Cirrhosis of the Liver: What to expect when waiting for a transplant?

Posted by mylifebe4u @mylifebe4u, Nov 7, 2022

Hello - This is my first time to do this; however, I'm looking for some possible advice. I am 54 and have always been very healthy. I started feeling bad back at the end of May when I decided to go to an Urgent Care center to be looked at. They took blood and when I received the results, it said that my Liver levels were in critical state and to go see a Dr. I did. They took more blood, did an Ultra Sound (which was normal), did a CT scan and did a Biopsy. The results: Stage 4 cirrhosis of the Liver. They have no explanation as to how I got it. I don't drink, it's not hereditary and I'm not over weight. It's now November. They referred me down to a larger University Hospital to see a better specialist; however, I cannot get in until Dec. 8th! I am scared! How long can I last waiting to be seen? What should I do in the mean time? I did some reading and I have cut almost everything out of my diet and with that, I am feeling a whole lot better but I know I still need a Transplant and need to get in. I'm (and my husband & family) are going crazy waiting. Would really appreciate and and all help. Thank you!

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

@jazzmanfla

I live in Bradenton, FL. Mayo Jax is 6-8 hour drive depending on traffic. Not seeing doctors. Having blood tests, imaging and transjugular liver biopsy over 2 days. Been there before for cardiac issues. Thanks.

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@jazzmanfla, Let's cross our fingers for light traffic and no rain for your driving. I'm 2 years older than you, and I don't like traffic or rain, especially on a long drive or in an unknown area.
So, were your test results ordered by your local doctor? Will he/she be the one to explain what the results mean for you?

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@jazzmanfla

I had a Fibrosure blood test that indicated that I had F 4 Cirrhosis. I have read online that this is a highly reliable test for cirrhosis. Does anyone know anything about the Fibrosure test? I am scheduled to have an MRI, blood tests and liver biopsy at Mayo soon. I have also read that the Fibroscan test is more reliable than a biopsy in diagnosing cirrhosis because the Fibroscan gives the "big picture" of the liver while the biopsy only tests a small sample of the liver. Does anyone know anything about this?

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Had video appointment with Mayo Hepatologist who reviewed previous test results ordered by local doctor.

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@jazzmanfla

I live in Bradenton, FL. Mayo Jax is 6-8 hour drive depending on traffic. Not seeing doctors. Having blood tests, imaging and transjugular liver biopsy over 2 days. Been there before for cardiac issues. Thanks.

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@jazzmanfla, I have been wondering about how your travel and test procedures went. I hope that everything went in a routine fashion with no discomfort or surprises. When will you do a follow-up with your local doctor?

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@jazzmanfla

I had a Fibrosure blood test that indicated that I had F 4 Cirrhosis. I have read online that this is a highly reliable test for cirrhosis. Does anyone know anything about the Fibrosure test? I am scheduled to have an MRI, blood tests and liver biopsy at Mayo soon. I have also read that the Fibroscan test is more reliable than a biopsy in diagnosing cirrhosis because the Fibroscan gives the "big picture" of the liver while the biopsy only tests a small sample of the liver. Does anyone know anything about this?

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Everything went ok. Biopsy not as painful as I expected given that they basically stick a fishing pole down your jugular vein. Although blood tests and imaging done in my town indicated that I had Stage 4 Cirrhosis, the liver biopsy at Mayo said I had Stage 2 Fibrosis. Fibrosis is scarring of the liver. Stage 0 is no scarring, 1 is mild scarring, 2 is moderate scarring. 3 is advanced scarring and 4 is cirrhosis. So I am better than I expected to be. I have an appointment with Hepatologist 12/7 to discuss the diagnosis and what I can do to stop the progression to cirrhosis. There are no medications available to eliminate the scarring and once scarring has occurred the liver cannot regenerate the scars away. So I will see what he says. Thanks for asking.

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@jazzmanfla

Thanks for your reply. I am going to Mayo JAX 11/16 and 11/17 for tests, radiology and transjugular biopsy. While I do not have the more serious symptoms associated with cirrhosis, I DO have occasional slight dizziness and a marked increase in pain right in the middle of the chest in my sternum. I know that my liver is enlarged and perhaps this pain is associated with that. I went from being fat my whole life, to metabolic syndrome, to diabetes, to fatty liver, to NASH and now cirrhosis. In addition to the fear, I have a great deal of guilt and self-castigation about my situation. I feel like the guy who smoked 4 packs of cigarettes for 60 years and gets lung cancer. I have a counselor who keeps telling me that I must not look back and must move forward to further diagnosis and treatment. But I cannot seem to stop thinking like this. I basically feel that this is a self-inflicted wound and that nothing can change that fact. I am 70 years old and live alone. So, I have no support at all. And that doesn't help things. I know that there is nothing you can do about what I have said here. But you asked me and I have laid it out here how I am feeling. Thanks.

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@jazzmanfla I agree with @ken82. I apprecaite it is dificult but try to focus on any positive aspect of your life. My husband is an accute cirrhosis patient - alcohol induced. We've been through a very dificult 4 years of him developing large volume ascites, HE, seiure, varices, some malignancy in his liver which thankfully seems to have subsided after one radiation therapy. He also deeloped both umbilical and inguinal heria. teh latter which is very uncomfortable and cannot be repaired until he gets a new liver becaue of his ascites. He used to be a very active and physically fit person but the hernia stops him from even basic walking exercises. However we try to stay positive and focus every day on the good things we do have in our lives - family, a roof over our heads, food on the table, easy access to nature and medical treatment available to us. It's tough living alone but try to find comfort in music which today is wonderfully aviailable to us as no cost through Spotify, Soundcloud, MixDJ, Youtube etc. so many music Apps! We are in our 70's and when I feel down, music is a huge help. My husband ops for a good movie or education documentary which again are so easily available. I see your post is from November (I have just joined this group), but hope that you have been able to find comfort through something which you love.

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@marinab

@jazzmanfla I agree with @ken82. I apprecaite it is dificult but try to focus on any positive aspect of your life. My husband is an accute cirrhosis patient - alcohol induced. We've been through a very dificult 4 years of him developing large volume ascites, HE, seiure, varices, some malignancy in his liver which thankfully seems to have subsided after one radiation therapy. He also deeloped both umbilical and inguinal heria. teh latter which is very uncomfortable and cannot be repaired until he gets a new liver becaue of his ascites. He used to be a very active and physically fit person but the hernia stops him from even basic walking exercises. However we try to stay positive and focus every day on the good things we do have in our lives - family, a roof over our heads, food on the table, easy access to nature and medical treatment available to us. It's tough living alone but try to find comfort in music which today is wonderfully aviailable to us as no cost through Spotify, Soundcloud, MixDJ, Youtube etc. so many music Apps! We are in our 70's and when I feel down, music is a huge help. My husband ops for a good movie or education documentary which again are so easily available. I see your post is from November (I have just joined this group), but hope that you have been able to find comfort through something which you love.

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Maria, I love your message to @jazzmanfla. Judging from your username, JazzmanFLA, it sounds like you, too, like music. Are you a listener? A player? Both?

@marinab, there is a great discussion on Connect and the healing help of music that you both may appreciate.

- Music helps me https://connect.mayoclinic.org/discussion/music-helps-me/

What’s your favorite genre of music?

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@colleenyoung

Maria, I love your message to @jazzmanfla. Judging from your username, JazzmanFLA, it sounds like you, too, like music. Are you a listener? A player? Both?

@marinab, there is a great discussion on Connect and the healing help of music that you both may appreciate.

- Music helps me https://connect.mayoclinic.org/discussion/music-helps-me/

What’s your favorite genre of music?

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@colleenyoung thank you for the link - will check that out too! Music is a great healer! I personally like most music genres, from deep house, soul and the dance genres to, jazz, classical and opera. Unti recently I was in the club business. The only exception which comes to mind is country music - a bit too depressing LOL!! Although I do like KD Lang.

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@jazzmanfla

I had a Fibrosure blood test that indicated that I had F 4 Cirrhosis. I have read online that this is a highly reliable test for cirrhosis. Does anyone know anything about the Fibrosure test? I am scheduled to have an MRI, blood tests and liver biopsy at Mayo soon. I have also read that the Fibroscan test is more reliable than a biopsy in diagnosing cirrhosis because the Fibroscan gives the "big picture" of the liver while the biopsy only tests a small sample of the liver. Does anyone know anything about this?

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I just found out yesterday a scan I had in June showed I’m know at stage 4 cihorosdis of liver . I’m scared and want to go to
Mayo Clinic for second opion , can anyone guide me in first steps to take ? I’m so stressed I can’t think straight about what to do next . Arkansas girl

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@darrindaeddins1981

I just found out yesterday a scan I had in June showed I’m know at stage 4 cihorosdis of liver . I’m scared and want to go to
Mayo Clinic for second opion , can anyone guide me in first steps to take ? I’m so stressed I can’t think straight about what to do next . Arkansas girl

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Good morning, @darrindaeddins1981, anytime we get an unexpected diagnosis it throws us into a tailspin!
Welcome to Mayo Clinic Connect where you’ll find other members who also have cirrhosis of the liver in the Digestive Health group.
https://connect.mayoclinic.org/discussion/cirrhosis-of-the-liver-1/
Getting a second opinion is always a good idea and Mayo Clinic is a great choice.
This link will take you to the Mayo Clinic home page where you can select the Mayo Clinic nearest you. There are campuses in Jacksonville FL, Rochester MN and Phoenix AZ. http://mayocl.in/1mtmR63
Call the number for the campus you’d prefer and the coordinator who answers will help you get started.

Also, there is a Mayo Clinic Network medical facility in Arkansas who meets the standards of Mayo to become one of their affiliated families. I posted a link to that clinic.
https://www.unity-health.org/
I know this is a very frightening time for you. But knowledge is power so take your time, ask questions of your doctors. What treatment has been discussed for you?

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@darrindaeddins1981

I just found out yesterday a scan I had in June showed I’m know at stage 4 cihorosdis of liver . I’m scared and want to go to
Mayo Clinic for second opion , can anyone guide me in first steps to take ? I’m so stressed I can’t think straight about what to do next . Arkansas girl

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Hello, I am glad you found us - liver failure is indeed serious, and I understand you feeling scared. There are many helpful people here who can share your journey with this diagnosis.
As for seeking an appointment, here is a link that will take you to the screen for requesting an appointment: http://mayocl.in/1mtmR63
There is also a little blue icon in the lower right of the screen that you can click to get to the same screen.

You will need to enter some information about yourself, your condition and insurance. Then Mayo will contact you to consult by telephone, and offer you an appointment in the appropriate department and location if it is determined that they can offer a good care option for you. You can also request that your primary doctor, or whoever informed you of your condition, make a referral for you.

Do you have an idea which location would be best for you?

Sue

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