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Hi Deb.

Now that Jim’s feared non-compliance

(re liver biopsy recommendation) seems a non-issue, and given that the

coordinator is open to Jim repeating labs this Monday for another look-see

comparison by the hepatologist, it is I who is experiencing a few 2nd thoughts

about any invasive procedures. I did, though, ask the tx coordinator what

he’d recommend if we weren’t talking about Jim, but,

hypothetically, his dearest friend or most beloved family member, and it was up

to him to make a recommendation (that’s something we sometimes do when seeking

medical counsel… putting it on a different level for the medical

professional).

Without hesitancy, he said to biopsy (and his

verdict had nothing to do, I assume, with Jim’s great PPO insurance,

although your point on that is well taken!!!).

Yes, Jim’s on Urso post-tx

(actually, Actigall), but I had to fight USC super-hard on that, too. I

wanted high-dose immediately upon tx, but they pooh-poohed my referral to

certain studies, saying (after a cursory glance at copies of my papers I gave

them) “oh, they pop Urso like candy.” I persisted at every

clinic visit (bringing in new study cases) and eventually, acquiescence came,

albeit in the form of low dose, not high. Very frustrating, as you can

imagine.

Assuming fatty liver could be ruled out via

non-invasive means, then your suggestion to asking them how biopsy results

would change Jim’s treatment plan certainly seems rock-solid. In

the meantime, we’ll of course keep the biopsy appointment for the time

being, while we await further discussion with USC about the results of this

upcoming Monday’s labs, blahbitty blah blah.

Thanks very, VERY much for your post,

Deb. You have a way of explaining and writing things down that don’t

add to my confusion. Bless you for that! :-)

Love, Maureen

From: [mailto: ] On Behalf Of Deb in VA

Sent: Tuesday, July 18, 2006 2:42

PM; To: ; Subject: Re: jim (help,

please)

So, rejection is an immediate kettle of fish. If

that's off the table, then I'd find out about how the biopsy results would

change his treatment plan, if at all and base your decision about whether to do

the test on that...

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  • 2 months later...
  • 2 weeks later...

-----Original

Message-----

They no longer do the

nasty Versed and Fentanyl coctail - instead they used Propanol

Couldn’t have been Propanol that’s

a solvent. Propranolol is what Ken

takes for high blood pressure (in his case, for his varices).

The last time Ken was

knocked out they used a milky white substance. Both Ken & his GI were thrilled to

finally find something that actually knocks him out and keeps him out –that

was a first for Ken.

Barb in Texas___

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-----Original

Message-----

They no longer do the

nasty Versed and Fentanyl coctail - instead they used Propanol

Couldn’t have been Propanol that’s

a solvent. Propranolol is what Ken

takes for high blood pressure (in his case, for his varices).

The last time Ken was

knocked out they used a milky white substance. Both Ken & his GI were thrilled to

finally find something that actually knocks him out and keeps him out –that

was a first for Ken.

Barb in Texas___

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Share on other sites

-----Original

Message-----

They no longer do the

nasty Versed and Fentanyl coctail - instead they used Propanol

Couldn’t have been Propanol that’s

a solvent. Propranolol is what Ken

takes for high blood pressure (in his case, for his varices).

The last time Ken was

knocked out they used a milky white substance. Both Ken & his GI were thrilled to

finally find something that actually knocks him out and keeps him out –that

was a first for Ken.

Barb in Texas___

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The med is called Propafal or Diprivan. At the hospital we call it milk of amnesia. It works immedicately upon starting the drip and even people with liver disease will metabilize it very fast so once you turn the drip off you wake right up. MartiBarb Henshaw wrote: -----Original Message----- They no longer do the nasty Versed and Fentanyl coctail - instead they used Propanol Couldn’t have been Propanol that’s a solvent. Propranolol is what Ken takes for high blood pressure (in his case, for his varices). The last time Ken was knocked out they used a milky white substance. Both Ken & his GI were thrilled to finally find something that actually knocks him out and keeps him out –that was a first for Ken. Barb in Texas___

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The med is called Propafal or Diprivan. At the hospital we call it milk of amnesia. It works immedicately upon starting the drip and even people with liver disease will metabilize it very fast so once you turn the drip off you wake right up. MartiBarb Henshaw wrote: -----Original Message----- They no longer do the nasty Versed and Fentanyl coctail - instead they used Propanol Couldn’t have been Propanol that’s a solvent. Propranolol is what Ken takes for high blood pressure (in his case, for his varices). The last time Ken was knocked out they used a milky white substance. Both Ken & his GI were thrilled to finally find something that actually knocks him out and keeps him out –that was a first for Ken. Barb in Texas___

Get your email and more, right on the new Yahoo.com

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The med is called Propafal or Diprivan. At the hospital we call it milk of amnesia. It works immedicately upon starting the drip and even people with liver disease will metabilize it very fast so once you turn the drip off you wake right up. MartiBarb Henshaw wrote: -----Original Message----- They no longer do the nasty Versed and Fentanyl coctail - instead they used Propanol Couldn’t have been Propanol that’s a solvent. Propranolol is what Ken takes for high blood pressure (in his case, for his varices). The last time Ken was knocked out they used a milky white substance. Both Ken & his GI were thrilled to finally find something that actually knocks him out and keeps him out –that was a first for Ken. Barb in Texas___

Get your email and more, right on the new Yahoo.com

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My bad - I guess the amnesia part worked so well that I forgot

specifically what it is called. I'm also on Propranalol, so I guess I

was easily confused since they both came up during the same visit.

Heck, last night, in the ER for a fever (I'm home now w/ a follow up

with the ENT scheduled for tomorrow), I kept trying to say lovenox for

levequin. What was more confusing, I'd been on both of them recently,

too! Ugh!

Take care,

Deb in VA

>

> The med is called Propafal or Diprivan. At the hospital we call it

milk of amnesia.

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My bad - I guess the amnesia part worked so well that I forgot

specifically what it is called. I'm also on Propranalol, so I guess I

was easily confused since they both came up during the same visit.

Heck, last night, in the ER for a fever (I'm home now w/ a follow up

with the ENT scheduled for tomorrow), I kept trying to say lovenox for

levequin. What was more confusing, I'd been on both of them recently,

too! Ugh!

Take care,

Deb in VA

>

> The med is called Propafal or Diprivan. At the hospital we call it

milk of amnesia.

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