Just A Sliver Of A Liver Post

Just A Sliver Of A Liver Post

This is not much of a post. It’s been a bit since I whined about my medical problems so I thought I would give y’all a small update. I’ve been languishing in an oxymoronic purgatory, waiting to get worse so I can get better. I had to make another change in medical professionals treating me. I am still seeing the same liver doctor but I changed to a different nurse practitioner.

The NP does most of the hands on interaction with the patient (that would be me.) My original NP was a good guy and while I was at the office he seemed very good and answered my questions. The only problem was that when I left the office he seemed to forget about me and he was not very responsive to any form of communication I tried, be it phone call or e-mail. He also did not seem very concerned with the fact that my quality of life is in the shitter. Without getting into all the details I’ve written about before, I’ve been basically home bound for almost a year now. For an outdoorsy type of person this is hell. I’ve broken the rules a few times to scratch my itch and I’ve paid for it. My work has also been affected but thanks to a very understanding boss, I’ve been allowed to work from home. How long that arrangement will last is a constant concern of mine.

There is a relatively new process called a living liver transplant where a compatible donor can give up part of their liver. This partial liver will replace the diseased liver in the other person and will regenerate to a fully functional liver. There are a lot of other factors involved but my sister is a preliminary qualified candidate and has volunteered. She can’t get any other testing done until my doctor approves me for the procedure. When I brought this to my NP’s attention he seemed to downplay it and asked me why I would want to take the risk on a surgery when my lab numbers indicated that I was not in immediate danger. My response to him was that the life I was living now was no life and that I’d rather die on the surgery table than continue to live this way. That made an impact and he said he would work with the transplant coordinator to see what he could do.

A month later nothing had been done and with the help of my wife (I really suck at confrontation) I changed to my doctor’s other NP. I saw her yesterday and she was very supportive of what I wanted to do. She also made a statement that really made me feel glad that I switched to her. She said that numbers can only tell you so much about how a patient feels and she thinks that listening to the patient describe their quality of life should be factored into decision making. So with that, she is charging forward on my behalf. Hopefully we’ll see some results soon.

Since the symptoms of my condition are not always visibly apparent, I get a lot of questions about what is going on. Here is a video on YouTube that does a pretty good job explaining it with an artistic viewpoint. It’s long, but if you are interested, give it a view.

Enough of this. Next post will be either a story about how my Dad’s cheapness led to a funny incident, or one about how I enacted a plan to get electronic revenge on an ex-girlfriend when I was in high school. Any preference?

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15 thoughts on “Just A Sliver Of A Liver Post

  1. The next story should be about your Dad. The ex-girlfriend one sounds like it might be against the law today. No sense in bringing negative attention to yourself.
    I’m truly sorry that this fight for health that you’re in is such an up hill battle. The illness is bad enough – not having support from your medical professionals is unconscionable! Hugs to your sister and prayers that she’s a perfect match.

    1. Thank you Barbara! I don’t think it would be against the law but it certainly didn’t conform to school standards. In any event, I’ll record your vote for the Dad story. Hope all is well in your world and thank you again for continually taking the time to read my drivel.

  2. Finding the right doctor is key. Ask me, I know…. and suffered through unnecessary surgery because of it. Patients are always their own best advocates and geesh, if you won’t speak up for yourself, who will? ( Your wife apparently. Kudos to her.) I’m somewhat familiar with the horrors of cirrhosis, having an aunt who suffered. It’s no walk in the park and I’ll be sending positive thoughts things move along swiftly with the transplant. That’s sure to be a blog worthy experience!
    And I’m with Barbara, cheap dad trumps electronic ex revenge.

    1. Thank you River! I can use all the positive thoughts I can get. I’ll chalk one more vote up for Dad. Hey that rhymes with chad. Let’s not go down that road.

    1. Thank you Kathy! That is my hope as well. One more for Dad. I think that story will win, unless the Russians interfere. Let’s definitely not go down that road!

  3. I’m so glad the latest PA heard you and understands how quality of life – what you’ve already lost, and what you can regain after a transplant – should factor into the decision about a transplant. If your sister is the donor, does that remove the transplant list and its numerical ranking from the equation? Can you just go ahead (assuming your insurance considers the transplant necessary)? Hope so. While the surgery and recovery will be not walk in the park, once recovered, you will again be walking in the park, and that will make it all worthwhile. Eyes on the prize! And you already have therapy dogs at home to help with your recovery, keeping you motivated! Fingers crossed you get the news you want and need from the new PA. I can only imagine the special hell you’re living in, unable to be as active as you used to be. So, so sorry. (Oh, for next story, I vote for cheap dad 🙂 )

    1. Thank you Rebecca! Doing the living donor transplant does keep me from having to be on a ranked waiting list for a full liver. However, there is still a type of ranking called a MELD score that the doctors use to determine severity of the problem. Unfortunately, that score doesn’t take in to account certain factors such as quality of life and hepatic encephalopathy, which is when the liver does not process out excess ammonia and it goes to your brain making you unstable. This is something that I struggle with on a daily basis. The method for trying to keep it under control is not pleasant and I won’t go in to details about it to spare you all.

      But wait! There is good news. Several hours after posting this update I got a call from my new RN. She convinced the doctor to waive the MELD requirement for the living liver transplant and has approved me! Woohoo! There is still a long road to travel, dealing with insurance and getting more testing done to make sure my sister and I are 100% compatible, but it’s a major hurdle jumped and I am over the moon! I can now see the walk in the park at the end of the tunnel and my furry therapy companions will be escorting me all the way.

      Dad post it is!

      1. Such good news! It’s wonderful. Fingers crossed that the match is 100% and that everything goes smoothly from now on and doesn’t go through the grinding wheels of red tape.

    1. Thanks Mona! I appreciate the support from all you wonderful people. Things are definitely looking better. Now if the Cowboys would only get their shit together!

    1. Thanks Kristine! Good to see you back. If you are catching up then you’ll see that things did not go exactly as planned, which should be the tagline for my life. However, some things have improved, so there’s that.

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