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sclerosing cholangitis

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Does your husband have a liver specialist? The doctors are the ones

that make that call, usually.

> My husband is in mid- stages of sclerosing cholangitis . Itching

has

> begun and we would like to know what is next. I would like to

know

> at what point one begins the process of getting on a list for

liver

> transplant.

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Unfortunately PSC doesn't have a logical timeline. No one can say if

you're itching today, than in 2 weeks this will happen, and a week

later, that will happen.

Some people have been itching from day 1, others are never really

bothered by that symptom, even as they're being wheeled in for

transplant.

Likewise there's no timeline for progression. Every case is

different.

The decision on when to start the transplant evaluation will be made

by your hepatologist, usually based on labs and symptoms. A minimum

MELD score is required (6, I think?).

Every hospital/region varies somewhat on how long patients have to

wait after listing.

If you have a living donor lined up, tx can come a lot quicker,

before your husband is really sick.

Pam (mom to Quantell, 13, dx 1996, tx 2001)

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  • 4 weeks later...
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My husband is in the mid stage of psc. Fatigue is one of his main

problems. However itching has begun. He takes actigall and asacal

daily. (very expensive) I would like to hear from others who have

been at this point and hear how they handle it. Our Dr. just nods

his head as if to say Yup, that is what is expected. I'd also like

to know how far this has to progress before one can start procedure

to get on waiting list for a liver transplant.

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  • 1 month later...
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MY SON HAS SCLEROSING CHOLANGITIS HE WAS DIAGNOSED WHEN HE WAS 19 HE IS NOW 22. HE HAS BEEN IN AND OUT OF THE HOSPITAL FOR ERCP WITH STENT PLACEMENT AND THEN SUBSEQUENTLY HE DEVELOPS AN INFECTION SO HE IS BACK IN THE HOSPITAL AND H E ALSO HAS BOUT OF EXTREME ITCHING, I WOUL LIKE TO HER FROM ANYONE. MY DAUGHTER IS 18 AND SHE HAS A REALLY HARD TIME DEALING WITH THIS. SHE THINKS HE IS GOING TO DIE. SHE WANTS TO GIVE HIM PART OF HER LILVER WHEN THE TIME COMES. MY EMAIL ADRESS IS ANGIENOEMAIL@...

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Dear Angie,

It is hard when someone close to you is hurting. I hope your daughter

will remember to enjoy the moments she has now. No one knows what the

future will bring. Her brother might get hit by a car tomorrow. PSC is

a funny ailment. It can take a long time to fully develop. We need to

rally around those who are suffering and be cheerful. It ain't easy but

it should be done. Who knows tomorrow the docs may make a breakthrough.

I hope this helps.

Sincerely, Rob (Mr. Itch)

PSC since 2001

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