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Advanced Liver Disease-Prognosis

My brother, age 48 has been diagnosed with Advanced Liver Disease.  He has complications as a result including escites, ensephalophathy, edema, cellulitis.  He was admitted to the ER just after Christmas because of an infection/wounds on each leg from cellulis/edema.  His billirubin was at 6.  After a week he experienced almost total kidney failure with creatnine at 3.5.  He spent a month in the hospital and kidneys made a dramatic recovery and is now in a physical rehab.  Billirub is down to 2.2 and creatnine at .9.  He was clearminded at his admission but has become very confused w/ ensephalopathy.  He cleared for a few days but after a pericentises he has become more confused for a few days, then 3 days lucid, now confused again with poor short term memory.  Also his acitis is more pronouned and he has lost 10 lbs in less than 2 weeks.  I took him to a hepatologist yesterday who said that the weight loss might not be necessarily bad but maybe due to fluid loss as he is on diuretics.  He indicated it may be several months before we see clarity, my brother should be considered a 'work in progress'.

My question is this. For patients with this type of advanced liver disease, do they tend to bounce back enough over time to live a normal life?  Doctors have indicated he may not need a xplant but it would be several months before he would be considered to safely have it anyway.  Thanks.
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Avatar universal
my mothers spleen was enlarged and her blood count kept being low. she kept going to the doctor and was even admitted for testing. untill she flew to my sisters house in washington and she started throwing up blood . did we find out what it was. she flew back home and i took her to a liver specialist and then after about 2 years of symtoms was she finally diagnosed with liver failure. chirosis of the liver. did i spell that right? anyway the doctor said she needed a transplant yesterday. and gave her six months to live. i went back to her regular doctor and he wasnt friendly at all. he said do you think that they will find a liver in six months time? he said. i explained to him in my own way not to talk to patients that way and that he wasnt god and he was just like anybody else. some doctors feel like they can say anything they want and get away with it. and even if it is their fault. my mother didnt end up gettting her liver in time. and she used to beg me everyday not to let her die. there was nothing i could do but comfort her and give her more pain meds as she needed them. i used to watch my mother sit and throw up blood by the pints. i will have to live with it untill the day i die. my point being is. dont stop at one doctor when something is going on. two you dont have to take their smart mouths. they bleed just like me and you. three. try and take care of youre liver. my mother never drank and day in her life or did she do drugs. it was her  diabities that killed her liver and large tylenol intakes. at a dose. watch taking to much tylenol. and try and take care of youre diabities. i see diabetics. who are not willing to take the insulin shots. and sit and die. my brother in law is right now. i am not a trained medical exspert and im not telling anybody anything about their medical conditions. it is a opinion. and like rectums everybody has one. this was mine. thank you and god bless.
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Avatar universal
LoL... I can't keep up with these lower threads... they keep changing I swear... It's like one day it's here.. the next it's gone... That or I or it got lost when the 2003, 2004 ones re-appeared...!!!

IBC... (rare, but caught extremely early due to known issues) had Radio, Surgery, then Chemo... with a short course of follow up drugs.... (would have been more happier with the 5 year course) I go for another follow up anniversary appointment in Dec. I just recently ordered the book you mentioned... can't wait to get it!

What keeps me busy issssss....I have a new travel buddy & that's why I have been pre-occupied... LoL...he's my 10 mo old grandson that I recently got temporary guardianship of... I tell ya, I had forgotten what all this job entales!!! At least it's rewarding, & mostly FUN work!!! Ha!
;)
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Avatar universal
Read above.
You are not checking in too often. What keeps you busy these days?
If you don't mind, what type of breast cancer did you have, and do you get proper follow up?
No sense in beating HEPc, and neglecting other important issues.
I am so busy reading the board with all that action going on, I am ready for a big long rest...should have said :the big sleep, lol

Ina
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Avatar universal
BTW... how'd the biopsy turn out?
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Avatar universal
Ina... WoW, Almost missed you post, I am so scattered trying to settle in with my Grandson that I am doing a lot of that everywhere lately... BTW My Lumps were benign (but left me deformed after the biopsy) it was the area that got me!

Awe Chelle, you'll really like Franks voice... he's so soft spoken.. I miss laughin too :( I gotta tell ya that post TX depression stuff can be a real pisser, I think it's pretty normal for everyone to suffer from it to some degree!

Frank, I truly have valued our friendship, & I just want you to know how much I appreciate, love & miss you... your absence leaves a big ol empty void in my heart, Now I really wish you hadn't been asleep last week when I called... :(
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Avatar universal
hey guys - i'm looking for you two...    frank, i got a chance to speak with chevy, and would like to contact you too.  sounds like both of you went thru the post tx depression i'm experiencing....  i miss you guys, i miss laughing...   hope to talk to you soon...chelley
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90502 tn?1196364005
Sounds good to me.  Let me know when and I'll be happy to meet up with you.  It was nice to meet Susan400 a couple of weeks ago.  We sat and talked and talked for a couple of hours.  So nice to do a face-to-face instead of waiting for a response on MH.  Get back to me, my "regular" email is: pasoperson AT aol DOT com
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85135 tn?1227289772
I'll be down your way for the 2007 high school graduation. Maybe we can set up a luncheon? I've yet to meet a fellow hepper.
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Avatar universal
To be truthful, I learned about 5 HTP just recently too, here on the board. I talked it over with 2 of our resident health nuts, and they seemed to think it was OK, as a matter of fact, one started taking it herself.
Will do some more research after the biopsy.
You know it does not ususally rain much on my side of the state. Most of the rain clouds can't pass over the Cascades, so we are often starving for water.
Right now though we have a miserable storm, and the whole state is affected. Many parts around Seattle are under water, saw that on TV today.
Did you have a lump in your breast, or was it an area?
Mine is an area, so we are doing the wire localization, and than an open biopsy.
We never talked about your cancer, I found that out from cuteus.
I just finished reading Dr. Susan Loves breast book. Lots of invaluable suggestions, plus guidance how to interprit ones own biopsy.
Stay well dear Vicky,
Ina
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Avatar universal
Ina, I was actually following someone elses conversation about that 5HTP recently, before that I had never even heard of it... but I am glads that Jazz wrote that as that was one of my first concerns too (the liver friendly)

I'm back in Ga... been here since mid-october (family issues to contend with) but hoping to be back in Washington soon... possibly as early as next week...

I heard it was already raining there... in fact Rob said it was almost like a Ga rain there today, which is suppossedly unheard of for ya'll except about every 100 years or soo...LoL... guess that means ya'll are getting a Frog Strangler About Now!

I have heard of your drizzle rainy season though & was actually kind of looking forward to trying it out... but I would almost bet it's that cold, wet, bone chillin kind of winter, & I don't know If I'll like that at all... I mean in Alaska, it doesn't seem that cold... I have ran outside in shorts & a bathrob when it was 15 below & didn't feel that cold!!!

I sure am sorry to hear about this biopsy... & praying the results will come back good... sure seems like there are a bunch of previous/current mh folks that are getting cancer scares lately... which really concerns me, it really makes me want to stop smoking, I mean it would be stupid to go thru all this **** thus far, just to turn around & kill myself smoking... it's to the point that my guilty sub-concious bothers me so bad, that I really don't enjoy the dang things anymore anyways... Ugg... best of luck on this biopsy, I'll be with you in spirit & please let me know the results when you get them!

Thanks for the Happiness wish... I'm striving for it, I think If I could achieve the stopping smoking, & get my grandsons situation resolved, I'd be on top of the world.... but I am determined, so I'll get there eventually...LoL...

Take Care Ina, I think about you all the time, & miss you much!
;)
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Avatar universal
Thanks, I will look into that.
Haven't opened the bottle yet, had planned to, but now I guess I need to do some more reading.
I have such a difficult time with AD's, they give me cramps, all of them. I read somewere that there are serotonin receptors in the intestine, and that the serotonin gets displaced while taking AD's...something like that.
And what do I read on my bottle from "Natures Way"...may give cramps, nausea, diarrhea.
Just don't know what to do.

Ina
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Avatar universal
in 04 i pulled out ove simaler, every ones diferant but the human body is very strong good luck
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Avatar universal
Didn't expect to find activity down this far down on the board, but now that I've stumbled upon your post, I do want to warn you about taking 5-HTP.  If you Google "5-HTP and Liver" you'll find that it's not recommended for people with liver problems.
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Avatar universal
That's great, I like to hear success stories. So sleeping seems to be the biggest problem...same here, cat napping etc.
I am going today to pick up some 5 HTP in the vitamin store. For sleeping I start with a higher dose, 100 mg. Google it, I am sure you will at least give it a try. Also good for depression, so they say.
I guess the weather on the cost is not to your liking. All winter long drizzle, drizzle.
I am having an excisionel breast biopsy next week, and I thought about you.
I wish you all the happiness in the world.
Ina, it's 5:30 AM, got to go to sleep.
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Avatar universal
geezzz... been awhile since I checked in... you may not see this by now...LoL

Post TX am doing fine...memory is improving all the time, but still not functioning like I used to could have, and boy oh howdy, I had no Idea that it would take this long to get over the atrophy... I have been doing some project that require physical labor, & I discovered muscles I didn't know I had... (Much less the ones I had forgotten about)... Ha! Still having Major insomnia... which makes seems to have more of a cat napping sleep pattern.. been up since 4 this morning, but didn't even go to bed till 1.... so now I want another nap... I'll sleep a few hours & then I'll be refreshed & up & running again, & so On & so fourth!

Hair is growing, but the texture has changed... It's coming back much finer!
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90502 tn?1196364005
Hey, welcome to the board.  I live in Ocala, also.  You find lots of help and support on this board, so keep hanging around.  Are you using a gastroenterologist or a hepatologist?  Most folks recommend going to a hepatologigst.  Do you know what genotype, stage/grade, or any other info on your case?  When you find it out, please share with us.  

Maybe someday we can do a face-to-face.  I just had the joy of meeting another on this board, as she passed through town.

Anyway, you've found the right spot.  Please keep coming back, no questions are dumb.  

-pasoperson
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Avatar universal
Ocala gal.......... Hi everybody. So good to know about this support. I start treatment in Jan. No insurance. Found an all volunteer clinic in St Pete FL. Wonderful people. Eager to get started. Any suggestions on what to do to get ready. I'm trying to build up my immune system with vitamins, exercise and lots of
rest. Thanks.
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Avatar universal
How is post tx treating you, I don't mean family wise, I mean physiacally and mentally?

Ina
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Avatar universal
Very strange Ina,,,,not sure how this got opened again and Vic,,,thats not me!  haha you pretty much know my life story and believe me,,,,if my daughter was in a coma,,,,You would know!  But who is Honey123????
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Avatar universal
Humm, Ina... I was wondering the same thing!

Honey, I had no idea... having to do a double take to see if you were the same Honey.... Pinch me... do I have the right Honey..?
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Avatar universal
Ya'll... That was freaky..Put me in the twighlight zone for a few, LoL!!!!! Whew!

Yea, I don't know how it revanmped either... "Used to" you could do that, but now threads expire & close out, & even if you can find one to post on & it happens to actually post... it doesn't make it reappear, & you get an error message when you try... Dooo, Dooo, Dooo Dooo!!!!

:)
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Avatar universal
I hate it when there is somebody with a similar name, but don't know what to do about it.
What is bugging me is this thread reappearing...that dude, he gets my dander up...but what am I saying, lost all my dander during tx, there is nothing to stand up.

Ina
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Avatar universal
How on earth did this old thread appear.
On top of it with the name of a dude that was banned.

Ina
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Avatar universal
hi my daughter was in hospital 4 months and they gave us not much hope they told us several times to expect the worse she had  advanced liver disease kidney  failure liver failure oesophagel varises which led to massive internal bleeding which on the third case led her to loose 3 litres of blood be ventalated and sent to a specialist hospital where she spent 2 weeks in intensive care with coma and pnemonia.today 11 months later she is apicture of health it has taking a long time and a lot of patience but looka abundle of health so yes with love hope and prayer miricles do happen i hope this message will help
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