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Message
1
Posted on 8/16/14 at 9:17 am to Patrick_Bateman
quote:This. Sorry to say, but with her past, it won't happen.
She will not be getting a liver transplant unless it's from a family member.
This post was edited on 8/16/14 at 9:18 am
Posted on 8/16/14 at 9:32 am to northshorebamaman
quote:
drank through the whole damned pregnancy
Now this pisses me off.
frick yourself up is one thing, but to hurt a child before he is even born takes this to a new level.
Posted on 8/16/14 at 10:26 am to East Coast Band
quote:
frick yourself up is one thing, but to hurt a child before he is even born takes this to a new level.
It is too late for this statement. She is near death, I feel so bad for her and her family.
Posted on 8/16/14 at 8:48 pm to foreverLSU
quote:Did she have cirrhosis prior to this hospitalization, or was this the first issue she had with her liver? Based on the little information the OP gave, it sounds like she has fulminant hepatic failure, for which the only treatment is a liver transplant. The kidney injury is probably secondary to the liver issue, i.e. hepatorenal syndrome. If this is the case, you're more likely talking a couple days max.
Her age makes her a great candidate for transplant, but the alcoholic history could hinder things. The majority of patients with end stage renal disease have it due to diabetes or hypertension. I'm not an expert on liver, but you can definitely accommodate kidney dialysis into your life. I have patients who have been dialyizing since the 90s. At the end of the day it's up to her. She has to make a change in her life if she want to survive. Eta: read the rest of the thread after responding to the initial post, so my comments may not hold up to your specific situation.
Also, the MELD is not meant to be used for during acute liver failure. It was originally developed as a prognostic tool for chronic cirrhosis, and now has found use for transplant eligibility. The more pertinent number would be the maddrey discriminate function, which is probably sky high.
Regardless, all of that is a moot point in this case anyway.
Posted on 8/16/14 at 9:54 pm to northshorebamaman
Not a Dr., but my dad has alcoholic cirrhosis with hepatic encephalopathy (he). From my experience, I would venture to guess there was an underlying condition other than alcohol contributing to the liver failure. I have read about people with high meld scores that showed a significant improvement after simply quitting drinking. Many alcoholics aren't able to put in the work for sobriety and die as a result (no transplant). But, for those willing to work, you can absolutely get on the list somewhere. With that said, there is still many that get a transplant, return to drinking, and then go back to drinking and kill another liver. My pops drank for 45 years, is 3 years sober, an is on 3 transplant lists in 3 states. Be an organ donor. Prayers to you an your family.
Posted on 8/16/14 at 10:04 pm to stniaSxuaeG
quote:
Based on the little information the OP gave, it sounds like she has fulminant hepatic failure, for which the only treatment is a liver transplant. The kidney injury is probably secondary to the liver issue, i.e. hepatorenal syndrome. If this is the case, you're more likely talking a couple days max
Her doctors informed us today that they only expect a few more days, so sounds like you're right.
Posted on 8/17/14 at 12:21 am to northshorebamaman
quote:
Her doctors informed us today that they only expect a few more days, so sounds like you're right.
I am sorry to hear that, it has got to be a terrible way to live and die and it has to be very tough on her child. I know you can die from alcohol withdrawals so what do they do when an alcoholic is in the hospital? Maybe one of the OT doctors would know?
Posted on 8/17/14 at 12:23 am to lsu480
Honestly she might still be drinking. As bad as that sounds
Posted on 8/17/14 at 12:23 am to northshorebamaman
Was her child born with FAS?
Posted on 8/17/14 at 12:26 am to lsu480
quote:Drugs and fluids.
I know you can die from alcohol withdrawals so what do they do when an alcoholic is in the hospital? Maybe one of the OT doctors would know?
Give them benzos, such as diazepam, to protect against seizures, irregular heartbeats. Give fluids and correct for any electrolyte and vitamin abnormalities. Monitor vitals.
This post was edited on 8/17/14 at 12:30 am
Posted on 8/17/14 at 12:34 am to lsu480
Benzos and other sedatives.
32 with complete liver failure is tragic. The liver has great ability to bounce back but to hit the point of no return at 32 is just sad.
32 with complete liver failure is tragic. The liver has great ability to bounce back but to hit the point of no return at 32 is just sad.
This post was edited on 8/17/14 at 12:37 am
Posted on 8/17/14 at 1:22 am to Artie Rome
quote:
Benzos and other sedatives.
quote:
Give them benzos, such as diazepam, to protect against seizures, irregular heartbeats. Give fluids and correct for any electrolyte and vitamin abnormalities. Monitor vitals.
Thats what I figured but she still has to be experiencing a pretty significant amount of withdrawals which would suck for her and make it harder on the staff.
quote:
32 with complete liver failure is tragic. The liver has great ability to bounce back but to hit the point of no return at 32 is just sad.
It really is tragic. I have done lots of "damage" to my liver in my life but luckily I haven't had any problems with it yet, reading stories like this do make me stop and think though so
to the OP!Posted on 8/17/14 at 1:25 am to lsu480
Yep. This threads made me reevaluate my lifestyle
Posted on 8/17/14 at 4:01 am to lsu480
quote:
It really is tragic. I have done lots of "damage" to my liver in my life but luckily I haven't had any problems with it yet, reading stories like this do make me stop and think though so to the OP!
Thanks. I'm glad to hear it's had a positive effect on people. I'll pass that on to my wife. If I posted a picture of how she looks (bright yellow), it would probably scare a few more. I've drank more than my share, and her appearance shook me.
Posted on 8/17/14 at 4:09 am to SabiDojo
quote:
Was her child born with FAS?
I'm not sure. She was hard to contact at that time. He does have a host of medical issues associated with it, diagnosed or not. That's probably the most I'll say about it anymore (no offense to you). She's paying a heavy price, and I don't feel great rehashing all her failures, even anonymously.
Posted on 8/17/14 at 6:57 am to Walt OReilly
quote:
Yep. This threads made me reevaluate my lifestyle
I had a "fatty liver" and my liver enzymes where through the roof. Within a few months of drying out my liver repaired itself. Not to mention life got infinitely better.
Posted on 8/17/14 at 7:23 am to northshorebamaman
Damn, that's awful to hear
This post was edited on 8/17/14 at 7:32 am
Posted on 8/17/14 at 7:48 am to Walt OReilly
Wish they had done that for Coolidge. He was so talented.
Posted on 8/17/14 at 8:00 am to prplhze2000
quote:
The news came today that her liver has completely failed, and they are just going to keep her comfortable until she passes.
Is there any kind of average time frame as far as how long she has left?
Asked my mom who is a liver & kidney transplant coordinator. The answer is there is no time frame. It really depends on how strong she is and how long she can hold out. The toxins have fried her brain and she'll bleed to death. It sounds like 3 months is a long time for someone in this position to live. They'll load her up in painkiller meds until she passes.
The reason why she said no time frame is she could pass tomorrow or months from now. All these cases are so different.
This post was edited on 8/17/14 at 8:04 am
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