Re: Which HBP Medications

In article <1125429153.900462.80100@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>,
"Sbharris[atsign]ix.netcom.com" <sbharris@xxxxxxxxxxxxx> wrote:

> Jason wrote:
> > In article <1125376365.160433.118610@xxxxxxxxxxxxxxxxxxxxxxxxxxxx>,
> > "Sbharris[atsign]ix.netcom.com" <sbharris@xxxxxxxxxxxxx> wrote:
> >
> > > Mike wrote:
> > > > Thanks for the reply. I've never had a liver biopsy so I don't know how
> > > > severe
> > > > it is. LFT values are normal.
> > >
> > >
> > > COMMENT
> > >
> > > How do you know you even HAVE liver disease? Don't just say "because
> > > doctor so-and-so told me I did." That just removes the question to the
> > > doctor. Without a liver biopsy (and bilirubin and ammonia levels), how
> > > did the DOCTOR know? Did you see Dr. Superman with the microscopic
> > > X-ray vision, maybe?
> > >
> > > Go see somebody who knows how to evaluate your problem, so you have
> > > some information. It's possible you're crimping your lifestyle for no
> > > good reason at all.
> > >
> > > SBH
> >
> > SBH,
> > A high bilirubin level is not always a sign of liver problems. Gilbert's
> > Syndrome (Hyperbilirubinemia) is a not disease--it's a normal variant and
> > is usually an incidental finding of routine testing.
> > source: H. Winter Griffith, M.D.
>
>
> COMMENT:
> I KNOW that. But the increased bili's in Gilbert's are usually small,
> (particularly when the subject hasn't fasted long) and are of the
> unconjugated (indirect) type. Liver dysfunction of the pathological
> type typically produces large increases of the direct/congugated
> bilirubin. They are not difficult to differentiate.
>
> SBH

SBH,
I agree with you. However, as you may know, some doctors such as those
that got there MD degrees from other countries (e.g. South America) may
not even know about Gilbert's Syndrome and end up telling there patients
that they have liver disease or liver problems. Mike said in his post that
the doctor had NOT done a liver biopsy. I just hope that Mike's doctor did
not make this mistake.
Jason

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