Hepatitis C

No Fear Planning Your Liver Loving Life – I Help C

It’s the time of year when I begin to reflect on the past and look toward the New Year. It’s an ingrained habit that started in my childhood. Perhaps a person who has adversity automatically looks hope from every circumstance. It’s worked for me every single year of my life, so I’m not about to stop now. For those of you who are wondering how to start planning your No Fear liver loving life, join me in the journey. 

No Fear Planning Your Liver Loving Life

Declutter – I’ve already started with my personal spaces. The area around my desk and all the drawers have been emptied out. I wiped everything down that is staying and threw away all those scraps of paper, candy wrappers, bent paper clips, and stretched out rubber bands. I’m not sure why I need 4 lipsticks, 2 tubes of lip gloss, and 2 lip balms in the top drawer, but they got wiped down and placed in a little clay pot my daughter gifted me. My liver loving life includes zoom meetings with my liver disease friends from the AASLD, Global Liver Institute, and Trio Oklahoma. Plus, I’m back to teaching in a virtual classroom.

Work Out – Are you with me? Keep going and organize your work out room. For me it’s a small bench, hand held weights, and stretch bands in one corner. Yes, they have helped me even when in pain, to overcome a lot of fear. Rolled up in a large basket are my yoga blocks and mat. I’ve got a few massagers – you know, the mechanical ones in addition to my husbands strong hands. They are a must if I’m going to build and maintain strength. I’ve overcome a lot of muscle imbalances, stiffness, and joint pain in that room. Hip labral tear, spinal retrolisthesis, and neuropathy require constant physical, mental, and spiritual attention. That’s why there is a corner devoted to my inner life and focus.

SMB – Honestly, it’s where it all starts. There is a continuous cycle of seeing myself for who I am: A woman who has overcome Hepatitis C, end stage liver disease, cancer, and a transplant. I also see myself for who I’m continually becoming: I’m a determined climber who pushes toward a No Fear planning my liver loving life. I have an entire wall devoted to motivational sayings, including a vision board. It begins with my spiritual life, and moves into my thought life, or mental capabilities. In addition, it is folded into my body. Spirit, Mind, Body is the way I have always seen myself. The parts of the whole all need equal attention and I take tender loving care throughout each and every day – all year long. 

Journal and Planner

When planning your liver loving life, it’s important to use a notebook or planner. I have one that serves as a calendar of sorts. Another is simply for setting goals and charting my growth. I’ve saved about 70% of mine over the years. They serve as a road map where I chart my progress and look at what is holding me back. 

No Fear Planning Your Liver Loving Life

The whole month of December is already charted. I get giddy with excitement. My family and I are all the same. We’re comparing our new planners already. New goals have been set into  motion and a year is rolling in. With gratitude for the Gift of Life, I celebrate with my donor Gavin as well. Do you have a way of setting goals and having No Fear planning for your liver loving life?

ABSTRACT

Chronic hepatitis C virus (HCV) infection is well-recognized as a common blood borne infection with global public health impact, affecting 3 to 5 million persons in the U.S. and over 170 million persons worldwide. Chronic HCV infection is associated with significant morbidity and mortality due to complications of liver cirrhosis and hepatocellular carcinoma (HCC). Current therapies with all-oral directly acting antiviral agents (DAAs) are associated with high rates of sustained virologic response (SVR), generally exceeding 90%. SVR is associated with a reduced risk of liver cirrhosis, hepatic decompensation, need for liver transplantation, and both liver-related and all-cause mortality. However, a subset of patients who achieve SVR will remain at long-term risk for progression to cirrhosis, liver failure, HCC, and liver-related mortality. Limited evidence is available to guide clinicians on which post-SVR patients should be monitored versus discharged, how to monitor and with which tests, how frequently should monitoring occur, and for how long. In this clinical practice update, available evidence and expert opinion are used to generate best practice recommendations on the care of patients with chronic HCV who have achieved SVR.

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