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IanWhat happens at stage 4 cirrhosis? In most of my reports from my PCP it says near end stage cirrhosis and I'm curious because my MELD score does not reflect me getting a transplant soon even though I'm feeling horrible. ThanksSerbrinaSent via BlackBerry by AT&TFrom: "Logan Berg" Date: Wed, 11 Mar 2009 11:28:32 -0600To: < >Subject: Re: liver disease staging Ian, Thank you for posting this. This is part of what I meant. I was thinking there was another four stages of cirrhosis once a person had reached end-stage. I'll keep looking for that as well. You are really good at this. thank you for your contributions. Where did you find this? I had these lists in my folder and it got emptied when someone was cleaning up the extra files. Heck, it might have been me. Or maybe it was on my old computer. BTW, I had an awful, awful time itching last night. But, I am trying to find the good side to every bad thing that happens. This is a hard one but here it is :perk of being up all night itching with headache: I had total privacy in the bathroom. That is the best I can come up with. Take care, Cheryl ID > CHERYL, > > I'm not sure this is what you wanted. > > Stages of PSC > Stage 1 — Fibrosis or scar tissue limited to a few spots called > portal areas, little areas of " plumbing " or ductwork in the liver > tissue > Stage 2 — Fibrosis begins to appear outside the portal areas. The > strands of fibrosis are not yet connected to each other. > Stage 3 — Areas of fibrosis connecting to each other > Stage 4 — Widespread, honeycomblike scarring known as cirrhosis > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Thanks. > > > > > > > > > > > > > > > > > > > > Tarheel Tim > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > -- > Ian Cribb P.Eng. > (6... > >

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The first half of the post from Barb is stages of PSC, the second half is what I

was referring to in my post. There is a progression from compensating cirrhosis

to non compensating cirrhosis which leads to end stage liver failure from

cirrhosis. (Some may say that is " stages " which is fine, but the doctors I work

with in my profession and my doctors at Baylor All Saints say you either have

cirrhosis or you don't.)

If the cirrhosis is caused say by alcohol consumption then by not drinking

alcohol the person can stop/slow down the damage being done to the liver.

Therefore the liver may stay in compensating cirrhosis.

My meld does not really reflect how sick my liver is either and this is pretty

common among PSC patients. How fast or slow each person progresses is different.

Since our cirrhosis is not caused by something we have control over (although we

can avoid " stuff " we know is toxic to the liver, like alcohol which I know is

each person choice and do not really want to open that can of worms) we just

have to more or less wait and see how we progress, and how our liver is able to

compensate.

, RN

PSC 5/07 Listed

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The first half of the post from Barb is stages of PSC, the second half is what I

was referring to in my post. There is a progression from compensating cirrhosis

to non compensating cirrhosis which leads to end stage liver failure from

cirrhosis. (Some may say that is " stages " which is fine, but the doctors I work

with in my profession and my doctors at Baylor All Saints say you either have

cirrhosis or you don't.)

If the cirrhosis is caused say by alcohol consumption then by not drinking

alcohol the person can stop/slow down the damage being done to the liver.

Therefore the liver may stay in compensating cirrhosis.

My meld does not really reflect how sick my liver is either and this is pretty

common among PSC patients. How fast or slow each person progresses is different.

Since our cirrhosis is not caused by something we have control over (although we

can avoid " stuff " we know is toxic to the liver, like alcohol which I know is

each person choice and do not really want to open that can of worms) we just

have to more or less wait and see how we progress, and how our liver is able to

compensate.

, RN

PSC 5/07 Listed

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-----Original

Message-----

There is a progression from compensating cirrhosis to non compensating

cirrhosis….(Some

may say that is " stages " which is fine, but the doctors I work with

in my profession and my doctors at Baylor All Saints say you either have

cirrhosis or you don't.)

It’s true you either do have cirrhosis or you don’t,

but the same can be said for a pregnancy – you’re either pregnant

or you’re not, there is no little bit pregnant. Still, even a 9 month pregnancy is broken

down into “stages” or “trimesters”. The same is true for cirrhosis. A person can stay in compensating cirrhosis

for a long time (for Ken it was 7 years).

Staging is just one more way for doctors and patients to know where they

are on this long road.

Barb in

Texas - Together in the Fight - Whatever it Takes!

Son Ken (34) UC 91 PSC 99, LTX 6/21 &

6/30 2007 @ Baylor/Dallas

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-----Original

Message-----

There is a progression from compensating cirrhosis to non compensating

cirrhosis….(Some

may say that is " stages " which is fine, but the doctors I work with

in my profession and my doctors at Baylor All Saints say you either have

cirrhosis or you don't.)

It’s true you either do have cirrhosis or you don’t,

but the same can be said for a pregnancy – you’re either pregnant

or you’re not, there is no little bit pregnant. Still, even a 9 month pregnancy is broken

down into “stages” or “trimesters”. The same is true for cirrhosis. A person can stay in compensating cirrhosis

for a long time (for Ken it was 7 years).

Staging is just one more way for doctors and patients to know where they

are on this long road.

Barb in

Texas - Together in the Fight - Whatever it Takes!

Son Ken (34) UC 91 PSC 99, LTX 6/21 &

6/30 2007 @ Baylor/Dallas

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-----Original

Message-----

There is a progression from compensating cirrhosis to non compensating

cirrhosis….(Some

may say that is " stages " which is fine, but the doctors I work with

in my profession and my doctors at Baylor All Saints say you either have

cirrhosis or you don't.)

It’s true you either do have cirrhosis or you don’t,

but the same can be said for a pregnancy – you’re either pregnant

or you’re not, there is no little bit pregnant. Still, even a 9 month pregnancy is broken

down into “stages” or “trimesters”. The same is true for cirrhosis. A person can stay in compensating cirrhosis

for a long time (for Ken it was 7 years).

Staging is just one more way for doctors and patients to know where they

are on this long road.

Barb in

Texas - Together in the Fight - Whatever it Takes!

Son Ken (34) UC 91 PSC 99, LTX 6/21 &

6/30 2007 @ Baylor/Dallas

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Ian,

I actually did search those sites. I am not very good at seaches sometimes (most

of the time). I've belonged to the group since '01. I just go inactive sometimes

usually because of health and the general blues attendant with being sick all

the time. I just get overwhelmed with so many of us struggling against this

awful disease. My more positive nature eventually wins out and I then come back

to the group and wish I had at least read the posts because I want to know

what's happened to all my friends. It's nice to get to know you and others

better. Cheryl ID

Re: liver disease staging

> Cheryl,

>

> I copied it from a post from Dawn from Nov 20, 2008. I find it much faster

> to search posts I have received with Gmail (perhaps because it only covers

> posts for last year and a half, since I been a member). I entered " stages "

> and in seconds it had a list of 88 threads (with all the Headers) that have

> the word in it. Is maybe the further info you want maybe available at PSC

>

Literaturehttp://rs6.net/tn.jsp?e=001hOOKGAfdN7VOCw5jZIWHnjDg4VwIoRSKvE4_UsYKsz\

K5e_UFll0MRe6N92Ip4u1tCEz6sDIElMr6kQtBb2DoE1c2OBzBHWCDr7017eDrGGwfcaaWHPydJA==>,

> or PSC Partners http://www.pscpartners.org/>?

>

>

> Serbrina,

>

> I'm not sure what happens in stage 4. I have know idea at what stage I'm at

> and from what I read here the symptoms people get vary a lot independent of

> Stage.

>

> Ian (52) PSC 89

>

>

>

>

> >

> > Ian

> > What happens at stage 4 cirrhosis? In most of my reports from my PCP it

> > says near end stage cirrhosis and I'm curious because my MELD score does not

> > reflect me getting a transplant soon even though I'm feeling horrible.

> > Thanks

> > Serbrina

> >

> > Sent via BlackBerry by AT&T

> >

> > ------------------------------

> > *From*: " Logan Berg "

> > *Date*: Wed, 11 Mar 2009 11:28:32 -0600

> > *To*: >

> > *Subject*: Re: liver disease staging

> >

> >

> > Ian,

> > Thank you for posting this. This is part of what I meant. I was thinking

> > there was another four stages of cirrhosis once a person had reached

> > end-stage. I'll keep looking for that as well. You are really good at this.

> > thank you for your contributions. Where did you find this? I had these lists

> > in my folder and it got emptied when someone was cleaning up the extra

> > files. Heck, it might have been me. Or maybe it was on my old computer. BTW,

> > I had an awful, awful time itching last night. But, I am trying to find the

> > good side to every bad thing that happens. This is a hard one but here it is

> > :perk of being up all night itching with headache: I had total privacy in

> > the bathroom. That is the best I can come up with. Take care, Cheryl ID

> >

> > > CHERYL,

> > >

> > > I'm not sure this is what you wanted.

> > >

> > > Stages of PSC

> > > Stage 1 — Fibrosis or scar tissue limited to a few spots called

> > > portal areas, little areas of " plumbing " or ductwork in the liver

> > > tissue

> > > Stage 2 — Fibrosis begins to appear outside the portal areas. The

> > > strands of fibrosis are not yet connected to each other.

> > > Stage 3 — Areas of fibrosis connecting to each other

> > > Stage 4 — Widespread, honeycomblike scarring known as cirrhosis

> > >

> > >

> > >

> > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > Thanks.

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > Tarheel Tim

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > > >

> > >

> > >

> > >

> > > --

> > > Ian Cribb P.Eng.

> > > (6...

> > >

> > >

> >

> >

> >

>

>

>

> --

> Ian Cribb P.Eng.

> (6...

>

>

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Guest guest

Ian,

I actually did search those sites. I am not very good at seaches sometimes (most

of the time). I've belonged to the group since '01. I just go inactive sometimes

usually because of health and the general blues attendant with being sick all

the time. I just get overwhelmed with so many of us struggling against this

awful disease. My more positive nature eventually wins out and I then come back

to the group and wish I had at least read the posts because I want to know

what's happened to all my friends. It's nice to get to know you and others

better. Cheryl ID

Re: liver disease staging

> Cheryl,

>

> I copied it from a post from Dawn from Nov 20, 2008. I find it much faster

> to search posts I have received with Gmail (perhaps because it only covers

> posts for last year and a half, since I been a member). I entered " stages "

> and in seconds it had a list of 88 threads (with all the Headers) that have

> the word in it. Is maybe the further info you want maybe available at PSC

>

Literaturehttp://rs6.net/tn.jsp?e=001hOOKGAfdN7VOCw5jZIWHnjDg4VwIoRSKvE4_UsYKsz\

K5e_UFll0MRe6N92Ip4u1tCEz6sDIElMr6kQtBb2DoE1c2OBzBHWCDr7017eDrGGwfcaaWHPydJA==>,

> or PSC Partners http://www.pscpartners.org/>?

>

>

> Serbrina,

>

> I'm not sure what happens in stage 4. I have know idea at what stage I'm at

> and from what I read here the symptoms people get vary a lot independent of

> Stage.

>

> Ian (52) PSC 89

>

>

>

>

> >

> > Ian

> > What happens at stage 4 cirrhosis? In most of my reports from my PCP it

> > says near end stage cirrhosis and I'm curious because my MELD score does not

> > reflect me getting a transplant soon even though I'm feeling horrible.

> > Thanks

> > Serbrina

> >

> > Sent via BlackBerry by AT&T

> >

> > ------------------------------

> > *From*: " Logan Berg "

> > *Date*: Wed, 11 Mar 2009 11:28:32 -0600

> > *To*: >

> > *Subject*: Re: liver disease staging

> >

> >

> > Ian,

> > Thank you for posting this. This is part of what I meant. I was thinking

> > there was another four stages of cirrhosis once a person had reached

> > end-stage. I'll keep looking for that as well. You are really good at this.

> > thank you for your contributions. Where did you find this? I had these lists

> > in my folder and it got emptied when someone was cleaning up the extra

> > files. Heck, it might have been me. Or maybe it was on my old computer. BTW,

> > I had an awful, awful time itching last night. But, I am trying to find the

> > good side to every bad thing that happens. This is a hard one but here it is

> > :perk of being up all night itching with headache: I had total privacy in

> > the bathroom. That is the best I can come up with. Take care, Cheryl ID

> >

> > > CHERYL,

> > >

> > > I'm not sure this is what you wanted.

> > >

> > > Stages of PSC

> > > Stage 1 — Fibrosis or scar tissue limited to a few spots called

> > > portal areas, little areas of " plumbing " or ductwork in the liver

> > > tissue

> > > Stage 2 — Fibrosis begins to appear outside the portal areas. The

> > > strands of fibrosis are not yet connected to each other.

> > > Stage 3 — Areas of fibrosis connecting to each other

> > > Stage 4 — Widespread, honeycomblike scarring known as cirrhosis

> > >

> > >

> > >

> > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > Thanks.

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > Tarheel Tim

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > > >

> > >

> > >

> > >

> > > --

> > > Ian Cribb P.Eng.

> > > (6...

> > >

> > >

> >

> >

> >

>

>

>

> --

> Ian Cribb P.Eng.

> (6...

>

>

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Share on other sites

Guest guest

Ian,

I actually did search those sites. I am not very good at seaches sometimes (most

of the time). I've belonged to the group since '01. I just go inactive sometimes

usually because of health and the general blues attendant with being sick all

the time. I just get overwhelmed with so many of us struggling against this

awful disease. My more positive nature eventually wins out and I then come back

to the group and wish I had at least read the posts because I want to know

what's happened to all my friends. It's nice to get to know you and others

better. Cheryl ID

Re: liver disease staging

> Cheryl,

>

> I copied it from a post from Dawn from Nov 20, 2008. I find it much faster

> to search posts I have received with Gmail (perhaps because it only covers

> posts for last year and a half, since I been a member). I entered " stages "

> and in seconds it had a list of 88 threads (with all the Headers) that have

> the word in it. Is maybe the further info you want maybe available at PSC

>

Literaturehttp://rs6.net/tn.jsp?e=001hOOKGAfdN7VOCw5jZIWHnjDg4VwIoRSKvE4_UsYKsz\

K5e_UFll0MRe6N92Ip4u1tCEz6sDIElMr6kQtBb2DoE1c2OBzBHWCDr7017eDrGGwfcaaWHPydJA==>,

> or PSC Partners http://www.pscpartners.org/>?

>

>

> Serbrina,

>

> I'm not sure what happens in stage 4. I have know idea at what stage I'm at

> and from what I read here the symptoms people get vary a lot independent of

> Stage.

>

> Ian (52) PSC 89

>

>

>

>

> >

> > Ian

> > What happens at stage 4 cirrhosis? In most of my reports from my PCP it

> > says near end stage cirrhosis and I'm curious because my MELD score does not

> > reflect me getting a transplant soon even though I'm feeling horrible.

> > Thanks

> > Serbrina

> >

> > Sent via BlackBerry by AT&T

> >

> > ------------------------------

> > *From*: " Logan Berg "

> > *Date*: Wed, 11 Mar 2009 11:28:32 -0600

> > *To*: >

> > *Subject*: Re: liver disease staging

> >

> >

> > Ian,

> > Thank you for posting this. This is part of what I meant. I was thinking

> > there was another four stages of cirrhosis once a person had reached

> > end-stage. I'll keep looking for that as well. You are really good at this.

> > thank you for your contributions. Where did you find this? I had these lists

> > in my folder and it got emptied when someone was cleaning up the extra

> > files. Heck, it might have been me. Or maybe it was on my old computer. BTW,

> > I had an awful, awful time itching last night. But, I am trying to find the

> > good side to every bad thing that happens. This is a hard one but here it is

> > :perk of being up all night itching with headache: I had total privacy in

> > the bathroom. That is the best I can come up with. Take care, Cheryl ID

> >

> > > CHERYL,

> > >

> > > I'm not sure this is what you wanted.

> > >

> > > Stages of PSC

> > > Stage 1 — Fibrosis or scar tissue limited to a few spots called

> > > portal areas, little areas of " plumbing " or ductwork in the liver

> > > tissue

> > > Stage 2 — Fibrosis begins to appear outside the portal areas. The

> > > strands of fibrosis are not yet connected to each other.

> > > Stage 3 — Areas of fibrosis connecting to each other

> > > Stage 4 — Widespread, honeycomblike scarring known as cirrhosis

> > >

> > >

> > >

> > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > Thanks.

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > > Tarheel Tim

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > > >

> > > > >

> > > > >

> > > >

> > > >

> > >

> > >

> > >

> > > --

> > > Ian Cribb P.Eng.

> > > (6...

> > >

> > >

> >

> >

> >

>

>

>

> --

> Ian Cribb P.Eng.

> (6...

>

>

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Guest guest

,

Thank you so much. I really don't remember where I got this four stages of

cirrhosis list, but I didn't make it up. I wish it would come to me. I don't

doubt you in any way though. It just drives me crazy that I can't remember

things like this. I used to have such a good memory. Entire passages in

literature would come to my mind while discussing a short story or a novel as a

teacher or as a student. It would impress both my profs and students. Now, I got

nothing in recall. Fortunatley, the things I knew long ago before I got sick

haven't left. It's just the last ten years or so are very spotty. If I ever find

it or see it again, I will certainly share it. Maybe it will be something

totally different than I have in my mind. I've got this suspicion that it might

have something to do with my old Hep that died from a brain tumor two years ago.

If that is the case, I'll never retrieve it. Hope all is well with you, (as well

as can be) Cheryl ID

Re: liver disease staging

> Cheryl, I don't know that there is really " stages " of cirrhosis. You either

have cirrhosis or you don't. The liver is either still working well and

compensating for the cirrhosis, or the liver is non compensating. When the

liver is not compensating that is when the person gets liver failure symptoms

like: Portal hypertension, ascites,esophageal varices, increased bleeding time

(PT/INR), jaundice, hepatic encephalopathy.

>

> I hope this helps answer your question. If you have more questions I could

give you more technical answers, but try to make my replies understandable to

all.

>

> , RN

> PSC 5/07 Listed

>

>

>

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Guest guest

,

Thank you so much. I really don't remember where I got this four stages of

cirrhosis list, but I didn't make it up. I wish it would come to me. I don't

doubt you in any way though. It just drives me crazy that I can't remember

things like this. I used to have such a good memory. Entire passages in

literature would come to my mind while discussing a short story or a novel as a

teacher or as a student. It would impress both my profs and students. Now, I got

nothing in recall. Fortunatley, the things I knew long ago before I got sick

haven't left. It's just the last ten years or so are very spotty. If I ever find

it or see it again, I will certainly share it. Maybe it will be something

totally different than I have in my mind. I've got this suspicion that it might

have something to do with my old Hep that died from a brain tumor two years ago.

If that is the case, I'll never retrieve it. Hope all is well with you, (as well

as can be) Cheryl ID

Re: liver disease staging

> Cheryl, I don't know that there is really " stages " of cirrhosis. You either

have cirrhosis or you don't. The liver is either still working well and

compensating for the cirrhosis, or the liver is non compensating. When the

liver is not compensating that is when the person gets liver failure symptoms

like: Portal hypertension, ascites,esophageal varices, increased bleeding time

(PT/INR), jaundice, hepatic encephalopathy.

>

> I hope this helps answer your question. If you have more questions I could

give you more technical answers, but try to make my replies understandable to

all.

>

> , RN

> PSC 5/07 Listed

>

>

>

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Guest guest

Carolyn,

Thank you three times over. I am so glad you found it. This must have been where

I read it. And thanks once again to Barb for posting it in the first place. How

did you find it. I really searched (to the best of my ability). I would like to

improve my search skills, so if you wouldn't mind tell me where you went and

what you put in the search. Cheryl ID

Re: liver disease staging

> Yes, there ARE stages of cirrhosis as well as of PSC. I refer you to Message

#83855 dated April 9, 2006 which I'm copying in its entirety below. Thanks to

Barb Henshaw!!!!

>

> Regards,

> Carolyn B. in SC

> ========================

> BARB HENSHAW wrote on 9 April 2006:

>

> The amount of scar tissue is quantified or " staged " on a scale of 0-4. Stage 0

is no scar tissue, Stage 1 is minimal, Stage 2 is moderate, Stage 3 is

moderate-to-severe and Stage 4 is severe scarring of the liver. Stage 4 is also

called cirrhosis.

>

>

>>

>

>

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Guest guest

Carolyn,

Thank you three times over. I am so glad you found it. This must have been where

I read it. And thanks once again to Barb for posting it in the first place. How

did you find it. I really searched (to the best of my ability). I would like to

improve my search skills, so if you wouldn't mind tell me where you went and

what you put in the search. Cheryl ID

Re: liver disease staging

> Yes, there ARE stages of cirrhosis as well as of PSC. I refer you to Message

#83855 dated April 9, 2006 which I'm copying in its entirety below. Thanks to

Barb Henshaw!!!!

>

> Regards,

> Carolyn B. in SC

> ========================

> BARB HENSHAW wrote on 9 April 2006:

>

> The amount of scar tissue is quantified or " staged " on a scale of 0-4. Stage 0

is no scar tissue, Stage 1 is minimal, Stage 2 is moderate, Stage 3 is

moderate-to-severe and Stage 4 is severe scarring of the liver. Stage 4 is also

called cirrhosis.

>

>

>>

>

>

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Share on other sites

Guest guest

Carolyn,

Thank you three times over. I am so glad you found it. This must have been where

I read it. And thanks once again to Barb for posting it in the first place. How

did you find it. I really searched (to the best of my ability). I would like to

improve my search skills, so if you wouldn't mind tell me where you went and

what you put in the search. Cheryl ID

Re: liver disease staging

> Yes, there ARE stages of cirrhosis as well as of PSC. I refer you to Message

#83855 dated April 9, 2006 which I'm copying in its entirety below. Thanks to

Barb Henshaw!!!!

>

> Regards,

> Carolyn B. in SC

> ========================

> BARB HENSHAW wrote on 9 April 2006:

>

> The amount of scar tissue is quantified or " staged " on a scale of 0-4. Stage 0

is no scar tissue, Stage 1 is minimal, Stage 2 is moderate, Stage 3 is

moderate-to-severe and Stage 4 is severe scarring of the liver. Stage 4 is also

called cirrhosis.

>

>

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> Carolyn,

> Thank you three times over. I am so glad you found it. This must have been

where I read it. And thanks once again to Barb for posting it in the first

place. How did you find it. I really searched (to the best of my ability). I

would like to improve my search skills, so if you wouldn't mind tell me where

you went and what you put in the search. Cheryl ID

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Hi Cheryl,

First, I've been glad to see you back on here lately. When you're gone for long

spells I wonder how you are but can never remember to send you an email. For

what it's worth though, you really are missed!!

I knew I had read about cirrhosis staging, too, and that it had been quite

awhile back (which, when you have HE, could mean anything from last month to a

decade ago!!). Most of the time I'm too tired to go hunting for something, but

this one somehow demanded that I find that post!

What I did was to go to the PSC website and search through messages using the

words cirrhosis and stages. (Look at the index on upper left of page, click on

" Messages " . Then in the message section there's a box for searching within the

messages.) It popped up a zillion and I just kept looking farther and farther

back until I found it.

Does that make sense for you?

Regards,

Carolyn B. in SC

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Carolyn,

Thank you for saying such nice things. It is actually good to know that I have a

place in people's hearts in this group. I sometimes feel so insignificant. I

guess I miss the adolations of my students and their parents. I felt like I was

really making a contribution when I taught. I am working very hard on my sense

of humor and dealing more positively with things. Life got much harder here 1

1/2 years ago when my mother decided to take us up on our long-standing offer of

you-can-live-with-us. My step-dad died a bit over 2 years ago. My mother did not

need to move in with us, but did it so she could (virtually) give her house to

my younger sister who has too many children and not enough money. We all have

the best intentions, but it is very difficult on my husband, children, and me.

My mother has the best heart in the world, but she takes on everyone's problems

(and thinks she's the last line of defense between them and under desolation)

and then tries to suck me into it by saying

things like, " We have to figure out a way to help your

sister/brother/neice/nephew overcome this huge problem that she refuses to

acknowledge and address in her own life. " To top it off she has a certain amount

of dementia. It is not the way I had hoped to have my relationship with my

mother turn out.

I did exactly the same thing you did, but didn't have the patience you

exhibited. So thank you even more. I'll call Barbara in SLC and make sure she

gets it. You have saved my goodwill with Barbara. It is good to hear from you

and about you again. Take care, Cheryl ID

Re: liver disease staging

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> What I did was to go to the PSC website and search through messages using the

words cirrhosis and stages. (Look at the index on upper left of page, click on

" Messages " . Then in the message section there's a box for searching within the

messages.) It popped up a zillion and I just kept looking farther and farther

back until I found it.

>

> Does that make sense for you?

>

> Regards,

> Carolyn B. in SC

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