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post liver tranplant complications & heart and respiratory disorder

post liver tranplant complications & heart and respiratory disorder

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Posted by Grace on July 23, 2000 at 16:33:40:

My father is a 51 year old post-transplant patient. He has suffered from cirrhosis of the liver for approx.
20 years and was recently diagnosed with cancer of the liver as a result of the cirrhosis. On 4/27/2000,
he had a successful liver transplant. The new liver function is normal. He has been experiencing many
post-transplant complications.

Since the transplant, my father has been on many medications such as antibiotics, immuno-suppressants,
anti-depressants, and diuretics. He is now only taking anti-depressants, immuno-suppressants, and diuretics,
with the addition of a blood pressure medication.

Currently, his liver and lungs are normal. His kidney function was already less then normal prior to the transplant.
Approx. two and a half weeks post-transplant, he underwent an intestinal perforation due to a colonoscopy.
An emergency operation was performed to repair this accident.

Since the transplant on 4/27/2000, he has been in the Intensive Care Unit for 3 months, and has had fluid
retention on his lungs, especially on the right lung, as well as all over his body during this entire time, and
a difficulty in breathing, and is experiencing more coughing. Three procedures to extract the fluid off of his
lungs has been performed and also diuretics has been given, with no lasting results. At the present time,
he is still suffering from excessive fluid retention on his lungs. His doctors has made it clear to us, the
family, that they don't know the cause of these symptoms or of a plan of treatment for the fluid retention and
other complications that are thought to be related to a disorder of the central nervous system.

It is suspected that due to the persistent problem of fluid retention on the lungs, his heart function has
deteriorated from a 65% in May 2000 to only a 20%-25% function compared to what is normal. His
kidney function also has worsened. He once produced almost no urine for 4 days. His blood pressure
has been fluctuating, going from his usual 140/80 to what is now 90/60.

At this point in time, my father's doctors can not diagnose the cause of fluid retention. They are not certain
as to whether the fluid on his lungs is causing his heart's decreased function or whether the heart problem
is causing the fluid retention. But we do know that his heart function was perfect before the transplant.

If anyone has any thoughts or input on my father's condition, please respond. Thank you.

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