Liver transplant - Let's support each other

You made such a good point. We don't realize the powerful mess we take. Yikes! But thank God for them.

I did not realize how much the Prograf had affected me, as I have been taking it for 10 years! This has been my recent experience with it. Everyone noticed the positive change and I felt more like my old self again, although I know aging may affect it. Your body may react differently. My dose was decreased dramatically. Currently dose is back up and Cellcept added due to liver and kidney issues. I think we tend to forget what powerful meds we take.

I did not realize that Prograf effected mind clarity. I had my dose increased by .5 per day several months ago. I have felt mental clarity diminished. I attributed it to getting older.

Thank you for your comment. I will talk to my Dr's.

Mayo in Phoenix has taken care of me since 2008 and I have the greatest respect for them. Saved my life more than once. Thanks for sharing your experience.

HE is very scary stuff. After the critical condition I was in prior to my second liver transplant, I have noticed some small cognitive changes. I attribute some of that to Prograf. When my dose was lowered my mind cleared, as a fog lifted.

My HE went to the Coma stage twice. Once after I was misdiagnosed as a stoke case in Las Vegas, before they found my HE, and the second time a year later, near when I was completing the testing for a transplant. They moved me from Las Vegas to Phoenix without me knowing until a day later when the Mayo stabilized me. It still took days for me to answer simple questions. Everyone should stay with it. I'm now doing fine after receiving my transplant. It will be worth the effort. Rest and keep your spirits up, for there are highly trained professionals at these major centers that deal with all situations daily.

@gaylea1 Oh my goodness, you have been through some nightmares. I hope your upcoming procedure is less painful. I can understand your apprehension. I have been very fortunate in not having any post-transplant problems.

@joanaiken I never got the to coma stage with my HE episodes but I remember clearly one where I was sitting on the sofa and completely uncommunicative. It was like watching things going on outside and beyond me. My husband called our friends over, he is a doctor, and he told my husband to call an ambulance. I was basically catatonic. Such scary stuff.
JK

Just please tell them that you have issues with versed. This is what they typically to use. It is "consciese sedation" which means you will be awake but you won't remember anything. I always go full sedation with propophol. They don't like to do that because you an anesthesiologist, but it makes it far more comfortable.

While I have never had an ERCP, I have had many EGDs to have varices banded. They do them under Verced, but I never tolerated it well so I was put completely under with Propophol. Never a problem after that.

I have had ERCP's at 3 different locations. And each time I was given an IV sedation. Propofol is the name that stands out in my mind. However whatever I had for my early ones at 1st location left me feeling nauseous the entire next day.
Always, it was my doctor and anesthesist who had the final say in how I would be sedated.
@gaylea1, I hope you have a better experience this time.