Guest guest Posted December 7, 2007 Report Share Posted December 7, 2007 I started " itching " last December and believed it was from walking out on my job I was doing for 13 years. I did not realize I did not feel well - just thought I got " pissed off " and the minute I left felt totally devestated and distraught. I cried - didn't sleep - walked the floors all day and night - felt totally like my world just came to an end. I started itching " WORSE " and just believed it was " nerves " - in Feb I called my PCP and said I can't stand the itching any longer - I'm up " ALL NIGHT " and the liver does that thing " at night " and so I just thought that was my typical upsettment time. She drew my blood and the AST or ALT (not sure which now) was up to 444. Tops is like 40 on that lab. She said I'm in trouble and sent me to a GI. THAT appt didn't happen right away - we have one in town - it took me three months to get to HIM - he said I had to get a liver biopsy and THAT didn't happen fast either - at this point I am given NOTHING for the liver or my symptoms of the itching and told to just use benedryl. On July 17 I had my liver biopsy and the pathology report came back " severe chronic portal inflammation with piecemeal necrosis and fourth stage cirrhosis. I also have extensive bridging of fibrosis. No evidence of maliganancy and it's funny how everyone who saw that report had the same reaction - BUT THERE'S NO MALIGNANCY - THAT'S GOOOOOOD !!!! People just don't know how to react or not show any shock and dismay to cause more on someone they care about. So then I went BACK to the GI who told me about the report THREE WEEKS LATER - - (I went to the hospital and picked up the path. report) - he reacted with " now you have to go to an institute or university - pick one ! " Still, no meds despite my severe itching but said ASK FOR URSO FOR SURE WHEN YOU GO TO BANNER. This doctor believes I had AIH for 10 years because of a lab result I still had from 1997 where they tested me for arthritis and my AMA and ANA were elevated. He was upset they never followed through with that because it might mean I've had this brewing for 10 years and could be the answer to the advanced stages I'm in. Ok so now it's another 3 months before I get to Banner. This same GI now has all over my records I am chronic Hep C so when I walked into Banner Dr. Little said that was incorrect and sort of started all over again. I saw her on October 11th. So you see things are moving at a very slow pace and I'm full of frustration and upsettment over that especially with that kind of dianosis from the biopsy. Dr. Little ordered a colonoscopy, endoscopy and CT scan and that was done on Nov 29th. Dr. Little assured me the wait did not change anything happening with me at this point and the plan is to watch for decompensation and catching weaknesses before they get me first. I go the 13th for the prognosis and results of these tests done at Banner on the 29th and so that will be exactly one year from the time of my symptoms and now I'm feeling good and got used to this disease which is not good in MY mind. I WAS doing all natural foods and juicing but got urso and cholorestyramine for the itch and now I don't itch anymore. It's made me stop doing all the right things for my liver and whatever I have left that's healthy. I have autoimmune hepatitis and I have to say one thing that saved me from all the questions and answers was a book HARPER suggested and that's by Dr. Palmer - HEPATITIS AND LIVER DISEASE - you will find answers to all your questions and information that will take some of the edge off. You'll love Dr. Little - she's " little " too ! LOL- - she's wonderful. Soooo - that's my story and I have no prednisone at this point but I'm sure on the 13th it will be suggested because of the inflammation which I'm sure is causing the cirrhosis. My mother was on prednisone and I know the ill effects it causes so I'm not wanting to do that. I'm undecided on my treatment and will research ALL before making a decision. Banner has obtained my biopsy so THEY can look and see what THEY think. I feel more confident in " their " analysis but it's been a LONG LONG year. My family is now doing much better with the news and my husband and myself (although very clingy to one another) have relaxed a bit more and gotten used to the idea I may not live very long. The weepy things have stopped and we are attempting to live a normal life again. Because of the time frame it's put me on this back burner type of thinking and because the 13th will start all this emotional stuff up again I'm a bit anxious. I'd like to find a more private way to give you my number. You can cetainly call me anytime. I'm here for you. Let me know how your appt went today Kath. Hugs. Dee [LiverSupport- L] Newbie to the group Hi everyone. I was just diagnosed with AIH/PBC overlap. I'm 45 and scared to death. I have an appointment tomorrow with a new hepatologist to get medications because my other G.I. doctor doesn't know how to treat me because I'm allergic to prednisone. I'm taking the URSO for PBC and am having Heartburn from it. Please tell me I'm not going to die since I can't take the prednisone. My liver biopsy showed inconclusive (nothing showed up) but my AMA-M2 is positive and my ALT & AST are elevated. So far ANA and ASMA are negative. He says I have early AIH & PBC. Jeanette has been a great help from your group who also belongs to the PBCers. I would really welcome and appreciate any advice others are using instead of prednisone, so I can run it by my new doctor.I would also love to hear other peoples stories regarding diagnosis and living with AIH. I'm so scared and depressed right now, I feel like my life is almost over. I guess I just need some conversing with people in my shoes. How do we mentally deal with this? I'm depressed and just feel like staying in bed all day. Any help would be much appreciated. Is there any AIH support groups that meet in Phoenix, AZ? Please contact me. Thank you & GOD BLESS, Kathy/AZ ____________ _________ _________ _________ _________ _________ _ Never miss a thing. Make your home page. http://www.. com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 8, 2007 Report Share Posted December 8, 2007 Kathy, I too want to know the results of your visit to Dr. Little. Dee, my heart goes out to you more than I can say, my sister committed suicide in 1984 and I've never gotten over it. I also want to say that I had one of those long journeys, visiting dermatologists, rheumatologists, every doc I could think of, for the itching and being so sick. Remarkabley, finally, it was a dermatologist, not a gastroenterologist, despite having had a suggestive liver biopsy, who finally referred me to the gastro who did another biopsy and came up with definite PBC, in addition to AIH. For those of us older, we had some long, hard roads before diagnosis, but rest assured we are all still kicking, maybe not high, but waking up alive. Believe it or not, it is a blessing to be diagnosed at a younger age. I wish everyone well, it can be a rocky journey, but we have each other, and that's something that never happened in the previous generation. We are each other's strength and resources. Never forget how lucky we are to have each other. Kay, 58yo, TX, AIH dx 1995, AMA-neg PBC dx @ stage 2 in 1999 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 9, 2007 Report Share Posted December 9, 2007 One thing I gottta say about this " GROUP " - - everyone here is so upbeat and positive and it sure has been the best " medicine " for me in my illness - - thank you ALL from the bottom of my heart. I beleive I am feeling good because of the positive energy here. Oh and Kay - you're not " old " at all !!!! ~~~ Keep up the good work. [ ] Re: Thank you so very much for responding Kathy, I too want to know the results of your visit to Dr. Little. Dee, my heart goes out to you more than I can say, my sister committed suicide in 1984 and I've never gotten over it. I also want to say that I had one of those long journeys, visiting dermatologists, rheumatologists, every doc I could think of, for the itching and being so sick. Remarkabley, finally, it was a dermatologist, not a gastroenterologist, despite having had a suggestive liver biopsy, who finally referred me to the gastro who did another biopsy and came up with definite PBC, in addition to AIH. For those of us older, we had some long, hard roads before diagnosis, but rest assured we are all still kicking, maybe not high, but waking up alive. Believe it or not, it is a blessing to be diagnosed at a younger age. I wish everyone well, it can be a rocky journey, but we have each other, and that's something that never happened in the previous generation. We are each other's strength and resources. Never forget how lucky we are to have each other. Kay, 58yo, TX, AIH dx 1995, AMA-neg PBC dx @ stage 2 in 1999 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 11, 2007 Report Share Posted December 11, 2007 Dee, I just wanted to wish you good luck with your appointment on the 13th with Dr. Little. I saw her Friday. What a wonderful lady. Don't talk about not living very long either, alot of people can live actually a long time in stage 4. Your right though, the doc should have told you ten years ago that the positive AMA is for PBC and positive ANA, ASMA etc. is for AIH usually, not always though. Those antibodies can be positive in people with PBC only, also. " Piecemeal necrosis " on biopsy is for AIH though. When you ask her about the meds for AIH, you should ask her about other alternatives to prednisone, esp. since you said you don't like it. Why feel crappy if you don't need to. The other AIH meds I heard don't make you feel as bad. I'm one of the very few, rare people who are actually allergic to prednisone. Dr. Little actually told me Friday that I don't have AIH because my ANA, ASMA, gamma globulin, immunoglobulins are all normal. She said that my previous G.I. doc is wrong. Her quote was, " I respectfully disagree with him " . When I questioned her diagnosis, she said I bet my license you don't have AIH. Now I'm even more confused. How can one doc so yes, and one say no. I'm so upset with the other guy for putting me thru that fear. Right now my biopsy shows normal liver tissue. I must have caught the PBC super early. I guess it's a good thing I started itching right away. They say that over 80% of people don't itch at all. But positive AMA & ANA can't be blown off, like they did with you. The docs responsibility is to do further testing. If they would have biopsied you 10 years ago, they would have probably seen the AIH & PBC and put you on meds then. I just wanted to wish you a safe trip to Phoenix and I'm here if you want or need me. In fact, if you want to meet while you're in town let me know. You said you live in Havasu right? Feel free to e-mail me pvkarate@.... I'm super educated on AIH & PBC now. I've seen 4 different doctors at this point, and have literally read hours & hours of literature; and have been e-mailing dozens of other women that have been unbelievable and supportive that all have different stories. I don't know what I would have done without all their support, education & help. THANKS TO YOU ALL! GOD BLESS, Kathy, Phx/AZ 45 yrs. Stage 1 [LiverSupport- L] Newbie to the group Hi everyone. I was just diagnosed with AIH/PBC overlap. I'm 45 and scared to death. I have an appointment tomorrow with a new hepatologist to get medications because my other G.I. doctor doesn't know how to treat me because I'm allergic to prednisone. I'm taking the URSO for PBC and am having Heartburn from it. Please tell me I'm not going to die since I can't take the prednisone. My liver biopsy showed inconclusive (nothing showed up) but my AMA-M2 is positive and my ALT & AST are elevated. So far ANA and ASMA are negative. He says I have early AIH & PBC. Jeanette has been a great help from your group who also belongs to the PBCers. I would really welcome and appreciate any advice others are using instead of prednisone, so I can run it by my new doctor.I would also love to hear other peoples stories regarding diagnosis and living with AIH. I'm so scared and depressed right now, I feel like my life is almost over. I guess I just need some conversing with people in my shoes. How do we mentally deal with this? I'm depressed and just feel like staying in bed all day. Any help would be much appreciated. Is there any AIH support groups that meet in Phoenix, AZ? Please contact me. Thank you & GOD BLESS, Kathy/AZ ____________ _________ _________ _________ _________ _________ _ Never miss a thing. Make your home page. http://www.. com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 12, 2007 Report Share Posted December 12, 2007 Is Pheonix the premier location in the US for treatment of PBC? Thank you. Jody pvsok <pvkarate@...> wrote: Dee, I just wanted to wish you good luck with your appointment on the 13th with Dr. Little. I saw her Friday. What a wonderful lady. Don't talk about not living very long either, alot of people can live actually a long time in stage 4. Your right though, the doc should have told you ten years ago that the positive AMA is for PBC and positive ANA, ASMA etc. is for AIH usually, not always though. Those antibodies can be positive in people with PBC only, also. " Piecemeal necrosis " on biopsy is for AIH though. When you ask her about the meds for AIH, you should ask her about other alternatives to prednisone, esp. since you said you don't like it. Why feel crappy if you don't need to. The other AIH meds I heard don't make you feel as bad. I'm one of the very few, rare people who are actually allergic to prednisone. Dr. Little actually told me Friday that I don't have AIH because my ANA, ASMA, gamma globulin, immunoglobulins are all normal. She said that my previous G.I. doc is wrong. Her quote was, " I respectfully disagree with him " . When I questioned her diagnosis, she said I bet my license you don't have AIH. Now I'm even more confused. How can one doc so yes, and one say no. I'm so upset with the other guy for putting me thru that fear. Right now my biopsy shows normal liver tissue. I must have caught the PBC super early. I guess it's a good thing I started itching right away. They say that over 80% of people don't itch at all. But positive AMA & ANA can't be blown off, like they did with you. The docs responsibility is to do further testing. If they would have biopsied you 10 years ago, they would have probably seen the AIH & PBC and put you on meds then. I just wanted to wish you a safe trip to Phoenix and I'm here if you want or need me. In fact, if you want to meet while you're in town let me know. You said you live in Havasu right? Feel free to e-mail me pvkarate@.... I'm super educated on AIH & PBC now. I've seen 4 different doctors at this point, and have literally read hours & hours of literature; and have been e-mailing dozens of other women that have been unbelievable and supportive that all have different stories. I don't know what I would have done without all their support, education & help. THANKS TO YOU ALL! GOD BLESS, Kathy, Phx/AZ 45 yrs. Stage 1 [LiverSupport- L] Newbie to the group Hi everyone. I was just diagnosed with AIH/PBC overlap. I'm 45 and scared to death. I have an appointment tomorrow with a new hepatologist to get medications because my other G.I. doctor doesn't know how to treat me because I'm allergic to prednisone. I'm taking the URSO for PBC and am having Heartburn from it. Please tell me I'm not going to die since I can't take the prednisone. My liver biopsy showed inconclusive (nothing showed up) but my AMA-M2 is positive and my ALT & AST are elevated. So far ANA and ASMA are negative. He says I have early AIH & PBC. Jeanette has been a great help from your group who also belongs to the PBCers. I would really welcome and appreciate any advice others are using instead of prednisone, so I can run it by my new doctor.I would also love to hear other peoples stories regarding diagnosis and living with AIH. I'm so scared and depressed right now, I feel like my life is almost over. I guess I just need some conversing with people in my shoes. How do we mentally deal with this? I'm depressed and just feel like staying in bed all day. Any help would be much appreciated. Is there any AIH support groups that meet in Phoenix, AZ? Please contact me. Thank you & GOD BLESS, Kathy/AZ ____________ _________ _________ _________ _________ _________ _ Never miss a thing. Make your home page. http://www.. com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2007 Report Share Posted December 13, 2007 Morning Kath - out the door in about 30 minutes to head to Banner in Phx. Can't wait for this. I've been anxious all week to know what Dr. Little feels is going on. I knew you'd like her. I would connect in Phoenix with you but we recently got a pup and I can't find anyone to sit with her today - we'll have to keep her in her crate ALL DAY LONG and HOPE our son comes to let her out at some point but I don't want to spend one second more than I have to since I don't have a sitter for her. I walk her twice a day and this will be tough on her to be so cooped up for so long. I'll email everyone tonight or tomorrow and thank you and everyone for the well wishes. We will get together eventually. HUGS. Glad your appt was so good and you like her. Dee [LiverSupport- L] Newbie to the group Hi everyone. I was just diagnosed with AIH/PBC overlap. I'm 45 and scared to death. I have an appointment tomorrow with a new hepatologist to get medications because my other G.I. doctor doesn't know how to treat me because I'm allergic to prednisone. I'm taking the URSO for PBC and am having Heartburn from it. Please tell me I'm not going to die since I can't take the prednisone. My liver biopsy showed inconclusive (nothing showed up) but my AMA-M2 is positive and my ALT & AST are elevated. So far ANA and ASMA are negative. He says I have early AIH & PBC. Jeanette has been a great help from your group who also belongs to the PBCers. I would really welcome and appreciate any advice others are using instead of prednisone, so I can run it by my new doctor.I would also love to hear other peoples stories regarding diagnosis and living with AIH. I'm so scared and depressed right now, I feel like my life is almost over. I guess I just need some conversing with people in my shoes. How do we mentally deal with this? I'm depressed and just feel like staying in bed all day. Any help would be much appreciated. Is there any AIH support groups that meet in Phoenix, AZ? Please contact me. Thank you & GOD BLESS, Kathy/AZ ____________ _________ _________ _________ _________ _________ _ Never miss a thing. Make your home page. http://www.. com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2007 Report Share Posted December 13, 2007 No no - it's just a BIG PLACE and Universities and lots of places for good health and clinics. I live in a tiny community and it stinks for medical. Las Vegas is the same distance and they also have excellent care with medical needs. [LiverSupport- L] Newbie to the group Hi everyone. I was just diagnosed with AIH/PBC overlap. I'm 45 and scared to death. I have an appointment tomorrow with a new hepatologist to get medications because my other G.I. doctor doesn't know how to treat me because I'm allergic to prednisone. I'm taking the URSO for PBC and am having Heartburn from it. Please tell me I'm not going to die since I can't take the prednisone. My liver biopsy showed inconclusive (nothing showed up) but my AMA-M2 is positive and my ALT & AST are elevated. So far ANA and ASMA are negative. He says I have early AIH & PBC. Jeanette has been a great help from your group who also belongs to the PBCers. I would really welcome and appreciate any advice others are using instead of prednisone, so I can run it by my new doctor.I would also love to hear other peoples stories regarding diagnosis and living with AIH. I'm so scared and depressed right now, I feel like my life is almost over. I guess I just need some conversing with people in my shoes. How do we mentally deal with this? I'm depressed and just feel like staying in bed all day. Any help would be much appreciated. Is there any AIH support groups that meet in Phoenix, AZ? Please contact me. Thank you & GOD BLESS, Kathy/AZ ____________ _________ _________ _________ _________ _________ _ Never miss a thing. Make your home page. http://www.. com/r/hs Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 13, 2007 Report Share Posted December 13, 2007 Good evening Dee, How did today go? I'm anxious to hear all about your visit with Dr. Little. What kind of pup did you get? Could I get your personal e-mail? I understand if you don't want to give it out though. I would just like to talk to you on a more personal level if possible. I sincerely hope all went well, let me know. I feel a personal connection to you since we see the same doc. Kathy, Phx/AZ (newly diagnosed) [LiverSupport- L] Newbie to the group Hi everyone. I was just diagnosed with AIH/PBC overlap. I'm 45 and scared to death. I have an appointment tomorrow with a new hepatologist to get medications because my other G.I. doctor doesn't know how to treat me because I'm allergic to prednisone. I'm taking the URSO for PBC and am having Heartburn from it. Please tell me I'm not going to die since I can't take the prednisone. My liver biopsy showed inconclusive (nothing showed up) but my AMA-M2 is positive and my ALT & AST are elevated. So far ANA and ASMA are negative. He says I have early AIH & PBC. Jeanette has been a great help from your group who also belongs to the PBCers. I would really welcome and appreciate any advice others are using instead of prednisone, so I can run it by my new doctor.I would also love to hear other peoples stories regarding diagnosis and living with AIH. I'm so scared and depressed right now, I feel like my life is almost over. I guess I just need some conversing with people in my shoes. How do we mentally deal with this? I'm depressed and just feel like staying in bed all day. Any help would be much appreciated. Is there any AIH support groups that meet in Phoenix, AZ? Please contact me. Thank you & GOD BLESS, Kathy/AZ ____________ _________ _________ _________ _________ _________ _ Never miss a thing. Make your home page. http://www.. com/r/hs Quote Link to comment Share on other sites More sharing options...
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