If his RA flared on interferon before, i would hold off on treatment for the
HCV, which still requires interferon. the most important issue is how much
liver disease there is - if he has mild to moderate disease he may be better
off waiting for therapies (in a few years) that work with fewer side
effects. in the meantime, i think having occasional liver biopsies to
monitor his liver makes sense. he can see any of the doctors at Mount Sinai,
Columbia or New York Hospital.