Westex, you are correct. Active Hep C means it is actively destroying your liver. However, there are some people who have been exposed to Hep C (or B) and their immune systems have thrown it off. Mine apparently did that with B, but not C. Such a person will always test positive for the disease as they have the antibodies for it. But it is not active and they do not need treatment. All the people here with Hep C are in an active stage. Otherwise, there would be no reason to be here.
It doesn't matter about the Hep C...she could get a transplant if the evaluations and MELD score say she needs one. After the transplant and when she has recovered sufficiently from it, they would want her to get Hep C treatment to avoid having the new liver infected. Hep C is a blood-borne disease. Just getting a new liver does not eradicate the disease. It is still in the blood.
My feeling is that she should continue to do things she wants to do, if she is able and for as long as she is able. None of us knows how long we have...we have to make the most of each day. Your sister really needs to get her mind away from "how long?" Find out what she can do now to help her liver. I know for sure that abstinence from alcohol and a diet of fish, chicken, fresh fruits and veggies (no beef) can go a long way in helping the liver.
Only the doctors can decide if she qualifies for Hep C treatment now or if she should just pursue a transplant. It would be the transplant center that would inform her about needing 6 months of DOCUMENTED AA attendance or alcohol counseling.
Hope this helps answer some of your questions.
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"But that was yesterday, and I was a different person then."
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