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RE: annual tests

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Given my experience I recommend seeing a

gastroenterologist or hepatologist who is knowledgeable about PSC. To

really see what’s happening with PSC, either an MRCP or an ERCP has to be

done.

Joe

PSC & UC –

1990; Liver Transplant - 2007

From:

[mailto: ] On Behalf Of skomula

Sent: Monday, February 23, 2009

12:14 PM

To:

Subject: annual

tests

Hello, My husband is due for his annual blood work next

month but I see

on here that there are test he doesnt get and should he be. He is just

seeing a family dr. The tests he gets are ALT, Alk, AST and bilirubin

which she says are slightly high but hasn't changed since 2007, should

he have other tests or are these enough to keep track of the psc. He

hasn't had any issues with illness or anything yet just fatigue which

he has had for over 10 years. All the other tests are normal except for

cholesterol. He is having his annual colonoscopy as well and is suppose

to go in twice a year for blood work but he is tough to get to the

doctor.

Also can you live without ever having any episodes or illnesses of psc

or will it eventually happen.

thanks

skomula MN

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Hi! I see that some other people have already answered some of your questions,

but I thought I'd chime in, too. I would agree with the others that you really

need to find a doctor knowledgeable in PSC, preferably a hepatologist or a

gastroenterologist if a hep isn't available. Family doctors just aren't trained

to deal with the issues PSC brings forward.

As far as testing goes, it sounds to me like perhaps his bloodwork should be

taken more frequently, but I'm not a doctor and don't truly know the answer to

that. It seems though that he should be regularly checked for his liver levels,

vitamin levels, calcium intake, etc. It's great that he's getting an annual

colonoscopy, but there may be other things that are important too and only a

doctor trained in PSC can really tell you for sure.

You also asked about whether or not somebody could go through life with PSC and

never experience any symptoms. I don't really know the answer to your question.

PSC (as I'm sure you know) is so incredibly different for all of us. I'd love

to think that's possible though!

Best of luck on everything!

Sandi in VA

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Hi! I see that some other people have already answered some of your questions,

but I thought I'd chime in, too. I would agree with the others that you really

need to find a doctor knowledgeable in PSC, preferably a hepatologist or a

gastroenterologist if a hep isn't available. Family doctors just aren't trained

to deal with the issues PSC brings forward.

As far as testing goes, it sounds to me like perhaps his bloodwork should be

taken more frequently, but I'm not a doctor and don't truly know the answer to

that. It seems though that he should be regularly checked for his liver levels,

vitamin levels, calcium intake, etc. It's great that he's getting an annual

colonoscopy, but there may be other things that are important too and only a

doctor trained in PSC can really tell you for sure.

You also asked about whether or not somebody could go through life with PSC and

never experience any symptoms. I don't really know the answer to your question.

PSC (as I'm sure you know) is so incredibly different for all of us. I'd love

to think that's possible though!

Best of luck on everything!

Sandi in VA

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