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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Depression And Liver Cirrhosis

I,m a male 54 and have been HIV+ for 27 yrs and still on initial tx. regimen and have been HIV undetectable for past 16 yrs.I became Hep C 10 yrs ago and Tx naieve for HepC.This past august i was referred to the liver specialist for a liver biopsy to determine the stage of cirrhosis.The results were that i was F1 stage. Immediately after the biopsy results were determined.The Momentum Support Group called me to have me enrolled in their program.I enrolled and then was told that i would have to contact Nova Scotia Pharm Care(Family Care) and ask if i was elagable for Harvoni Tx and to no avail... I was trying to navigate through this process but feel totally overwhelmed and riddled with anxiety! I suffer from depression with a hx of having a nurvous breakdown requiring ECT It has been a trying time to try to comminicate with a professional that know what i should know & do??? It has been a barrage of delays and it is creating more anxiety to the point whereby, i feel Lost and extremely anxious.I have no support network.I live a isolated life and i need some help to guide me through this process.Any information would be Greatly Appreciated John
Tue, 7 Mar 2017
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Psychiatrist 's  Response
hi John. i can understand you are undergoing a very difficult time ,it would be really hard for anyone to undergo all this. but some points of relief are that you started medications for both Hiv and liver problem. talking about depression ,if doctors feel you need ECT,you must opt for it for speedy recovery from your depression. its very safe procedure. try to enroll in group ,share your feelings, try some meditation and relaxation excercise. if possible i would suggest you to take some therapy sessions also. hope for your good health.take care
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Suggest Treatment For Depression And Liver Cirrhosis

hi John. i can understand you are undergoing a very difficult time ,it would be really hard for anyone to undergo all this. but some points of relief are that you started medications for both Hiv and liver problem. talking about depression ,if doctors feel you need ECT,you must opt for it for speedy recovery from your depression. its very safe procedure. try to enroll in group ,share your feelings, try some meditation and relaxation excercise. if possible i would suggest you to take some therapy sessions also. hope for your good health.take care