Saturday, April 18, 2009

Meetings

The Consultant caring for my brother asked to see us all as a family yesterday.

My mother, my uncle and myself met with The Medic, who was a sweet, kind, compassionate man and an exceptionally thorough doctor. Couldn't wish for a better person to be co-ordinating my brother's care.

The long and short of it is that they have managed to keep my brother's condition just about stable since his very close brush with death last Saturday night, but it remains a very uncertain scenario.

Things could deteriorate incredibly quickly. Hopefully they won't, but he wanted us to be aware and be prepared. He outlined the contingency plans; a variety of tests will be done over the weekend and the start of next week, and further treatment to support his borderline kidney function will then be possible.

If the kidney function continues to deteriorate, there will be very little else that can be done, as dialysis would not be possible under these circumstances.

The aim is to try to keep him stable and build up his strength, in an effort to get him well enough to be considered for a liver transplant in **several months** time, as at the moment, he would not be able to even survive the start of such an operation.

Needless to say, he will be in hospital for months to come. It is a very delicate balancing act between supporting the liver without compromising kidney function, and vice versa. Building up his strength will be a very difficult job, and he is going to need a feeding tube direct into his lower stomach/gut fairly soon.

Lord have mercy, Lord have mercy, Lord have mercy.........
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