Guest guest Posted March 27, 2002 Report Share Posted March 27, 2002 athan, I'm very happy your doctor report was good. With the new baby coming, that has to be very welcomed news for all of you. Thank you too for the news that they would like to transplant people with MELD scores in the mid-20's. I have been trying to get that info out of UNOS with no luck. Was he telling you that for - your center - or just in general? I have some questions about # 2. (wouldn't it be nice if we could get these answers out of our own doctor's instead of trying to figure them out ourselves?) You are lucky to have a doc who actually talks to you. Do you think the size of the liver (with cirrhosis) also has to do with the blood flow? People who have "inflow" have the small shrunken livers, while people who have "outflow" have very enlarged livers? Also here is what Ken's ultrasound said " Doppler interrogation of the portal vein reveals monophasic flow, directed toward the liver." "Doppler interrogation of the splenic vein reveals that it is patent, with flow directed toward the portal vein." Is this what your talking about? Barb In Texas 2) The reason people with PSC tend to get varices earlier in the courseof the disease than other people with liver disease is the they haveinflow portal hypertension (as apposed to outflow portal hypertension). That means that since the bile ducts are inflamed and scarred they putpressure on the portal vein and blood isn't able to enter the liver. People with outflow portal hypertension (where the blood can get in, butnot out of the liver) would tend to have more problems with ascites etc. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2002 Report Share Posted March 28, 2002 Just a followup note to my previous post... I just saw a reference that mentioned that portal vein blood flow can be reversed in portal hypertension. Not sure whether this is related mainly to severity of hypertension, or if it's also related to type (inflow vs. outflow), or if other things might also be involved. Maybe Aubrey can help us out! athan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2002 Report Share Posted March 28, 2002 Just a followup note to my previous post... I just saw a reference that mentioned that portal vein blood flow can be reversed in portal hypertension. Not sure whether this is related mainly to severity of hypertension, or if it's also related to type (inflow vs. outflow), or if other things might also be involved. Maybe Aubrey can help us out! athan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 5, 2002 Report Share Posted May 5, 2002 palfeld wrote: > > Hope you feel better soon and don't have to go to ER > but if you aren't better in a day I would urge you to > go and get IV antibiotics, they work so much faster. Well, I'm still not sure if what I had was cholagitis or not, but I'm sort of thinking it was. I am feeling much better today, but I had some very dark urine. Anyhow, the Cipro seems to be doing it's job so for now it looks like I won't have to go to the ER... Thanks for the advice! athan Quote Link to comment Share on other sites More sharing options...
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