In My Shoes: Pulmonary Doctor Called

Thursday, February 21, 2008

Pulmonary Doctor Called

Well the pulmonologist called the the right heart cath exercise test is now going to be done. It will be the easier of the two tests, in that she will only have to lift IV bags rapidly rather than ride an exercise bike. They will be giving her at least 2 units of platelets. He is also asking that she goes back to UCLA liver transplant clinic. So I suggested that he and the regular liver doc talk to each other ( I called and told the liver doctor what was going down.) The pulmonologist said there is still a real possibility she has pulmonary hypertension. Please pray this is not true...if she has that then there will not be any transplant and this road will have developed the worst road block there can be. It would be a complete nightmare. So pray everything comes out ok. I don't want this to be the end of the road!

Peg

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Biliary Atresia

Biliary atresia is a condition in which the ducts that carry bile from the liver to the gallbladder and small intestine are not normal. These ducts can be injured, blocked, or missing. When the ducts that carry bile out of the liver are closed, bile backs up and damages liver tissue. In time the liver can develop scarring or cirrhosis. The gallbladder may also be abnormal or missing. The cause of Biliary Atresia is unknown. It occurs in one infant in every 15,000 live births. It is a serious disease which requires immediate surgical and medical treatment.

Arteriovenous Malformations AVMS

I have been diagnosed with AVMS in my lungs do to my liver disease. These have caused me to have 2 lung bleeds which were very scary. I still have more AVMS and they are causing me breathing problems. Below is an explanation of what the AVMs are and a picture of what is happening in my lungs.

Arteries and veins are part of the human cardiovascular system. Normally, the arteries in the vascular system carry oxygen-rich blood at a relatively high pressure. Structurally, arteries divide and sub-divide repeatedly, eventually forming a sponge-like capillary bed. Blood moves through the capillaries, giving up oxygen and taking up waste products from the surrounding cells. Capillaries successively join together, one upon the other, to form the veins that carry blood away at a relatively low pressure. The heart acts to pump blood from the low pressure veins to the high pressure arteries.
If the capillary bed is thought of as a sponge, then an AVM is the rough equivalent of jamming a tangle of flexible soda straws from artery to vein through that sponge. On arteriogram films AVM formation often resemble a tangle of spaghetti noodles. This tangle of blood vessels forms a relatively direct connection between high pressure arteries and low pressure veins.
The result is a collection of blood vessels with abnormal connections and no capillaries. This collection, often called a nidus, can be extremely fragile and prone to bleeding.