Guest guest Posted May 21, 2007 Report Share Posted May 21, 2007 You are so awesome Deb! Thanks for all of this. I do have one question that hopefully someone has the answer to. What is the difference between INR and Prothrombin time? Everything that I have seen says that is basically the same thing. Yet when I put them into the MELD calculator, one gives me a low MELD score and the other skyrockets the score. Otherwise, I saw my local gastro today and got the latest labs back. It seems like each time I go, more things are out of range. Over the years, I have done a lot of searching on the web and this is the first time that I have found a group like this group. I have good friends that are very supportative and don't know what I would do without them. At the same time, as much as they try to understand, it has to be hard because they don't see it. If I was in a cast, they would have something more tangible than just " Judy's too tired " I think it is the same for the kids. Then again they are teenagers, unless it disrupts their social life.......... All of you are either going through what I have already been through, am going through now or am looking at in the future and here to support each other through it. Each day, I am soooooooooooo glad that I found this group. > > Within any region of the country, a donor organ in a particular ABO blood group is allocated to the cirrhotic patient within the same blood group who has the highest MELD or PELD score. Special rules have been developed to address potentially life-threatening liver disease complications, such as hepatocellular carcinoma and hepatopulmonary syndrome. Patients with these conditions, as well as other exceptional cases, can receive a higher MELD or PELD score than that calculated from creatinine, bilirubin, and INR alone. > > http://www.emedicine.com/med/topic3183.htm > > Judy the link below at UNOS explains liver transplant bylaws is a long read but very informative 3.6 starts Allocation of Livers with Reassessment and Re-certification Schedules - by ABO blood type and more with 3.6.4.5 explaining Liver Candidates with Exceptional Cases and also link for MELD info and calculator. > > Honey hoping and praying for all the best for you. We understand and here to support you all the way in and out of group. Any questions - concerns or just want to talk like we said please email Jon - or I at any time too. > > We again enjoyed very much having you with us in chat. > > Love and Hugs. > > Deb > > > > http://www.emedicine.com/med/topic3183.htm > > > UNOS > The Model for End-Stage Liver Disease (MELD) and Pediatric End-Stage Liver Disease (PELD) are numerical scales that are currently used for liver allocation. The MELD and PELD scores are based on a patient's risk of dying while waiting for a liver transplant, and are based on objective and verifiable medical data. > Learn about the MELD/PELD Calculator > Go to the MELD Calculator (for ages 12 and older) > Go to the PELD Calculator (for ages less than 12) > > > > --> > > Download and print these additional resources: > > MELD/PELD Overview Q & A > > MELD/PELD Calculator Q & A > > More information about the MELD/PELD calculation > --------------------------------- > Requires Adobe Acrobat Reader > > > http://www.unos.org/resources/meldPeldCalculator.asp > Quote Link to comment Share on other sites More sharing options...
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