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Re: Transplant evaluation

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Peg,

As you know there are many specialists you visit to be evaluated

for a transplant. The one that determines the CTP score is

usually a gastroenterologist. He tries to figure out how bad the

liver disease really is and the CTP score is one widely

recognized way of putting a number on how bad it is. The doc may

give a rating based on past history even though the latest test

show a lower level. This is especially true of conditions which

fluctuate widely. There generally is a review committee who

combine all the recommendation of all the specialist and

determine if the center will list you.

--- Peggy Alfeld wrote:

> You

> still haven't answered my question. Do you get points for

> elevated bilirubin

> and stuff each time it goes over 4. The last visit he had .8

> but I know it was

> at least 4 when he was hospitalized for the 10 days.

=====

__________________________________________________

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  • 2 months later...

Peg,

I am in agreement with Phil's doctors, and plan to make my opinions known at

the time of our next visit. I will see what they have to say about it. I

would like to avoid any invasive tests if possible.

Liz

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Peg,

I am in agreement with Phil's doctors, and plan to make my opinions known at

the time of our next visit. I will see what they have to say about it. I

would like to avoid any invasive tests if possible.

Liz

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I'm sure Aubrey's answer will be better, but Phil's doctors believe that they

can

check for cancer with blood tests and don't recommend an ERCP or brushings if he

isn't having problems. Phil's doctors are very non-invasive and we had a bad

experience with his ERCP.

Peg

Rnurse987@... wrote:

> Aubrey,

>

> A quick question for you: An ERCP was planned for my husband in the future,

> with brushings for any signs of CA in the bile ducts. If that is detected,

> am I correct that there is no treatment at all? Does that preclude you from

> being listed? Is it possible that if it is early stage, they can move you up

> to the top of the transplant list, or does that immediately eliminate you?

>

> Since he just had an MRCP this week, I am hoping that there will be no

> noticeable changes from the one he had last February, and that the plans for

> the ERCP will be scrapped. Is there a point to look for this possible

> cancer, if it is untreatable and if it does indeed render you ineligable for

> transplant?

>

> Hope this is not a stupid question.

>

> Liz

>

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

> Looking for educational tools for you kids?

> Find everything you need at SmarterKids.com

> http://click./1/645/4/_/24674/_/947201475

>

> -- Talk to your group with your own voice!

> -- /VoiceChatPage?listName= & m=1

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I'm sure Aubrey's answer will be better, but Phil's doctors believe that they

can

check for cancer with blood tests and don't recommend an ERCP or brushings if he

isn't having problems. Phil's doctors are very non-invasive and we had a bad

experience with his ERCP.

Peg

Rnurse987@... wrote:

> Aubrey,

>

> A quick question for you: An ERCP was planned for my husband in the future,

> with brushings for any signs of CA in the bile ducts. If that is detected,

> am I correct that there is no treatment at all? Does that preclude you from

> being listed? Is it possible that if it is early stage, they can move you up

> to the top of the transplant list, or does that immediately eliminate you?

>

> Since he just had an MRCP this week, I am hoping that there will be no

> noticeable changes from the one he had last February, and that the plans for

> the ERCP will be scrapped. Is there a point to look for this possible

> cancer, if it is untreatable and if it does indeed render you ineligable for

> transplant?

>

> Hope this is not a stupid question.

>

> Liz

>

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

> Looking for educational tools for you kids?

> Find everything you need at SmarterKids.com

> http://click./1/645/4/_/24674/_/947201475

>

> -- Talk to your group with your own voice!

> -- /VoiceChatPage?listName= & m=1

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,

So far, that is what everybody has said. I sure am glad to hear that the

percentage is that low. The way the doctor talked, he sounded like it was

more of a likelyhood than not. I told what y'all have been saying

and I think it took a little of the weight off his shoulders. Thanks

everyone!

Spring

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Aubrey,

I have to say that you are quite up on the knowledge of PSC, it's nice to

know that there is someone out there with so much knowledge on the subject.

Thanks for all the input. I've already learned a bit more by reading your

e-mails and I'm a very new member who doesn't get online much.

Spring

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Aubrey,

I have to say that you are quite up on the knowledge of PSC, it's nice to

know that there is someone out there with so much knowledge on the subject.

Thanks for all the input. I've already learned a bit more by reading your

e-mails and I'm a very new member who doesn't get online much.

Spring

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