My husband is going to be taken off the liver transplant list because he still continues to drink. It is his choice says he. But as his spouse what signifant health issues will I be expecting?
Person's Gender: Male
Person's Age: 65
I have tried to have him consider the outcome if he continues to drink but that didn't go anywhere. I just need to know whats next?
HI, Thanks for your question. My name is XX XXXXX and I am here to help you today with your question. I will be happy to assist you with your follow up questions also. I need few details.
What is the diagnosis for which he is going to have a liver transplant.
i mean for which he was on list actually?
He has Circois of the Liver.
oh i am sorry to hear about this.
When he was going to get operated?
His MELD score was once up to 21 but that was several months ago. Now it is around 13. He had a TIPS procedure done n March so he's not needing fluid removed at this time.
Does he has any symptoms of cirrhosis like ascites etc?
ok i got it.
Yes. But the TIPS is helping with that. But his memory isn't the best. He has no energy, talks about that he is going to do but that is it.
Actually liver cirrhosis and drinking goes side by side. if someone has stage 4 of cirrhosis, the further prognosis depends on the single factor that whether that person continue to drink or not.
If he doesnot drink then chances are 80% for 10 year survival.
But if he continue to drink then definitely the disease will start progressing and the final result can be progression to complications.
I am really sorry for all this but i have to be clear that if he continue to drink the prognosis is bad.
Right now the point is not this that he should drink or not, the point is how to stop him from drinking.
Have you talked to his doctor about referral to Councillor or psychiatrist?
He is going to a therapist. He has lied to him about the drinking. But now after an accident which he had to go to the emergency room his therapist and his family doctor as well is aware of his drinking. But he refuses now to keep any follow up appointment to them.
Yes one thing i would like to address specifically that if he continue to drink this can result in complications such as portal hypertension, ascites, encaphlopathy and even liver cancer can develop from cirrhosis. Sorry but i have to tell you all that. You have to convince him and should consult his therapist again and may be he might find a way to council him.
But as you asked that what can you expect, if he continues to drink, i have answered it above.
Again sorry to say so but this is true.
He is suffering from all you mentioned except the cancer at this point. So you think I should call his therapist and ask if he can find a way to council (speak) to him?
Yes you should ask his therapist to council him because they can do it better than the family person.
But you still have to play your role.
It would have to be a phone call for now!
I really wish him all the best of luck for all.
yes phone call for now but later therapist can suggest some way.,
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