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Re: Re-occurance issues

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Suzanne,

In this case my experience may not apply to others - the fountain of

info may be more of a trickle.

I feel that I see both a faster failure of the bile ducts and a slower

effect on the liver function. So this time around I see a rise in

bilirubin in 4 years which took 8 years the first time around. But the

corresponding liver failure symptoms - most notably edema - are

delayed. I currently credit this to better drugs and supplements

working synergistically to keep my little liver cells happy. I would

like this situation to continue, however, as you point out, I may have

a sudden deterioration when the liver is finally overwhelmed by the

longterm exposure to backed up bile. For now, I continue to do fairly

well with itching and fatigue my biggest complaints.

You are not being dense, I just am not very exact. This is all just my

subjective felings about how I see PSC progressing. I would like to

hear what others - especially those who have received another

transplant due to recurrent PSC - view as the similarities and

differences between PSC the first time and PSC after a transplant.

Regards,

Tim R

>

> Tim, thank you........you are as always a fountain of info. Are you

saying that while the disease progress is faster there are little

symptoms as you progress into end stage? I'm not sure I understand.

Is it that it progresses so quickly that there is not the time for the

symptoms you mentioned to build up? Are you just suddenly very sick

having reached end stage without having realized just how quickly the

liver has deteriorated? Forgive me for my denseness............

>

> Suzanne

>

> RECYCLE YOURSELF * BE AN ORGAN DONOR

>

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