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Hep C carrier & gyn surgeryFrom: Joanne Bulley, MD (islesannie@gmail.com)Wed Jan 28 20:38:02 2009
Hi folks, It has been ages since I had a Hep C carrier up for necessary but elective surgery. Patient who had been treated with Interferon long ago. And tested negative afterwards. Now in need of hyst - planned LSH BSO (sever menorrhagia, fibroids apropriate to my level of LSAH) (47 yo - requested BSO rather than keeping the ovaries). She called today to see about having the BSO done. At the end of the conversation just before we hung up (so I could go carve the eis und schnee from my driveway) she mentioned as a "by the way" - "My Hep C seems to be positive again since starting Raptiva." Severe Psoriasis. Rheumatologist put her in immunosuppressant, Raptiva. Now has a positive Hep C test (I don't have the results - this is verbal from patient to me.) Should I postpone her hyst til she has been treated with the interferon? For those that operate at some frequency on those who are Hep C positive - what percautions do you advise? (hope this doesn't seem dumb) Thanks
-- Joanne Bulley, MD solo gyn Keene, NH
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