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Hi all, my name is jason. my mother has cirrhosis and i am her

caretaker during the day. we are both confused and have a question for

you. a few weeks ago her gastro said her numbers were high and he

reffered her to a transplant doc. she saw the transplant doc who told

her that she didn't need a transplant because only her creatinine was

high, her bilirubin is at 0.5, her INR is at 1.0 and her creatinine was

automatically set to 4.0 because she is on dialysis. these numbers gave

her a high MELD (20) but the doc says it is only high because of her

kidney failure. i thought that the MELD calculation accounted for

kidney problems and even with these lab values, her MELD of 20 was

accurate and she does need a transplant. ever heard of this, is this

doc. wrong? please help, they won't put her on the list untill the doc.

says to. thanks in advance!!

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jason i am sorry to hear about your momma dear,i cant tell you much

about the question you have asked others here are more knowlegable

than i and they can help you with that. i just wanted to welcome you

to the group, you will find it to be full of knowlegde and wonderful

people and kindness, i will be keeping you all in my prayers and wish

you all the best, barby

>

> Hi all, my name is jason. my mother has cirrhosis and i am her

> caretaker during the day. we are both confused and have a question

for

> you. a few weeks ago her gastro said her numbers were high and he

> reffered her to a transplant doc. she saw the transplant doc who

told

> her that she didn't need a transplant because only her creatinine

was

> high, her bilirubin is at 0.5, her INR is at 1.0 and her creatinine

was

> automatically set to 4.0 because she is on dialysis. these numbers

gave

> her a high MELD (20) but the doc says it is only high because of

her

> kidney failure. i thought that the MELD calculation accounted for

> kidney problems and even with these lab values, her MELD of 20 was

> accurate and she does need a transplant. ever heard of this, is

this

> doc. wrong? please help, they won't put her on the list untill the

doc.

> says to. thanks in advance!!

>

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Hi and welcome!  I'm so sorry your Mom has been diagnosed with cirrhosis,

but I am thankful you have joined us.  I hope we can offer you the help and

support you seek.  I personally cannot answer your question, but I know there

are those here who can and will.  Your Mom is so blessed to have you in her life

to help her out.  Remember to take care of yourself while you take care of her. 

My prayers are with you guys.

Hugs...........

Diane C. from TN

________________________________

To: livercirrhosissupport

Sent: Thursday, December 4, 2008 6:51:16 PM

Subject: MELD score

Hi all, my name is jason. my mother has cirrhosis and i am her

caretaker during the day. we are both confused and have a question for

you. a few weeks ago her gastro said her numbers were high and he

reffered her to a transplant doc. she saw the transplant doc who told

her that she didn't need a transplant because only her creatinine was

high, her bilirubin is at 0.5, her INR is at 1.0 and her creatinine was

automatically set to 4.0 because she is on dialysis. these numbers gave

her a high MELD (20) but the doc says it is only high because of her

kidney failure. i thought that the MELD calculation accounted for

kidney problems and even with these lab values, her MELD of 20 was

accurate and she does need a transplant. ever heard of this, is this

doc. wrong? please help, they won't put her on the list untill the doc.

says to. thanks in advance!!

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Do you know the name of the medical center? There are hundreds of Kaiser

facilities in LA, and none that I know are transplant centers but I could be

wrong. Below are the list of Liver Transplant Centers in California. Was she

referred to one of these for a transplant evaluation? If not, then I would have

to question the doctor who said she wasn't a candidate.

California Liver Transplant Centers (No particular order):

California Pacific Medical Center, San Francisco

Cedars-Sinai Medical Center, Los Angeles

Childrens Hospital Los Angeles, Los Angeles

Loma University Medical Center, Loma

Rady Children's Hospital and Health Center, San Diego

Scripps Green Hospital, La Jolla,

St. Medical Center, Los Angeles

Stanford University Medical Center, Stanford

University of California at Los Angeles Medical Center, Los Angeles

University of California Medical Center, Sacramento

University of California Irvine Medical Center, Orange

University of California San Diego Medical Center, San Diego

University of California San Francisco Medical Center, San Francisco

University of Southern California University Hospital, Los Angeles,

This listing was provided by UNOS.

MaC

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i guess it wasn't a transplant center, it was a kiaser facility that

has a gastroenterologist/transplant specialist in staff. i think his

name was Dr. Jim Tung, or something like that.

>

> Do you know the name of the medical center? There are hundreds of

Kaiser facilities in LA, and none that I know are transplant centers

but I could be wrong. Below are the list of Liver Transplant Centers

in California. Was she referred to one of these for a transplant

evaluation? If not, then I would have to question the doctor who said

she wasn't a candidate.

>

> California Liver Transplant Centers (No particular order):

> California Pacific Medical Center, San Francisco

> Cedars-Sinai Medical Center, Los Angeles

> Childrens Hospital Los Angeles, Los Angeles

> Loma University Medical Center, Loma

> Rady Children's Hospital and Health Center, San Diego

> Scripps Green Hospital, La Jolla,

> St. Medical Center, Los Angeles

> Stanford University Medical Center, Stanford

> University of California at Los Angeles Medical Center, Los Angeles

> University of California Medical Center, Sacramento

> University of California Irvine Medical Center, Orange

> University of California San Diego Medical Center, San Diego

> University of California San Francisco Medical Center, San Francisco

> University of Southern California University Hospital, Los Angeles,

>

> This listing was provided by UNOS.

>

> MaC

>

>

>

>

>

>

>

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