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The fact that your numbers have gone up and your MELD is 15 makes those

results significant. But the really important tests to determine how

bad your liver disease is and basically how bad your liver is, are the

INR and serum albumin. Two ways to determine if they have worsened

recently (without having the numbers from the tests) are if you now

have new ascites or previous ascites has worsened (due to low serum

albumin) and if you have more significant easy bruising or bleeding

(nose bleeds with minimal trauma is one possible sign, bleeding from

your gums that takes longer to stop). Unfortunately, high bilirubins

and significantly elevated liver enzyme tests don't really say a lot

about how much of your liver is not functioning. I would suggest

getting those two tests done soon.

Aubrey, MD

PSC '81, UC '90, LTX '98

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