Understanding "Compromised Liver" & Vitamin D Deficiancy

[cschroeder]

My husband has blood tests and his doctor told him he had virtually no vitamin D and a "compromised liver"..he is 72 and has had long term (years) of iron overload due to a chronic disorder and another blood disorder which causes low blood count numbers and has to have lots of transfusions and bi-annual chemo treatments.  He cannot have a phlebotomy for the iron because of his other disorder.  

What does this mean?  I don't think my husband tells me everything.  I am afraid because he can't treat one without affecting the other.  Now it's affecting his organs but to what extent? I wish I would have been there at the doctors to hear what he had to say.

[HectorSF]

I am sorry to hear your husband has so many medical issues.

His issues go way beyond liver disease and will be difficult for even doctors to manage so I can't comment except to say that I hope he is getting the best care available in your area.

When a person has multiple health conditions their health must be managed in a coordinated manner by a team of doctors who are all specialist in there own fields and can work closely with others in other specialties. The only places where this type of care is available is at large teaching hospitals such as here in California. Such as the University of California Medical centers. Such as UC Irvine, Davis, San Diego, San Francisco. There are others too especially in LA.

Good luck to you both.
Hector

[cschroeder]

He has Cold Agglutinin and is active which he has chemo therapy twice a year plus when the chemo does not help has to have multiple transfusions sometimes monthly.  He also has Hemochomatosis and since he cannot have  a phlebotomy due to the active cold agglutinin his iron keeps going up.  It is past 2600 and has been there for years now.  This is causing the liver problems.  He has tried the treatment (oral) for the iron but his system cannot take the side affects.  His last checkup he was told his vitamin D is almost non existant and has a "compromised liver".  His doctor said he is between a rock and a hard place.     Now since his iron is so high, if the Chemo does not work with the cold agglutinin he cannot have transfusions because of the increase in iron due to that.  He recently had prostate cancer and in late fall had to have intensive radiation and the tumor seems to have disappeared.  I believe all of this can cause a reaction by his liver but mostly it is the iron overload.  I am trying to find an answer or some other type of treatment he can try.

[HectorSF]

I'm afraid the bits of information are not enough to understand what is happening. What is related to his liver disease and what is related to his other conditions. Medical information is legally private, it is up to your husband to permit you to know his health condition or not, so you will need to work it out with him.

Sorry I can help you.

Good luck.
Hector