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Author Topic: Post treatment testing  (Read 10667 times)

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Offline Stovetopchicago

  • Member
  • Posts: 3
Post treatment testing
« on: April 30, 2015, 09:24:59 pm »
About 10 years ago I was treated  (interferon/ribavarin) for Hepatitis C and tested clear. I have not had health insurance until Obamacare came about, and now it's time to get follow up testing. Unfortunately my plan does not cover the tests so I am trying to understand this before I pay for them.
The doctor suggested ( just a regular physician) suggested the HCV Reflex 2 PCR and the HCV Viral load. But I think the  HCV Reflex 2 PCR is for antibodies,which I would have even if I was still clear, correct or not?

All I need is the HCV viral load to see if it came back?

I was lucky that I had type 2 and no liver damage evident from a biopsy and a ultrasound. Thanks!
« Last Edit: May 01, 2015, 12:04:37 am by Stovetopchicago »

Offline Lynn K

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  • Get tested, get treated, get cured, fight Hep c!
Re: Post treatment testing
« Reply #1 on: April 30, 2015, 11:08:13 pm »
I am not entirely sure about the HCV Reflex 2 PCR test.

I only know I get tested with the HVC RNA by PCR to check with for virus presence and viral load.

Yes you are correct that if the doctor intends to test for the the antibody would be a waste of time. Once you have ever been infected with hep c you will test positive for the antibodies to hep c for the rest of your life.

The antibody is to screen for possible infection or exposure and the viral load test is to confirm current infection.
Genotype 1a
1978 contracted, 1990 Dx
1995 Intron A failed
2001 Interferon Riba null response
2003 Pegintron Riba trial med null response
2008 F4 Cirrhosis Bx
2014 12 week Sov/Oly relapse
10/14 fibroscan 27 PLT 96
2014 24 weeks Harvoni 15 weeks Riba
5/4/15 EOT not detected, ALT 21, AST 20
4 week post not detected, ALT 26, AST 28
12 week post NOT DETECTED (07/27/15)
ALT 29, AST 27 PLT 92
24 week post NOT DETECTED! (10/19/15)
44 weeks (3/11/16)  fibroscan 33, PLT 111, HCV NOT DETECTED!
I AM FREE!

Offline Stovetopchicago

  • Member
  • Posts: 3
Re: Post treatment testing
« Reply #2 on: May 01, 2015, 12:00:24 am »
Thanks Lynn. I actually can't find any online references to that specific test name. Maybe the receptionist who told me the name of the test got it wrong. I got the original treatment at a big city hospital, but now I live in a small town and I got the feeling my issues were not common.  Best of luck with your journey.

Anybody know this test? HCV Reflex 2(to?) PCR

« Last Edit: May 01, 2015, 12:05:58 am by Stovetopchicago »

Offline Karen3717

  • Member
  • Posts: 28
Re: Post treatment testing
« Reply #3 on: May 01, 2015, 12:19:54 am »
The test you are inquiring about will determine if you are positive for HCV (eg, the antibody).  If the test comes back positive (which it will because as Lynn said, you will always have it), then the testing will "reflex" to a quantitative viral load.  PCR means polymerase chain reaction which is the testing methodology.  Really all you need is the HCV PCR quantitative test.  Hope this was helpful & also hope your test is 0 viral load!
Transfusion 1982; Multiple accidental needlesticks; healthcare worker
(+) HCV antibody 1991
Genotype 1a
2001-Pegintron/Ribavirin 48 wks. Relapse 2mo post tx
2015-VL 316,000
Fibrosure-F2
Started Harvoni 3/13/15
2 weeks:  HCV PCR <15-DETECTED
4 weeks: HCV PCR <15-DETECTED
8 weeks: HCV PCR <15-DETECTED
12 weeks:  HCV PCR: NOT DETECTED!
4 Weeks EOT: HCV PCR:  NOT DETECTED!
12 Week post TX:  HCV PCR NOT DETECTED!

Offline Stovetopchicago

  • Member
  • Posts: 3
Re: Post treatment testing
« Reply #4 on: May 01, 2015, 08:02:34 am »
Thanks Karen. Just to be clear, because I'm not familiar with the nomenclature.

So the  the HCV reflex to PCR is the same as the HCV PCR quantitative test?And that will tell me that,yes, I have antibodies and the   specific viral load if it is in my body?

Or is what they called the "HCV viral load" the one I should take. Or both?

Obviously I'll talk to the doctor about this, but I want to have a little knowledge since of course these test cost $100's of dollars out of pocket.


Offline Karen3717

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  • Posts: 28
Re: Post treatment testing
« Reply #5 on: May 01, 2015, 12:52:16 pm »
Hi there stovetop.  Really all you are needing is the viral load.  There are some laboratories that combine the qualitative (yes/no) with the quantitative ( the viral load number) test.  I'm well aware of how expensive these tests are.  The test we are talking about is roughly $800.  I know because it was applied to my deductible when I had it done in February.  I am a practice manager for a physician and even having it done at the doctors price was $125. Honestly, I would try to negotiate that price with the lab before you have it done, or if possible, go to a clinic where they offer testing at reasonable prices (eg, sliding scale...means/income adjusted).  Have a great day!
Transfusion 1982; Multiple accidental needlesticks; healthcare worker
(+) HCV antibody 1991
Genotype 1a
2001-Pegintron/Ribavirin 48 wks. Relapse 2mo post tx
2015-VL 316,000
Fibrosure-F2
Started Harvoni 3/13/15
2 weeks:  HCV PCR <15-DETECTED
4 weeks: HCV PCR <15-DETECTED
8 weeks: HCV PCR <15-DETECTED
12 weeks:  HCV PCR: NOT DETECTED!
4 Weeks EOT: HCV PCR:  NOT DETECTED!
12 Week post TX:  HCV PCR NOT DETECTED!

Offline Sam1224

  • Member
  • Posts: 62
Re: Post treatment testing
« Reply #6 on: May 01, 2015, 09:59:12 pm »
If you search "liver panel tests" or HEP C RNA tests you will find them for less than $100 I believe. Research it a bit. I think they are the real deal.

 


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