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Killing Two Birds With No Stone

A 37yearold Caucasian man with treatmentnaive chronic hepatitis C virus (HCV) diagnosed 2 years prior presented to the emergency department (ED) with a 5day history of burning sensation in the epigastrium radiating to his right upper quadrant and chest. Medical history was notable for gastroesophageal reflux disease managed with proton pump inhibitor. He denied worsening reflux symptoms at the time. His surgical history was unremarkable. His family history was significant for father with chronic hepatitis B and mother with alcoholism. He was naive to HCV treatment due to his ongoing alcohol/substance use, as well as lack of medical insurance to be linked to care.