Endoscopy or other exploratory procedure (oral, nasal, rectal)
*Cesarean delivery or other obstetric or gynecological surgical intervention
*Diagnosis of HIV-positive
*Kidney dialysis
*Elevalted liver enzymes test (ALT)
*Diagnosis of hepatitis B or hepatitis C
3. Lifestyle
Currently, or in the past, have you:
*Had a tattoo?
*Had any part of your body pierced?
*Had acupuncture?
*Received a shave in a barbershop?
*Been in the military?
Changed sex partners frequently?
*Inhaled cocaine?
*Been in prison?
*Injected drugs (even once)?
*Had a problem with alcoholism?
*Had unprotected sex with anybody who you know would fit any of the descriptions above? Had unprotected sex with a women during her menstrual cycle?
4. Family History
Do any of the above descriptions apply to a member of your immediate family, or has a member of your immediate family been diagnosed with hepatitis B or hepatitis C?
If you answered yes to any of the above questions, you are at risk for hepatitis C. Please get tested.
HCV Transmission via Crack Pipes
It is well-known that HCV is transmitted through sharing needles for drug injection, but a study in the January 2008 European Journal of Gastroenterology and Hepatology added to the evidence that the virus can also be spread via non-injection drug use. B. Fischer and colleagues attempted to detect HCV RNA on pipes used by 51 street crack users, within one hour after use. Study participants provided saliva samples for HCV antibody testing and had their mouths photographed to assess the presence of oral lesions. In total, 22 participants (43%) tested HCV antibody positive, and a minority had oral sores. HCV was detected on one of the 51 pipes (2%). This pipe had a glass stem, and its owner was HCV antibody positive and had mouth sores. “HCV transmission from an infected host onto paraphernalia as a precondition of HCV host-to-host transmission via shared crack paraphernalia use seems possible,” the researchers concluded, recommending larger studies to confirm their findings.http://www.hcvadvocate.org/news/newsRev/2008/HJR-5. 2.html#2
FIVE MILLION AMERICANS INFECTED WITH THE HEPATITIS C VIRUS: A CORRECTED ESTIMATE
http://www.nationalhepatitiscinstitute.org/Data/Transmission /5MillionInfected.htm
AASLD Nov 2005 Brian R. Edlin, Weill Medical College of Cornell University, New York, NY …of these, approximately 3.4 million are currently infected (chronic HCV)….
Background: The number of persons in the United States who have been infected with hepatitis C virus (HCV) has been estimated at 3.9 million, including 2.7 million currently infected. These estimates were derived from the National Health and Nutrition Examination Survey (NHANES), however, which excludes several high-risk populations from its sampling frame. The true number of HCV infections in the United States is therefore unknown.
Methods: Using data from the U.S. Census, the Centers for Medicare & Medicaid Services, the Bureau of Justice Statistics, and the published medical literature, we estimated the number of persons in five populations groups excluded from the NHANES sampling frame and the prevalence of HCV antibodies in each: incarcerated persons, homeless persons, hospitalized persons, active duty military, and nursing home residents. We used the NHANES estimate for the proportion of antibody-positive persons who are currently infected (73.9%).
Results: An estimated 800,000 to 1,200,000 persons excluded from the NHANES sampling frame have HCV antibody, of whom 733,000 (592,000 to 868,000) are currently infected.
Conclusions: The number of U.S. residents who have been infected with HCV is probably 800,000 to 1,200,000 higher than the 3.9 million NHANES estimate, or approximately five million. Of these, approximately 3.4 million are currently infected.
I have a Hepatitis C Support Group in San Antonio, Texas. Everyone is welcome. This is a group that is here to help spread awareness about the Hepatitis C virus. I have Michael France PA-C, CCRC Clinical Research Coordinator at Alamo Medical Research clinic in San Antonio who has offered to help me with information and guest speakers for the group. Anyone with any questions, please send questions to myspace.com/hepc_ dragon_slayers web page.A Hepatitis C Patient Primer. May your Dragon sleep gently in the fight against Hepatitis C ...
Hello, and welcome to "Hepatitis C Dragon Slayer ". I set up this web page as a starting point for anyone who is living with the Hepatitis C virus(HCV),family, friends, or for anyone wanting to learn more about Hep C. I found out in 1998, that I had Hepatitis C with cirrhosis. I have been on 4 different treatments and I’m a non-responder. After going through the second treatment with really bad side effects, I promised myself to learn everything I could about this virus and the different treatments. I know a lot about this virus but mine is all self taught. This is why I asked some of my Doctors & Nurses if they would volunteer to make this group be informative. While I don't claim to know all there is to know about HCV, I have been researching daily about the virus for years in my quest for knowledge about this 'Silent Killer' and have tried to incorporate my findings for this group. My life now consist of my Family, my Church, and informing and helping as many people as possible about this horrible virus. There will be guest speakers with medical professional, and drug companies representives at some of the support meetings. I've tried to include a little bit of everything here on at our Hepatitis C Support Group meetings, and hope that all fellow Hep.C patients, families , friends, and all visitors will enjoy the meetings and the meetings will be helpful for all that attend. The meetings will consist of round the table introductions, guest speakers, question and answer, booklets, pamphlets, helpful information, open discussions, or what ever everyone wants to discuss after guest speakers finish. Discussions on topics you would like to talk about or learn will be addressed and maybe have a guest speaker for that following meeting. I do have a few medical professional that have volunteered to attend our meetings with some noticed if there’s a certain topic to be discussed. There will be refreshments served.
Another Weapon Against Hepatitis C : Education
For people looking for more information about the Hepatitis C virus, please click on [View All Blog Entries] and scroll down the page.
UPDATED: June 2, 2007
From http://www.hepatitis-central.com/ website
Hepatitis C Is A Deadly Disease According to Dr. Eugene Schiff (University of Miami), the Hepatitis C virus (HCV) emerged in the U.S. population beginning in the 1960s, related to blood transfusion and injection drug use. The extent of the problem was only apparent after 1990 when reliable HCV blood tests first became available. Studies indicate that over the first 20 years of chronic HCV infection, 20% of chronically infected patients will develop cirrhosis, and many of those will progress to liver cancer. HCV-associated end-stage liver disease is a leading indication for liver transplantation in the USA and the developed western world.
Millions of Patients Are Affected by Hepatitis C Currently, it is estimated there are about 270 to 300 million people worldwide who are infected with HCV, 4 million of those are in the United States. The prevalence seems to be higher in Eastern Europe than in Western Europe. In industrialized countries, HCV accounts for 20% of cases of acute hepatitis, 70% of cases of chronic hepatitis, 40% of cases of end-stage cirrhosis, 60% of cases of hepatocellular carcinoma and 30-40% of liver transplants. The incidence of new symptomatic infections of HCV has been estimated to be 13 cases/100,000 persons annually. For every one person that is infected with the AIDS virus, there are more than four infected with HCV. The CDC (Center For Disease Control) estimates that there are up to 26,000 new HCV infections in the U.S. every year and that Hepatitis C causes 10,000 to 12,000 deaths each year.
The Public Effects Are Going To Get Worse, Fast Over the next 10-20 years chronic HCV is predicted to become a major burden on the health care system as patients who are currently asymptomatic with relatively mild disease progress to end-stage liver disease and develop hepatocellular carcinoma. Predictions in the USA indicate that there will be a 60% increase in the incidence of cirrhosis, a 68% increase in hepatoma incidence, a 279% increment in incidence of hepatic decompensation, a 528% increase in the need for transplantation, and a 223% increase in liver death rate. Current Medical HCV Treatment Is Limited Current medical treatment for HCV is limited to pegylated interferon combination therapy. This therapy is effective in less than 50% of cases of HCV genotype 1 (the most common genotype in North America). Two companies, Roche and Schering, have their own FDA approved versions. Each claims their formulation is superior for treating Hepatitis C. Your doctor will likely recommend one or the other (doctors have no other medicine to offer to treat this disease). You can find more information about each of these drug protocols at this website and elsewhere on the internet.
Some Natural Therapies Have Real Value There are also natural approaches for dealing with HCV. The credible ones focus on protecting and supporting the liver and keeping the immune system healthy. There is some proof that you can use natural means to help you live a long and relatively healthy life with this virus and die of some other cause (preferably old age). There is no natural cure for HCV, and if anyone claims they have one, they are lying. It is as simple as that.
Dubious treatments and supposed cures for HCV are being sold by charlatans and rip off artists. You need to be discerning when considering alternative therapies to help you deal with HCV. Look for scientific clinical validation. Objective third-party proof of effectiveness and safety is essential. We are involved with one product we think very highly of called Maximum Milk Thistle. It is a high quality medical milk thistle with scientific validation and a very reasonable price.
a href="http://photobucket.com" target="_blank"
Here is a small sample of what you can find on this website: Go To http://www.hepatitis-central.com/
Hepatitis C is just one of the strains of viral hepatitis. The current list goes from A to G.
The prevalence of Hepatitis C virus (HCV) infection is increasing worldwide. The World Health Organization estimates that more than 170 million individuals throughout the world are infected. An estimated 1.8% of the population in the United States is positive for HCV antibodies; this rate corresponds to an estimated 4 million persons infected nationwide. Infection due to Hepatitis C accounts for 20% of all cases of acute hepatitis, an estimated 26,000 new acute infections, and 10,000-12,000 deaths each year in the United States.
HCV Genotypes: It is much easier to talk of the Hepatitis C virus as if it is a single organism but in fact it is a range of viruses, similar enough to be called Hepatitis C virus, yet different enough to be classified into subgroups. Viruses are microscopic and no person could ever see them with the naked eye. Indeed, the virus is so small that there's been no confirmed actual sighting of it using any type of microscope yet developed. Consequently, a better way to understand the terms Hepatitis C 'genotypes' and 'subtypes' is to compare them to things that we can more readily relate to.
HCV & Herbs: There are a number of herbal products useful in the management of liver disease. Look for herbal liver support information including Maximum Milk Thistle, and other natural liver remedies.
HCV Links: Convenient links to other sites external to Hepatitis-Central. Although we do not have any control over these outside sites, we provide them as a courtesy in the hope that you will find the information useful.
HCV Symptoms: You'll find links to a comprehensive symptoms list, as well as various studies and discussions about Hepatitis C symptoms.
Viral Load: Simply put, Viral Load is how many viral particles per ML of blood. You'll find a convenient Viral Load chart here, as well as a link to a detailed discussion on how to analyze and interpret viral load numbers.
Lab Tests: What they are and what they mean. This is a page of links that explains and helps you interpret all the various hepatitis lab tests likely to be encountered. A necessary reference for full understanding of test results.
Hepatitis C Doctors: A state-by-state and worldwide reference listing physicians who treat HCV, including an email link to submit your physician for inclusion.
HCV Medicines: Numerous links to studies, info sheets, FAQs, and analysis of Ribavirin/Rebetron medicines.
Liver Disease Medicines: An exhaustive list of links to studies, info sheets, FAQs, and analysis of the various drugs used to treat liver disease.
Biopsy Info: A comprehensive resource of information relating to the liver biopsy.
Cirrhosis: Many discussions and analyses of cirrhosis, including causes, complications, pathology, symptoms, and much more.
Liver Cancer: Liver Cancer/Hepatocellular Carcinoma studies, info sheets, FAQs, and analysis.
Mother/Child Transmission: Discussions of the special problems and precautions necessary involving mother to child transmission of Hepatitis C.
Hep-Central Email List: Don't miss important news. Stay up to date with progress. Learn about advances and breakthroughs in Hepatitis C research, including information about medical and complementary treatments.
Hepatitis C Patient's Bulletin Board: This Bulletin Board is for discussions on hepatitis, treatments, etc. Please participate in any of the discussions listed on the left or post your own new discussion. This message board will allow you to keep in touch with other patients, caregivers, exchange ideas, as well as provide the opportunity to give and receive support.
HCV Books: Recommended reading for those interested in hepatitis information.
Hepatitis C Activism: An easy way to get involved in urging our government to do more for Hepatitis C awareness and treatment research.
Most Searched Articles in our Hepatitis C archive
Hepatitis C Treatment Options
A Cure for Hepatitis C?
Share Your Personal Hepatitis C Story
Body Shop Founder Living with Hepatitis C
Hepatitis C Awareness Day
Sexual Transmission of Hepatitis C
Understanding Hepatitis C Interferon Therapy
I’ve been on 2 clinical trials myself.
For people wanting to learn more facts about the Hepatitis C virus, please go to this website.
http://www.hcvadvocate.org/hepatitis/hepatitis_C.asp
For ALL THE People That Have Done Treatments FOR Hepatitis C
The agony people, myself included, put ourselves though with the current treatments for HCV is done out of the fact that we have hope. At the same time many of us realize that we may be destroying our immune systems. THERE IS NO CURE FOR HEPATITIS C TODAY. There is no vaccination for it either. Our hope for now is to slow down the virus, or hopefully be undetectable one day from the virus. What some of us have to look at is that our quality of life will continue to deteriorate, the virus is not just attacking our liver but all organs in our body, our livers will sustain enough damage to fail requiring a transplant or even death. Please pray for a cure, make yourself aware of the epidemic, and get tested. Pray also for all those with other chronic diseases and illnesses. Here is a short list: Cancer, Lupus, MS, Fibromylagia, AIDS, Rheumatoid Arthritis, COPD, and Hepatitis C virus among MANY others.
The Hepatitis C Epidemic
http://www.epidemic.org/The Hepatitis C Epidemic - Epidemiological Factors
Hepatitis C was only discovered in 1989, and since that time, studies of infected populations have grown in frequency and sophistication. Early assessments of the total numbers of infected individuals and rates of infection were greatly underestimated, and have been rapidly revised upwards. There is reason to believe that this trend will continue, and that current numbers are probably greatly underestimated. A number of factors must be taken into consideration when assessing the true extent and spread of hepatitis C.
1. The disease is not generally recognized by the public, so levels of concern and testing are low.
2. The medical community is not well educated about this disease, so many, many cases go unrecognized and untreated. Because of this same lack of knowledge, a majority of doctors do not recommend testing for hepatitis C to their patients, even if they are in high risk groups.
3. In most cases, the disease is asymptomatic for years, even decades, before progressing to chronic liver disease. Because the largest numbers of people infected with the disease are believed to have been infected within the past 15-20 years, the true burden of infection may not become apparent for many years to come.
4. Studies are almost always several years old before they are published - the data they are based upon sometimes even older - so published statistics are usually lower than current data would indicate.
5. Sample populations used in studies are frequently not representative of high-risk groups. For example, studies of suburban populations, or studies involving blood donors, frequently miss large parts of the at-risk population, which might tend to be concentrated in cities or not regularly donate blood.
6. The virus mutates frequently, resulting in strains of the virus which are undetectable by current assays. While researchers are always developing newer assays to detect new strains, they are inevitably a little behind. Some hepatologists (liver specialists) believe that the hepatitis C virus is in many cases able to elude detection by current means.
7. Because of its frequent mutation and diverse genotypes, the use of different assays in different epidemiological studies has led to a great deal of discrepancy in methods and probable accuracy. Comparisons between these studies is thus risky and often inaccurate.
8. More than 40% of currently recognized infected individuals contracted the disease through means unknown to them (although it is believed that most of these cases have identified risk factors associated with them - approximately 10% of cases have genuinely unknown means of transmission). This means that many of the people who are infected may not even be aware that they are at risk for this disease. Moreover, the existence of unknown means of transmission suggests that epidemiological studies based on current theories about transmission may not be representative.
9. Less developed nations, particularly in the Third World, have little or no public education about the disease and have made few attempts to curtail the spread of the disease, so statistics from these regions are frequently flawed (and estimates often low).
10. There is a great deal of political and social controversy concerning this disease, which has and will continue to result in inaccurate reporting or underreporting of rates of infection, by individuals, physicians, and public health agencies in this country and around the world.
Because of these factors, the number of documented cases of hepatitis C have represented only a tiny fraction of the total number of individuals actually believed to be infected - and estimates of total infected populations are likely to be low in relationship to actual rates of infection. These issues should not lead to the belief that accurate estimates cannot be made, but rather should make clear that recent and future figures of the incidence of the disease in the United States and the world will likely be lower than the true incidence for some time to come.
Basics – Questions : Hepatitis C
1. True or false: Up to 70% of people who are believed to be infected with hepatitis C are unaware they carry the virus.
2. True or false: Hepatitis C is a DNA virus.
3. True or false: Genotype 1 is the most common genotype in the United States.
4. True or false: Hepatitis C is spread by direct blood to blood contact.
5. True or false: The liver is responsible for some 5,000 bodily functions.
6. True or false: People with HCV should be vaccinated against hepatitis A and hepatitis B.
7. True or false: Sharing injection drug equipment (needles, works, etc) is the most common route for transmitting hepatitis C.
8. This virus is usually spread through contaminated food or water.
9. Before _________many people got hepatitis C through blood transfusion.
10. The incubation period for HCV is _____________________ .
11. _____________ of people with chronic hepatitis C develop liver cancer.
12. People with hepatitis C should avoid or reduce alcohol consumption.
13. The current standard of care for treating hepatitis C is ______________.
14. Females have a better chance of responding to hepatitis C therapy.
15. In the United States, an estimate _________________ die each year of complications
Answers Below
1. True
2. False
3. True
4. True
5. True
6. True
7. True
8. Hepatitis A Virus
9. 1992
10. 2-26 wks
11. 3-5%
12. True
13. Pegylated Interferon plus Ribavirin
14. True
15. 8 -10,000 People
To watch a Video of the Life cycle of the Hepatitis C VirusIf you would like to see how the Hepatitis C virus attacks the cells of the human body go to this site and watch. This is why the immune system doesn't recognize the virus.
Go to this website: http://hopkinsgi.nts.jhu.edu/multimedia/database/intro_55_VC -04.swf
Are You At Risk For Hepatitis C
New Poster Now Available
Click Here to open pdf
HCV Care by Liver Specialists or Community-Based Practices: Pro & Con
The American Journal of Gastroenterology September 2007
PRO: Management of Hepatitis C by Liver Disease Specialists
Jorge L. Herrera, M.D., F.A.C.G.11University of South Alabama College of Medicine Mobile, Alabama 1University of South Alabama College of Medicine, Alabama
INTRODUCTION
An estimated 1.8% of the adult American population test positive for anti-hepatitis C virus (HCV) antibody
(1). Most of these individuals are viremic and asymptomatic. While great progress has been made in public education and increased awareness among health care providers, many patients are being diagnosed after they enter the symptomatic phase of the disease, reflecting advanced liver damage. Early diagnosis of hepatitis C infection is crucial, as chronic hepatitis C is a leading cause of cirrhosis, liver failure and hepatocellular carcinoma. Fortunately, effective therapy is available and can help over 50% of patients with chronic hepatitis C when diagnosed early. The treatment of hepatitis C has evolved rapidly, with the ability to achieve a sustained response increasing from 10% in 1992 to over 50% in 2006
(2). While this improved efficacy is in great part due to the development of more effective medications, the ability to provide patient support, specialized care, aggressive management of side effects, and individually tailored therapy is crucial in maximizing response. This type of care can only be delivered by specialists in liver disease or a practice devoted to the treatment of hepatitis.
INITIAL DIAGNOSIS AND DECISION TO TREATThe initial diagnosis of hepatitis C infection usually causes great concern for patients. Most patients have a multitude of questions regarding their illness, the prognosis, safety of those around them and options for therapy
(3). Accurate answers for these questions requires an up to date knowledge of the natural history and treatment of viral hepatitis and a practice setting that allocates sufficient time and resources for patient education. It is not surprising that, in a recent study of hepatitis C patients, 28% of patients reported poor communication skills of their physicians resulting in feelings of being rushed, ignored, or misunderstood. Similarly, 23% reported a sense of physician incompetence in the diagnosis and management of their liver disease.
(4).Up to 40% of patients diagnosed with chronic HCV are reported to suffer from mood disorders or psychiatric diseases
(5), and more frequent and severe emotional distress is reported among HCV infected patients without known psychiatric disease compared with uninfected populations
(6). These findings highlight the importance of referring newly diagnosed HCV patients to a practice dedicated to the treatment of liver disease that can meet their needs. Substantial knowledge deficits regarding HCV infection among practicing physicians who do not specialize in the care of liver disease have been reported
(7) and likely contribute to communication problems between patients and physicians.Many patients are diagnosed with hepatitis C after advanced liver fibrosis has developed. Patients with bridging fibrosis or cirrhosis on liver biopsy are the ones most likely to benefit from successful antiviral therapy, however, these patients are also less likely to respond and more likely to develop side effects. Experienced practitioners that specialize in the treatment of liver disease are able to carefully weigh the benefits and risks of treating advanced fibrosis with antiviral agents and are also able to provide the meticulous comprehensive care and monitoring necessary for patients with cirrhosis including counseling on lifestyle modifications, preventive measures, and surveillance for esophageal varices, hepatocellular carcinoma and other complications of cirrhosis
(8).The decision to treat hepatitis C infection is not easy and should be a mutual decision of the patient and the healthcare provider. Multiple prognostic factors need to be considered to assess likelihood of response, and this needs to be weighed against the potential side effects of therapy. In many patients, liver histology findings are crucial in deciding whether or not to proceed with therapy. A clear understanding of hepatic pathology, the prognostic implications of histologic findings and an open and ongoing dialogue with the pathologist, are necessary in order to counsel the patient as to the best course of action. Practices that are not devoted to hepatology often lack the knowledge, resources or time to carefully evaluate all the positive and negative predictive factors, integrate them with the liver biopsy findings and then present the information in a clear and practical way to the patient to arrive at a rational decision regarding therapy.
While there are few absolute contraindications to the use of interferon and ribavirin, the list of relative contraindications is extensive, and becomes shorter as the experience of the healthcare provider treating hepatitis C grows. Practices that devote the majority of their time to the treatment of liver disease are more likely to "push the envelope" and safely treat patients that would otherwise be considered ineligible by other less experienced practices. In many instances, the patients with relative contraindications are the ones most likely to benefit from therapy, such as the patient with cirrhosis and moderate thrombocytopenia or neutropenia, or patients with advanced liver fibrosis and well-compensated psychiatric illnesses.
MONITORING DURING TREATMENT
Adherence is one of the most important elements to achieve success when treating chronic hepatitis C infection The treatment for hepatitis C infection is toxic and patients soon realize that they feel better if they skip their medications. Physicians who are not used to treating patients with chronic hepatitis C are more likely to treat side effects by reducing the treatment dose or allowing "drug-holidays" rather than aggressively treating the side effects to prevent dose reductions. Familiarity with the use of growth factors for managing cytopenias and the treatment of uncomplicated psychiatric problems such as mild to moderate depression, irritability, or anxiety are necessary skills for practices taking care of hepatitis C patients.
In many cases, the management of the side effects caused by antiviral therapy is more an art than science, an art that can only be perfected in practices dealing with a high volume of hepatitis C patients and are dedicated to their care. Most practices dedicated to the treatment of liver disease have nurses and physician extenders with expertise in the care of hepatitis C patients; their role in providing patient support and maximizing adherence cannot be overemphasized and is often lacking in practices not dedicated to liver diseases.
The understanding of viral kinetics following initiation of antiviral medications has opened the new field of "individualized therapy". Analysis of viral kinetics allows the clinician to detect early during treatment those patients likely to fail with continued therapy, those that can achieve success with short duration therapy and those that will require extending therapy beyond 48 wk to maximize chances for sustained response. Gone are the days of "cookbook medicine" that assigned treatment for a total of 24 or 48 wk based solely on the patient's genotype. The concepts of rapid viral response (RVR), complete early viral response (EVR) and incomplete EVR require frequent and careful monitoring of viral counts at set points during therapy and a clear understanding of the implications of viral kinetics. By using these sophisticated parameters, clinicians experienced in treating a high volume of hepatitis C patients can avoid unnecessary toxicity by early discontinuation of therapy in patients with no hope for response and by shortening therapy in those with early viral clearance and favorable prognostic parameters. This type of intensive monitoring can only be provided by practices that specialize in the care of liver patients and have developed the infrastructure needed to assure carefully timed laboratory evaluations and patient monitoring.
DIFFICULT TO TREAT PATIENTS
Despite effective therapy for hepatitis C, geno-type 1 and 4 success rates of 40%-50%, geno-type 2 and 3 up to 80% some of the patients do not respond or relapse after successful therapy. Options for nonresponders are limited but careful evaluation of the prior treatment course by experienced physicians can uncover deficiencies that can be corrected upon retreatment. A careful analysis of viral response during the prior course of therapy may shed light on ways to modify treatment and maximize response. Novel approaches including daily interferon therapy and higher weight-based doses of ribavirin are more likely to be offered to patients who seek care in practices that specialize in the care of liver disease and may be the only hope for the patient to achieve a sustained response.
FUTURE THERAPIES
As we learn more about the hepatitis C virus biology, newer therapies are being developed. Protease and polymerase inhibitors have emerged as potent, specifically-targeted therapies against hepatitis C infection, but will need to be used in combination with interferon and probably ribavirin to minimize resistance. Their introduction into practice will add complexity to the treatment of HCV infection. Potential for resistance, cross reactions with other medications and proper timing for the introduction of these compounds relative to interferon and ribavirin therapy are factors that will need to be individualized according to patient's needs and viral kinetics, requiring experienced physicians with intimate knowledge of how these compounds act in inhibiting viral replication to maximize their efficacy.
CONCLUSIONS
Hepatitis C infection has a variable natural history, the potential for causing severe liver disease, and variable response to current therapy based on pretreatment factors. Patients with HCV infection have special needs and frequent co-morbid psychiatric and mood disorders. The decision to treat hepatitis C is complex and different in each patient. Adherence is crucial and requires extensive patient education and support and medical professionals committed to aggressively treating side effects rather than reducing medication doses. Monitoring during treatment is evolving; frequent and careful assessment of viral kinetics during treatment is needed to individualize therapy and maximize response. All of these variables do not allow for hepatitis C to be treated following a standard protocol or guideline for all patients. Only practices that specialize in the treatment of liver disease have the resources to provide their chronic hepatitis C patients with individualized state of the art therapy and the best chance at sustained viral response. Jorge L. Herrera, M.D., F.A.C.G
CON: The Management of Hepatitis C in a Community-Based Practice
Farid Naffah, M.D.11Avamar Gastroenterology and Center for Endoscopy Warren, Ohio 1Avamar Gastroenterology and Center for Endoscopy Warren, Ohio
A CHALLENGE FOR SPECIALIZED CENTERS
The notion that patients with chronic viral hepatitis should be managed at tertiary care institutions rests on the presumed lack of expertise outside of specialized centers. Knowledge about hepatitis C has progressed vastly in the past 15 yr. Standards of therapy, which have already witnessed several transformations, continue to evolve at a fairly rapid pace, making it difficult for clinicians to keep up with recent developments, thereby diverting patients to academic centers. Furthermore, the preference for tertiary care institutions is bolstered by the potentially grave side effects of drugs currently in use, interferon and ribavirin, as well as the challenges inherent in certain clinical contexts, such as patients with serious comorbidities, patients coinfected with hepatitis B or HIV
(1), patients with extrahepatic syndromes
(2), and those having undergone liver transplantation
(3). In addition to their ability to handle intricate and precarious cases, tertiary care institutions usually possess the resources for a structured and organized treatment program, including education and follow-up by ancillary staff, a setup not easily achieved in a small community office.
For those reasons, many gastroenterologists in private practice have relegated the task of treating patients with chronic hepatitis C to their counterparts at the nearest university hospital or referral center, thereby skirting challenging clinical issues, avoiding potentially difficult medical legal questions, and freeing up time for the exercise of the more routine and lucrative aspects of their practice.
A TASK FOR PRIVATE PRACTICE
A breakdown of the steps involved in managing patients with chronic hepatitis C presents a clearer picture of the matter at hand and unravels many of its perceived complexities.
A systematic approach to the hepatitis C patient ensures that the job is complete, and simplifies the process. When equipped with a working method, a community-based practice is perfectly suited for the treatment of most cases of hepatitis C. Indeed, the vast majority of patients would not receive superior treatment at a tertiary care institution. Clinical studies conducted in Spain and Germany have reached that same conclusion. Furthermore, many aspects of therapy, particularly those of a pragmatic nature, make it more desirable for patients to be treated in their own communities.
THE NEED FOR CARE CLOSE TO HOME
It is estimated that four million Americans are infected with the hepatitis C virus, but only half a million have been treated.
The majority have not been identified, but awareness about the disease and its long-term health risks has grown among primary care physicians and in the public at large.
Consequently, routine screening of individuals with alanine aminotransferase elevation and those with risk factors for the infection is gaining popularity, yielding increased numbers of diagnosed patients. Their systematic referral for evaluation and treatment to tertiary care centers is likely to result in delays, not to mention inconvenience and potentially higher costs.
The prevalence of hepatitis C in small communities makes it important to have competent care locally available. Since elderly patients are rarely treated, the majority of those who qualify for therapy are of working age. Unfortunately, the driving distance to a tertiary care center and the lack of flexibility in scheduling appointments often constitute a disincentive for patients to even initiate an evaluation.
A typical workup requires several visits, laboratory and radiographic studies, usually a liver biopsy, and often subspecialty consultations: ophthalmologic, psychiatric, endocrinologic, and others.
A single appointment typically implies hours of travel and waiting time. For many patients, that adds up to a day lost from work and a day of lost wages, a situation they cannot afford. The disincentive to go through the initial evaluation is only compounded by that of follow-up visits, which are frequent and may continue for an entire year. Patients who are eliminated from therapy at 12 wk, because of failure to achieve a 2-log reduction in viral load, must still anticipate an average of 10 visits to the referral center.
Those who are lucky enough to endure must plan for an average of 20 visits to reach the end point of therapy, even under optimal circumstances, and when the course of their treatment is uninterrupted by complications. In view of the above considerations, determining the value of therapy, i.e., weighing its cost against an overall chance of cure, often leads the average working patient to decide against it, or postpone it indefinitely, particularly if the disease is not advanced and there is no perceived need for immediate action.
Indeed, many of the patients we treat may never progress to cirrhosis or hepatocellular carcinoma. Yet patients in earlier stages of disease are more likely to tolerate and respond to therapy. Ten to 20 days of lost wages is a high price to pay. For the majority of patients, that may be entirely avoided if they can receive care in the their own community.
A METHODICAL APPROACH
Delineating the steps involved in the management of patients with hepatitis C ensures that the process is carried through optimally and shows how that can be achieved in a community-based practice. Broadly speaking, those steps include patient selection, education, choice of drug regimen, clinical and laboratory follow-up, recognition and treatment of side effects, dose modifications, and termination of therapy.
The selection of patients who qualify for therapy with interferon and ribavirin is generally straightforward, as strict contraindications are well defined, such as decompensated cirrhosis, advanced cardiac and pulmonary disease, epilepsy, and severe mental illness.
Relative contraindications, such as depression, retinopathy, and poorly controlled diabetes mellitus, present some challenge but rarely necessitate the opinion of a tertiary care hepatologist.
On the other hand, those situations generally require the input of other specialists, such as endocrinologists, ophthalmologists, and psychiatrists, and their continued participation in the patient's care if therapy is initiated. Fortunately, competent specialists are available in most communities and are often already familiar with the concerned patients.
Their geographical proximity to the patients' dwelling and place of employment improves their accessibility, which may be critical in urgent situations, such as hyperglycemia, loss of vision, or suicidal ideation, to only name a few. Problems can be handled in a timely manner, with a high level of cooperation between physicians, which maximizes patient safety, hence the successful completion of therapy.
Treating hepatitis C entails a fair amount of education about the disease, its manifestations, and progression, and a discussion about the treatment, its prognosis, and side effects.The physician's review is supplemented by helpful educational materials, which are readily available from the American Liver Foundation and from pharmaceutical companies. They are routinely supplied to patients in the form of pamphlets and videotapes. Issues regarding contraception, as well as the avoidance of alcohol and street drugs, must be stressed and reinforced throughout the course of therapy.
Patients are encouraged to ask questions and report adverse reactions. They may well be more apt to do so, both in person and by telephone, in the familiar environment of their local physician's office, while they may be intimidated by the imposing

My Interests



Church, Family, Friends,

Watching the sunset with my wife

The Dragon Slayers Support Group

Other Hepatitis C online support groups I'm involved in

Education: Another Weapon Against Hepatitis C

Breaking the Hepatitis C Social Stigma

More people are currently living with Hepatitis C than any other chronic blood-borne infectious disease. Many patients still suffer with the associated stigma in many social circles. Discover two ways to reduce this unfortunate perception of a Hepatitis C diagnosis. Your efforts can help make the changes required.

by Nicole Cutler, L.Ac.

The MSN Encarta Dictionary defines stigma as “a sign of social unacceptability: the shame or disgrace attached to something regarded as socially unacceptable.” According to the US Department of Health and Human Services, “stigma is about disrespect.”

For some people, the stigma of living with Hepatitis C is more harmful than the virus itself. While medical research and treatment primarily target prevention and viral eradication, there is a lot more effort required to change public perception and attitudes toward Hepatitis C.

There are two parts to breaking a disease-related stigma: education and self-respect. By educating communities on Hepatitis C and learning to feel good about yourself (regardless of viral status), Hepatitis C can be removed from the category of socially unacceptable conditions.

Why? The primary reasons for any condition to be stigmatized are the lack of compassion, fear and ignorance. Hepatitis C is a prime candidate for such an attitude for several reasons:

Fear of Transmission – Because Hepatitis C is an infectious disease without a definitive cure, people are afraid of getting it. Although not easily transmitted, people are nevertheless fearful and may shun those who have the disease. Fear and ignorance have cost those with Hepatitis C their jobs, friendships and marriages.

Fear of Illness – Some people do not like to be around people who are sick. Being uncomfortable around others who have an illness is how certain people protect themselves from their personal fears. This discomfort may cause them to socially reject people with diseases instead of risking exposure to suffering and/or death.

Judgment – Despite the many ways of acquiring Hepatitis C, misinformed people sometimes assume that everyone with Hepatitis C has a history of injection drug use. Even if this is a person’s mode of viral acquisition, our society lacks compassion and understanding about injection drug use. Those without personal exposure to injected drugs may judge people who have. Former injection drug users may feel haunted by their pasts and judge themselves.

Additionally, many active injection drug users carry shame about their addiction. Regardless of the situation, casting judgment on a person for their past addiction or viral status is devoid of compassion for their very personal situation.

Several of Hepatitis C stigma’s negative consequences include reduced self-esteem, diminished mental health, less access to medical care and fear of disclosing a positive status. Additionally, this attitude may contribute to hesitancy on the part of some medical providers to treat people infected with Hepatitis C.

In the January 2006 issue of Hepatitis magazine, the staff conducted an informal web poll about stigma and viral hepatitis.

On the plus side, 42 percent of poll participants felt they had not faced any stigma due to living with hepatitis. However, more than half of all respondents reported being treated differently due to their disease. Of those who participated in the poll, 20 percent felt they had experienced job discrimination due to having Hepatitis B or Hepatitis C, 13 percent reported hepatitis-related social stigma and 13 percent had been alienated from family and friends because of viral hepatitis.

Education

Any social stigma finds its roots in fear of the unknown. Many Americans have misconceptions about the way Hepatitis C is transmitted. Once diagnosed with the virus, most affected people diligently study how the disease is spread, and how they likely acquired it.

However, a person without firsthand experience with Hepatitis C may mistakenly assume it can be transmitted through sharing a glass of water or even from being coughed or sneezed on by an infected person.

Until all reaches of society learn the facts about this virus, inaccurate stereotypes fueled by fear will persist.

Educating yourself and others will break down the stigma associated with Hepatitis C.

Many communities have Hepatitis C task forces to promote community awareness. Getting involved with Hepatitis C informational training sessions targeting local schools, hospitals, drug treatment programs, government agencies and similar community organizations will fill replace fear with knowledge, helping to remove the negative perspectives about this disease.

In the words of Margaret Mead, “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.”

Self-Respect

If you have Hepatitis C, the first step in breaking the stigma is to start with your own attitude toward your illness. Some questions to ask in uncovering this include:

• Do you label yourself as a sick person?

• Do you expect to be shunned from co-workers, friends and family?

• Do you feel like you deserve to have Hepatitis C?

Honestly examining your own feelings of shame and working to shift those feelings into pride makes a tremendous difference when facing the world with any illness.

Living in the present and looking to the future are the best ways to leave negativity in the past. By learning how other people live with the disease, many people find help in discussing their feelings at Hepatitis C support groups.

In order to garner the respect from others, it is absolutely necessary to first develop respect for yourself. Additionally, feeling good is the single most important factor in living a long, healthy and rewarding life.

Compiled by the Hepatitis C Support Project, below are nine tips for developing a healthy attitude:

1. Make sure you know the truth. Get accurate information about Hepatitis C. Some people mistakenly believe Hepatitis C is an automatic death sentence. The truth is, the majority will die with Hepatitis C, not of Hepatitis C.

2. Don’t make things worse by imagining a future with pain, disability or loss. Improve your odds by visualizing your future the way you want it. Visualizing health, not illness, is a powerful tool for self-transformation.

3. Maintain perspective of the big picture. Focus your attention on something that brings peace, joy, laughter and meaning. Tell yourself that difficult moments will pass.

4. Watch your words. If you hear yourself talking negatively, substitute positive phrases. Say, “I will find a way to live with Hepatitis C” rather than “Hepatitis C is ruining my life.”

5. Practice gratitude. Make it a habit to find things for which you are grateful.

6. Learn what you can control and what you cannot. There are things you cannot control, such as the fact that you have Hepatitis C. However, there are things you can control, such as your attitude and what you say to yourself about having Hepatitis C.

7. Learn from the virus. Ask yourself what Hepatitis C can teach you about living.

8. Get support. Being with others who are dealing with the same issues can bring encouragement and hope.

9. Help others. When it comes to stepping outside of ourselves, probably nothing works as well as reaching out to others who are also struggling.

By cultivating self-respect through a positive attitude and through active participation in educating your community on Hepatitis C, you can take an active role in breaking the Hepatitis C stigma and helping those diagnosed with the disease to finally receive the compassion they deserve.

References:Conrad, S., Garrett, LE, et al., Living with chronic hepatitis C means 'you just haven't got a normal life any more', Chronic Illness, June 2006.

www.encarta.msn.com, Stigma, Microsoft, 2007.

www.hcvadvocate.org, Hepatitis C and Drug Abuse, Janetta Astone-Twerell, PhD, Shiela M. Strauss, PhD, Corrine Munoz-Plaza, MPH, Hepatitis C Support Project, 2007.

www.hcvadvocate.org, Stigma and Hepatitis C, Lucinda K. Porter, RN, April 2006.

www.mentalhealth.samhsa.gov, Discrimination and Stigma, US Department of Health and Human Services, 2007.

www.thebody.com, Policy Facts: AIDS-Related Stigma, AIDS Action Council, 2007.

Posted by Editors at August 27, 2007 01:48 PM

http://www.hepatitis-central.com/mt/archives/2007/08/breakin g_the_he.html?eml=hepcen38

A Guide To Hepatitis C www.hcvadvocate.org

Introduction

Hepatitis C (HCV for short) is a virus that lives in human blood. A virus is one of the smallest living things known to exist inside plants and animals.

HCV makes new hepatitis C viruses by infecting the liver and the blood, and after many years the liver can become so damaged by hepatitis C that it cannot perform many of the important jobs that it must do to keep us healthy.

You can only get hepatitis C by getting HCV infected blood from someone who has Hepatitis C, and ONLY if that infected blood gets into your body.

Many people have hepatitis C so you are not alone. It takes many years for hepatitis C to cause damage to the liver and to make someone sick.

There are many things that people can do to help fight Hepatitis C, and the best time is to start is early – before Hepatitis C has a chance to damage your liver.

One of the most important things you can do is to stop or cut down on drinking alcohol and smoking tobacco.

There are also medicines to get rid of Hepatitis C and they work for one half of the people who take them.

Talk with your doctor or nurse about ways to stay healthy and about medications that can get rid of Hepatitis C, and if they can help you.

HCV Facts The government estimates that there are about 4-5 million Americans infected with hepatitis C.

However, some experts believe that the number of Americans infected with hepatitis C is closer to 5 to 6 million Americans.

About 8,000 to 10,000 Americans die every year as the result of Hepatitis C.

It is expected that the number of people in the next 10 to 20 years who will die from hepatitis C will be 3 times more than now.

Hepatitis C is so common that it is the main reason that people need liver transplants.

Anyone with hepatitis C should try to stop drinking or cut down on drinking and smoking tobacco.

People with hepatitis C should be given shots to protect them from hepatitis A and hepatitis B.

What is the Liver?

The liver is the largest organ in your body. It is reddish-brown and is about the size of a football.

The really amazing thing about the liver is that if they took away half the liver – it would grow back in a few weeks.

The liver’s job is to run over 500 bodily functions to keep you healthy.

It is also a very important organ because it filters everything you eat and breathe – even things that get on your skin. The problem is that things such as alcohol, street drugs, cigarette smoke, toxic fumes, some herbs and even some regular medicines people buy without a doctor’s prescription can damage the liver.

The liver helps the body by taking certain foods and turning them into chemicals that give you energy and keep you healthy.

The liver also stores many important things such as vitamins. Sometimes you can take too many vitamins and this can damage the liver.

HEALTHY LIVER TIPS

Stay away from toxic fumes or liquids.

Stop drinking alcohol, smoking tobacco and taking street drugs. If you can’t stop, try to cut back – talk with a doctor, family or friends about getting some help to stop.

Talk to your doctor about vaccines to help protect the liver.

Tell your doctor about all medicines you are taking, even if it’s just an aspirin or Tylenol.

Eat a healthy and well-balanced diet.

Drink lots of water.

Stay away from raw or undercooked shellfish.

How Do You Give Or Get Hepatitis C?

Hepatitis C is spread by direct blood-to- blood contact.

This means that in order for someone to give hepatitis C to someone else they must get their blood into someone else’s bloodstream.

For this reason, it is difficult to get or give hepatitis C unless there is blood involved.

So if you have hepatitis C, make sure that your blood does not come into contact with anyone.

If you do not have hepatitis C, stay safe by making sure that you stay away from any blood from other people.

How Do You Give or Get Hepatitis C?

Getting Hepatitis C from Needles and Works

The most common way that people get hepatitis C is from sharing needles and anything else that is used to inject street drugs, hormones, steroids, vitamins or any other substance that is injected into the body.

Things used to inject drugs include needles, cookers (to mix drugs), cottons (to filter drugs), and tourniquets or ties. Even the water used to clean drug equipment can have Hepatitis C in it.

It is also important to wash your hands to help reduce the risk of getting Hepatitis C and other diseases.

Getting Hepatitis C from Sex

Getting hepatitis C by having sex is rare, but it could happen if someone has sex with a lot of different people, and engages in risky behavior.

Many experts believe that the risk of spreading hepatitis C is very low if people have sex with only one person over many years. But if the person with hepatitis C or the person you are having sex with is worried about catching hepatitis C then use condoms (rubbers) during sex.

People who have many sex partners or who have other sexual diseases should always use rubbers and take other precautions, such as covering any open cuts or wounds since these could pass Hepatitis C during sex.

Hepatitis C is also easier to spread while a woman is on her period. Remember to be safe if there is any blood during sex.

Getting Hepatitis C from Blood

Another way that many people got hepatitis C is from having a blood transfusion before 1992.

This can include having an operation that required someone to receive blood from another person or any other way where a blood product was used.

Other Ways to Get Hepatitis C

Some experts believe that you can get hepatitis C in other ways, such as by getting a body tattoo or piercing or sharing personal hygiene items (toothbrushes razor blades, nail clippers), but there has never been a proven case of this happening.

The Good News

The good news it that you can not get or give hepatitis C by sneezing, hugging, breast feeding, sharing eating utensils or drinking glasses. It is just not spread by this type of casual contact.

Safety Tips

Do not share needles or works (cottons, cookers, ties) used to inject drugs, hormones, steroids and vitamins. Do not even share the water. Wash hands before injecting.

Cover any open cuts or wounds.

Sexual transmission is low, but the use of condoms and barriers will help reduce the risk even more.

A mother can transmit hepatitis C to her baby during pregnancy or birth, but this doesn’t happen very often.

Do not share any straws to snort drugs, or pipes to smoke crack.

Make sure that in healthcare settings standard safety precautions are being carefully followed.

Do not share any personal hygiene items such as razors, toothbrushes, nail clippers or pierced earrings. Cover personal items and keep them separate from other people you live with.

Make sure tattoo and piercing equipment is sterile.

For a tattoo – make sure that a new needle and ink pot is used for each person.

For a piercing – make sure that a new needle is used and that the package that contains the needle is opened up in front of you.

What Are The Test For Hepatitis C

There are blood tests to find out if you have Hepatitis C.

The first test is to find out if you have ever been exposed to hepatitis C. This is called an antibody test.

This test only tells you if you have ever been infected. It does not tell you if you actually have the hepatitis C virus in your blood now.

There are other tests used to help find out what is going on in your liver and how sick or healthy you may be.

WHAT ARE THE TESTS FOR HEPATITIS C?

Antibody Test

When the hepatitis C virus enters your body, your immune system releases chemicals into your bloodstream to help fight off the hepatitis C virus.

These are called antibodies.

If you have hepatitis C antibodies it means that you have been infected with hepatitis C at one time, but it does not mean that you have active hepatitis C.

For some people (about 2 to 3 people out of 10) the body’s natural defenses can get rid of the virus, but for the other 7 to 8 people the body cannot kill off this virus.

Hepatitis C Viral

Hepatitis C Viral Load Test

There is a blood test that looks to see if it can find the virus in you. It is called a hepatitis C viral load test.

There are two reasons this test is done.

The first reason is to tell you whether you still have the virus in your body.

The other important reason for having a viral load test is for treatment.

It can help tell you the chances of getting rid of the hepatitis C virus from your body with HCV medicines and whether the medicines are working.

The really important thing to remember is that the amount of hepatitis C virus you have in your body does not mean how sick you are.

For example, having a lot of virus (high viral load) does not mean that you will get sicker more quickly.

For this reason it is not a very good test to monitor or tell you how much the hepatitis C virus is damaging your body.

ALT Levels

One of the most common blood tests used is a blood test that measures a certain chemical in your blood called ALT.

This chemical is released by the liver into the blood when the liver is damaged or sick.

High levels of ALT can be caused by many things like alcohol, drugs, toxins, and viruses such as Hepatitis C.

Unfortunately, it is not a perfect test for people with HCV – most people with what we call “normal” ALT levels will have little damage, but some people can still have ongoing liver damage.

In the past, if people with HCV had normal ALT levels they were not treated with HCV medications, but now doctors will treat Hepatitis C if there are other signs that the liver is damaged.

If your ALT level is high it means that something is going on in the liver, but it could be caused by many things.

Different Kinds of Hepatitis C

Not everyone with hepatitis C has the same kind.

In fact, there are six different kinds of hepatitis C.

These different kinds of Hepatitis C are called genotypes and are numbered 1 to 6. The genotype test is a blood test.

Knowing which genotype you have is really important to your doctor because some genotypes are easier to treat with HCV medications.

For example, genotype 1 or 4 is a little harder to treat than genotypes 2 or 3.

Also, the kind of genotype you have will tell your doctor how much medicine to give you and how long you should take the medicine.

Just because you have a certain genotype does not mean that you will get less or more sick.

It is important to remember that most people with hepatitis C never develop symptoms – no matter which type they have.

Other Blood Tests

There are many blood tests that are used to see how well your liver is working.

These tests will look at many types of chemicals that the liver produces and releases into your bloodstream.

Liver Biopsy

A liver biopsy is the best way to find out if your liver is healthy or damaged. It is also the best way for your doctor to know whether you have other liver conditions.

During a liver biopsy, a needle is put into your liver and a small sample of liver tissue is taken.

Try not to worry too much because most people only have mild to moderate pain. If you are nervous about the test, ask you doctor for some medicine to help you relax. The liver biopsy is done while you are awake.

Sometimes an ultrasound is also performed to take a picture of the liver. This will help to decide where to put the needle for the biopsy.

Most people are really concerned about having a biopsy because of the pain.

The good news is that only about half of people who have biopsies done have some brief pain that may spread to the right shoulder.

However, a few people have to be hospitalized after the biopsy due to pain or from another organ being accidentally hit during the test, but this doesn’t happen very often.

After the biopsy is performed the patient will lay on the right side of the body and will be checked for several hours to make sure nothing serious happens.

Talk with your doctor or nurse about having a biopsy. They will advise you about what to do before and after the test.

After the biopsy is done the liver tissue will be sent to another medical person to look at under a microscope and issue a report on the health of the liver.

Scientists are studying other ways to get the same information that they now get from biopsies.

Some of these new blood tests measure certain blood chemicals.

These new tests can tell if the liver has no damage or there is a lot of damage to the liver, but unfortunately, they do not tell your doctor if you have moderate damage to the liver – for this reason blood tests can not replace the liver biopsy at this time.

Some people with hepatitis C have no symptoms but others can have many symptoms.

The most common symptom people with hepatitis C say they have is that they feel tired a lot (fatigue).

Other symptoms people with Hepatitis C report is feeling sick to their stomach, aches and pains in their muscles, joints, stomach, and liver.

Some people have fevers and may sweat in their sleep. Others say that they feel depressed or worried all the time.

Still others say that they can’t think or remember as well as they used to before getting hepatitis C. These types of symptoms can be very troubling and they should be reported to your doctor to make sure that they are from Hepatitis C and not from another illness or condition.The good news is that for most people with these types of symptoms it may not mean that you are getting any sicker – it may just mean that your body is fighting the Hepatitis C. But talk to your doctor about any of these symptoms you’re having to make sure they are not serious.

There are other symptoms that people can have if their liver is really damaged and scarred.

The term for this condition is called cirrhosis (sir-oh-sis).

When you develop cirrhosis the liver cannot perform many of its important functions. There will be many warning signs and symptoms that your doctor will need to know about.

For this reason it is important to have regular check-ups with your doctor to keep an eye on you more closely and treat you for some of the symptoms.

What Are The Symptoms?

COMPENSATED CIRRHOSIS

Means that the liver is really scarred but can still do many of its important functions to keep you healthy; people with compensated cirrhosis have few or no symptoms.

DECOMPENSATED CIRRHOSIS

Means that there is so much scarring that the liver can no longer do its job without help.

People who have this type of severe scarring can develop many signs and symptoms such as bleeding from the blood vessels in the throat, retaining a large amount of fluid or liquid around the stomach, and even a type of brain disease that causes mental confusion.

What About Treatment?

First of all, not everyone with hepatitis C needs to be treated with HCV medicines.

But if you are thinking about being treated for Hepatitis C, there are many things to think about.

The decision to treat should be made by you and your doctor based on how hepatitis C is affecting you. You will need to know your viral load, genotype and how much your liver is damaged.

The good news is that there are medicines to treat hepatitis C that can get rid of the virus in about 50% (5 out of 10 people) of the people who have genotype 1. For people with genotypes 2 or 3, treatment works up to 80% of people.(8 out of 10).

However, treatment is not easy and the decision is a difficult one for most people. Talk to your doctor about the possible benefits as well as the treatment side effects you might get.

There are two medicines (called combination therapy) to treat Hepatitis C – interferon and ribavirin.

Today, the use of a longer acting (time-released) form of interferon – pegylated (peg-a-lated) – combined with ribavirin is now considered the best way to treat Hepatitis C.

There are two brands of interferon – Pegasys and Peg-Intron. These are used in combination with ribavirin.

Many people with Hepatitis C can lead normal lives and will die of something other than Hepatitis C.

However, some people with Hepatitis C will get very sick, but this usually takes many years (up to 40 years).

The damage caused by hepatitis C usually takes place in the liver.

When the Hepatitis C virus gets into the liver it can irritate it and cause it to become inflamed like a sore.

The inflammation can lead to the liver becoming scarred, and for a few people Hepatitis C can lead to a form of cancer of the liver.

There is a simple way to estimate how many people will get sick from Hepatitis C:

About 80 out of 100 people who get hepatitis C will develop chronic (long term) infection.

About 20 people out of the 80 people who have chronic hepatitis C will become very ill or sick. It usually takes many years to make the liver really sick.

About 2-3 people out of the 80 people who have chronic hepatitis C will get liver cancer.

The important point to remember is that hepatitis C takes a long time to damage the liver and many people will never get sick from hepatitis C.

There are also many things that you can do to stay healthy such as eating a healthy diet, getting lots of exercise, cutting down or stopping drinking alcohol, joining a Hepatitis C support group, taking HCV medicines – and many other ways to stay healthy.

What About Herbs?

Some people with hepatitis C take herbs and vitamins.

There are some herbs and vitamins that some doctors consider “safe” and other herbs and vitamins that should not be taken because they can damage the liver.

Since herbs are like medicines it is very important that you talk with your doctor before taking any herbs or high doses of vitamins.

Some Tips about Herbs and Vitamins:

Some people think that since herbs are natural that they should take them – but just because an herb is natural does not mean that it is safe. There have been deaths of people reported from taking certain herbs.

Do not take more herbs or vitamins than you are instructed to take.

Get advice about herbs from experts – medical doctors and herbal doctors.

How Do I Stay Healthy?

There are many ways to stay healthy. Here’s our top ten list of things you can do to stay healthy:

1. See your doctor and nurse for regular check-ups. Make sure you tell them of any problems or symptoms you are having. Talk to them about medicines to treat Hepatitis C.

2. Eat a healthy and balanced diet with lots of vegetables and fruits, and try to stay away from too much sugar, salt and fatty food. Balance the amount of food you eat with regular exercise such as walking. Walking will help to make you feel less tired.

3. Stay away from or protect yourself from chemicals. Everything you breathe or absorb through the skin must be filtered by the liver. Fumes from paint thinners, pesticides, and aerosol sprays can damage your liver and should be avoided.

4. Rest when you are tired. Try to find time during the day for a short nap or times you can unwind and relax.

5. Get the hepatitis A and hepatitis B vaccines if you have not already been exposed. You won’t want to get another illness that might make your hepatitis C worse so ask your doctor or nurse if you need to be vaccinated.

6. Cut down or stop drinking alcohol. Alcohol can harm the liver so it is important that you try to stop drinking. If you can’t stop drinking, cut down on the amount of alcohol you drink and ask for help on ways to stop drinking alcohol.

7. Be careful when mixing alcohol, drugs or herbs or when using over-the-counter drugs such as Tylenol and ibuprofen.

8. Join a support group. People in a support group can help you with emotional problems and give you information about how best to take care of yourself.

9. Try to do things that help you cut down on stress and to keep a positive attitude, such as meditation and prayer.

10. Try not to worry too much. Learn as much as you can about hepatitis C so that you know what you are facing.

The Bottom Line

It is important that if you have ever been in a situation where you may have caught hepatitis C that you are tested.

If you have Hepatitis C there are many things that you can do to stay healthy. One of the most important things that you can do is to find out as much as you can about Hepatitis C and work with your medical team to make the best choices to keep you healthy.

There many more things that you can do to educate yourself.

The Hepatitis C Advocate Fact Sheet– www.hcvadvocate.org contain information about all of these things in much greater detail.

Easy C Facts:

100 People

African Americans and HCV

Alcohol and HCV

Antibody Test

Biopsy

Diet

Feeling Tired

Genotype

Get Healthy

Herbs

HIV-HCV Coinfection

Hygiene Items

Immune System

Liver

Natural and Alternative Medicine

Needle Exchange

Piercing

Prevention

Ribavirin Warning

Sex and Hep C

Sleep

Tattoos

Treatment

Viral Load

What is ALT?

What is Cirrhosis?

What is Hepatitis C?

Whom Should I Tell?

http://www.hcvadvocate.org/hepatitis/easyfacts/BW_EasyC_Guid e.pdf

Live Blues Music

Enjoying listening to music in general

Trying to learn to play the guitar

Stopping to smell the roses

San Antonio Spurs "Go Spurs Go!!!"

Fishing when ever I have a chance.

Sitting around with good friends, laughing and have fun.

Enjoying every day to its fullest...Carpe Diem...De Colores

I try to live my life as a Christian everyday. This is a lot harder then the life I use to live.

Helping others in need when ever I can.

Educating as many people as possible about about Hepatitis C Awareness.

This Silent Killer has taken to many loved ones from us already, and is going to continue to get worse in the years to come. Please Educate yourself about the Hepatitis C Virus.

The Dragon and Hepatitis C

A few years ago the "hepatitis C community" on many internet sites began referring to the disease as "the Dragon" Probably because they were very hard to kill (like eradicating Hep C viruses).

In many legends-from China to England, many brave warriors and Knights lost their lives in fights with Dragons. In most of the legends they were very destructive beasts as well. A good blast of their fiery breath could destroy a whole village.

I taught English for a few years to a group of five Vietnamese Zen monks at a small temple in West Houston. In exchange they taught me the fundamentals of Zen - simple methods to meditate, the control of breathing, the ultimate goal of becoming an Enlightened person, etc. and some of the important symbols they used. The most important being the Dragon! In their culture the Dragon represents the "life force" or the thing that motivates you to do the things you need to do to become a better person.

Many of us have heard a recovering alcoholic say that they were grateful, that the suffering the endured made them a better person.

I feel that way now about the "Dragon" of Hep C. I think longer and deeper and with much more compassion for those who still suffer than ever before.

So, like so many things that occur in our lives, what starts out seeming to be the very worst thing that could have happened turns out to be a thing that makes us richer, deeper more compassionate people in my case it was, "What, I have Hepatitis C"? There go my plans for all the stuff I was going to do the rest of my life. Blam, it was all over! Now, 7 years later, the bulk of my daily work is with people who are suffering with Hepatitis C and the work is the most rewarding I have ever had. I think the philosophers and religious thinkers were right: "You are never going to be happy unless you are helping someone else". Remember, in many cultures, the Dragon is the force that keeps us alive.....

From the http://www.texasliver.org/ web site

Myspace Comments

Hepatitis C

Cyber Memorial WallIn Memory of our loved ones.

Please list the names of loved ones that died with Hepatitis C (HCV). The names will be read at a candle light vigil held each year in Washington DC. Participants light candles and read names in remembrance of all those that passed from this devastating disease.

If you have lost a loved one or a friend to the Hepatitis C Virus and would like to leave a message for them, please go to http://march-on-dc.com:80/Memorial/CyberWall1.asp

Check out this video: Hepatitis C Ad

Hepatitis C/ Stress

http://healthresources.caremark.com/topic/hepcstress

It's natural for everyone to feel stress, but people with hepatitis C have additional concerns. There's the prospect of medical tests and procedures, worry over medical bills, and the fear of infecting others to name a few.

Some people feel angry either at themselves or at someone else -- or simply at the rotten blow that life has handed them. That anger can lead to depression, which only adds to the burden of emotional stress.

Being diagnosed with hepatitis C can be especially stressful because of the uncertainty associated with its course. Uncertainty creates a feeling of helplessness, which, researchers have learned, is one of the key factors in stress. Having a lot of demands on you isn't inherently stressful, after all. Not having control over those demands is.

Taking stress seriously

Stress can erode the quality of life, taking the pleasure out of work and relationships. It can also compromise overall health. There is no direct evidence that chronic stress worsens hepatitis C infection or injures the liver, but there is good evidence that chronic stress can impair the immune system. Easing stress, on the other hand, can boost immunity.

The most startling evidence comes from experiments involving AIDS patients. In research conducted by Michael Antoni, PhD, a psychologist at the University of Florida at Coral Gables, volunteers who took part in group sessions on stress reduction lowered their levels of cortisol and noradrenaline -- two hormones associated with stress that are known to impair immunity. One year after learning and practicing stress-reduction techniques, the volunteers had significantly more new T cells, the immune cells that are generated to fight infections. So by learning to handle stress, the volunteers were actually able to restore some of their immune function.

Reducing stress has also been shown to alleviate symptoms of other conditions, such as heart disease and asthma. Learning to cope with stress is obviously important for your emotional well-being, but it's also important for your ove rall physical health.

Know the danger signs

The first step is recognizing the symptoms of too much stress. Remember: Not all stress is negative. Pressures at work and occasional tensions within your family are a normal part of life. Sometimes stress pushes you to do your best. However, stress becomes negative when you feel as if you can't escape it, or when you feel as if the pressures in your life are out of control.

The immediate physical reaction to stress can include high blood pressure, perspiration, a racing pulse, and a fluttering feeling in your chest. Adrenaline, the biochemical that readies the body for fight or flight, surges into the bloodstream. Other typical signs of stress include:

•Headaches

•Insomnia

•Neck, shoulder, or back pain

•Fatigue

•Irritability

•Loss of concentration

•Loss of appetite

•Increase in cigarette smoking or alcohol consumption

•Stomach pain, cramps, and diarrhea

Unfortunately, there is no objective test for stress. But if you feel as if the pressures of dealing with hepatitis C are a problem for you, it's time to make some changes.

Different ways of reducing stress work for different people. Most people try a few approaches before finding the ones that work best for them. The good news is that you won't have to turn your life upside down to tame stress, says psychologist Frederic Luskin, PhD, a researcher at the Stanford University Center for Research in Disease Prevention. "A few simple techniques, things you can do anywhere and that don't have to take more than a few minutes, can stop the stress response before it goes out of control."

Here are seven strategies for beating stress:

1. Clear your head

At least once every day, find a quiet corner and take five or 10 minutes to sit quietly and do nothing. Sitting quietly slows heart rate and reduces blood pressure, countering two of the most obvious effects of stress. A quiet break can also increase your sense of control over events. At the Center for Mindfulness in Medicine at the University of Massachusetts, patients are encouraged to sit and become aware of their feelings and the sounds around them. Taking a quiet break like this can help you get past the fatigue that is a common symptom of hepatitis C infection.

2. Refocus your thoughts

Shifting the focus of your thoughts from things that worry you to things that bring you happiness can change your mood for the better -- and ease stress. Psychologists call this technique "positive emotion refocusing." Thinking pleasant, calming thoughts can actually counteract the physiological changes that occur during stress by slowing your heart rate and lowering your blood pressure, for example.

3. Take a deep breath

Deep breathing exercises have been part of meditation techniques for centuries -- with good reason. Concentrating on the simple act of inhaling and exhaling almost inevitably calms mind and body. Some people get even more benefit from repeating a mantra-like word or phrase each time they breathe in. Another technique is to picture each inhaled breath filling your body with soothing light. Imagine each exhaled breath blowing away tension and stress.

4. Have a laugh

Laughter really is the best medicine, according to studies at Loma Linda University in Loma Linda, California. Researchers there have shown that laughter lowers levels of the stress hormones cortisol and epinephrine. A good belly-laugh also boosts immunity and these physiological effects can last up to 24 hours. Amazingly, the team at Loma Linda found that just looking forward to something funny helps. Telling volunteers that they would participate in an experiment that involved watching a humorous video lowered their stress levels and created a more positive mood.

5. Do what you love

Managing a health problem like hepatitis C isn't easy. The best solution is to make time in your day for at least one thing you really love to do, whether that's listening to music, dancing, gardening, playing with the kids or the dog, painting, or reading. Listening to music may be especially soothing. At Monash University in Victoria, Australia, two groups of students were told to prepare an oral presentation. One group worked in silence. The other listened to the gentle strains of Pachelbel's Canon in D Major. Blood pressure and heart rate were more likely to climb among the silent workers, while those who listened to music reported feeling much less stress. Another study, this one at the Medical College of Ohio in Toledo, found that patients who listened to music while undergoing uncomfortable medical procedures required less sedation.

6. Take a hike

Exercise of any sort can help ease stress. Walking is an especially good choice because you can do it almost anywhere. Even if you're feeling tired as a result of your condition, you probably have the energy for at least a leisurely walk around the block. And walking has proven benefits. In a 2002 investigation Stanford University School of Medicine, researchers studied people who were taking care of relatives with Alzheimer's Disease. Volunteers who began walking for 30 to 40 minutes four times a week reported feeling less distressed and sleeping better. Also, tests showed that their blood pressure was more likely to hold steady when they were under pressure.

7. Change what you can

If you notice yourself getting stressed out again and again in the same situations or because of the same problem, think about what you can change. Overwhelmed by chores at home? Create a chore-sharing plan with the other members of your household. Does your blood pressure climb every time you find yourself searching for your glasses or the car keys? Decide on a place to put them and get into the habit of placing them there. Having trouble with your boss at work? Consider sitting down to talk about the situation and offer constructive ways to make things better.

8. Accept the rest

Of course some of life's frustrations and worries can't be eliminated. If you or someone close to you has been diagnosed with hepatitis C, this is a reality you have to live with. It's important to recognize what you can't change and move on. The process is very much like forgiving someone who has hurt you, according to psychologist Luskin. Accepting what you can't change allows you to let go of hurt and anger and focus on more constructive thoughts.

-- Peter Jaret is a contributing editor for Health magazine and a winner of the American Medical Association's award for medical reporting. His work has appeared in National Geographic, Newsweek, Hippocrates, and many other national magazines. He is also the author of In Self-Defense (Harcourt Brace Jovanovich), Active Living Every Day, and Heart Healthy for Life.

References

Benson, H. The Relaxation Response. Harper Collins

King, AC. et al. Effects of moderate-intensity exercise on psychological, behavioral, and emotional responses to family caregiving: a randomized controlled trial, Journal of Gerontology, Jan 2002, pp M26-36

Smolen, D. et al. The effect of self-selected music during colonsocopy on anxiety, heart rate, and blood pressure, Applied Nursing Research, Aug 2002, pp 126-36

Knight, WE et al. Relaxing music prevents stress-induced increases in subjective anxiety, systolic blood pressure, and heart rate in healthy males and females, Journal of Music Therapy, Winter 2001, pp 254-72

Berk, LS. et al. Modulation of neuroimmune parameters during the eustress of humor-associated mirthful laughter, Alternative Therapies in Health and Medicine, Mar 2001, pp 62-76

Berk, et al. Neuroendocrine and stress hormone changes during mirthful laughter, American Journal of Medical Science, Dec 1989, pp 390-396

Antoni, MH. Stress management effects on psychological, endocrinological, and immune functioning in men with HIV infection, Stress, Sep 2003, pp 173-88

Antoni, et al. Cognitive-behavioral stress management reduces distress and 24-hour urinary free cortisol output among symptomatic HIV-infected gay men, Annals of Behavioral Medicine, Winter 2000, pp 29-37

I'd like to meet:

To all the people and different organizations helping to spread the word about Hepatitis C Awareness.

To everyone that lives with this Dragon on a daily basis. To those who have been lucky enough to put this Dragon to rest.

Some of my new friends that I have met here on this site.

List of people with Hepatitis C

From Wikipedia, the free encyclopedia This page was last modified 09:41, 23 February 2007.

This is an incomplete list, which may never be able to satisfy certain standards for completeness. Revisions and sourced additions are welcome. This is an alphabetical list of people who have or had the infectious disease hepatitis C. This disease, four times more infectious than HIV, has infected roughly 3% of the world's population. More than 170 million are chronic carriers (most of whom are symptomless and unaware of their infection) and are at risk of developing liver cirrhosis, liver cancer, and liver failure. It is the leading cause of liver transplant in the United States. Organisations such as the American Liver Foundation encourage celebrities to speak openly about their infection to raise awareness and encourage those who at risk to get tested.

E-mail site : http://en.wikipedia.org/wiki/List_of_people_with_hepatitis_C

Stew Albert (1939–2006) A co-founder of the Yippies. He died of liver cancer and had previously been diagnosed with hepatitis C.

Pamela Anderson (1967—) TV actress famous for her role as C.J. Parker on the series Baywatch. Went public in March 2002 after being diagnosed a year earlier. Anderson claimed that she contracted it after sharing a tattoo needle with her ex-husband Tommy Lee, who denied he had the virus.

Penny Arcade (1950—) A performance artist and playwright, who was diagnosed in 2003.

Jeannine Parvati Baker (1949–2005) A midwife, herbalist, author and homebirth advocate.

Lawrencia Bembenek (1958—) A former Playboy bunny, convicted of murdering her husband's ex-wife.

Rolf Benirschke (1955—) A former placekicker in the National Football League for the San Diego Chargers. Diagnosed in 1998, we was infected by the blood transfusions he received in 1979 to treat ulcerative colitis. He actively campaigns to raise awareness and encourage people to get tested.

David Crosby (1941—) A guitarist, singer, and songwriter, well known for being a founding member of The Byrds and Crosby, Stills, Nash & Young. In 1995, he became seriously ill from hepatitis C. A liver transplant restored his health.

Willie Dixon (1915–1992) A blues bassist, singer, songwriter, and record producer. Diagnosed shortly before his death, he caught hepatitis C from blood transfusions during bypass surgery in 1987.

Alejandro Escovedo (~1951—) A musician. Diagnosed in April 2003, various benefit concerts and tribute albums covered his medical bills.

Freddy Fender (1937–2006) A country, and rock and roll musician. Diagnosed with hepatitis C in 2000, he received a liver transplant in 2004. Freddy Fender passed away in 2006.

"Superstar" Billy Graham (1943—) A former professional wrestler. Had a liver transplant after his was destroyed by hepatitis C, which he suspects was caught through blood spilt during a match.

Larry Hagman (1931—) An actor who is famous for playing J.R. Ewing in the television soap opera Dallas

Chet Helms (1942–2005)A music producer who helped create the vibrant San Francisco rock music scene in the 1960s. He was undergoing interferon treatment for hepatitis C when he suffered a stroke.

Dusty Hill (1949—) Bassist and vocalist with rock group ZZ Top. Their tour was cancelled when he was diagnosed in 2000. After undergoing treatment, they resumed touring in 2002.

Diamanda Galás (1955—) An avant-garde performance artist, vocalist, and composer.

Allen Ginsberg (1926–1997) A Beat poet best known for the poem Howl. He died of liver cancer after suffering for many years with hepatitis C.

Naomi Judd (1946—) A country music singer and songwriter who retired in 1991 after being diagnosed with hepatitis C. She started the Naomi Judd Research Fund to help find a cure for the disease, which has raised over a million dollars for the American Liver Foundation.

Ken Kesey (1935–2001) An author, best known for his novel, One Flew Over the Cuckoo's Nest. Died of liver cancer, caused by hepatitis C.

Jack Kevorkian (1928—) A controversial pathologist, noted for publicly championing a terminal patient's "right to die". He is currently serving a prison service for second-degree murder. His attorney claims Kevorkian contracted hepatitic C after testing blood transfusions during the Vietnam war.

Robert Craig "Evel" Knievel (10/17/1938— 11/30/07) A stuntperson, best known for his public displays of long distance, high-altitude motorcycle jumping. Had a liver transplant as a result of hepatitis C, which he believed was contracted during an operation.

Phil Lesh (1940—) A musician and founder member of rock band Grateful Dead, in which he played bass guitar. He was diagnosed with hepatitis C in 1992 and received a liver transplant in 1998.

Lance Loud (1951–2001) A journalist, best known for his role in An American Family, a 12-part 1973 documentary. Died of complications from hepatitis C.

Linda Lovelace (1949–2002) A pornographic actress, notable for the 1972 film Deep Throat. She contracted hepatitis C from a blood transfusion after a car accident in 1969 and had a liver transplant in 1987.

Natasha Lyonne (1979—) An actress, best known for her roles in the first two American Pie films.

Mickey Mantle (1931–1995) A baseball player for the New York Yankees. Hepatitis C lead to cirrhosis and cancer. He underwent a liver transplant in June 1995 but the cancer had spread to other parts of his body and he died in August.

David Marks (1948—) An early member of The Beach Boys, Marks believes he contracted the disease through drug use. He campaigns to raise awareness, supporting the UK National Health Service's "FaCe It" campaign.

Chuck Negron (1942—) A singer, best known as one of the three lead vocalists in the band Three Dog Night.

Martin Phillipps (1962—) Lead singer of New Zealand indie band band The Chills. Successfully treated with interferon, he resumed his music career in 2004.

James Earl Ray (1928–1998) The confessed assassin of civil rights leader Dr. Martin Luther King Jr.. Died of liver disease due to hepatitis C.

Chopper Read (1954–) An iconic Australian criminal and author, who claims to have contracted hepatitis from his time in prison, along with other prisonmates, through using a blood-stained shaver.

Anita Roddick (1942—) Founder of The Body Shop chain of cosmetics stores. She contracted hepatitis from a blood transfusion in 1971.

Curtis Salgado (1954—) A Blues, R&B, and Soul singer-songwriter-musician. Developed cirrhosis and liver cancer because of hepatitis C.

Jerry Stahl (~1954—) A novelist and screenwriter. His autobiography, Permanent Midnight, was adapted into a movie starring Ben Stiller.

Lucy Saroyan (1946–2003) An actress who had minor roles in over 20 movies. She died from cirrhosis of the liver complicated by hepatitis C.

Steven Tyler (1948—) A musician and songwriter in the rock band Aerosmith. In September 2006, he announced that he had been diagnosed three years ago and had just completed eleven months of treatment with interferon.

Francisco Varela (1947–2001) A biologist and philosopher who, together with his teacher Humberto Maturana, is best known for introducing the concept of autopoiesis to biology. Hepatitis C caused cirrhosis and liver cancer. He wrote about his liver transplant in the Journal of Consciousness Studies.

Gene Weingarten (1951—) A humour writer and journalist on The Washington Post.

Elizabeth Young (1950–2001) A literary critic and writer.

___________________________________________________________

Ray Benson Lead singer of the western swing band Asleep at the Wheel. From the AARP Magazine article with Naomi Judd. May / June 2007

• Frank Reynolds Experts speculated at the time that the newsman's death in 1983 was hastened by the virus later known as hepatitis C, which he may have contracted through a transfusion.

Benito Mussolini: Did Il Duce, the World War II Italian dictator, have the disease? A new biography speculates that his chronic health problems -- stomach pain, fatigue and depression -- stemmed from an ulcer and a mild case of hepatitis C.

Kenneth P. Zebrowski, New York Assemblyman passed away on Monday, March 19, 2007, due to HCV, reminding us that Hepatitis C can affect anyone.

Christopher Lawford (1955—) An actor best known for his role as Charlie Brent on the soap opera All My Children in the early 1990s. He was diagnosed with hepatitis C in 2001.Son of actor Peter Lawford and nephew of President John F. Kennedy. During the 1970s and 1980s, he had almost died from chronic drug and alcohol addiction. After 11 months of treatment with pegylated interferon and ribavirin, Lawford had no detectable trace of the virus in his blood, and he has remained virus-free.

“Uncle John” Turner, Legendary Texas Blues Drummer August 20, 1944 - July 26, 2007

B.B King once exclaimed, “Man, I can set my watch to your time!” Born in Port Arthur, Texas, Uncle John was a childhood friend of another southeast Texas native, Johnny Winter. While playing drums with Winter in 1968, Turner convinced him to try a full-blown blues band format and sent for his friend Tommy Shannon to play bass. Success quickly followed, and the trio went on to record what many consider to be three of Johnny Winter’s finest albums: “The Progressive Blues Experiment,” “Johnny Winter,” and “Second Winter.” With fourth member Edgar Winter, they played Woodstock in 1969, as well as numerous other festivals and shows around the world.

After splitting with Johnny Winter in 1970, Uncle John moved to Austin, where he and Shannon formed Krackerjack, a band featuring a young Stevie Ray Vaughan on guitar. Throughout his long career, Turner played or recorded with many great artists, including B.B. King, Jimi Hendrix, Freddie King, Muddy Waters, and Lightnin’ Hopkins.

During the 80’s and 90’s, Turner continued to shape Austin’s blues scene, playing with guitarist Alan Haynes and with Appa Perry’s Blues Power. A great friend and mentor to young blues artists during this time, Turner helped launch the careers of many Austin musicians, including Gary Clark, Jr., Erin Jaimes, Mike Keller, Eve Monsees, and Carolyn Wonderland.

Dame Anita Roddick, 1942-2007 : Body Shop founder dies, aged 64 LONDON - Anita Roddick, founder of beauty retailer The Body Shop and one of Britain's best known businesswomen, has died at the age of 64 after suffering a major brain haemorrhage, her family said. Roddick founded The Body Shop in Brighton in 1976, selling toiletries made from natural ingredients, and her brand became a byword for socially and environmentally responsible business. The daughter of Italian immigrants, Roddick saw her business mushroom into an empire of more than 2,000 stores serving more than 77 million customers in 51 different markets. She sold her stake in The Body Shop to France's L'Oreal last year.Roddick revealed earlier this year that she was suffering from liver damage after contracting the Hepatitis C virus more than 35 years ago and soon began campaigning for support for sufferers of the potentially deadly disease. She developed Hepatitis C from infected blood given to her during the birth of her youngest daughter, Sam, in 1971.

Anthony Kiedis (born November 1, 1962) is the lead singer and a co-founder of the alternative rock band Red Hot Chili Peppers. He is also responsible for writing most of the band's vocal melodies and lyrics.

Marianne Faithfull (born December 1946 ) British singer/songwriter with a recording career that spans over four decades, Faithfull has continually reinvented her musical persona, experimenting in vastly different musical genres and collaborating with such varied artists as Mick Jagger, Keith Richards, David Bowie, Jarvis Cocker, Beck, Sly and Robbie, The Chieftains, Tom Waits, Lenny Kaye, PJ Harvey, Nick Cave, Rupert Hine, Metallica, Roger Waters to name a few. Faithfull's subsequent solo work, often critically acclaimed, has at times been overshadowed by her personal history. In addition to her music career, Faithfull has had a modestly successful career as an actress in theater, television and film. Later this year Marianne will release a second volume of autobiography called Memories, Dreams and Reflections. The book, to be published by Fourth Estate, is a more personal history than Faithfull.

Lee Mallory (1945 - 2005) Lee performed with: Hoyt Axton, Ian and Sylvia, Sam Parsons... loads of folks at the Troubadour hoots & on the road with the first national touring company of HAIR - Meatloaf comes to mind.... Lee's first recording session was as a background vocalist on Tommy Roe's "Hooray For Hazel. Tommy Roe remembers Lee fondly as one of the people who made that era so special. Lee wrote for & recorded with The Association, did a credited AND uncredited session work and arranging in Hollywood, worked with Gary Usher on many projects; sang BG vocals for Paul Revere & The Raiders; shared the bill with The Nitty Gritty Dirt Band and the debut appearance of John Sebastian's Lovin' Spoonful, was fast friends with the great Mama Cass... Lee Mallory influenced at least as many musicians as he was influenced by. Sunshine pop, psychedelic rock, that "California Sound"... With Lee's rendition of Phil Ochs' "That's The Way It's Gonna Be" and as a founding member of the Millennium. The Millennium started as Lee's backup band (Jerry Scheff, Toxie French, Ben Benay). It was named by bassist Jerry Scheff, who described the millennium as "a thousand years of peace and perfection." The Millennium was soon joined and famously produced by Curt Boettcher. Lee was present at the creation. And the music lives FOREVER. Lee would like to thank Kelly Z of Kelly's Lot, and all who work on behalf of musicians with Hep C. He wanted his "adventures in life and other excesses" to serve as a cautionary tale to other musicians. Take care of your health y'all!

Alejandro Escovedo. He was born into a large Mexican-American family in San Antonio and raised in Southern California. From his birth, music was an essential element of the Escovedo family experience, with the Latin and Chicano styles of his parents’ generation mixing with the thrilling new sounds of rock’n’roll arriving on the radio. His father Pedro was a musician who had played in mariachi bands and labor camps during the Great Depression to eke out a living. Older brothers Pete and Coke are influential percussionists who helped fuse Latin music with rock’n’roll and modern jazz with their work in the bands Santana and Azteca as well as with a pantheon of esteemed artists. Younger brothers Javier and Mario, like Alejandro, both became rock’n’roll guitarists and songwriters. By his teen years, Escovedo was enthralled with rock’n’roll even though he had yet to seriously take up an instrument. Teethed on the garage bands of the mid-1960s, he was regularly found among the fervent fans at the front of the stage at concerts and clubs throughout Southern California, following favorites like The Faces and Mott The Hoople from show to show. He began to surmise the possibilities for rock’s elemental sounds to express literary and intellectual notions as well as explore darkness and decadence with the emergence of The Velvet Underground. He finally began playing guitar during his college years in the mid-1970s in San Francisco when he formed a group to play “the worst band in the world” for a student film he was making. That band became The Nuns, one of the seminal groups of the Bay Area punk movement. Escovedo then followed his longstanding desire to move to New York City, arriving at the height of the downtown Manhattan new music scene to play with Judy Nylon and other acts. There he joined forces with fellow San Francisco punk scene veterans Chip and Tony Kinman (from The Dils) in Rank & File, who forged the early 1980s country-punk sound that was the first inklings of what later became known as alternative country. Rank & File relocated to Austin, Texas, where Escovedo started writing songs after he left the band. He formed True Believers with his brother Javier and Graham, and they quickly became the leading lights of the Austin scene. In 1986, the “Troobs” released their self-titled debut album, produced by Jim Dickinson and recorded on a slim budget of $10,000. They blazed a trail of rock’n’roll fury through the clubs and concert halls of America, often sharing the stage with their West Coast spiritual cousins, Los Lobos. Just a few weeks prior to the release of their second album, True Believers were dropped from their label, EMI Records, and the now legendary outfit sputtered to a halt soon after without ever receiving even close to their just due. Escovedo continued to refine his songwriting skills while working at Austin’s Waterloo Records, laying the groundwork for a solo career. Gravity, his 1992 debut, was immediately hailed on its release as “a near perfect album of stunning originality” by critic Rob Patterson in the Austin Chronicle. It went on to win Escovedo raves in the national media and “Musician of the Year” honors at the annual Austin Music Awards. He followed Gravity with a series of albums that continued to earn unstinting high praise from the critical community: Thirteen Years (1993), With These Hands (1996), More Miles Than Money: Live 1994-1996 (1998), Bourbonitis Blues (1999) and A Man Under The Influence (2001). Years of grueling road work in North America and Europe brought Escovedo a devoted cadre of listeners. And even before the close of the 1990s, No Depression magazine hailed him as its “Artist of the Decade.” In the process, Escovedo created what Rolling Stone’s Fricke calls “his own genre,” describing him as a “folk-blues classicist with a gritty, plaintive voice and an equal fondness for dirty boogie and spectral balladry.” His sound melds such diverse inspirations as Lou Reed, Townes Van Zandt, the “Glimmer Twins” of Mick Jagger and Keith Richards, classical string quartets, the Mexican-American music of his home state of Texas and the English glam rock of David Bowie, T-Rex and Mott the Hoople, to name some but hardly all of the colors and hues to be found in his music. He has toured solo as well as with a rock combo, a string quintet and various combinations and permutations thereof, and performed in the mid-1990s with his 13-piece Alejandro Escovedo Orchestra in his hometown of Austin. He also toured Europe and cut an album with Walter Salas-Humara of The Silos and Michael Hall of The Wild Seeds as The Setters and played and recorded an album with his hard rocking foursome Buick MacKane. In 1994, Rykodisc released the True Believers set Hard Road, reissuing the band’s first album in tandem with their previously unreleased second recording. Yet for all the intimations of greatness, Escovedo’s life and career continued to be a hard road of more miles than money. Throughout 14 years as a solo act in which the rewards of artistic triumph and musical pleasures were leavened by tribulations and personal tragedy, Escovedo has struggled to balance the demands of touring to earn a living and support his family with the commitments of raising his children.. A diagnosis of Hepatitis C in the late 1990s created even further burdens for him to bear. Towards the end of the decade, he began developing a dramatic work based on his songs about his father with the innovative Los Angeles theater company About Productions. By the Hand of the Father premiered in L.A. in 2000 with Escovedo performing his songs as part of the production, earning superb critical notice on its debut and in subsequent presentations at some of the most prestigious theaters and cultural centers across North America. An album of songs and stories from the theaterwork garnered further praise. At the dawn of the new century, he was blessed with a new love, poet and college instructor Kim Christoff. The two eventually married and had a daughter, Amala. At the same time, “I was having a really good time playing music and drinking and smoking and living the life.” As Escovedo now admits, he was in deep denial regarding the deadly dangers of continuing the rock’n’roll lifestyle while infected with the Hepatitis C virus. Then in April 2003, during a performance of By the Hand of the Father in Tucson, Arizona, Escovedo fell critically ill from the effects of the disease and was rushed to the emergency room. “I came close to dying in the hospital and didn’t know if I was going to live or die,” he says, his voice still echoing with a chill at the thought. “I wanted to live. But I really didn’t know if I had a chance.” His health crisis resulted in huge medical bills that, without insurance coverage, were well beyond his ability to pay. It also rendered him unable to earn a living by playing his music on tour and appearing in the play. But as soon as the news spread of Escovedo’s illness, friends and fans began to spontaneously send funds to assist in his treatment and support him and his family. His peers and admirers in the music community staged benefit shows in more than a dozen cities across the nation. The Alejandro Escovedo Living & Medical Expense Fund was set up by his manager to receive contributions. Harp magazine ran a half-page ad soliciting donations to the fund without even being asked, and Roche Pharmaceuticals generously provided expensive medication for treating his Hepatitis C through an assistance program. Though Escovedo had sometimes wondered if he had been laboring in the margins of contemporary music, the outpouring of generosity proved that he had deeply touched the souls of those who heard and appreciated his music. The culmination of the benefit effort was Por Vida: A Tribute to the Songs of Alejandro Escovedo, a two CD set featuring 31 artists performing his songs, released in the fall of 2004. Some of the featured artists, like John Cale, Ian Hunter, Bob Neuwirth and Ian McLagan, were heroes and longtime inspirations to Escovedo. Others were musical peers: Lucinda Williams, Cowboy Junkies, Steve Earle, The Jayhawks, Son Volt, Peter Case, The Minus 5, Lenny Kaye and Calexico, to name some but hardly all. Austin friends such as Los Lonely Boys, Charlie Sexton and Jon Dee Graham contributed tracks, as did artists Escovedo had worked and recorded with like Jennifer Warnes, Tres Chicas, Ruben Ramos, Chris Stamey and Rosie Flores. Family members like older sibling Pete Escovedo and Sheila E. — Pete’s superstar daughter and Alejandro’s niece — and younger brothers Javier and Mario (with his band The Dragons) rounded out the critically lauded set. “I used to sit and listen to that Por Vida album and just sob like a baby,” Escovedo confesses. “And people would send me things in the mail: a card that their kids had drawn, some Buddhist thing — all these forms of love. It was kind of overwhelming at times. I almost felt embarrassed, like I wasn’t worthy of it.” His struggle over the next two years to regain health and wellness “was just hell sometimes,” says Escovedo. The effects of the medication he took to combat the virus were nearly as debilitating as the disease itself, and for a while it was unclear whether he would be able to make music again. Two appearances while he was still far from recovery during the South By Southwest Music Festival in 2004 proved that he had continued to have the will and spirit to create. Later that year, Escovedo began playing selected shows with his band, which now included Graham whenever he was able to join them outside his commitments to his own career. The rapturous reception of his fans at the shows proved to be a nourishing tonic that further aided Escovedo’s recovery. Looking back over the last three years, “It’s ironic that out of being so sick so many great things have happened,” Escovedo observes. And the best of them all may be recording a new album with Cale. “The reason it seems so perfect is that I’ve been trying to rip him off for years,” Escovedo says with a laugh. “I finally got it right; I had to get the master in there to learn how to do it.” From the first time that Escovedo heard The Velvet Underground in the 1960s, they have been a touchstone musical act for him as a fan and later as a musical creator. He first met Cale in New York in the late 1970s. Later, in Austin during the 1980s, Escovedo also became friends with Cale’s Velvet Underground bandmate Sterling Morrison, who was teaching at the University of Texas. Escovedo began to get to know Cale better when they both played on a tribute show in Austin for Morrison after his passing. “He was one of the first artists to sign on for Por Vida and the first recording we got was his,” Escovedo explains. “And all the things he did to promote the record afterwards were so generous.” During 2005’s South By Southwest, Escovedo and Cale performed together at the Austin Music Awards. “While we were rehearsing, I just started talking to him about whether he still produced other artists. He told me, ‘I haven’t in a while but certainly would.’” Further discussions and Escovedo’s new record deal finally made the collaboration a reality. “It was a leap of faith. I just threw myself into Cale’s arms and I’m glad I did,” says Escovedo. “As I’ve said before about his version of ‘She Doesn’t Live Here Anymore’ on Por Vida: I never would have thought of anything remotely close to that arrangement. And that’s what he did with most of that stuff on this album. He really turned the songs into something special.” The recordings started out with just Escovedo and Cale running through his songs and ideas together. “When he sat across from me in the studio, I thought of that opening scene in Songs For Drella, where he and Lou Reed looked at each other, sitting across from each other. Suddenly I’m looking at this man and he’s playing piano in that way and singing with me and teaching me little parts. There were times when it was….” Escovedo’s voice trails off as the sheer immensity of working with Cale hits him once again. After all, if you’d told Escovedo back when he was a teenaged Velvets fanatic that he’d someday make a record with Cale, “There was no way I’d ever have believed it. But it was all happening so fast that I didn’t have time to be intimidated. I had to step up and play and perform. I had to work on my instincts at the moment,” he says. The entire experience of creating The Boxing Mirror and being in Southern California again, this time with Kim and Amala along, had a salubrious effect for Escovedo. “We stayed on the beach in Santa Monica, and I got to ride my bike along the beach every day. And it brought back a lot of memories of growing up there, and made me realize how lucky I was to be there and be alive at this point in my life.” Escovedo proclaims himself “very, very pleased with everything on this album. I learned a lot of things on a lot of levels working with John. I’m definitely outside the capsule a little bit on this album, hanging out there. I feel like it’s really fresh for me again. It’s something new for me.” In many ways, it all feels new for Escovedo. “When I go out and play now, people are really happy to see us again. And the songs mean something to them, and that’s the greatest gift you can give a songwriter,” he says. As for his sometimes wild ways in the past, “I was just playing Russian roulette. Now I know better. If I had a drink, even one, it could be the drink that kills me. I can’t take that chance.” With his renewed health has also come a greater clarity of thought and purpose that imbues The Boxing Mirror with a stunning emotional power. “This really sums it up,” says Escovedo. “A friend of mine was over at my house while we were packing to leave for L.A. to make the album, helping me to remember what to bring. And I was playing him some ideas for songs I had recorded at home. And I said to him, ‘Can you believe it? I’m going to make a record with John Cale.’ And he said, ‘You know, that’s really great. But what I’m really happy about and what impresses me more than anything is that you’re just making a record now.’ And he goes, ‘Do you remember two years ago when we were sitting out in the garden and you were trying to help out with the gardening and you couldn’t work for more than five minutes because you’d have to sit down and catch your breath? And you couldn’t even walk to the gate? I’d leave here thinking that I might not see you the next day. This is why it is so important that you’re making a record. Two years ago, it didn’t seem like you’d ever make another record.” And that certainly wasn’t on my mind then. I was just trying to survive and get better. “It was a long climb up from that deep hole,” Escovedo concludes. “I can’t say that I’m fully recovered yet. But I feel so great about everything right now, especially this album.” And with The Boxing Mirror, Alejandro Escovdeo has created what can truly be called the album of his life.

Music:





Delta Blues, Chicago Blues, Texas Blues, all Blues in general. Robert Johnson, Elmore James, Blind Lemon Jefferson, Lightin'Hopkins, Howlin' Wolf, Skip James, Otis Spann, Muddy Waters, Johnny Winter, John Lee Hooker, Paul Butterfeild,Mike Bloomfeild, Charlie Musslewhite, Stevie Ray Vaughan, and the list goes on and on.

Movies:

Paul Newman, Johnny Depp, Jack Nicholson movies, a good western, action, mystery movie, comedies. Tombstone is one of my all time favorite. I'll be your Huckleberry.

Television:

Mind of Mencia, 2 1/2 Men, Everybody Loves Raymond, National Geographic, A&E, History Channel, and TCM

Books:

The Bible,

Dr. Melissa Palmer's Guide to Hepatitis & Liver Disease

Being Sick Well, Jeffery H.Boyd M.D.

Heroes:



a href="http://photobucket.com" target="_blank"

My Mom and Dad for always being there for me when I was growing up.

People who survive this virus to face another day. People who are helping spread the word to the public about the virus.

My wife Carol, for always being there for me, and not killing me when I was going through the different treatments I've been on. She has been my Angel.

My Pastor.

Some of my new friends I've met on myspace.

To all the people that are working hard to help educating, and helping to spread the word about Hepatitis C Awareness.

People that will reach out to others, in their time of need

My Blog

Hepatitis C Updates and Upcoming Events

Nurse accused of infecting Army patients with Hepatitis C   EL PASO (AP) - Federal officials said today that a former Army hospital employee is accused of infecting at least three patients with H...
Posted by Hepatitis C Dragon Slayers on Thu, 13 Mar 2008 04:20:00 PST

Hepatitis C Movement for Awareness H R Bill 2552

Unless HR 2552 includes the following amendments, all HCV patients will have to report sexual partners and the only transmission methods addressed will be for HIV. IT’’S THE LAW   Che...
Posted by Hepatitis C Dragon Slayers on Thu, 13 Mar 2008 04:15:00 PST

Hepatitis C Newsletter 3/10/ 08

NATAP http://natap.org/ Bone Loss in Liver Disease(02/04/02) Bone Loss in Liver Disease Hepatic osteodystrophyHepatology; January 2001 - Volume 33 - Number 1 This interesting article discuss...
Posted by Hepatitis C Dragon Slayers on Mon, 10 Mar 2008 10:22:00 PST

The Monday Update A.L.F.

American Liver Foundation Newsletter Greetings!This newsletter aims to keep you up to date with the latest developments in the areas of liver medicine and science. Here are the top liver news stori...
Posted by Hepatitis C Dragon Slayers on Mon, 10 Mar 2008 10:18:00 PST

Hepatitis C News Week Of 2/03/08

The Monday Update American Liver Foundation Newsletter Greetings! This newsletter aims to keep you up to date with the latest developments in the areas of liver medicine and science. Here are the ...
Posted by Hepatitis C Dragon Slayers on Mon, 04 Feb 2008 12:15:00 PST

Hepatitis C Top New Articles Week 1/27/08 - 2/01/08

..> Hepatitis C and Hepatitis B Top New Articles 2/01/08 http://www.hivandhepatitis.com Vertex to Start Phase 3 Trials of HCV Protease Inhibitor Telaprevir (VX-950) Insulin Resistance Linked to ...
Posted by Hepatitis C Dragon Slayers on Fri, 01 Feb 2008 12:30:00 PST

Hepatitis C News Week 1/20/08

Hepatitis C Virus Affects Many Organs And Tissues, Not Just Liver..:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />   ScienceDaily (Jan. 18, 2008)  In 1994, the team of Tc...
Posted by Hepatitis C Dragon Slayers on Thu, 24 Jan 2008 09:42:00 PST

HCV ADVOCATE WEEKLY NEWS REVIEW Week Ending: 1/ 19/ 08

HEPATITIS JOURNAL REVIEW: A Bi-Monthly Publication of the Hepatitis Support ProjectJanuary 25, 2008, Volume 5, Issue 2 by Liz HighleymanTo download pdf version click here In This Issue:" HCV Tra...
Posted by Hepatitis C Dragon Slayers on Thu, 24 Jan 2008 10:22:00 PST

The 2008 Presidential Candidates health issues platforms

Stance at a Glance: Compare the CandidatesOur comparison chart of all the candidates and where they stand .. health issues.Read the candidates' health platforms plus find out how health affects them p...
Posted by Hepatitis C Dragon Slayers on Fri, 18 Jan 2008 12:33:00 PST

Hepatitis C and Hepatitis B Top New Articles 1/18/ 08

Hepatology Expert Discusses PegIntron vs Pegasys IDEAL Study Findings New Data Support FDA Warnings about Anemia Drugs Long-term Response to Lamivudine (Epivir-HBV) in Children with Chronic Hepatiti...
Posted by Hepatitis C Dragon Slayers on Fri, 18 Jan 2008 06:13:00 PST