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Changes in MELD

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As of last week, I was officially placed on the waiting list for a transplant.

I'm feeling equal parts scared and exhausted and relieved. I'm glad that a

transplant will be possible for me, but I wish I could stop feeling so anxious

about it all the time.

But I'm also feeling confused about my MELD and how sick/healthy I really am. I

was diagnosed with autoimmune hepatitis and cirrhosis/ESLD in November, and I

was almost completely asymptomatic, at least outwardly. I never would have known

I was sick.

When I was first diagnosed, following a liver biopsy, my MELD was 19. It seemed

terrifyingly high to me at the time. I was still processing the idea that I was

less than healthy.

Since then I've been working to get my condition under control, manage all the

complications we found out about (ascites, varices, portal hypertension), and

get my name on the transplant list.

But now that my name's been added, I've been told my MELD is 15, and I'm having

mixed feelings about it. I guess I should feel good that my MELD is lower... I

just don't understand what that means exactly. From what I understand, my

condition is not reversible, and at this stage my liver can no longer heal

itself. So why is my score going down?

And if it goes down another point, I'll be de-activated on the transplant list.

So in a way I also feel like all that work and all those tests I ran and all the

stress I went through might be for nothing. I don't get it! I don't know how to

feel about this at all.

But I should be glad as well that I'm not as sick as I might be, that I'm not in

pain and I'm mostly still able to manage day-to-day life, and that I am

outwardly healthy. I'm able to work and do most of the things I want to do.

Though I find my medication regimen hard to deal with at times.

I was wondering what experiences you all have had with changes or fluctuations

in MELD score...and/or coping with the waiting list.

The one thing I keep thinking is that I wish this could be over and that I could

get back to my life, whatever that means. I guess maybe there is no going back,

transplant or no, my life's never going to be as simple as it was and there are

always going to be lots of medications and immunosuppressants in my future.

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