Conversation: The conversation between human and AI assistant.
[|Human|] I have hep c and have had for 30 plus years . I have a viral load of 955,000 and inflammation, and the liver is not uniform in the surface as opposed what would be considered normal. I have a local doctor and he suggest that I have a ultra sound in 6 mo. I just had one a week or so ago. The wait and see attitude is making me fill up with anxiety. please answer should I get a second opinion?
[|AI|]  Dear Friend. I understand your anxiety. See i won't hide truths from you. Hepatitis C in most cases is a chronic infection. And treatment is indicated, especially if you have liver inflammation on biopsy and/or high viral load. However, guidelines state that Hepatitis C should be treated irrespective of liver biopsy as Hep C is usually a chronic infection. Chronic Hepatitis C can cause Chronic liver disease, which has its wide spectrum of presentation. It can also cause Hepatocellular carcinoma. Recent guidelines suggest Ultrasound and Alpha Veto Protein surveillance regularly to detect hepatocellular carcinoma at an early stage. Look I am not saying you have all this. But Yes, you can have. So I would like to know, when was your Hep C infection detected and What treatment you were given for that. I need to know you're all viral load reports, I want to see your all ultrasounds and all liver function tests, Upper GI endoscopy report if done. Review with all above-mentioned records attached. I wish you a happy and healthy life. Chat Doctor