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

Posted on 8/15/14 at 11:50 pm to
Posted by SEClint
New Orleans, LA/Portland, OR
Member since Nov 2006
48769 posts
Posted on 8/15/14 at 11:50 pm to
I knew a man where this same situation happened. His liver repaired its self which shocked doctors who were telling his family to go ahead and begin planning funeral arrangements. He left the hospital, and couldn't stay sober. Vodka was his drink of choice as well, he didn't make it to 40.

I know it's not like that with everyone, but 32 is way too young for a person to drink themself to a death.
Posted by Artie Rome
Hwy 1
Member since Jul 2014
8757 posts
Posted on 8/15/14 at 11:54 pm to
quote:

Vodka was his drink of choice


Most hardcore alcoholics end up drinking vodka. It's not a choice like a preference. At that point you just want the cheapest and most effective medicine with no frills.

Thanks for sharing that.
Posted by Walt OReilly
Poplarville, MS
Member since Oct 2005
124694 posts
Posted on 8/16/14 at 12:21 am to
One if the reasons I've all but quit drinking

I'm sure when football rolls around I'll be drinking but definitely not as much as I'm accustomed to

Good luck to her and your family
Posted by Lokistale
Member since Aug 2013
1200 posts
Posted on 8/16/14 at 12:39 am to
quote:

Everyone is different, but the people I've seen with it lived between 2 days to 3 months.


With renal and fulminant hepatic failure... the end could come quick within days. Basically both the kidney and the liver are unable to remove or metabolize cellular waste and toxins, especially ammonia. Her chances of survival decreases as her ammonia levels increase... leading to hepatic encephalopathy (ammonia is neurotoxic) and death.

Keep check on her ammonia levels, increasing levels-never good... this will most likely going to be her killer, unless they could get the ammonia out of her system via dialysis or... removing through fecal excretion (induce diarrhea to wash out the ammonia in the gut)...

As a warning, fulminant hepatic failure is a gruesome death... not only jaundice, they will slip in and out of consciousness due to the encephathy, systemic edema, coma, and then death.

Fulminant liver failure is an acute form of liver failure that the liver just suddenly shuts down... fits the picture with the age of this woman.
This post was edited on 8/16/14 at 12:55 am
Posted by Coeur du Tigre
It was just outside of Barstow...
Member since Nov 2008
1506 posts
Posted on 8/16/14 at 1:51 am to
Sorry to hear of your sister-in-law's illness. Are your wife's parents with her at this time?
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 8/16/14 at 1:56 am to
quote:

The news came today that her liver has completely failed, and they are just going to keep her comfortable until she passes.


When a doctor makes this determination with a young patient, there is probably not much time left. I am not a doctor to be clear, but having worked with hospices, most doctors do not like to "give up" and give only palliative treatment where they're just making the patient comfortable. This is especially true for younger patients.

I can't give you a timeline, obviously, but I would honestly be prepared for it to take place rapidly.

My condolences. Death is a frightening spectre.
Posted by Celery
Nuevo York
Member since Nov 2010
11103 posts
Posted on 8/16/14 at 2:10 am to
I'm suprised they can't do a transplant. But a gallon a day? Man! At my worst I was up to may 500ml a day. And I was concerned about the ol liver with just that.
Posted by lsu480
Downtown Scottsdale
Member since Oct 2007
92877 posts
Posted on 8/16/14 at 2:13 am to
quote:

a gallon of vodka a day


Wow! If you take size into account thats OVER 5 times what I drink when I drink and I feel like I get a pretty nice buzz! Sorry to hear it but damn, thats just a slow suicide.
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35528 posts
Posted on 8/16/14 at 2:15 am to
quote:

Sorry to hear of your sister-in-law's illness. Are your wife's parents with her at this time?

Her mom hasn't left the hospital all week.
Posted by Celery
Nuevo York
Member since Nov 2010
11103 posts
Posted on 8/16/14 at 2:19 am to
If you don't mind my asking, how did her symptoms begin? How did things really start getting bad?
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35528 posts
Posted on 8/16/14 at 2:23 am to
quote:

Wow! If you take size into account thats OVER 5 times what I drink when I drink and I feel like I get a pretty nice buzz! Sorry to hear it but damn, thats just a slow suicide.

She's also 5'1" and was only 110 lbs in her prime. She's under 85 lbs now. Just seven years ago she had a well paying accounting job, a house, a barn with horses, and a husband and son. It's been a pretty mind blowing downward spiral. We couldn't find her for two years until the hospital contacted us. Found out she's been living in an old broke down RV with no water or electricity.
This post was edited on 8/16/14 at 2:30 am
Posted by northshorebamaman
Cochise County AZ
Member since Jul 2009
35528 posts
Posted on 8/16/14 at 2:29 am to
quote:

If you don't mind my asking, how did her symptoms begin? How did things really start getting bad?

She was always a "functional alcoholic". She rushed to get pregnant to save her marriage, drank through the whole damned pregnancy, and rightly lost her baby (who had multiple effects as a result). After that, she just dedicated herself to never being coherent. Like I said, she had been missing for a couple years.

eta- lost her child to her ex-husband, not stillborn.
This post was edited on 8/16/14 at 2:43 am
Posted by the808bass
The Lou
Member since Oct 2012
111617 posts
Posted on 8/16/14 at 2:36 am to
quote:

she had been missing for a couple years.


Damn. Had a couple friends go through similar things with family. It's hard to process.
Posted by tidalmouse
Whatsamotta U.
Member since Jan 2009
30706 posts
Posted on 8/16/14 at 5:08 am to
I've seen tWo guys that I went to H.S. with end up like that from swilling vodka every day.

It's looks to be a pretty horrific death.

Sorry to hear that someone close to you and so young is in that condition.

This post was edited on 8/16/14 at 7:02 am
Posted by prplhze2000
Parts Unknown
Member since Jan 2007
51493 posts
Posted on 8/16/14 at 5:43 am to
Almost like a certain popular poster who died a few years ago. Still miss him.
Posted by Ba Ba Boooey
Northshore
Member since May 2010
4705 posts
Posted on 8/16/14 at 5:47 am to
There's no exact time frame any doctor can give you but it isn't long certainly. Without knowing all lab values I would estimate less than 7-10 days. Once the liver and kidneys start to shut down without dialysis it's downhill quick. If they're running daily lab values, it will surely give them an idea when the end is close. If she will be placed in hospice they won't run labs, strictly to keep her comfortable. Hope this helps and sorry your family is dealing with this.


Posted by MBclass83
Member since Oct 2010
9392 posts
Posted on 8/16/14 at 6:53 am to
At the beginning of liver failure, you have about 6 weeks. So, I would guess a week or two at most. Sorry. That's a lot of drinking so take a lesson from this.
Posted by skidry
Member since Jul 2009
3282 posts
Posted on 8/16/14 at 7:14 am to
2 weeks.

If she is already encaphalopathic, 1 week.
This post was edited on 8/16/14 at 7:16 am
Posted by pleading the fifth
Member since Feb 2006
3897 posts
Posted on 8/16/14 at 7:16 am to
If your sister in law indeed has fulminant liver failure and had developed hepatorenal syndrome I suspect she will pass within a few weeks if left untreated. This is one of the more severe complications that can develop in end stage cirrhotics. Dialysis could potentially serve to prolong life as a bridge to transplant but it seems that only palliative measures are being taken at the moment. Good luck to you and your family.
Posted by bencoleman
RIP 7/19
Member since Feb 2009
37887 posts
Posted on 8/16/14 at 7:19 am to
quote:

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





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