Hi,I am Dr. Amitkumar Sharma (Internal Medicine Specialist). I will be looking into your question and guiding you through the process. Please write your question below.
Hello. Thank you. A new neighbor, very nice Vietnam vet. Looks like walking dead. Not one sign of meat or fat. Bones on face all protrude. Bones under butt checks are all there is. He informed me today he has hepatitis B. I don't know about B, but it's contagious! This man goes to V. A. Hospital. He goes also, EVERY OTHER DAY, to attempt to give blood for tests. They poke him over and over but get NO BLOOD. They DO NOT KNOW WHY HES DYING, HELP. Sincerely Erin
It looks like your neighbour has a serious malnutrion along with a uncontrolled chronic infection (hepatitis B) for a long time. He must be thoroughly evaluated for active hepatitis B infection and its long-term complications (liver damage, malignancies, concomittant hepatitis C or sexually transmitted diseases etc.). If patient is rapidly deteriorating, parenteral nutrition and examinations must be performed after hospitalization.
You must also be cautious for physical contact with his body fluids while visiting him due to possible active hepatitis B infection (and other possible viral infections). If he is unable to take care of himself or he has no relatives, you must call and inform social services.
Hope your neighbour recover soon.
Hasan Mutlu, MD
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How Can Hepatitis B Be Treated?
Hi; It looks like your neighbour has a serious malnutrion along with a uncontrolled chronic infection (hepatitis B) for a long time. He must be thoroughly evaluated for active hepatitis B infection and its long-term complications (liver damage, malignancies, concomittant hepatitis C or sexually transmitted diseases etc.). If patient is rapidly deteriorating, parenteral nutrition and examinations must be performed after hospitalization. You must also be cautious for physical contact with his body fluids while visiting him due to possible active hepatitis B infection (and other possible viral infections). If he is unable to take care of himself or he has no relatives, you must call and inform social services. Hope your neighbour recover soon. Hasan Mutlu, MD