Doctor Visit, Brain Fog, and LFTs

May 17, 2001

Hi everyone,

I went back to the doctor today. All numbers are completely normal,

even better than last time. I asked him about the brain fog (could

it be ammonia or the prednisone). He said that there was nothing to

indicate that ammonia would be high, and that prednisone can do funny

things, but that he wouldn't suspect it since I am on a lower dose

and all of this just started. Probably just mental overload.

I did ask him how we could know if there was still damage going on if

our numbers where good. He said that the AST and ALT are used to

indicate inflammation, but that the real ones that indicate ongoing

liver damage are the albumin, billirubin, and prothombin time (Jerry

just sent a post to that affect).

I guess I am doing pretty good, since 10 months ago - AST went from

1815 to 29, ALT from 1528 to 18, BIL-D from 11.7 to .1, BIL-T from

13.5 to .6. Albumin had dropped to 2 and is now 3.5, and couldn't do

an initial biopsy because of prothombin time. He said today that all

I had needed was the encephalopathy to be in liver failure, so I feel

really lucky!

Hope everyone else is doing OK!

Thanks,

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