Re: I Really Need Help With This One?

[Guest guest]

You know...I was just reading that part over and thinking....NO WAY!

It couldn't have been a live donor.....because they remove one THIRD of

the liver if it's a live donor....and on someone who has been ill for a

long time, many times a third of a liver is deemed to be

insufficient....they feel that a whole liver will give you the best

chance. So a third of an infected liver? No way....

Silvia

>

>

> yes all well and good but tell me how a person with HCV can be a

> live donor? I assume this person wants to donate Half his liver?

> Does this person want to hasten their own death? What stage

> damage is the donor liver? what even slight chance would the

> donor have to survive? Did I read it right? ric

>

[Guest guest]

Live donors give one third of their liver.....it takes just a few

weeks for it to growe back....BUT.....it doesn't always grow

back....and many hospitals have stopped doing live donor transplant

because of the high rate of donor mortality.

Silvia

>

> >

> > yes all well and good but tell me how a person with

> > HCV can be a

> > live donor? I assume this person wants to donate

> > Half his liver?

> > Does this person want to hasten their own death?

> > What stage

> > damage is the donor liver? what even slight chance

> > would the

> > donor have to survive? Did I read it right? ric

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> __________________________________

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[Guest guest]

....did you really mean that the liver was coming from someone

that was alive?

Silvia

>

> Thanks You for all your responses,

> It definitely adds to my questions next Dr. visit,

> it really makes me look differently at this....

> I never expected a call like that,

> I thought the only decision I would have to make is " We Have A

Healthy Liver

> That Matches You, Do You Want It " .......

> WOW!!!!!!!!!!!! Was I wrong

>

> Thanks Again

>

>

[Guest guest]

But in a few cases they took up to 60% of the liver from the donor.

You see, it's really all about size.....LOL

Oh I just couldn't resist

Silvia

>

> right on Sylvia. mis-communication all the way. that would be a

> crime and kill 2 people.. I'm thinking of the movie, what was

> it?? Denzell was going to kill himself so his son could have a

> heart? I thought well maybe it was something like that. and

> they were notifing the next in line just in case?? Not trying to

> make light, but it just sounded stupid. For me to accept a live

> donor, I would have to know that person very well, cause like

> you say, your only getting a third of it.

>

[Guest guest]

But in a few cases they took up to 60% of the liver from the donor.

You see, it's really all about size.....LOL

Oh I just couldn't resist

Silvia

>

> right on Sylvia. mis-communication all the way. that would be a

> crime and kill 2 people.. I'm thinking of the movie, what was

> it?? Denzell was going to kill himself so his son could have a

> heart? I thought well maybe it was something like that. and

> they were notifing the next in line just in case?? Not trying to

> make light, but it just sounded stupid. For me to accept a live

> donor, I would have to know that person very well, cause like

> you say, your only getting a third of it.

>

[Guest guest]

But in a few cases they took up to 60% of the liver from the donor.

You see, it's really all about size.....LOL

Oh I just couldn't resist

Silvia

>

> right on Sylvia. mis-communication all the way. that would be a

> crime and kill 2 people.. I'm thinking of the movie, what was

> it?? Denzell was going to kill himself so his son could have a

> heart? I thought well maybe it was something like that. and

> they were notifing the next in line just in case?? Not trying to

> make light, but it just sounded stupid. For me to accept a live

> donor, I would have to know that person very well, cause like

> you say, your only getting a third of it.

>

[Guest guest]

They try to match genotypes but in some cases where people were going

to die they mixed. Genotype 1B is the one that is known to infect

new livers quicker. Sometimes it does so with a vengence and the new

livcer is cirrhotic in about 2 or 3 years. That is why they are not

treating pre-transplant. If they can lower the viral load by the

time of transplant, organs do better. In some cases, treating before

transplant for 12 weeks has resulted in SVR...only about 20% which is

the same success rate we get if we treat AFTER a transplant...but at

least you treat for 12 weeks only instead of the whole year (or

longer). To be honest, I can't imagine treating before transplant

when people are already so sick but it's being done. Treating right

before or after transplant is still considered investigational and

very dangerous. Al.ot more things can go wrong.

I have two forum members who had transplants and 3 years later they

both had cirrhosis. The female didn't do well on treatment. Her

worst problem was anemia. Because she has Medicaid, it won't pay for

a second transplant. She is now end stage.

The male, who's also diabetic, treated with Pegasys 180mg/Copegus

1200mg and after 6 months he was still not clear. They planned to

continue because there were no more options, his citrrhosis is

advanced. Then he had a stroke (no deficits from it)and the

treatment was stopped. His viral load went back up ionto the

millions. When he recovered from the stroke he decided to try

again. This time, and against my advice, they were putting him on

Pegasys again and only 800 mg of Copegus. The second time, he

cleared at 12 weeks and he just got his 24 week viral load and

remains clear.

What do you think was the difference? We somehow had to make it

better.

We got rid of the insulin resistance and beat the odds. His blood

sugar had been out of control the first time.

Silvia

>

> My understanding is that the shortage of transplantable livers, and

the high

> need for them for HCV patients has resulted in beginning to use

livers from

> infected donors to implant into other infected patients. On some

levels this

> makes sense. It provides some hope where none existed before. The

questions

> I've seen raised on this subject were the genotypes of the two, is

the donor

> geno a different type than yours? That would result in a dual, or

more, geno

> infection. What is the condition of the liver. Hopefully they

aren't trying

> to implant cirrhotic livers. Many with HCV have minimal liver

damage.

> Implantation into an infected person will result in an infected

liver, even

> if it weren't before. And something I'm not clear on, is HCV

treatment a

> reasonable thing after transplant. I understand that its done for

some. I'm

> not clear on the interaction between the IFN, the anti-rejection

meds, and

> the rejection situation itself. I admit I haven't read the reports

on that.

>

> Sally

>

> I Really Need Help With This One?

>

>

> I need to know something,

> I am at the top of the transplant list and just received a call

from s

> Hopkins... That there was a live donor and that the liver was

infected with

> HEP-C, they wanted to know if I wanted it.. I am sick and really

want to get

> this over with BUT why would they transplant a liver already

infected?

> Should I have taken the liver? This really has me worried, it

caught me way

> off guard. Now I am second guessing my decision to turn it down

>

> Thanks for any help

>

>

>

>

[Guest guest]

Okay boys.....let's put this to rest. I have emailed the ones that

know and have asked them these questions trhen we'll know for sure.

Rick....in my opinion, I don't think they would do a living donor

transplant from someone that has hep c because you never know what

will happen in the future and that person may end up needing a

transplant themselves. One of the prerequisitites is that the donor

has to be in perfect health and someone with hep C is not in perfect

health.

You do know alot and so does....was it Bill? hell....I'm, bad with

names.

Siulvia

>

>

> you will kindly stop telling me then that I don't know what I'm

> talking about. It is very true some days I am confused. But I am

> perfectly aware of the regerative properties of the liver. My

> question was.....Will a diseased half liver regenerate at the

> same rate as a healthy one? and will it regerate at all?

> considering it would be put into a person who already has a

> viral load and other health problems. remember he needed a

> liver

> I know they are putting cadaver HCV+ livers into transplantees.

> But WHY would they have a live donor liver thats HCV+ in the

> first place? I ASSume the donor is still alive??

>

[Guest guest]

Okay boys.....let's put this to rest. I have emailed the ones that

know and have asked them these questions trhen we'll know for sure.

Rick....in my opinion, I don't think they would do a living donor

transplant from someone that has hep c because you never know what

will happen in the future and that person may end up needing a

transplant themselves. One of the prerequisitites is that the donor

has to be in perfect health and someone with hep C is not in perfect

health.

You do know alot and so does....was it Bill? hell....I'm, bad with

names.

Siulvia

>

>

> you will kindly stop telling me then that I don't know what I'm

> talking about. It is very true some days I am confused. But I am

> perfectly aware of the regerative properties of the liver. My

> question was.....Will a diseased half liver regenerate at the

> same rate as a healthy one? and will it regerate at all?

> considering it would be put into a person who already has a

> viral load and other health problems. remember he needed a

> liver

> I know they are putting cadaver HCV+ livers into transplantees.

> But WHY would they have a live donor liver thats HCV+ in the

> first place? I ASSume the donor is still alive??

>

[Guest guest]

Okay boys.....let's put this to rest. I have emailed the ones that

know and have asked them these questions trhen we'll know for sure.

Rick....in my opinion, I don't think they would do a living donor

transplant from someone that has hep c because you never know what

will happen in the future and that person may end up needing a

transplant themselves. One of the prerequisitites is that the donor

has to be in perfect health and someone with hep C is not in perfect

health.

You do know alot and so does....was it Bill? hell....I'm, bad with

names.

Siulvia

>

>

> you will kindly stop telling me then that I don't know what I'm

> talking about. It is very true some days I am confused. But I am

> perfectly aware of the regerative properties of the liver. My

> question was.....Will a diseased half liver regenerate at the

> same rate as a healthy one? and will it regerate at all?

> considering it would be put into a person who already has a

> viral load and other health problems. remember he needed a

> liver

> I know they are putting cadaver HCV+ livers into transplantees.

> But WHY would they have a live donor liver thats HCV+ in the

> first place? I ASSume the donor is still alive??

>

[Guest guest]

LOL

>

>

> Hey Sylvia,

> You do know alot and so does....was it Bill?

> > > hell....I'm, bad with

> > > names.

> > >

> > > Siulvia

> It appears your bad with your own too...I know, blame the

> keyboard. r

>

[Guest guest]

LOL

>

>

> Hey Sylvia,

> You do know alot and so does....was it Bill?

> > > hell....I'm, bad with

> > > names.

> > >

> > > Siulvia

> It appears your bad with your own too...I know, blame the

> keyboard. r

>

[Guest guest]

LOL

>

>

> Hey Sylvia,

> You do know alot and so does....was it Bill?

> > > hell....I'm, bad with

> > > names.

> > >

> > > Siulvia

> It appears your bad with your own too...I know, blame the

> keyboard. r

>

[Guest guest]

and it's catchy Ric....so I hope nobody else reads my post....LOL....

S-I-L-V-I-A ..... no " Y "

>

>

> Hey Sylvia,

> You do know alot and so does....was it Bill?

> > > hell....I'm, bad with

> > > names.

> > >

> > > Siulvia

> It appears your bad with your own too...I know, blame the

> keyboard. r

>

[Guest guest]

and it's catchy Ric....so I hope nobody else reads my post....LOL....

S-I-L-V-I-A ..... no " Y "

>

>

> Hey Sylvia,

> You do know alot and so does....was it Bill?

> > > hell....I'm, bad with

> > > names.

> > >

> > > Siulvia

> It appears your bad with your own too...I know, blame the

> keyboard. r

>

[Guest guest]

and it's catchy Ric....so I hope nobody else reads my post....LOL....

S-I-L-V-I-A ..... no " Y "

>

>

> Hey Sylvia,

> You do know alot and so does....was it Bill?

> > > hell....I'm, bad with

> > > names.

> > >

> > > Siulvia

> It appears your bad with your own too...I know, blame the

> keyboard. r

>

[Guest guest]

I like it!

>

>

> how about this one? Silyvia....

>

[Guest guest]

I like it!

>

>

> how about this one? Silyvia....

>

[Guest guest]

Oh yeah...I remember those days too....drinking Irish cream all day

then thinking you could do anything you want out on the slopes. I was

lucky I didn't brake my neck......LOL

Silvia

>

>

> so your in the springs huh? I used to love going to the top of

> Mt. San Jacinto. It's the only place I know of where you can go

> from 95 degree desert heat to a winter wonderland, 5 ft. of snow

> and COLD in what? 15 minutes? What an experience that was.

> sitting by the fireplace, drinking irish cream all day till last

> call back down the mountain....sigh. Those were the Daze.

>

[Guest guest]

They do not transplant a half liver of a cadaver.

They use the whole thing. The cadaver has no use for

the other half. Rejunifcation varies in each

individuals body. The healthier you are, the faster

you will Reginerate. I wish you folks that are so

concerned about this would take the time to ask a

pro.What I am telling you is just from my experiences

an I am in no way a Lay Person.

--- Ric wrote:

>

> you will kindly stop telling me then that I don't

> know what I'm

> talking about. It is very true some days I am

> confused. But I am

> perfectly aware of the regerative properties of the

> liver. My

> question was.....Will a diseased half liver

> regenerate at the

> same rate as a healthy one? and will it regerate at

> all?

> considering it would be put into a person who

> already has a

> viral load and other health problems. remember he

> needed a

> liver

> I know they are putting cadaver HCV+ livers into

> transplantees.

> But WHY would they have a live donor liver thats

> HCV+ in the

> first place? I ASSume the donor is still alive??

>

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__________________________________

Yahoo! Music Unlimited

Access over 1 million songs. Try it free.

http://music.yahoo.com/unlimited/

[Guest guest]

They do not transplant a half liver of a cadaver.

They use the whole thing. The cadaver has no use for

the other half. Rejunifcation varies in each

individuals body. The healthier you are, the faster

you will Reginerate. I wish you folks that are so

concerned about this would take the time to ask a

pro.What I am telling you is just from my experiences

an I am in no way a Lay Person.

--- Ric wrote:

>

> you will kindly stop telling me then that I don't

> know what I'm

> talking about. It is very true some days I am

> confused. But I am

> perfectly aware of the regerative properties of the

> liver. My

> question was.....Will a diseased half liver

> regenerate at the

> same rate as a healthy one? and will it regerate at

> all?

> considering it would be put into a person who

> already has a

> viral load and other health problems. remember he

> needed a

> liver

> I know they are putting cadaver HCV+ livers into

> transplantees.

> But WHY would they have a live donor liver thats

> HCV+ in the

> first place? I ASSume the donor is still alive??

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__________________________________

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Access over 1 million songs. Try it free.

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