Ingorant USA doctor suggested for adoption of childs for a hbv couple

[studyforcure]

Hello,

  Today I met with the university health center doctor and told her that I am CHB carrier.

  These are all the results of my gf aged 21 (usa lab tests).

   hbsag - negative
   hbsab - 14 positive
   hbcab igm - positive (strange) (repeated thrice in three different labs)
   hbcab total  - neagitve (strange)
   hbvdna pcr with sensitivity 10iu/ml - Not detected
   Have not met her 2 years before the test date.

1) I am not ready to accept that she got infected but the doctor is very certain that I have it to her.
I am believing her tests are false positive. I was arguing with her that acute infection has to be present with in 6 months but I did not meet her since 2 years. (No point of contact from me).

What are your thoughts ?

2) I am currently depressed in my life about my HBV and a bit low because of marriage thoughts with gf. We are in relationship since 6 years and she is aware of my hbv status. I am only worried that if something happens to me in early age like 40(current age is 24), I could not imagine myself leaving her alone. Yet I am highly otptimistic about the cures Rep9ac' , MYR, ARC , Gilead GS9620.

So I scheduled an appointment with my doctor and was talking to her about my thoughts.

She made me feel more bad and worse by saying that " my gf is infected and technically could pass it to the children. So you could look into options of adopting the children ". I am very upset to hear such kind of statements as I have read that "vaccines immediately after delivery could reduce the risk of transmitted infection by 95%"

I would like to know whether the success rate is 95% ? If so in what categories does it fall into 5% failure rates ?
  

[makeadifferencenow]

VeteranB I completely agree with you.

Studyforacure I sympathize for your situation & I will pray that you will have a healthy baby and clear yourself of Hep B

I've had damning  conversations with Doctors

I'll give you an example my usual doc I see  who knows  me weren't around seemed like one of his understudies was there claiming  interferon is great bla bla bla. He even had the cheek to say it had a high "cure" rate so I mentioned "2% to 3% clearance is high?"

He turned a bit read. "Then he went on about liver cancer in 20 years etc (Considering this clown has not even got a copy of my viral loads etc because I had them done in anothe hospital last time and they have gone down and we haven't done an ultra sound or anything since the last time either) "

I just told him "don't worry its ok I'd rather live my life wait for something propper to come out on the market with a far higher clearance rate thats  more sensble and since he works & believes in a school of thought flows with such moral fibre and good integrity I should be cured next week lol"

I'll tell you what his face was a picture because I have become accustomed to certain medical clowns who try to tell me its raining whilst pissing in my pocket. I reported it to the main office and told them I on,y want to deal with my usual heptologists who knows me and understands the importance of the mind.

Merry Christmas everyone :D

[veteranB]

You dont have to listen to what some doctors say. They know next to nothing about HBV and have no understanding what we deal with. Especially those in the US. I have.been insulted many times because of my HBV infection. From dentists not willing to do work on me teeth and so forth. All these people care is about getting money out of you. And that is it. 15 minute appointment and a perscription for Baraclude or Tenofovir and see ya in 6 months.

Anyway... yeah just dont worry about your girlfriend can have kids. In 5 years time they will have something for us. Big pharma just cannot  withold better hbv treatments longer because people are aware of what is going on. Unlike some doctors that think HBV goes only with HIV and that one may have HiV if he has HBV :)

[StephenCastlecrag]

You are quoting from a 1975 paper!.

We are now in 2013 and a very effective vaccine has been commercially available since 1982.

So try to provide up to date information.

[Drue1026]

Abstract
Vertical transmission implies transmission of the hepatitis B virus from mother to infant. This occurs with great frequency (70 to 100 per cent) when the mother has acute hepatitis B near delivery. Studies indicate that transmission may occur transplacentally or during the birth process, Once infected, the infants apparently remain hepatitis B surface antigen carriers with persistent hepatitis indefinitely; The rate of transmission of the hepatitis B surface antigen from asymptomatic carrier mothers to their infants varies from 0 to 40 per cent in different areas of the world. The highest rate is in Taiwan where it was found that neonatal infection correlated with the height of complement fixation of surface antigen in the maternal serum. In our series of carrier mother-infant pairs, three infants became surface antigen positive as neonates; two became positive between three and six months; and one became positive between six and 12 months of age; Two babies developed extremely high titers of antibody to hepatitis B surface antigen the first year of life. In addition, 33 infants who were followed for from three to 42 months developed neither antigen nor antibody positivity.

PMID 1235469 [PubMed - indexed for MEDLINE]

[Drue1026]

Your doctor is not ignorant. Maybe it is that you do not have a full understanding of what hep B is and how it is transmitted. Hepatitis is a very serious disease. I work in medicine please be careful.
direct blood-to-blood contact
unprotected sex
unsterile needles
from an infected woman to her newborn during the delivery process.

http://www.hepb.org/hepb/transmission.htm

[imdrew]

In my country Curcuma and Turmeric are famous as hepatoprotector. Even in Cirrhosis cases it is well-known to protect the liver, for HAV and HBV though. Don't know about HCV. We even have a book about it. We drink it once a day, at night before bed.

So don't feel so stressed, instead start a healthy life and sleep early. It can prolong your age.

[imdrew]

Stef is add-on Pegasys to 2-3 years of TDF still the best procedure available?

[imdrew]

calebz,

I don't think it's wrong, we're dealing with doctor's suggestions here. And they're created to help people physically and mentally. If they can't help us physically then at least they have to help us mentally. What do you tell a stage 4 cancer patient? That he has a small hope of recovery or he will die in 6 months? Which info the patient needs? I believe the hope is better than certain death. But no, their ego dictates them to feel like God.

[stef2011]

guys there is nothing to pass hbv is nothing since half a century, we have vaccine, hbig and it doesn t make any chronicity on adults.

it may even be these idiots are not doctors and just bought fake pieces of papaers from fake university who knows, these stories are quite comon

[peema]

<>

what damage?

[calebz]

Your logic is wrong.
Here you don't decide what you do with your life but potentially give the disease to another person. It's a completely different thing.

I don't know what would be my decision. I'd most likely risk the 5% as most would do. But I would give it a hell of a lot of though before making up my mind.

[imdrew]

I'm sorry for your loss but I disagree with you. Adoption is an option that carriers know themselves. And doctors should understand that those with chronic condition/s are depressed by nature. So the adoption suggestion adds more to the problem unnecessarily.

But allow me to entertain you if you're keen on "doctors advising all options";why didn't the doctor advise suicide? That's also an option considering the low chances of cure for current medication and high cost of therapy not to mention toxicity that can cause cancer. Oh don't forget the stress. It has been there since we discovered that we have the damn virus.

So I think doctors should never put down our hopes for a normal, long life.

[calebz]

My wife had two miscarriages. If the idiot doctor told me about my OPTIONS the first time I could maybe prevent the second one by wasting some more money on lab tests. The fact that he didn't PRESENT me with options then was that chances are more than 90% that the miscarriage was a natural selection thing.

Now when I think of it I'm not sure which way would I go ? To get more test or risk another miscarriage based on statistical data. One thing is sure, each doctor should tell you about all options ALWAYS.

Still guy should tell them what are the odd's of each scenario.

[stef2011]

cant you sue the doctor for damage or get her removed from her job?

if you were to believe such idiots they could change your life for the worst, i even expect  citizens to know about vaccines but a doctor not knowing about vaccines is a bomb ready to explode for other patients....i mean if they dont know about hbv vaccine they probably dont know many many things about other diseases too

[calebz]

Quote was "So you could look into options of adopting the children" - so hes not advising just told them their are options...

As I said its a decision you make. Nobody said which decision is right or wrong. I like the concept that a doctor show you all the possibilities as sometimes you rush into decisions ...

[StephenCastlecrag]

I know you are referring to vertical transmission. Your argument is that the doctor wants the parents to take "responsibility". By similar logic, children with genetic defects inherited from their parents, then the doctor would also want the parents to take full responsibility. Since when do doctors get the blame? So it is pure ignorance to advise Hepatitis B parents to adopt, as if that was the only right thing to do. A good doctor would advise parents of the risk, but leave the decision whether to have babies to the parents.

[calebz]

Sorry, I was just referring to transmitting HBV vertically.

[StephenCastlecrag]

No, the doctor is ignorant. There are many children with genetic defects, parents are not to blame and all parents love their children, defects or no defects. In their eyes, their children are perfect, and they are.

[calebz]

I know a mother that gave birth and child is negative for hbv. Still there is always that 5% risk...

I think the reason why the doctor suggested adopting a child. Is to make it absolutely clear that  IF your child gets HBV you will have to deal with the fact its partially your fault.That way he is clear on doing his job - letting you know about all the options and letting you decide the rest.

[StephenCastlecrag]

Positive HBsAb and negative HBcAb is consistent with a person who has received HBV vaccination and developed immunity.
Positive HBcAb Igm and negative HBsAg is strange.
Negative HBsAg and undetectable hbvdna definitely does not indicate a current Hepatitis B infection.

You have to see a liver specialist to get the correct information. Ordinary doctors because of the very few HBV patients they encounter in their practice are ignorant, just like the general public.

The biggest risk factor for vertical transmission, even with HBIG and HBV vaccination within 12 hrs of birth is mothers with very high viral load (> 7 log 10 iu/ml) and positive HBeAg - in these cases, doctors now recommend antiviral treatment in the third trimester for these mothers to further reduce the risk.