Guest guest Posted October 16, 2007 Report Share Posted October 16, 2007 The timing of living donor transplants is very difficult with several factors to weigh. 1. The likelyhood of dying from the liver disease. Variceal bleeding and any bleeding from low clotting factors and low platelets. Cholangitis can be deadly. Cholangiocarcinoma can develop while waiting. The MELD score and the Mayo model can give a rough but inprecise estimate. 2. The risks of death or complications from surgery and risks anti- rejections medications (infection, diabetes, kidney disease) If you've read this long you have seen what Ken and his family have been through in this year. His is not the typical transplant course. 3. The risks to the donor. 1/200 death rate. Frequent minor complications. In my case, my brother's work scedule turned into the deciding factor as he wanted to be recovered before the first of the year when he had to manage a bunch of spring construction projects. Von Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 17, 2007 Report Share Posted October 17, 2007 They have to balance the risk of dying from the symptoms with the risk of dying from the tx. In our son's case he had unbearable pain for years but the surgery was done when he had bleeding varices 4 times in 4 weeks. Where do you live? I am a huge advocate for the program at Lahey in Boston. Martieversole3 wrote: my daughter who is 26 was diagnosed with psc in 1997,and with stage three cirrhoses in 2003. her platelett count is running between 50 and 31. bilirubin 2.0 creatinine 0.6, inr 1.6 the itching was getting unbearable, so the dr. put her on rifampin last week , this helped alot. i think that it might not be too long untill she will need her transplant. there are three ready and willing family members with blood matches that could be used. how long do you wait to do this __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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