What a week!

September 26, 2011

Hubby had his fluid drawn last Monday and they took off 7.4 liters of

fluid. I wasn't surprised about the amount, but was curious why they gave

him Albumin, afterward. Apparently Methodist Hospital does that if they

have to drain more than 4 liters of fluid. It helps the kidney's, I think

is what his Dr said.

On Tuesday, the following day, they'd moved hubbys appt up with the

Hepatology Dr, so we were there first thing in the a/m at 8. They told us

that yes he was being referred for a transplant, and gave us the paperwork

and told us that the pre-evaluation lady would call us and then we'd make

appts for the evaluation process once the insurance was verified that they

would pay for it.

I remembered to ask about his MELD score which she said was a 16. I guess

he's at the point where that is the criteria for being evaluated? Does

anybody know anything about the MELD score they could share?

Thanks,

Sandy

September 27, 2011

Dear Sandy.

Meld score is a combination of blood work results, and the formula looks like

this;

MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum

creatinine (mg/dL)] + 6.43

http://en.wikipedia.org/wiki/Model_for_End-Stage_Liver_Disease

You can figure out the MELD at any time by putting BiliT and CREAT and INR in to

this calculator

http://www.mayoclinic.org/meld/mayomodel6.html

Serum albumin is the most abundant blood plasma protein and is produced in the

liver and forms a large proportion of all plasma protein. Albumen is the key to

the regulation of the osmotic pressure of blood. When the albumen is too low,

and portal hypertension is present, the cells can leak water(by osmosis) in to

spaces in which it does not belong, mostly the belly and feet and legs. This is

called " third spacing " . They will often give albumen to help slow the refilling

of of the third spaces. Low albumen is a symptom of liver disease. This

description is a very very simplistic way of expaining it. I hope this helps,

Love, Bobby Aragon

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________________________________

To: livercirrhosissupport <livercirrhosissupport >

Sent: Monday, September 26, 2011 12:03 AM

Subject: What a week!

Â

Hubby had his fluid drawn last Monday and they took off 7.4 liters of

fluid. I wasn't surprised about the amount, but was curious why they gave

him Albumin, afterward. Apparently Methodist Hospital does that if they

have to drain more than 4 liters of fluid. It helps the kidney's, I think

is what his Dr said.

On Tuesday, the following day, they'd moved hubbys appt up with the

Hepatology Dr, so we were there first thing in the a/m at 8. They told us

that yes he was being referred for a transplant, and gave us the paperwork

and told us that the pre-evaluation lady would call us and then we'd make

appts for the evaluation process once the insurance was verified that they

would pay for it.

I remembered to ask about his MELD score which she said was a 16. I guess

he's at the point where that is the criteria for being evaluated? Does

anybody know anything about the MELD score they could share?

Thanks,

Sandy

September 27, 2011

Thanks for the information Bobby. My mind is a jumble of overload most

days.

On Tue, Sep 27, 2011 at 7:26 AM, Bob Aragon wrote:

> Dear Sandy.

> Meld score is a combination of blood work results, and the formula looks

> like this;

> MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum

> creatinine (mg/dL)] + 6.43

>

> http://en.wikipedia.org/wiki/Model_for_End-Stage_Liver_Disease

>

> You can figure out the MELD at any time by putting BiliT and CREAT and INR

> in to this calculator

>

> http://www.mayoclinic.org/meld/mayomodel6.html

>

> Serum albumin is the most abundant blood plasma protein and is produced in

> the liver and forms a large proportion of all plasma protein. Albumen is the

> key to the regulation of the osmotic pressure of blood. When the albumen is

> too low, and portal hypertension is present, the cells can leak water(by

> osmosis) in to spaces in which it does not belong, mostly the belly and feet

> and legs. This is called " third spacing " . They will often give albumen to

> help slow the refilling of of the third spaces. Low albumen is a symptom of

> liver disease. This description is a very very simplistic way of expaining

> it. I hope this helps, Love, Bobby Aragon

>

> ________________________________

>

> To: livercirrhosissupport <livercirrhosissupport >

> Sent: Monday, September 26, 2011 12:03 AM

> Subject: What a week!

>

> Hubby had his fluid drawn last Monday and they took off 7.4 liters of

> fluid. I wasn't surprised about the amount, but was curious why they gave

> him Albumin, afterward. Apparently Methodist Hospital does that if they

> have to drain more than 4 liters of fluid. It helps the kidney's, I think

> is what his Dr said.

>

> On Tuesday, the following day, they'd moved hubbys appt up with the

> Hepatology Dr, so we were there first thing in the a/m at 8. They told us

> that yes he was being referred for a transplant, and gave us the paperwork

> and told us that the pre-evaluation lady would call us and then we'd make

> appts for the evaluation process once the insurance was verified that they

> would pay for it.

>

> I remembered to ask about his MELD score which she said was a 16. I guess

> he's at the point where that is the criteria for being evaluated? Does

> anybody know anything about the MELD score they could share?

>

> Thanks,

> Sandy

>

September 27, 2011

So well explained Bobby! You are a God send to this group. Even though my father

passed, I still read everyones entries.

Dee

Sent from my iPhone 4