Illinois Chapter - Spring 2002 LIFE Newsletter
Transcription
Illinois Chapter - Spring 2002 LIFE Newsletter
Illinois Chapter Volume II, Issue II 2002 Your Educational Resource for Liver Health and Diseases Hepatitis C Making National Headlines The cover of the April 22, 2002 issue of Newsweek featured Hepatitis C with a tag line reading Over 3 Million Americans Are Infected With the Stealth Virus. Most Don’t Know It. The information in this seven-page article ranges from risk factors, disease progression, treatments, and concludes with an article regarding living donors. The article also profiles people from decidedly different walks of life who have contracted hepatitis C – a housewife, firefighter, lieutenant colonel, medical technician as well as celebrities Pamela Anderson, David Marks and Naomi Judd. American Liver Foundation’s President and Chief Executive Officer, Alan Brownstein, is quoted in the article, saying “Hepatitis C mirrors America. It affects bus drivers, construction workers, even soccer moms.” This article emphasizes the fact that hepatitis C is non-discriminatory and can affect men, women and children without regard to race, age or lifestyle. For a complete copy of the article, please contact the Chapter Office at 312.377.9030. Illinois Chapter Golf Classic Tees Off July 8 Inside This Issue Page 2 Run for Research Nutrition Page 3 Newly Diagnosed with HCV Page 4 For Your Benefit Between You and Your Liver Page 5 Pediatric Knowledge Fun for Kids Volunteer Recognition Page 6 Spring Benefit Pictures Page 7 Spring Benefit Sponsors Page 8 Resource Directory Town Hall Meetings Page 9 A Personal Note Organ Donation Page 10 Medical Corner Medical Advisory Committee Page 11 Membership Form Donor Form Insert Clinical Trials Support Groups Mark Your Calendar The Executive Steering Committee of the Fifth Annual Golf Classic would like to invite you to join us at Harborside International Golf Center on Monday, July 8th Join Mike Greenberg of ESPN for a great afternoon of golf. Radio 1000 as he hosts the Golf Mike Greenberg of ESPN RaClassic dio 1000 is returning as emcee of this 18 hole scramble which features a buffet lunch, raffle, auction items, gifts, and prizes followed by a fabulous dinner and awards ceremony. Golf Classic Co-Chair Dan Weil commented, “the changes we made to the event last year were very well received and we have been able to attract new sponsors. One hundred percent of last year’s sponsors have returned, and many have increased their level of sponsorship.” Golf Classic Co-Chair Mike Manuel is appreciative of our sponsors and is focusing on maximizing revenues through the number of players. “One of Continued on page 3 With an air of excitement filling the room, the eighth annual Celebrating Life Spring Benefit Dinner was an occasion to remember. The evening began with a reception in the Crystal Foyer of the Hyatt Regency Chicago, where guests whetted their appetites with scrumptious appetizers and relaxed to the smooth sounds of the Gene Garcia Trio. Also during the reception, guests viewed and bid on the tables and tables of unique silent auction items and caught a glimpse of the exciting live auction items. After the chime of the bell, the guests made their way to the Crystal Ballroom where they dined on a delicious meal. Corey McPherrin, Fox Sports News Anchor and evening emcee, Continued on page 7 The American Liver Foundation - Illinois Chapter 27 East Monroe Street, Suite #700A Chicago, IL 60603 (312) 377-9030 (312)377-9035 (fax) Email: info@illinois-liver.org Website: www.illinois-liver.org National Website: www.liverfoundation.org National Hotline: 1-800-GO-LIVER (465-4837) Celebrating Life A Success Do More than Cross the Finish Line We’re one-quarter of the way to our goal of 100 runners for the Run for Research Team of The 2002 LaSalle Bank Chicago Marathon!!! The dedication of the members of the Marathon Executive Steering Committee has resulted in a program designed to appeal to a runner’s sense of community while pursuing a personal goal. The Committee is now focusing on recruiting - attending running events and distributing literature to encourage runners to join us. In addition to good exercise and participating in a worthwhile cause, our runners receive a membership card which entitles them to discounts at the following retailers (all locations): Body ‘N Sole, Dick Pond Athletics, Fleet Feet, Gazelle Sports, Kiddles, The Competitive Foot, Vertel’s, New Balance, and Running Right Plus. CARA is offering a 10% training program discount to our runners as well. The Illinois Chapter also offers great incentives for various fundraising levels, pre-paid or reimbursed marathon entry fee, a training manual, fundraising tips, a Patient Partner Program and much, much more. “Committing to a charity provides one more incentive for a runner to achieve his or her personal goal of competing in a marathon,” stated Executive Steering Committee Chair, David Brown. “We hope that the Run for Research Team will increase awareness of liver diseases and result in significant funding for research.” Contact the Chapter Office at 312/377.9030 or e-mail alf-ill@interaccess.com to register as a runner for the Run for Research Team in The 2002 LaSalle Bank Chicago Marathon, volunteer for the Health Expo in October, for more information about the Patient Partner Program, or to contribute to the fundraising efforts of our runners. *If you have already registered with The 2002 LaSalle Bank Chicago Marathon but would like to participate on behalf of the ALF Illinois Chapter, we will refund your entrance fee and you will be entitled to all of the benefits we provide. An Apple A Day... Nutrition for Your Liver FDA Warns Kava May Harm Liver The Illinois Chapter brings this recurring column for those of you interested in including natural remedies along with your physician-directed treatments. Remember, as always, please discuss this information with your physician to find if the contents of this column are appropriate for you. Kava, an herb used in dietary supplements and said to promote relaxation, may be linked to rare cases of severe liver injury, U.S. regulators warned consumers. The Food and Drug Administration (FDA) said it had not yet determined whether kava was responsible for liver damage but felt consumers should be aware of the potential risk. It had received a report of a previously healthy young woman who required liver transplantation as well as several reports of liver-related injuries in people taking kava products. Outside the United States, kava has been associated with 25 reports of liver-related injury, including hepatitis, cirrhosis and liver failure, the FDA stated in its advisory to consumers. “The FDA will continue to investigate the relationship, if any, between the use of dietary supplements containing kava and liver injury,” the FDA said, adding it would alert consumers if necessary as more information becomes available. Patients who have liver problems, or who are taking drugs that can affect the liver, should consult a physician before taking kava-containing supplements, the FDA said. Also, anyone taking kava should contact a doctor if they experience possible signs of liver problems, such as yellowing of the skin or whites of the eyes or brown urine. Other symptoms of liver disease can include nausea, vomiting, light-colored stools, tiredness, weakness, stomach or abdominal pain and loss of appetite. Countries including Germany, Switzerland, France, Canada and Britain have taken action on kava ranging from warnings to removing kava products from the market. Industry groups representing dietary supplement makers did not quarrel with the FDA’s advice, noting that several companies have included cautions about kava use on their product packaging. The groups stressed, however, that the FDA had not ruled that kava caused liver damage. “The jury is still definitely out,” said Robin Gellman, a spokeswoman for the American Herbal Products Association, adding that “consumers need to read the FDA advisory. That’s important information.” Kava, a plant found in South Pacific islands, is an ingredient in dietary supplements promoted for a variety of uses, including relaxation and treatment of sleeplessness and symptoms of menopause. The FDA urged consumers and physicians to report any cases of liver or other injuries that may be related to kava use. The FDA advisory can be found on the agency’s Web site at http://www.cfsan.fda.gov/~dms/addskava.html. Page 2 “Golf” Continued our primary goals this year is to increase the number of golfers. Ideally we would fill all of the 144 spots,” Mike stated. “This is a great way for businesses to entertain clients or reward outstanding employees or an opportunity to have fun for a good cause.” Date: Monday, July 8, 2002 Registration/buffet lunch begins at 11:30am with a shotgun start at 1:00pm. Location: Harborside International Golf Center, 11001 Doty Avenue East, Chicago We are grateful to our sponsors (listed at right). They will receive recognition in all pre- and post-event promotional materials and throughout the day of the event. It’s not too late to become a sponsor! If you haven’t received your brochure and reply envelope, or to register, please contact the Chapter Office at 312/377.9030. Foursome: $1,000 / Single: $250 / Dinner Only: $75 2002 Golf Classic Sponsorships*: Promotional Sponsor: ESPN Radio 1000 Ace ($5,000) Brookfield Farms Fujisawa Healthcare, Inc. Roche Pharmaceuticals Eagle ($3,000) Goldberg, Kohn, Bell, Black, Rosenbloom & Moritz, Ltd. Kemper Insurance LaSalle Bank Mesirow Financial Hole Sponsorship ($300) Benj. E. Sherman & Sons, Inc. Damer and Cartwright Dutch Farms Excel Cathleen & Robert Healey Integrity Marketing Intermune Regional Organ Bank of Illinois Brad & Ginny Tips Michael Uvena Contest Prizes Vulcan Golf Lunch ($1,500) Chicago Wolves Beverage Cart ($1,000) CDW Computer Centers, Inc. Driving Range ($500) Fulton Market Cold Storage Co. *(current as of 5/28/02) Just a glimpse of the beautiful greens offered by Harborside International Golf Center Illinois Offers Information for Newly Diagnosed This program was developed for people who have been diagnosed with hepatitis C. The focus is to answer questions about this virus, help patients develop a list of questions to ask their physician, provide diet/nutrition information, and offer a list of qualified resources (websites, library materials, etc.) for patients to further their understanding of this disease. Attendees will be referred to support groups in their respective areas. This program is offered at no charge to the public through the generous sponsorship of Fujisawa Healthcare Inc. Preregistration would be appreciated. For further information or to pre-register contact the Chapter Office at 312.377.9030 or email us at info@illinois-liver.org. Newly Diagnosed with Hepatitis C Program Schedule* Wednesday, June 26, 2002 (7:00-8:30pm) Location: Loyola University Chicago, 820 N. Rush St., Marquette Center, Rm. 30, Chicago, IL Facilitators: Mary Kozlowski, RN, & Marjan Siadat; University of Illinois at Chicago Wednesday, July 31, 2002 (7:00-8:30pm) Location: Fox Center-Oak Park Park District, 640 S. Oak Park Ave. (Jackson Blvd. & Oak Park Ave.), Oak Park, IL Facilitators: Audrey Silver, RN & Bernadette Ulleweite, RN; Rush-Presbyterian-St. Luke’s Medical Center Wednesday, August 28, 2002 (7:00-8:30pm) Location: Marian Education Center, 1201 S. Main St., Crown Point, IN Facilitators: Katie Wherity, RN & Dr. Helen Te; University of Chicago Wednesday, September 25, 2002 (7:00-8:30pm) Location: Wilmette Community Recreation Center, 3000 Glenview Rd. (Glenview Road and Skokie Blvd.), Wilmette, IL Facilitators: Audrey Silver, RN & Bernadette Ulleweite, RN; Rush-Presbyterian-St. Luke’s Medical Center Wednesday, October 30, 2002 (7:00-8:30pm) Location: Glen Ellyn Public Library, 400 Duane St., Glen Ellyn, IL Facilitator: Nancy Leone, RN; Loyola University Medical Center *This program will not be presented during November and December. Page 3 For Your Benefit Financial Information for Patients Newly Diagnosed with Hepatitis C by Mike Ziegler When someone is diagnosed with hepatitis C (HCV), dozens of questions may run through his/her mind such as, “Will I have to change my lifestyle due to HCV? What can be done to treat HCV? Have I exposed my family to HCV?, What doctor should I see to treat HCV?, etc…” It is important for your peace of mind, general health, and the treatment of HCVto receive answers to these questions. While addressing these questions, one must also look into the financial aspects of having hepatitis C. Just as living with HCV may require you to change your dietary habits, you also need to be prepared for the changes in medical expenses associated with treating and living with HCV. Below are some financial guidelines that patients with HCV should follow. Assess Your Insurance Coverage: Many patients are aware that they have health insurance, but are unaware of what is covered. To understand what your HCV medical expenses will be, you should answer the following questions: does your insurance plan cover hospitalization? (if yes, at what percentage?); does your insurance plan cover physician office bills? (if yes, at what percentage?); does your insurance plan cover labs & blood tests? (if yes, at what percentage?); do you have coverage for oral prescription drugs? (if yes, can you get prescriptions from local pharmacies and/ or mail order and what is your copayment per each prescription?); do you have coverage for injectable drugs? (if yes, can you get prescriptions from local pharmacies and/or mail order and what is your copayment per each prescription?); what is your health insurance deductible? (the annual amount you must pay before your health insurance will begin covering your medical expenses); and what is your out of pocket maximum? (the total amount you need to pay annually for your medical expenses; in most cases, prescriptions do not apply to out of pocket maximums). Assess Your Expenses: Now that you have an understanding of what is covered by your insurance company, you can begin to assess how much you will need to spend on medical expenses. It is important to plan and budget how you will handle your medical expenses; try to anticipate how much you will need to spend on a monthly basis. Assess Programs to Lessen Your Medical Expenses: Upon assessing their insurance coverage & medical expenses, some patients find that they do not have the financial resources available to receive treatment for HCV. There are options available for these patients. Such as: Investigational Studies. Many Hepatologists can enroll patients in investigational studies which, often times, provide patients with treatment options that are similar or more advanced than the standard HCV treatments. Many studies cover the physician office visits, labs, tests, and the cost of medication. Therefore, the cost to the patient is greatly reduced. (See the insert for a partial list of Chicagoland studies.) Manufacturer Assistance Programs. Some patients have coverage for hospitalization and physician bills, but do not have prescription coverage. Therefore, they cannot afford the HCV treatments. All of the manufacturers of HCV medications have assistance programs for patients without prescription coverage. Other Available Assistance Programs. There may be other government or community programs available to patients who cannot afford healthcare. These programs depend on income, where you live, and several other factors. If you would like to see if you qualify for any additional programs, please contact the Illinois Chapter. They will put you in touch with people who can help identify program eligibility. Mike Ziegler is a partner at Damer & Cartwright Pharmacy. He has 10 years of experience in helping patients handle financial issues that pertain to healthcare and reimbursements of prescription medications. Between You and Your Liver This column serves to answer many common inquiries we receive over the phone or questions that you send in to us. Q: I would like to make a larger contribution to the ALF - Illinois Chapter, but cannot do so at this time. Is there any way to increase the value of my donation? Many corporations provide a multitude of benefits to their employees, one of which may be a corporate match on donations. The corporate match offers employees the opportunity to determine how a portion of the corporation’s charitable giving dollars will be spent. This benefit allows employees to donate to their charity (or charities) of choice and, with minimal paperwork, the corporation supports the employees’ charities by matching the dollar amount contributed by the employee - some times up to three times the amount of the gift! Page 4 We suggest that you review your employee benefit handbook or contact your human resources department to find out if your employer has a program of this nature. Program guidelines vary according to what works best for each corporation, so pay close attention to the guidelines. Often times there are annual limits for these types of gifts, quarterly distributions, or other deadlines. This is an easy way for you to increase your donation and allow your employer to help you do so! Pediatric Knowledge Biliary Disfunction for Severe Itching and Xanthomas in Alagille Syndrome by Karan Emerick, MD The Illinois Chapter brings you this column in an effort to help you help your children cope with liver diseases. We also include something fun, such as the clay recipe below. This issue’s story is the second of a three-part series. The following details results from a study involving AGS patients and PEBD (Partial External Biliary Diversion). Part III will provide answers to some frequently asked questions about PEBD. Between the years of 1985 and 2001, nine AGS patients who failed medical therapy underwent PEBD. The average age was 4.8 years (the youngest patient was 1.4 years old and the oldest was 10 years old). The average duration of follow-up was 7.5 years (the shortest was 0.5 years and the longest was 16.0 years). Patients with cirrhosis on liver biopsy or evidence of a failing liver (fluid accumulated in the abdomen - ascites), blood that won’t clot despite vitamin K, or enlarged blood vessels in the gastrointestinal system called varices, were not considered candidates for the procedure. Pruritus was measured on a scale of 0 to 4 where: 0=none, 1=mild scratching when undistracted, 2=active scratching without skin injury, 3=scratching until skin injury, and 4=mutilation of skin with bleeding and scarring due to scratching. All nine AGS patients had severe, mutilating pruritus (grade 4 itching) prior to diversion. One year after PEBD the average pruritus score was 1.1; eight patients had only minor scratching when undistracted. Three patients with extensive xanthomas prior to PEBD had complete resolution within one year. Mean serum bile salt levels in five patients decreased from 136.5 to 37.1 µM/L (normal is less than 10 µM/L) and mean cholesterol in patients decreased from 724 and 367 mg/dl (normal is less than 200 mg/dl) one year after PEBD. A single 21-yearold patient with PEBD for 14 years experienced an increase in pruritus from grade 1 to grade 4 within 2 months of choosing to reverse the PEBD. This data supports that PEBD is effective for treating severe pruritus and hypercholesterolemia in AGS patients without cirrhosis who did not respond to medical therapy. PEBD should be considered as a therapeutic option for these patients prior to referral for liver transplantation. Karen M. Emerick, MD is the Assistant Professor of Pediatrics at Children’s Memorial Hospital. Rainy Day Fun Homemade Colorful Clay It’s time to take a break! The following is a simple, fun recipe for homemade clay. Kids love to play with modeling clay—whether they’re sculpting it, pounding it, or throwing it. Replenish their supply with this colorful clay that’s fun to make! Ingredients 1 cup flour 1/2 cup salt 2 teaspoons cream of tartar 1 teaspoon cooking oil food coloring In a heavy saucepan, combine flour, salt, and cream of tartar. Add oil, 1 cup water, and food coloring as desired. Cook over medium heat for 3 minutes, stirring constantly, until mixture pulls away from sides of pan. Remove from heat, and let cool 1 minute. Transfer to a work surface, and knead until smooth. Store in an airtight container; it will keep for several weeks. Note: This clay is not for children under 1 year of age; due to its high salt content, children should be discouraged from consuming. With A Little Help From Our Friends... A special shout to John Norton for helping us update our medical professionals database, to Brad Stanley for his constant work on our website and for videotaping at the Chicago Town Hall Meeting and Spring Benefit, Tom Dominguez for his assistance during the Chicago Town Hall Meeting, and Anne and Randy Jeskey, who volunteered their efforts and spoke to guests at the Living with Transplantation Conference. Anne also volunteered her time in the Chapter Office, helping us prepare for events (see her story on page 9). Volunteer efforts are vital to the success of the Spring Benefit, and this year our volunteers really made a difference! Thanks to Co-Chairmen: Audrey Silver and Patty Devine; Silent Auction Chair: Sherry Schmitter Block, and members/evening volunteers: Donna Arnieri, Vicky Bell, Kathleen M. Boege, Barbara Christian, Joan Conway, Merle Cooper, Jacqueline A. Dominguez, Tom Dominguez, Jean Fitzpatrick, Krista M. Flanagan, Cindy Gonzales, Mary Harless, Catheleen Kahn Healey, Diane Jacobson, Celeste Jensen, Nancy Leone, Heidi Litwin, Lisa Lubelchek, Lanie H. Mueller, Libby Reinkall, JoAnn Sandstrom, Carolyn Smeltzer, Brad Stanley, Liz Weil, and Katie Wherity. A Special thanks also to our Principal Sponsor Roche Pharmaceuticals and Heidi Litwin for making the sponsorship a reality. Thank you to American Airlines for continuing to be the official Airline Sponsor of the Illinois Chapter’s Spring Benefit. To all friends of the Illinois Chapter, we applaud your talents and efforts! Page 5 Photos to the left (clockwise from top): Emcee Corey McPherrin and Chapter Director Jacqueline Dominguez smile for the camera; ALF National Vice President of Field Services Joe Kleiber (left) and Chapter President David Sherman (right) talk with Mr. and Mrs. James Curtin; the crowd continues to grow during the reception; Board Members Catheleen Kahn Healey and Daniel Weil relax during the evening’s festivities; Anne and Randy Jeskey take a break from previewing the silent auction; and Heidi Litwin, Roche, enjoys good company for a good cause. Photos to the right: (from top): Just one of the many beautiful tables in the Crystal Ballroom; Audrey Silver, Benefit CoChair and David Sherman, Chapter President, draw raffle prizes; the live auction gets kicked up a notch with the energetic Paul Rogers; Chapter Director Jacqueline Dominguez greets Community Service Honoree Jarold Anderson, his wife Priscilla (left) and Alison Smith of ROBI ; Marjorie (“Maggie”) Lang gives special thanks when accepting the Youth Recognition Award; Dr. Jay Goldstein (right) brings warmth and humor to the program when introducing Dr. Thomas J. Layden as the Physician Recognition Award recipient. Photos to the left: (clockwise from top): Board member Dennis Gleason and his wife Karen are tempted by the many unique silent auction items; the silent auction included many items, even those for the hockey fanatic!; one member of the trio, Gene Garcia tickles the ivories to enhance the ambiance; bidders and onlookers try to choose between auction items; Board Member Liz Weil (left) and Lynne Weil bring a touch of Spring home, courtesy of florist Beth Weibel. Page 6 “Benefit” Continued welcomed the guests and introduced Joe Kleiber, ALF National Vice President, Field Services, who thanked guests for their support. Reverend Stan J. Sloan then shared his warm thoughts. Immediately following dessert, the awards presentation began with Dr. Peter Whitington introducing Marjorie (“Maggie”) Lang, 2002 Youth Recognition Award recipient, who returned with a heartfelt speech of gratitude. Dr. J. Michael Millis then took the stage as he introduced the 2002 Community Service Award Recipient Jarold Anderson, President and CEO of the Regional Organ Bank of Illinois (ROBI), and spoke of his leadership in organ donor initiatives in Illinois and Northwest Indiana. Mr. Anderson humbly accepted this award and spoke of the importance of organ donation and the teamwork of the ROBI organization. Lastly, but certainly not least, Dr. Jay Goldstein, colleague and friend, introduced Dr. Thomas J. Layden as the 2002 Physician Recognition Award recipient. Dr. Layden, who was honored that evening for his brilliant research in hepatitis C viral kinetics, thanked his friend and spoke about his dedication to liver research. The evening then took on a lighter tone as Corey McPherrin and Paul Rogers, Benj. E. Sherman & Sons, sparked enthusiastic and entertaining live auction bidding. The successful bidders of the evening were Patty Devine (first class air transportation to Hawaii provided by American Airlines and a threenight stay at the Moana Surfrider on Waikiki Beach), Dennis Gleason (an official autographed Frank Thomas jersey and tickets to the White Sox), Dr. Donald Jensen (Cross-town tickets), Bill Wolf (an autographed Sammy Sosa baseball), Dr. Bruce Silver (an autographed Dale Chihuly book), and Catherine McIsaac (a three-month lease on a Vespa scooter). The raffle winners, drawn by Audrey Silver (Celebrating Life Co-Chair), Heidi Litwin (Roche Pharmaceuticals), and Theresa Bonomi (representing West Suburban Auto Group), respectively, were: “Planes” – two main cabin tickets to the Caribbean, courtesy of American Airlines, won by Mr. and Mrs. Mark J. Putterman, “Change” - $2,002 in cash won by Theresa Storino, and “Automobile” – a one-year lease on a Volkswagen Beetle won by Greg Mann. Final thoughts of the evening were of pure gratitude by Cathleen Kahn Healey, Vice-President and Co-Founder of the Illinois Chapter and of positivity by David Sherman, Chapter President. With record-breaking attendance, true spirit of camaraderie, and all profits going to research and education for liver diseases and organ donor awareness, the eighth annual Celebrating Life Spring Benefit dinner can only be described as a success! The Illinois Chapter would like to extend a special thank you to Cathy Dunn and Rebecca Stern of the Catering Office at the Hyatt Regency Chicago. Their dedication to our event helped to create the joyous atmosphere and seamless presentation. Please see “With a Little Help From our Friends” on page 5 for a list of the volunteers, and sponsors to the right, who helped make the night so special. The Illinois Chapter extends its deep gratitude to the friends and contributors whose generous financial support has guaranteed the success of the 2002 Spring Benefit. Principal Sponsor Roche Pharmaceuticals Associate Sponsors Blue Cross Blue Shield of Illinois, Fujisawa Healthcare, R.R. Donnelley & Sons Company, USG Corporation, Walgreen Company Supporters Richard Barkan, Benj. E. Sherman & Sons, Inc., Sherry Schmitter Block and Frank J. Uvena, Brookfield Farms, Chicago Federation of Labor AFL-CIO, Children’s Memorial Hospital - The Siragusa Transplantation Center, Damer and Cartwright Pharmacy, Dann Insurance, Fujisawa Healthcare*, Hackberry Endowment Partners, Catheleen and Robert Healey, LaSalle Bank, Thomas J. Layden, MD, Much, Shelist, Freed, Denenberg, Ament & Rubenstein, P.C., Northwestern Memorial Hospital - Kovler Organ Transplantation Center, Northwestern Memorial Hospital Liver Transplant Department/Novartis, Northwestern University Medical School - Division of Gastroenterology and Hepatology, Northwestern University Affiliated Transplant Centers, PricewaterhouseCoopers LLP, Pritzker Foundation, Sunnie Kahn Olson, Rush-Presbyterian-St. Luke’s Medical Center-Division of Digestive Disease, Section of Hepatology, Rush-Presbyterian-St. Luke’s Medical CenterTransplant Program/Fujisawa Healthcare, Schering Corporation, The ServiceMaster Company, Bruce and Audrey Silver, Jack and Nancy Schwemm, Teamsters Joint Council # 25, University of Chicago Transplant Program/Fujisawa Healthcare, University of Illinois at Chicago Medical Center Division of Transplant Surgery/Fujisawa Healthcare, University of Illinois Medical Center Hospital Administration, University of Illinois at Chicago-Section of Digestive and Liver Diseases, Vedder, Price, Kauffman & Kammholz/ Mr. and Mrs. Paul O’Kelly, William Blair & Company *Three Tables Patrons Mr. and Mrs. Frederic Brace, Jr., Lyle Campbell, Caremark Therapeutic Services, Chicago Special Events Management, Deloitte & Touche, The Donnelley Foundation, Steven and Carol Felsenthal, Italian Village Restaurant/ Mr. and Mrs. Ray Capitanini, Marshall and Charlene Lavin, Arnold H. Kahn, Peter O’Brien, Pearsall Family Foundation, Dr. Kesevan & Dr. Shakuntala Rajopal, Rootberg Business Services, Inc., Lee and Nancy Rosenberg, Sacks Family Foundation, Diane and Leonard Sherman, Richard G. Weinberg Page 7 Your Liver Resource Directory American Liver Foundation Headquarters 75 Maiden Lane #603 New York, NY 10038-4810 Ph: 212/668.1000 Fax: 212/483.8179 http://www.liverfoundation.org Americans with Disabilities Act Information U.S. Department of Justice Civil Rights Division - Disability Rights Section P.O. Box 66738 Washington, DC 20035-6738 Ph: 800/514.0301 Fax: 202/307.1198 http://www.usdoj.gov/crt/ada/adahom1.htm Asian and Pacific Islander American Health Forum 942 Market St., #200 San Francisco, CA 94102 Ph: 415/954.9988 Fax: 415/954.9999 Email: hforum@apiahf.org http://www.apiahf.org Medicare Hotline Ph: 800/638.6833 National Insurance Consumer Hotline Ph: 800/942.4242 National Digestive Diseases Info Clearinghouse 2 Information Way Bethesda, MD 20892-3570 Ph: 301/654.3810 Fax: 301/907.8906 Email: nddic@info.niddk.nih.gov http://www.niddk.nih.gov National Foundation for Infectious Diseases 4733 Bethesda Ave. Suite 750 Bethesda, MD 20814 Ph: 301/656.0003 Fax: 301/907.0878 http://www.nfid.org National Institute of Health 9000 Rock Pike Bethesda, MD 20892 Ph: 301/496.1776 http://www.nih.gov Social Security Administration Ph: 800/772.1213 http://www.ssa.gov Centers for Disease Control & Prevention Hepatitis Branch: Mailstop G-37 1600 Clifton Rd. NE Atlanta, GA 30333 Ph: 404/639.2339 http://www.cdc.gov Illinois Coalition on Donation Ph: 888/3.07.3668 Immunization Action Coalition 1573 Selby Ave. #234 St. Paul, MN 55104 Ph: 651/647.9009 Fax: 651/647.9131 Email: admin@immunize.org http://www.immunize.org Chat Room If you are interested in joining an on-line chat room regarding liver health, please send an email to LRuheALF@aol.com PBC Town Hall Meeting Will Be Open to Public The American Liver Foundation-Illinois Chapter is offering an educational health program on Primary Biliary Cirrhosis. This chronic liver disease causes slow, progressive destruction of the bile ducts in the liver. This destruction interferes with the excretion of bile. Continued liver inflammation causes scarring and eventually leads to cirrhosis. Attendees will learn more about this disease, including treatments and advancements in research. This program features presentations by medical professionals from Loyola University, Northwestern Memorial Hospital, Rush-Presbyterian-St. Luke’s Medical Center, University of Chicago, and University of Illinois at Chicago. June 29, 2002: 8:00am-12:30pm Wyndham Garden Hotel Schaumburg 800 National Parkway Schaumburg, IL This program is generously sponsored by AXCAN SCANDIPHARM INC. There is no registration fee. Seating is limited so pre-registration is required. Please contact the Chapter Office for your reservation at 312/377.9030. Page 8 United Network for Organ Sharing 1100 Boulders Pkwy, Suite 500 P.O. Box 13770 Richmond, VA 23225-8770 Patient/Public Info. Ph: 888/TXINFO1 http://www.unos.org Springfield Educates Public on Hepatitis C On behalf of the Illinois Chapter, Don Hunt of the Springfield Department of Public Health coordinated the first public educational forum on hepatitis C on Saturday, May 18th, in the Springfield area. Don volunteers for the Illinois Chapter as a hepatitis C Support Group Facilitator and was inspired by the success we experienced in downtown Chicago with our first Town Hall Meeting, Understanding Hepatitis C, earlier this year. Over 50 people attended the Springfield Town Hall Meeting and benefited from the expertise of Dr. Robert Ewart, Southern Illinois University; Dr. Janak Koirala, Southern Illinois University; Dr. Donald Graham, Infectious Diseases and Foreign Travel Medicine Specialist; Dr. Nancy Khardori, Southern Illinois University; and Richard Zimmerman, Program Coordinator for the Counseling and Testing Program at the Illinois Department of Public Health (IDPH). Don hopes to plan similar programs in the future. Please join us in thanking him for recognizing the value of this type of educational outreach and taking the initiative to make it a reality. We would also like to thank the medical professionals who volunteered their time and Schering Plough for their generous sponsorship. On a Personal Note by: Anne Jeskey We bring you this column as a way for you to share your story. Also, it is a way for you to learn from others. If you have a story you would like to tell, please contact the Chapter Office. All submissions are subject to approval and editing. In addition to being a new member of American Liver Foundation, I also volunteer from time to time in the Illinois Chapter office. I was diagnosed with hepatocellular carcinoma in July, 2000, at age 52. My case was quite advanced by the time I was diagnosed. I had a large grapefruitsized tumor on my liver and was lucky enough to find a heroic surgeon, Dr. Alexander Doolas, at Rush-Presbyterian-St. Luke’s Medical Center, who immediately performed a left lobe liver resection for me. Later I learned that I had more small inoperable tumors than the technicians could count remaining in my liver. I researched primary liver cancer on the Internet and learned that liver cancer that originates in the liver is very rare and comes with a lower prognosis. Put briefly, I concluded that the less common a disease is, the less focus of attention and dollars are directed at its cure. Internet research indicated limited success with relatively new treatments called chemo embolization and radio frequency ablation. One treatment had somewhat increased success when the embolizations and/or ablations were combined with regular chemo. Chemo embolization is similar to an angiogram. The radiologist enters the liver through a main artery in the groin and is able to inject chemo directly into the liver and block off the blood sources that feed the tumors. For the ablation, a radiologist inserts a prong directly into the liver and radio frequencies are used to burn away tumors. I was the Administrator of the State of Illinois’ Child Support Enforcement Program in Cook County at the time of my diagnosis. Although I returned to work after my initial surgery, I decided to take a leave of absence and fight. My goal is to do whatever I can to stay alive and help during the time it takes researchers to come up with a cure. And, I am significantly motivated by my desire to fight for quality time with my husband Randy and my two sons, Doug (20) and Nick (18), all of whom I adore. Since September, 2000, I have undergone seven chemo embolizations, one radio frequency ablation and three kinds of intravenous chemotherapy, with very good results. I have also researched and participated in several complimentary treatments, including Chinese herbs, visualization and meditation. So far, I have experienced three periods of “no cancer activity”, which I view as miracles considering my original condition. I continue my battle as necessary and am so thankful for how resilient my liver has been. The best part is that I’ve been able to enjoy life and my family and friends in between treatments. There has even been time and energy for things like volunteer- Organ Donation Activities Prominent in Illinois As part of the Illinois Coalition on Donation, the ALF Illinois Chapter joined hundreds of volunteers and healthcare professionals throughout Illinois and Northwest Indiana in commemorating National Organ and Tissue Donor Awareness Week (April 21-27). Hundreds of donor awareness programs took place throughout Illinois. A few highlights include: a Celebrity Basketball Challenge; a campaign on CTA rail and bus lines; a massive green ribbon displayed on the James R. Thompson Center building; tree planting ceremonies in Naperville and Peoria; a Candlelight Bowl; a memorial walk in Urbana; tray liners at Hardees’ restaurants in Springfield; an essay and poem contest in McLean County; a green ribbon campaign in Rockford; displays in over 200 7-Eleven stores; and employee informational campaigns with the Chicago Fire and Police Departments. Additionally, theaters, television, and radio began running a commercial, developed by the Illinois Secretary of State’s Organ/Tissue Donor Program, featuring liver transplant recipient and Olympic snowboarding bronze medalist Chris Klug. Klug, who suffered from the same disease as Chicago Bear Walter Payton, received a liver transplant in July, 2000 and then became the only organ recipient to ever compete in the Olympics. The commercial also features U2’s “Beautiful Day”; the band generously donated the rights to their song for this worthy cause. The National Kidney Foundation of Illinois (NKFI) hosted the annual Living with Transplantation conference on Saturday, April 13. This event educated approximately 350 transplant recipients and candidates on various issues concerning adult and pediatric transplantation. Session topics ranged from pre- and post-transplantation medical needs to spiritual needs to “Frontiers in Transplantation”. Congratulations to Rondi Wightman of NKFI for organizing another educational and successful event. The ALF Illinois Chapter is honored to partner with local organizations to make these organ donor initiatives a reality and reach thousands more potential donors. ing and pursuing some of my artistic and decorating interests, things I never had time for before. I sought out ALF as part of my desire to do what I can to encourage focus and resources on primary liver diseases. I was always worried that I’d get breast cancer and so I volunteered quite a bit in the past for those events. It’s too bad that I had to get liver cancer to learn that the liver and its diseases need everyone’s focus, too. When I contacted ALF, I was heartened to hear about our organization’s increased focus on hepatocellular carcinoma. I believe that any progress made in the treatment of liver diseases and cancer of all kinds is progress for all of us. The interest in making headway with liver disease is building and the sum of whatever small effort each of us can make will get us all closer to our individual and worldwide health goals. Page 9 Medical Corner Nonalcoholic Steatohepatitis (NASH) Our Medical Corner column provides current information concerning liver health, research, and treatments. Nonalcoholic steatohepatitis (NASH) is a common, potentially serious liver condition, described as inflammation of the liver associated with the accumulation of fat in the liver. The fatty tissue in the liver may break up liver cells (steatonecrosis) and the patient may develop cirrhosis (scarring of the liver). It differs from simple accumulation of fat in the liver (NAFL) in that the inflammation causes damage to the liver cells while simple fatty liver probably does not. NASH is not connected with other causes of chronic liver disease. It may be associated with various risk factors such as obesity, diabetes, or elevated lipids, which should be controlled. It has also been connected with rapid weight loss, or in women taking hormones (estrogen). Many patients with NASH will show an increase of certain iron proteins (ferritin) in their blood and slight increase of liver enzymes tests, but whether this relates to an injury of the liver is unknown. Many NASH patients are unaware of their condition because they do not exhibit any symptoms. As with fatty liver, the physician will first eliminate the other possible causes of chronic liver disease. Images of the liver are obtained by an ultrasound test, a CT scan, or an MRI scan. The diagnosis must be confirmed by liver biopsy. At present, there is no standard treatment that is universally agreed upon. Many drugs are now being studied for potential medical therapy. Patients who are obese, diabetic, and have high lipids (fats) in their blood are advised to lose weight and control their diabetes and elevated lipids. Usually, a low-fat, low-calorie diet is recommended along with insulin or medications to lower blood sugar for diabetes. For patients with NASH who are not overweight and not diabetic, a low-fat diet is often recommended. Patients with NASH should avoid alcohol or other substances which could be harmful to the liver. More research is needed to understand exactly what causes NASH so that more effective therapies can be developed. The Illinois Chapter Presents the 2002/2004 Medical Advisory Committee Each chapter of the American Liver Foundation invites the medical community to form a Medical Advisory Committee (MAC) to offer guidance and direction to the chapter in areas regarding medical issues. It’s important to have the input of the medical experts when considering public/professional education programs, providing information associated with research study outcomes, raising awareness, and even fundraising events. MAC membership is voluntary with a two year renewable term. In 2002, term limits expired for many of the Illinois Chapter’s MAC members and, while regretfully we accepted resignations from some, the new term provided us with an opportunity to invite new members to join us. We are excited about this team of 19 medical professionals who represent various liver centers throughout the state of Illinois. (See the back panel of this issue of LIFE for a complete listing of MAC members and the centers they represent.) Dr. David Cronin, Chair of the Illinois Chapter’s Medical Advisory Committee, recently called the first meeting of 2002 to order. The meeting was well attended and provided the opportunity for members to meet each other and discuss common concerns. Topics such as newsletter articles, increasing chapter membership, and the feasibility of another symposium for medical professionals were among the items discussed. The Medical Advisory Committee will meet quarterly and sub-committees will develop a schedule of meetings for specific projects. The Board of Directors and the Chapter Staff appreciate the support of the medical community. Their volunteer efforts play a significant role in our success and we are appreciative of their support. The meeting was sponsored by Fujisawa Healthcare, Inc. Please note: The contents of this newsletter are for informational purposes only. It does not constitute medical advice, and should not be relied upon as such, as ALF does not engage in the practice of medicine. ALF, under no circumstances, recommends particular treatments for specific individuals, and in all cases recommends that you consult your physician before pursuing any course of treatment. Additionally, all educational meetings are for informational purposes only. The Illinois Chapter does not recommend or endorse treatments, products, or services. LIFE (Liver Information for Everyone) is an informational newsletter published for members of the Illinois Chapter. Editor: Jacqueline A. Dominguez Co-Editor: Krista M. Flanagan Page 10 A Truly Special Gift... Making a donation to the American Liver Foundation can be a wonderful tribute to someone special. It is a thoughtful way to recognize someone on special occasions, such as a birthday, anniversary or holiday. These gifts are a gratifying way to honor someone while supporting ALF’s efforts to prevent, treat, and cure liver diseases. Also, donating in memory of someone shows sentiment to his/her family and loved ones. When a donation is sent as a memorial or tribute, an acknowledgment is sent as specified. The amount of the gift is not indicated. Every gift is tax deductible and the donor receives proper documentation. Please make checks payable to: American Liver Foundation - Illinois Chapter Special Gift In memory of: In honor of: On the occasion of: Make A Difference... Become a Member One in ten Americans are affected with liver disease. Become a member of the American Liver Foundation and you will receive important information including National and Chapter newsletters, research updates, and meeting notices. You’ll also be a part of a nationwide force of patients, healthcare leaders, scientists, and other concerned people who can speak as a unified voice. Your tax deductible membership will help fund research, education programs, and organ donation awareness activities. Name Address City State Zip Phone and Contact Information: Work Home Fax Email Send the appropriate acknowledgment to: Name Address City State Zip I would like to volunteer with: Send my receipt to: Name Address City Phone Enclosed is my annual fee of $25 $15 check support groups helping at the office community education fund raising check State Zip Credit Card # $25 $50 Other $ Visa MasterCard AMEX Credit Card # Visa MasterCard AMEX Exp. Date Name as it appears on card: (please print) Exp. Date Name as it appears on card: (please print) Signature Signature Return to: American Liver Foundation - Illinois Chapter 27 E. Monroe St. Suite 700A Chicago, IL 60603 Please return this form to the Chapter Office. Thanks for joining us in the fight against liver disease and raising organ donor awareness! Page 11 Board of Directors David A. Sherman, President Catheleen Kahn Healey, Vice President Kathleen M. Boege, Treasurer Patty Devine, Secretary Directors Hon. George H. Ryan Hon. Jesse White Chari Aweidah Andres T. Blei, MD David Cronin, MD Dennis F. Gleason Donald M. Jensen, MD Thomas J. Layden, MD Doug Lubelchek Michael B. Manuel 27 East Monroe Street #700A Chicago, IL 60603 (312) 377-9030 Non-Profit Organization U.S. Postage PAID Permit No. 5274 Chicago, IL J. Michael Millis, MD Audrey I. Silver, RN Carolyn Smeltzer, RN, EdD Frank J. Uvena Charles R. Walgreen, III Daniel E. Weil Elizabeth M. Weil Peter F. Whitington, MD Hank Zemola Medical Advisory Committee Chair - David Cronin, MD University of Chicago Hospitals John Brems, MD Loyola University Medical Center Scott Cotler, MD Rush-Presbyterian-St. Luke’s Medical Center Amanda DeVoss, PA-C Rush-Presbyterian-St. Luke’s Medical Center Mary Harless, RN Northwestern Memorial Hospital Steven Flamm, MD Northwestern Memorial Hospital Daniel Ganger, MD DuPage Medical Group Donna Goldman, MD Northwest Gastroenterologists Donald Jensen, MD Rush-Presbyterian-St. Luke’s Medical Center Alan Koffron, MD Northwestern Memorial Hospital Mary Kozlowski, RN University of Illinois at Chicago Medical Center Nancy Leone, RN Loyola University Medical Center J. Michael Millis, MD University of Chicago Hospitals Kathleen Shortridge University of Chicago Hospitals Giuliano Testa, MD University of Illinois at Chicago Medical Center David Van Thiel, MD Loyola University Medical Center Thelma Wiley, MD University of Illinois at Chicago Medical Center James Williams, MD University of Chicago Hospitals Rockford J. Yapp, MD Advocate Good Samaritan Hospital Give a Liver. Save a Life. The printing of LIFE is made possible through a grant from Roche Pharmaceuticals. The ALF Illinois Chapter would like to express gratitude for their assistance in carrying out our mission. Illinois Chapter Staff Jacqueline A. Dominguez, Chapter Director Krista M. Flanagan, Community Events Coordinator Linda S. Ruhe, M.A., Education/Support Group Coordinator Lanie H. Mueller, Administrative Professional Mission Statement: The American Liver Foundation (ALF) is a national voluntary health organization dedicated to preventing, treating, and curing hepatitis and other liver diseases through research, education and advocacy. Support Groups Sponsored by the Illinois Chapter of the American Liver Foundation Many who are afflicted with liver diseases feel they are alone. Our patient and family support groups are designed to provide an opportunity for liver disease sufferers and their families to discuss issues, share information and learn more about their illness and treatments in a positive environment. If you have any questions or would be interested in a support group in your area, please contact Linda S. Ruhe, Education/ Support Group Coordinator, at 630/585.7660. Naperville Location: St. Mary’s Hospital Hepatitis C Day: 2nd Tuesday of Each Month 111 Spring Street, North Arlington Heights Time: 7:00p.m. to 8:30p.m. Assembly Hall Lower Level Day: 1st Monday of Each Month Contact: JoAnne Sandstrom, PBC Time: 7:00p.m. to 9:00p.m. 630/434-9312 Contact: Linda Ruhe, c/o Cathy Contact: Ivette Williams, 773/779.7602 Orland Park Batdorf, 630/585.7660 Day: Varies per month Location: Northwest Community Time: 7:00p.m. to 8:30p.m. Healthcare, Room 1-6 June 25th - June 29th, 2002 - The Olympics Contact: Laura Salzman, may be over, but the U.S. Transplant Games Aurora 708/403.4001, Ext. 222 are about to begin! Courtesy of the National Day: Varies, Please call for details Location: Orland Township Building Kidney Foundation, the games will be held Time: 7:00p.m. to 9:00p.m. 15100 S. 94th Avenue at Disney’s Wide World of Sports. If you would Contact: Linda Ruhe, 630/585.7660 like to participate or attend, contact the ChapRockford Chicago/Downtown ter Office at 312/377.9030 Day: 3rd Thurs. of Each Month Day: 1st Tuesday of Each Month Time: 6:45p.m. to 9:00p.m. Monday, July 8, 2002 - Mike Greenberg, Time: 7:00 p.m. to 9:00 p.m. Contact: Brenda Erwin, 815/391-5100 ESPN AM 1000, is joining us again at Contact: Linda Ruhe, 630/585.7660 Location on Odd Months: Harlem Harborside International Golf Course for the Location: Northwestern Memorial United Methodist Church Fifth Annual Golf Classic. This championHospital, 251 E. Huron, 8401 North Alpine Road ship golf facility provides a perfect setting for Galter Pavillion , Rm. 7-302 Location on Even Months: Brooke a great day of golf, great food by Stefani’s, and (Participants do not need to be affiliated you’ll have the chance to win some fabulous Road United Methodist with Northwestern.) prizes and meet local celebrities like Mike! Church, 1404 Brooke Road Crystal Lake (formerly Woodstock) Sunday, October 13, 2002 - 2002 marks the Springfield Day: 3rd Friday of Each Month 25th anniversary of The LaSalle Bank ChiDay: 3rd Monday of each Month Time: 6:00p.m. to 8:00p.m. cago Marathon. We’re excited about being a Time: 7:00p.m. to 9:00 p.m. member of their Charity Partner Program. Contact: Betty Kersting, 815/943.3597 Contact: Don Hunt, We’ve established a Marathon Executive SteerLocation: 824 S. Main Street, Ste #206 217/789.2182, Ext. 111 ing Committee and have set some aggressive Location: Springfield Department of Elmwood Park goals – 100 runners to raise $100,000. Can Public Health, Day: 3rd Thurs. of Each Month we do it?? Sure, with your help. Remind your 1415 East Jefferson, Time: 7:30p.m. to 9:00p.m. runner friends that running for a charity enMain Floor Conf. Room Contact: Norm Seiff, 708/453.2206 riches the running experience and have them Location: Park and Recreation Building call the Chapter Office for details. Spring Valley 2 Conti Parkway Day: Last Thurs. of Each Month Saturday, October 19, 2002 - Andy Shaw Time: 7:00p.m. to 8:30p.m. Lindenhurst from ABC 7 invites you to join us on Chicago’s Contact: Mary Sue Goldsmith, lakefront for the fourth consecutive year to Day: 4th Monday of Each Month 815/872.3503 take strides against liver diseases. New this Time: 7:00p.m. to 9:00p.m. Location: St. Margaret’s Hospital year, we are adding the option to run or walk Contact: Linda Ruhe, 630/585.7660 the 5K course. It’s never too early to start colPresentation Rm, 600 1st St. Location: Victory Lakes Continuing lecting pledges and forming your team to raise Care Chapel Rm, 1055 Sterling money for research, education and advocacy Grand Ave. Day: 1st Wed. of Each Month for liver diseases. There’ll be food, fun, and Time: 5:00 p.m. to 6:30 p.m. Maywood entertainment for the entire family, including Contact: Joan Saunders, 815/626.2230 pet stations for the four-legged members. Day: 1st Monday of Each Month st Street Location: United Way, 502 1 Contact: Susan Long, 708/216-5454 or Sunday, November 24, 2002 - For all who Nancy Leone, 708/216.7930 Streator are awaiting a solid organ transplant, come to Location: Mulcahy Outpatient Center, Day: 3rd Thurs. of Each Month the Preparing for Transplantation ConferLoyola Medical Center, Time: 6:30 p.m. to 8:00 p.m. ence at the O’Hare Marriott. Topics regard2160 S. 1st Ave., Room 0100 Contact: Mary Sue Goldsmith, ing liver transplantation include living donor, cadaveric, and pediatric. 815/872.3503 Mark Your Calendar! Upcoming Clinical Trials and Research The ALF Illinois Chapter tries to bring you a complete list of ongoing clinical trials and research. However, we suggest you ask your nurse or physician if there are any other studies affiliated with their hospital. Northwestern Memorial Hospital (Please contact Mary Harless at 312/469.4932 for more information, unless noted otherwise.) Hepatitis C Pegylated Interferon and Ribavirin for patients who have never been treated. For more information contact Debbie Manka at 312/469.4885. Pegylated Interferon and Ribavirin for patients who did not respond to standard Interferon and Ribavirin. Hepatitis B Patients with chronic Hepatitis B infection to be treated with Adefovir. Liver Failure Patients will be treated with a drug or placebo for a period of 72 hours as a part of the NIH (National Institute of Health) sponsored US Acute Liver Failure randomized controlled double-blind study. This study will examine the potential benefit of N-acetylcysteine in fulminant hepatitic failure. Etiology is non-acetaminophen related. The mental state of patients with cirrhosis and deep hepatic encephalopathy will be evaluated through the US study examining the effects of treatment with MARS (albumin dialysis). The study is a randomized controlled evaluation of five days of MARS vs. standard therapy. Rush-Presbyterian St. Luke’s Medical Center (Please leave a message on the Rush study line at 312/421.4007 and a nurse will return your call.) Hepatitis C Gamma-interferon: It is hoped that this experimental drug will reverse the liver scarring caused by hepatitis C. This study will enroll people who either failed a course of interferon or who are not appropriate for interferon treatment. Participants must have significant fibrosis noted on their liver biopsy report. Participants will receive either the gamma-interferon or a placebo injection three times per week for one year. The biopsy done before treatment will be compared to the biopsy which will be done after treatment. Pegasysä + ribavirin: Pegasysä is the pegylated version of Roche’s Roferon-Aä. Because it is pegylated the injections are just once per week. Pegasysä is not yet FDA approved. Participants will receive Pegasysä + ribavirin for 48 weeks. The purpose of the study is to collect safety and efficacy information. Pegasysä + ribavirin in HIV + HCV (sponsored by Roche): The purpose of the study is to learn more about the response to Pegasysä + ribavirin in people who have HIV infection and hepatitis C infection as compared to people who have only hepatitis C infection. This study is open to African Americans who have not received interferon treatment. Enrollment is open in both the hepatitis C only group and the hepatitis C and HIV group. Peg-Intronä + ribavirin: Peg-Intronä is the pegylated version of Schering’s Intron-Aä. Because it is pegylated the injec- tions are just once per week. This drug is already FDA approved. The study is looking at whether it is better to base the dose of ribavirin on a person’s weight or if the standard dose is appropriate for everyone. The study remains open to people with genotype 2 but the genotype 1 group is already full. Hepatitis B Entecavir for hepatitis B: This study will treat people who are taking lamivudine but still have measurable hepatitis B virus. Participants will be either continue lamivudine or switch to entecavir. Treatment will be for one year. University of Illinois at Chicago (For more information contact Mary Kozlowski at 312/413.5694) Hepatitis C Patients with normal liver enzymes (ALT and AST) are usually not candidates for treatment. We are conducting a study comparing differences in liver function and disease progression in patients with normal liver enzymes. Patients will be randomized to either be treated with pegylated interferon and ribavirin or receive no intervention. All patients will be followed regularly by a physician. African American, Hispanic, and Caucasian patients that are genotype 1 and have never been treated for Hepatitis C are eligible to participate in research to study racial differences in response to treatment. Treatment includes the use of pegylated interferon with/without ribavirin for the duration of one year. Individuals that are non-responders to interferon and ribavirin are eligible to participate in a non-responder trial using pegylated interferon and ribavirin. Patients must have a liver biopsy done within the last three years and elevated liver enzymes. Co-infected patients (patients with Hepatitis C and HIV) are able to participate in a trial using pegylated interferon and ribavirin. Patients must be African-American or Caucasian, have elevated liver enzymes, be genotype 1, have liver biopsy results or be willing to undergo a liver biopsy, and have never been treated for Hepatitis C. University of Chicago (For further information or to apply for these studies, please contact Katie Wherity at 773/702.4477) Hepatitis C Studies using Pegylated-interferon plus ribavirin for patients who have never been treated with interferon before. A study using Pegylated-interferon plus ribivirin for patients who are non-responders to interferon plus ribivirin. Non-alcoholic Steatohepatitis A study involving Actos for non-alcoholic steatohepatitis patients. Post-transplant A study for post-transplant patients who are experiencing nephrotoxicity due to their immunosuppression medicines.