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Re: Computing CTP Score

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Laurie,

Some of the categories are pretty clear cut, e.g. Bilirubin > 10

adds 2 to base score. The first two, Encephalopathy and Ascites,

are more subjective. Having sleep disorders may be sufficient to

get you into the " not normal " category 1. If you in the minimum

affected range in all 5 areas, your CTP is 10, the criteria for

Status 2B.

Tim

See: http://www.unos.org/About/policy_policies03_06.htm

--- Oceandrmer@... wrote:

> Good idea. I never thought to try to figure out my own status

> score. I'll have to do that. Thanks for the idea.

>

> Laurie

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Laurie,

Since a baseline CTP score is 5, you can be " normal " on two

measures if you are high on two and indicating on the other. For

me, bilirubin gave +2, albumin was 0.1 from +2, I was indicating

on ascites and PT - not sure of encephalopathy added anything.

Your bilirubin doesn't have to be over 4 to get a CTP of 10,

look at your other levels and check the 4 other qualifiers for

status 2:

1) documented unresponsive variceal bleeding

2) kidney damage

3) single episode of spontaneous bacterial peritonitis

4) severe persistent ascites

Being status 2 isn't any bed of roses. But if that's what it

takes to get listed by your doc, then be sure that you aren't

required to go beyond the minimum requirements. Are you still

managing your job at court? Never heard that you stopped

entirely.

Tim ltx 4/4/98

--- Oceandrmer@... wrote:

> Tim--

> So if my bilirubin is not bad, then there's no point in

> computing the score?

> It seems like that's a pretty high priority to being listed.

>

> Laurie

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  • 2 weeks later...

Tim--

Yes, I'm still working. Although today I only managed 5 hrs. Went in at

10:00 & started feeling really ill by 2:30. So came home, slept & just got

up a little bit ago. Itching something awful for past several wks now.

As far as the other factors re: CTP score you mentioned, that isn't my case,

so I guess that's that. I think it's strange that they don't allow for other

things when scoring: enlarged & still enlarging spleen, enlarged kidney,

enlgd liver, cirrhosis, inability to eat well & gain weight; lack of energy &

ability to carry on normal life style. Oh well, I guess they're in the

driver's seat. (sigh)

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Tim--

Yes, I'm still working. Although today I only managed 5 hrs. Went in at

10:00 & started feeling really ill by 2:30. So came home, slept & just got

up a little bit ago. Itching something awful for past several wks now.

As far as the other factors re: CTP score you mentioned, that isn't my case,

so I guess that's that. I think it's strange that they don't allow for other

things when scoring: enlarged & still enlarging spleen, enlarged kidney,

enlgd liver, cirrhosis, inability to eat well & gain weight; lack of energy &

ability to carry on normal life style. Oh well, I guess they're in the

driver's seat. (sigh)

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