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TIPS shunt

by bp, Sep 26, 1999 12:00AM
I have written to you previously....<<<<<<<<<<<

I am a R.N. , whose husband has been diagnosed with Hep C acquired from blood transfusion approx 12 yrs ago. He had had surgery then for throbosis--amptation of right toes etc. at that time he had anticardiolipid enzymes and phospholipid synd.

: He had been on heparin sq for yrs. Also had been told he had lupus or lupus like antibodies.His liver scans show End Stage Liver, severe hepatacellular disease-cirrhosis. He has been seen by the drs at univ of Miami.>>>>>>>

Hi...once again ...my husband is in end stage liver(no transplant list acceptable)...recently he has had a tips shunt placed due to continual fluid in his chest cavity..he almost hemmorrhaged during procedure due to poor ptt times, platelet count of 43000 etc etc.The shunt seems to be working because his lungs have stayed clearer.

Now he remains on diuretics, his lower extremities are edematous and of very poor color. The drs say that his albumin is 2.4 and that is what is causing this fluid.....again basically my question is i understand the drs telling me that his liver is failing but what i can't understand is why they can't tell us a prognosis of time. It is very hard for my husband and i to deal with without knowing what we are looking at. He also has encephalopathy, super enlarged spleen, jaundice etc etc. I realize he is decompensating and failing, but what can i expect ???

Thank you
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