The decision to be on a liver transplant list or not.

Posted by ran73 @ran73, Oct 27, 2023

Hello all,
This forum is so helpful with information on a subject that I'm relatively new to.
I'm a healthy (other than liver) fit, active 73 yr. old female. After years of daily cocktails and decades of unknown Hep C & B my liver didn't stand much of a chance. I was asymptomatic so easier to stay in denial about the damage I was doing. I'm now 27 months sober, a non smoker with an extremely healthy diet designed to be liver friendly. I've lost 70 lbs, no longer overweight and jog 45-60 min. daily. My heart, lungs and kidneys are healthy. I'm not diabetic. I haven't felt better or had more energy in many years.
Six months into sobriety I did full disclosure about the drinking to my primary physician who initiated the labs that led to the discovery of both hep c and b that apparently I had for decades. Antiviral treatment has cured the hep c. The hep c remains inactive. More labs and imaging led to my Hepatologist's diagnosis of stage 4 cirrhosis with HCC. That was a difficult revelation, but to be expected.
Two weeks ago microwave ablation was done on a tumor, my first and hopefully last. The surgeon strongly recommended putting me on a transplant list, because he foresees tumors in the future and this liver eventually failing. That was another shocking conversation. I didn't think a transplant was needed or even possible considering a meld score of 9, my age, compensated cirrhosis and the fact that I've not been ill and feel really good. My hepatologist has not recommended transplant so this has been confusing.
The hepatologist hasn't changed his position since the ablation. He's ordered a CT angiogram every 3 months, supports a "wait and watch" approach with transplant as a last safety net.
Needless to say, I'm all for his advice as is my 83 yr. old husband who is dependent on me to be our household administrator. Asking him to take on the responsibilities (and stress) of a transplant caregiver
seems impossible and unfair.
So that's my tale of woe. Not nearly as difficult as many here. I'm grateful for all I've had in this life and will keep putting one foot in front of the other with fingers crossed for a few more healthy years.
I'll continue to educate myself from the experiences of everyone here.
Thanks for listening.
Randi

Interested in more discussions like this? Go to the Transplants Support Group.

@phillydawg

70 male discovered 3 cm single HCC tumor on routine scan. Past Hep C that was resolved 20 years ago. Feel great, labs all good. Had TARE 6 months ago that killed the tumor and left a small crater. Did all of the testing to qualify for transplant listing since the Hepatologist and the Radiologist said the cancer will most likely come back and that transplant is the only potential cure. MELD at 26. Not sure what to expect.

Jump to this post

@phillydawg, I read in another post you made that your doctor said to expect the call for a transplant within 6=18 months. That's great.

Here are a few discussions that might interest you and help to know what to expect:
- Anyone waiting for liver transplant and diagnosed with liver cancer?
https://connect.mayoclinic.org/discussion/liver-transplant-6/
- Packing question: What did you have ready for "the call"?
https://connect.mayoclinic.org/discussion/packing-question/
- Waiting for the Call: What needs to get done at home before you go?
https://connect.mayoclinic.org/discussion/waiting-for-the-call-what-needs-to-get-done-at-home-before-you-go/
@phillydawg, have you got a caregiver to support you through transplant? Any other questions about what to expect?

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