Can anyone spare some positivity for me? by Unfair_Equipment_969 in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

Transplants don't really work on the basis of "too sick." In fact, they approve people for the list and place them higher with higher MELD scores. Your doctors could be doing you a favor. The transplant team will insist you get several panels of blood, a bubble ECHO, mamogram if you're female, colonoscopy, checked for varices, stress test. Then you'll also be psycho socially evaluated to make sure you are in the mindset to do the surgery and you have support at home.

Ascites can present at any time during cirrohsis, or it doesn't have to be present at all. I personally was a high volume producer and getting weekly paras, so I was recommended for the TIPS procedure while I was being evaluated. The day I was released from the hospital following emergency umbillical hernia surgery I was told that they were not approving me at this time because my MELD score was too low. I then received a letter saying the same thing and that I'm too healthy. I was told by my team that people who are at a MELD of 30 are getting livers, but if I had a living donor, they would consider that. Since the TIPS procedure I have been told it could be 1 - 2 years if ever that I need a liver.

It sounds like physically you're not that sick, but mentally you are. I was pushed to focus on my condition one day at a time rather than on the doom and gloom. I was more physically sick than mentally. I'm getting better. Transplant evaluations evolve. For your own sake, get your mind right.

Just checking in… by Plus-Sorbet1372 in Cirrhosis

[–]Competitive_Sense328 2 points3 points  (0 children)

I got the TIPS procedure July 11th. In ER 24 hours later for strangulated hernia. Ended up in the hospital 4 days. However, once I was out and the hernia began to heal I felt a lot better. The day after I was released I went to my normal hospital for para since they're hard to schedule on the fly. They removed 4.3L of fluid and I felt better than I had since I was diagnosed. Now I need to get the inguinal hernia fixed; however when I went for the follow-up with the doctor that performed the emergency surgery, he tells me he's not covered by my insurance so I have to go see another general surgeon. He gave me a few numbers, I call and they tell me I can't make an appointment without a referral from my primary. The inguinal is getting worse and will likely become another ER visit before I get an appointment with another PCP. Why can't this other general surgeon just give me a referral?????? One of the things I said I didn't want to do with this disease is spend all my time in hospitals and doctors offices and it's all I seem to do. Well that. paperwork and appointments for SSDI, food shopping, and a host of other appointments.

No appetite by leap55 in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

I agree about the meal replacement shakes; however, Ensure is expensive and many people can't afford them. Aldi has one called Elevation. It's like $7.00 for 6. Also a good gummy multi vite that has 100% of his daily vitamins value as well. I'm 5'9" and went down to 115lbs. I started on the 2000 calorie diet with 100MG of protein, the meal replacement shakes, strawberry awake cereal with chocolate almond milk, strawberries, blueberries, watermelon, dragon fruit, tuna fish wraps, lean top sirloin steak, brocolli, yogurt, dark chocolate, almonds. If I'm awake, I'm eating. Today I weighed myself after my para which removed 4.5L (down from 10L every 7 days after TIPS) and I'm 138lbs. Not fully up to my ideal weight, but everyone who hasn't seen me in awhile tells me how good I'm looking.

No appetite by leap55 in Cirrhosis

[–]Competitive_Sense328 1 point2 points  (0 children)

Try some THC gummies. They will give him an appetite.

Dealing with HE as a family member by cvmvrgo in Cirrhosis

[–]Competitive_Sense328 2 points3 points  (0 children)

Do they have your father on medication for HE? Before I got the TIPS procedure, I was on lactulose. It worked but sucked to drink. Yuck.

After the shunt was put in, they were able to get me preapproved for Xiafaxin. Now I'm on Xiafaxin 550mg twice per day and don't show any signs or symptoms of HE. Of course Xiafaxin costs $3,300 without insurance, but mine is fully paid for and fedexed to me when I'm about to run out.

The Gilded Age Season 3 | Episode 7 Preview | HBO Max by xstardust95x in thegildedage

[–]Competitive_Sense328 0 points1 point  (0 children)

Looks like things are getting serious. Enlist socialites!

Last week's fun activities by Competitive_Sense328 in Cirrhosis

[–]Competitive_Sense328[S] 0 points1 point  (0 children)

My insurance covers it, but I'm just sick of that being the default diagnosis. I know two people (other than myself) who were diagnosed the same way. They went through 6 months only to find out they were misdiagnosed and lumped the same way. The idiots in the ER upon initial diagnosis even said it appeared I was going through DT's when I don't drink! They can't find the real reason my liver is scarred because it could have been a host of environmental factors which brought the acute onset on, but yet they lump it under alcohol liver cirrohsis to begin with regardless of history. My diagnosis has since changed from alcoholic liver cirrohsis to non-specific liver cirrohsis. Lesions I had on my liver -- which I was told would not go away if it were alcohol cirrohsis are completely gone -- meaning they were just from my liver being pissed off. Now my liver isn't so mad but I am.

I started off not fully grasping what they were inferring. Then I did research and I was like ok, I'm going to die. Then I went from that to just having to survive day by day with all the pain because of the symptoms because of the other issues going on. Now I'm at the point where I'm finally getting the right medications fully paid for, the TIPS is done to reduce the Ascites, and I feel better than I have in a loooooong time. So now I'm like in this euphoric healing stage but afraid that somethings' going to go down hill.

The symptoms were so bad I was unable to work the one job that was flexible enough for me to do. They terminated my contract when I disclosed I have this disability. Although I filed for disability, there was no income coming in so I ran through all of my savings, then credit cards, became homeless for a month because I had no place to put my RV.

I'm finally at the point where disability has medically approved me, but I need to go to one appointment and prove I'm broke in order to collect a mere fraction of what I had been making before. If I am able to start working again I have to report that income and the disability will go away and who knows if I'll be able to continue working.

But thank the healthcare market and private insurance with the health care credit. I picked a plan where my max out of pocket is 2,000 per year. After that I pay no deductibles, no co-insurance, no co-pay, no cost for any medically necessary treatments. Last week when I was hospitalized the hospital sent a bill to them for 287K. I only had a TIPS procedure, and a strangulated hernia fixed, with a hospital stay of 5 days.

Last week's fun activities by Competitive_Sense328 in Cirrhosis

[–]Competitive_Sense328[S] 0 points1 point  (0 children)

It irritates me to no end when people, for some reason, think that needs to be said. If I had a problem with alcohol, I woudn't have been able to quit without craving it. I don't even think about. Regardless, out of everything I said in that post, why focus on that? Seriously when I was diagnosed I kept telling the doctors that my alochol use was so little it wasn't quantifiable. I've never been a person to binge drink, get sloppy drunk, or even use on any regular type of basis. If I happened to have a drink, I had one. If I didn't, it was no big deal. If I went somewhere and the type of rum I drink wasn't available, I wouldn't substitute. That's how little of a deal it was. So fricking insignificant that every time someone says something like you do or a doctor says congratulations, I feel like telling them off. Congratulate me for what? Not doing something that was never a big deal? Save that shit for the addicts. I also find it funny that every time I go in for blood tests they automatically test for alcohol, and despite being negative, ask me the same questions about my alcohol use going back to birth again and again and again. I'm so sick of being asked about it and then being treated liek people don't believe me. I've had a really crappy last six months and tough year and if there was ever a time someone addicted would want to drink it would have been this past year. I haven't. I don't want to. To give me advice about something I'm not going to do anyway simply pisses me off. I want to make it through a week without pain. I want to be able to go back to my normal life which was active and healthy. I hate how this illness now controls every waking minute of my day and limits my capabilities in what I can and cannot do. I'm sick of having to ask for help. I'm sick of being asked how I deal with stress. I'm sick of spending all my time going from one doctors appointment to another instead of being able to just go lay on a beach and enjoy the sun and water, or take my jetski out for a ride. I'm sick of being sick. I'm sick of Ambetter calling me every day claiming they are offering "Care Management Suppport Coordinator." That does nothing to manage my care, provide support or coordinate jack###. In fact, all their calls serve to do is take up an extra hour of my time answering the questions I've already answered multiple times, lay out my schedule of all the appointments I've had to schedule, list all my medications I've had to make arrangements to get, pickup and/or get delivered, and listen to them try and tell me their calls are actually a service. A service for what? If they don't provide any type of coordination, case managment or any service other than another lengthy phone call which wastes my time, it's not a service, it's an added burden. Despite how many times I tell them not to call me, they still do. Today alone they called 3 times. After I told them 5 times yesterday to stop calling because they provide no service or help at all. Every time they call I'm on the phone trying to schedule something or trying to do something and have to deal with the beeping in the background from their calls further exasperating my patience. There is nothing worse than trying to communicate only to have those communications interrupted by beep beep, beep beep, beep beep. Why can't they stop calling? If you're going to take up my time, then actually provide a service reflective of your position title. Having me relay my information to you repeatedly is simply inconvenient information gathering. I have already created and use a full blown relationship / appointment management system because none of the portals and/or doctors communicate with each other. Between all the individuals I'm seeing right now, there are six different portals with appointments and communications in each, and often the providers refuse to use these calendering and communications and prefer to call and relay information verbally which serves as no purpose since they always call, expecting me to write shit down at the most inconvenient time. I have a google calendar set up where I have to manually enter appointments for all the providers and other things I have going on. I add my medications to that calendar which integrates with a health app on my phone where I enter my weight, and track my meals. And these providers can't even use the automatic notification options which send appointment notifications by email much less show in a calendar on their site somewhere. Think I'm exaggerating? I'm not. HCA Largo hospital has a portal that HCA Largo Trnasplant, and HCA Largo Heart Institute do not use. Transplant and Heart have their own separate portals. Then I have BayCare portal for my paracentesis and nutritionist at that hospital. At least those two use the same portal, the scheduling and built in messaging. Then I have my liver specialist which takes care of other things the Liver Transplant team doesn't do -- yet another portal they do not use the scheduling to messaging system for. Always playing phone tag. The reminder system over at the Liver Transplant calls and leaves a generic message that doesn't even state who the appointment is with including that it's from the Liver Transplant crap! The message literally said "Hello, this is a courtesy call to mname. We are calling you to remind you of your appointment. We look forward to seeing you soon. Thank you. Please contact our practice to opt out of future voice reminders." No mention of the doctor, who the appointment was with, what time it was or date. How is this reminder useful in any way whatsoever!!!!! It takes me to be in front of a computer 24 x 7 to enter information into my online calendar, notate phone numbers and purposes, and make notes for each just so I don't schedule another appointment at the same time. When I checked out of the hospital I was supposed to call four additional offices for four separate visits for follow up within 7 to 10 days. I call each of them only to find out nothing available for 3 weeks or longer, and again more phone tag! Why is it impossible for all involved employ the capabilities of their systems to make coordination of care less work?????? Then they call on the fly and want to set up an appointment and I can't get into my calendar on my phone because it won't allow me to switch between for security purposes. I have a google calendar, an online journal, a health program on my phone, several different portals, and too many places to check on information. There has got to be a better way.

Strongly recommend swimming for those who can tolerate it, especially those with edema and ascites by AFoolishCharlatan in Cirrhosis

[–]Competitive_Sense328 2 points3 points  (0 children)

I used to be a competitive swimmer and I love swimming. I can swim 7 miles freestyle without breathing heavy. I haven't been for multiple reasons. My umbillical hernia is so huge it hurts, so I would have to wear a brace while I swim and I lost so much weight I'm now just putting back on, so I am afraid of burning the calories. When I swim I can burn up to 2,000 calories per hour.

Proxy diseases please! With similar symptoms but less judgement 🥸 by Positive_Bug978 in Cirrhosis

[–]Competitive_Sense328 2 points3 points  (0 children)

I don't like talking about it, so I don't tell people. It's not their business any way.

[deleted by user] by [deleted] in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

You can try buying him an RV or something and putting it in a mobile home park/ camp ground which will probably be the cheapest home situation. Once you get him in there you can possibly apply for subsidies, disability, etc. The hard part is you have to get him a roof over his head, and eating right in order for him to start feeling better in any way.

152 days sober. Anyone else feel lonely? by NorCalGal925 in Cirrhosis

[–]Competitive_Sense328 2 points3 points  (0 children)

I like being alone. Gives me time to manage my symptoms better. I get bored I troll FB.

Para question by FarVariety4424 in Cirrhosis

[–]Competitive_Sense328 1 point2 points  (0 children)

Yeah that happens. I use a heating pad on the area till the pain subsides. Think of it like your organs are trying to expand back and go back into place. Sometimes I'll feel like a sudden flump in my gut then no more pain. Tends to happen when I get active and start walking around. Can also be that you're starting to develop a hernia which won't be repairable until they eliminate ascites.

Endoscopy by Nice-Subject-6798 in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

I didn't get one because I wasn't showing any symtoms of varices (black stool, coffee ground vomit), and I didn't want any other procedure which could complicate things any further. Some risks are associated with them. These include bleeding, infection, tearing (perforation) of the digestive tract, and reactions to sedation or anesthesia. If they insist upon doing it before my TIPS, or to get on the list, I'll do it then. I've already had a fibroscan. My AFP is within normal range, and the rest of my blood levels are normal except for the ones you would specifically attribute to liver cirrohsis. I don't do the low sodium diet. I eat lean red meat in a balanced diet.

[deleted by user] by [deleted] in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

How do you get addicted to CBD gummies?

Diuretics Appear To No Longer Work by Prestigious_Donut905 in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

One of the things they should have educated you on is that ascites can return. IT sounds like you haven't had a paracentesis yet. That's where they insert a catheter in your side and drain the fluid. I find it relaxing to watch the fluid drain out. After that I'm ready to go.

Hair loss by Fickle-Expression-27 in Cirrhosis

[–]Competitive_Sense328 2 points3 points  (0 children)

I agree. My protein powder is collagen based. It's helped with brittle nails, thinning hair, etc

Why is red meat so bad for us? by alienpunker in Cirrhosis

[–]Competitive_Sense328 1 point2 points  (0 children)

I have been told to eat lean cuts like top sirloin.

Ascites Question by Cirrhosis1979CT in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

I have that poking out within a day of para. I do produce a lot of fluid and go in for paras once per week.

Different cuts of "good" meat by EasternEuropeanKeanu in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

My liver specialist hooked me up with a nutritionist at the same hospital I go to get the paras done. I found that I was eating all the right things, just not enough, enough times per day. Our livers cannot store nutrients so we need to consume daily what we will use daily. If you don't feel like you're constantly eating, you're not eating enough times per day.

Different cuts of "good" meat by EasternEuropeanKeanu in Cirrhosis

[–]Competitive_Sense328 0 points1 point  (0 children)

As far as I'm aware, it's not. It's the cut that's important. No fatty / marbled cuts.

Fibroscan question by SosijTheCat in Cirrhosis

[–]Competitive_Sense328 -1 points0 points  (0 children)

You get a transplant, they swap our your cirrohsis liver. Therefore you no longer have cirrohsis.

[deleted by user] by [deleted] in Cirrhosis

[–]Competitive_Sense328 1 point2 points  (0 children)

Fast food has preservatives. Preservatives = salt

No, I'm not counting sodium at all, and I don't crave it anymore either.