Liver transplant - Let's support each other

@christinelouise I am not sure of exactly what you mean. I was in a hospital a number of times pre-transplant, for short stays. A few hospitalizations were due to HE episodes, and then a couple were for other problems, like very low blood counts -- hemoglobin and hematocrit. Those numbers were so low that the doctor at my local ER said I could have gone into cardiac arrest. I was sent by ambulance to Mass General and had a few transfusions which solved the problem.
I was only Mass General for six days following my transplant. I'm sorry that you were in for so long, what was the cause of that? I can't imagine being in a hospital for six months. When was your transplant and how are you now?
My experience was very positive. I recovered amazingly quickly and have felt great ever since. I feel very blessed to have been given this second chance at life.

@luckonetj Having a potential rejection must have been scary. I am glad you are doing well now. I am thankful that my new liver and I have gotten along well right from the start. The only problem I have had was that tacrolimus was causing my creatinine to go high so first, they had me drinking 80 - 100 ounces of fluid a day. That didn't have the desired results so they then changed my immunosuppressant to sirolimus. That has worked out well. I do still drink all of that water.
I have never heard of a hospital being selected for a patient. What state are you in? My transplant was at Mass General and from what I know the patient chooses the hospital where they want to be listed. There are four hospitals in MA that do adult liver transplants, two in Boston, one in Burlington, and one in Worcester.
JK

@christinelouise I to have higher creatinine levels with Tacrolimus just past the normal range. I'll mention sirolimus to my nurse next time. They attributed the hi levels of creatinine to the Antiviral I was on. I do have to drink more water during the day. Doctors orders.

@luckonetj My creatinine levels were up around 140 and even some times up to 150. That was why I was switched to sirolimus. I actually like the sirolimus more because I only have to take it once a day and I choose to do that in the morning about an hour or more before breakfast. As with tacrolimus, you can take it with or without food but you must be consistent. If I had to take a second dose later in the day it would be more difficult for me to be consistent, especially when we are in a different time zone. I like taking it without food because I was able to lower my dosage from 4mg to 2.5mg. Anytime I can take less medication I consider it a win.
JK

I too am a pre-liver transplant candidate and have just as many questions, however, I wanted to introduce myself. Taylor is my nick name, I live in very rural part of Michigan with my husband, a dog and a cat. Now a Real Estate Agent, I was a Restaurant/Bar owner and in the business for 30 years. . Just never thought Liver Disease would slowly creep in and take over my body without feeling or knowing a thing. Scary! I am in my 4th year with end-stage and getting more and more scared. My meld score went from a 16 down to a 10, 2 years ago, however I am scheduled for a current assessment and labs to determine if it has gone back up. My symptoms slowly returning are telling me to get the transplant process moving. Waiting on a number is insane.

Hi and keep strong. I'm a post transplant patient. Are you having any problem with fluid build up? I sure did. Talk to your Dr's. They can petition you to get higher up the transplant list based on your situation.

Thanks and yes. I struggle with even wanting to eat sometimes. I only weigh 125. I lost another 3 lbs. this week. Thank you for the encouragement. so needed and appreciated. Congrats on your recovery! Gives me hope!

Tayloryvette, I am post transplant and lived with liver disease for 10 years from the first signs that was a almost fatal esophageal varasies to acites 10 years later. I lived with a MELD score in the teens for Years. Acities kicked in 6 months before my transplant . I went about my daily life until I had sever flue like symptoms at which time I was addmited to the hospital and then transferred to the transplant hospital. It sounds like you already have selected a transplant hospital so you should be in good shape. It's a good thing that you are reasonably heathy with a lower Meld score. Good luck.

Taylor, hang in there. I now live in Las Vegas, however since liver transplants are not available in Nevada, I started researching transplant centers. For me I chose the MAYO in Phoenix and started the getting ready tests in Feb. of this year. I was almost complete (Stage 5 Kidney Disease and non-alcoholic cirrhosis of the liver). After a long story, I'll skip - I was emergency transferred from Las Vegas to Phoenix. Had my last test (angiogram - if you don't pass - no transplant - and was sent to my accommodations. That Night after being on the list for just a few hours - they had a donor that was an exact match. My liver (I'm only 6 weeks out) has been normal almost no pain - my kidney is another issue. Get to a Great transplant center and ask approximate waiting times. Here in Phoenix it's usually months - instead of years elsewhere Also look at their success rate now and several years out. Do not delay.

Tayloryvette, Taylor, I am sorry that you are going thru this miserable time. Are you currently under the care of a liver specialist? What is the diagnosis for your liver failure?

@suzeaz, Welcome to Connect. How long ago did you receive your transplant? How are you doing now?

You are absolutely correct to encourage patients to talk with their doctor. Liver disease and transplant require a team effort between doctors and patient.
@tayloryvette, Here is some information about the MELD score written by the transplant staff that supports your menton about petitions by the doctor in some cases.
Pages>ransplant>The MELD Score: Definitions and Frequently Asked Questions
https://connect.mayoclinic.org/page/transplant/newsfeed-post/the-meld-score-definitions-and-frequently-asked-questions/