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DR's of the OT: Complete liver and kidney failure...

Posted on 8/15/14 at 10:46 pm
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35501 posts
Posted on 8/15/14 at 10:46 pm
My sister-in-law went to the hospital last week because she wasn't feeling well, and was diagnosed with kidney and liver failure. No shocker. She's only 32, but she's been an extreme alcoholic for as long as I've known her. She's completely yellow down to her teeth and eyes. From what I was told, an average "liver score" is 1, and she tested at a 26. 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? We are trying to be prepared as possible as far as absences from work/school, plane tickets, etc... I tried Google, but answers are all over the place. My in-laws are, of course, in constant communication with her Dr's, but it's not a question I would ask them. Thanks.
This post was edited on 8/15/14 at 10:49 pm
Posted by CT
Kate Upton's back
Member since Sep 2004
21054 posts
Posted on 8/15/14 at 10:47 pm to
Damn. She must have done some serious drinking.
Posted by yankeeundercover
Buffalo, NY
Member since Jan 2010
36373 posts
Posted on 8/15/14 at 10:47 pm to
Yikes. This info gives me pause.
Posted by SabiDojo
Open to any suggestions.
Member since Nov 2010
83940 posts
Posted on 8/15/14 at 10:47 pm to
Oh my. Even for an extreme alcoholic, complete liver failure at 32 is shocking to me. I'm sorry for your brother's loss.
Posted by tiderider
Member since Nov 2012
7703 posts
Posted on 8/15/14 at 10:48 pm to
damn ...

Posted by Paige
Vice President of the OT
Member since Oct 2010
84748 posts
Posted on 8/15/14 at 10:48 pm to
Wow that is so tragic
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35501 posts
Posted on 8/15/14 at 10:50 pm to
quote:

Oh my. Even for an extreme alcoholic, complete liver failure at 32 is shocking to me. I'm sorry for your brother's loss.

Thanks. It's the wifes sister, actually. Yes, she drank almost a gallon of vodka a day for years. From the time she woke up.
Posted by Speck
Dirty South
Member since Aug 2014
349 posts
Posted on 8/15/14 at 10:51 pm to
No one on this board will have that answer. Sad to hear though. I wish your family well....
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35501 posts
Posted on 8/15/14 at 10:53 pm to
quote:

No one on this board will have that answer. Sad to hear though. I wish your family well....

Thanks. You're probably right, but there's a few doctors that post here.
Posted by East Coast Band
Member since Nov 2010
62813 posts
Posted on 8/15/14 at 10:54 pm to
Amazing what things people will do to themselves.

I'm sure it is not set in stone how long. My guess is that she'd hang on longer than normal, since she is only 32.
Posted by SabiDojo
Open to any suggestions.
Member since Nov 2010
83940 posts
Posted on 8/15/14 at 10:54 pm to
quote:

hanks. It's the wifes sister, actually. Yes, she drank almost a gallon of vodka a day for years. From the time she woke up.


Oh, sorry. I could've sworn I read your brother's wife. My apologies. So sad.
Posted by RicFlairWhoooooo
Member since Jan 2011
101 posts
Posted on 8/15/14 at 10:55 pm to
MELD score is what I am guessing you are referring to and >15 has a 15-20% 6 month mortality, if that gives you a better idea. Sorry to hear about your situation.
Posted by tilco
Spanish Fort, AL
Member since Nov 2013
13483 posts
Posted on 8/15/14 at 11:00 pm to
Man I'm sorry to hear this. My advice is to ask who her dr recommends for hospice care and get them out there as soon as possible.
This post was edited on 8/15/14 at 11:04 pm
Posted by DosManos
Member since Oct 2013
3552 posts
Posted on 8/15/14 at 11:00 pm to
I think a 26 is a fairly high MELD score but I know 30's is considered very high. MELD can be tricky. Is she on the list for a liver transplant?

PS- I'm not a doctor but have experience in transplant.
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35501 posts
Posted on 8/15/14 at 11:00 pm to
quote:

MELD score is what I am guessing you are referring to and >15 has a 15-20% 6 month mortality, if that gives you a better idea.


I'm guessing her 26 score could shorten this window substantially?
Posted by GEAUXmedic
Premium Member
Member since Nov 2011
41598 posts
Posted on 8/15/14 at 11:02 pm to
LINK

Score >26
Mortality at 7 days: 25.0%
Mortality at 30 days: 87.5%
Mortality at 90 days: 87.5%
This post was edited on 8/15/14 at 11:02 pm
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35501 posts
Posted on 8/15/14 at 11:03 pm to
quote:

MELD can be tricky. Is she on the list for a liver transplant?

No. They said she had to be clean for six months to get on the list. She's not even conscious at this point. They asked if we wanted her on life support yesterday, and the family declined.
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35501 posts
Posted on 8/15/14 at 11:04 pm to
quote:

Score >26
Mortality at 7 days: 25.0%
Mortality at 30 days: 87.5%
Mortality at 90 days: 87.5%

Thank you. I couldn't find the info anywhere.
Posted by CT
Kate Upton's back
Member since Sep 2004
21054 posts
Posted on 8/15/14 at 11:05 pm to
Wiki explains it.

LINK
Posted by BuckheadBetty
Buckhead
Member since Jul 2014
333 posts
Posted on 8/15/14 at 11:05 pm to
sorry to hear

just curious as to why you would bother posting on a message board?
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