End Stage Liver Disease

A chalk-talk based video reviewing the evaluation and management of End Stage Liver Disease, for use in Wards and Outpatient settings

[@AbdulazizAsiry]

That is the best explanation ever I have ever had for the cirrhosis management and complication thank you so much for a well explained topic. Thank you again.

[@mikemassino]

Outstanding presentation of a complex topic. Thank you.

[@pamferrari9815]

excellently informative; thank you.

[@KEVINELFD]

excellent over view of the situation.

[@gme5400]

I’ll be sending this to my husband’s doctor. Thank you.

[@jimhowaniec]

Lost my kid brother to this in January, very painful. thank you for this presentation.

[@CajunA79]

I'm about to lose my brother to this too.

[@jimhowaniec]

@@CajunA79 I’m sorry, it’s very painful.

[@CajunA79]

@@jimhowaniec my brother is 46 ...how old was yours when he got to stage 4?

[@CajunA79]

@@jimhowaniec your right, he's always complaining that his stomach area hurts so bad. He can't eat or sleep right now. How's wanting to get his stomach drained again. He drained it over a week ago.

[@jimhowaniec]

@@CajunA79 I’m sorry sorry to hear you are going through this. My kid brother Dan was 55, he was the youngest of three brothers, I’m the oldest. He was always the healthiest one, the star athlete, etc. The three of us were very close. He died in January of 2021. He was actually approved for a liver transplant and was being treated at Mass General, but then pneumonia set in and he just couldn’t beat it. I had to say goodbye to him over FaceTime because only one visitor, his daughter my niece, was allowed with him in the pandemic. It was so painful. I truly sympathize with you.

[@TM-fj4tr]

This is very helpful. I just sent a week in the hospital because of the swelling and fluid that had accumulated in my stomach. And most of the medications to listed I a already

[@michaelcityoldtimer3342]

thank you so much for explaining it seems the USA may have different meds than here in england

[@likelibrary]

Big thank for you Prof

[@sandylification]

Excellent information, my only suggestion is to let us know what each abbreviation means? Towards the end you didn't and I had to look them up.

[@jennythompson7805]

You mentioned in the beginning that they have about a 30-40% chance of living another 5 years. Is this for someone still drinking or fully abstaining? I am having a very hard time finding information on the life expectancy of someone with end stage liver disease that still drinks. Thanks for the fantastic video.

[@the_k_space]

Doctors will run blood tests and come up with an algorithm based on results they give you a M.E.L.D & Child-Pugh score... this predicts life expectancy. Just dealt with all this first hand with my mother. Hope your friend/family has pulled through...

[@curtisneilson5829]

my liver fully recovered pretty lucky

[@jaimetheone9150]

what did you do?

[@hmunibnetworklessons]

How??

[@raymondlin8728]

Me too. I was scared straight

[@HappyDayRoots]

Wow! I finally get it and I'm a patient

[@user-zl3xs1cf8x]

I was just diagnosed with cirrhosis of liver non alcohol. I scored a 4 on my fibrous scan. What does that mean. Right now my liver stats are pretty good. Some elevation in alt and ast. Billerubin is normal and the rest is good. It began with fatty liver 17 yrs ago and has just progressed to cirrhosis. I do get a lot of stomach discomfort, i have diabetes and autoimmune illness. My stomach feels like its trying to eat itself it feels like severe hunger pain it can last days on end, sibsideand then return. How advanced is the cirrhosis if your fibrous scan revealed a 4 for a score. Any ideas. Im 63

[@mikegraham3040]

Going in in a month for TIPS, numbers not horrible, MELD under 9, (was 9 6 months ago) last blood test numbers better . Dr says I should be in 8 range. Toughest thing, finding food w/o high fructose corn syrup ….im cirrotic but have near normal liver function .

[@tulsidas1904]

Thanks

[@mollythomas6824]

My mom had Hep-c she was fine then they put her on Lasic did not watch her potassium and magnesium and she died in a couple of weeks, you cant live with out the 2 and she was so depleted of nutrients it killed her

[@user-up8jx3mt6j]

Josh, this kinda reminded me of someone explaining a picture puzzel by describing all of the individual pieces. I imagine this is great for those well-versed specialists, but for laymen like me it's a bit like being on an uninhabited island all alone with all the survival info. you'll need scrawled on the unside of a cave wall, but written in some foreign script. But, - if a superlative can be tapered down into a 15 min. Vid., You have just done so. Thanks.

[@idrisbagaruwagwarzo4363]

I really do appreciate you Dr Igudia youtube,your commitment towards saving human lives is steadfast ,all the knowledge I got from you and,the help with the herbal meds, I was recently tested negative of Hepatitis B Virus,I’m so happy thanks doc

[@bunmyboo21]

Can a physical fight speed up a death with a person who has jaundice and cirrhosis to the liver

[@yournamehere6939]

The explanation is good but these words are like butterflies when compared to the dragon of experiencing these words first hand. It’s extremely painful for the person going through this! And it’s extremely traumatic for the caregiver because you’re seeing them being tortured and all they can look forward to is death to provide relief. Since being diagnosed doctors tell you words and they ask questions but they Never get down to the nitty gritty of what you will really be feeling! The nausea and vomiting blood, not feeling like eating, extremely rapid muscle loss, the eyes rolling around looking for help, the swollen stomach and legs like their skin just wants a weak point to tear open and let out all the fluid! Why don’t they tell you about that! Why not tell you and let you decide if you want to go through that torture or if you rather get assisted suicide. All they want is money from the supposed treatments and then when they can’t bare to see you anymore they send you home saying there’s nothing they can do for you. BS!

[@tiramisu5901]

Thank you for your honesty.

[@user-pj1tx9lr1g]

What a nasty man you are

[@markgerhard1362]

Avoid beta blockers in end-stage liver disease (e.g., when map < 82mmHg). At this point, they increase mortality.

[@rayannehorne3468]

Use the whole white board plz.

[@amossamuel3935]

being recommended to doctor Igudia on KZbin has being a great blessing to my family his cure for chronic Hepatitis B Infection is a genuine one thanks for your good deed toward humanity☺️.

[@LyndaCoulson64]

Is this the same for ALD? My brother has end stage liver disease, Critical kidney disease (Renal failure) Sepsis and he is very seriously ill, back in hospital for the 4th time since just before Xmas. He is dying as far as I am concerned, he can barely eat, weak sucking muscles, took 4 hours to eat one trinagle of pizza and is barely drinking or eating and sleeping all the time. How long would a patient like this be expected to live?

[@TheTha411]

My dad is going through the same thing. He was told he had 2 months back in December. He's been to the hospital twice. Once for a nasty Umbilical Hernia that had twisted his intestines inside and caused gangrene. The cut it off but he's been going steadily down hill since. He has SBP. He had it right after the sugery ,too. He also has renal failure. His gfr is 15 and they haven't been able to get rid of this SBP infection. They sent him away from the third hospital visit to get evaluated for a liver. They told him since he was an alcoholic that he most likely wouldn't even be approved to be on the list. He quit drinking back in December when he had alot of blood in his urine and stool. Sounds like unfortunately he reached that stage before me dad has. But the fact you posted this makes me think this is what is coming next.

[@curtisneilson5829]

had a family member go through it now have a friend still drinking

[@LyndaCoulson64]

TheTha411 Sorry to hear about your Dad but the good thing is your father quit drinking where as my brother hasn't, he's been in hospital for 8 weeks now and has told the social workers and hospital staff he's terrified that if he goes back to his flat he may end up dead.

[@curtisneilson5829]

Lynda Coulson thanks but about 10 have died

[@LyndaCoulson64]

Geez sorry to hear that, I guess the disease runs quite high in your family/friends circle.

[@amparoelorrieta2219]

please can anyone tell me if a patient with the last stage of liver cancer feels really tired, but still eats really well, even when he's having problems with his coagulation time, I mean....ireegular, how much time does he have to live??? I'd really appreciate if anyone can answer...

[@paulsgirl28r80]

I have stage for non alcoholic liver disease I was diagnosed with it on my dads birthday I was put in a Medic coma I'm still fighting

[@ang615ushk]

+Meg Rempel Praying for you now. Hope you are O.K. at this time.

[@josephwiard6695]

Are u ok??

[@jigmettenzer6533]

I have grade 2 fatty liver and still am taking medicine, so I am worry about liver cirrhosis,is there ever chance of grade 2 fatty liver will get liver cirrhosis? Please help me...

[@zuzasinde8748]

me to very worry

[@margiebaloaloa1538]

my father die a week ago bcz of that liver cihrosis.

[@tb-yz1ti]

O man been there an it sucks, was waiting for transplant an three really big bleeds man what a mess got really sick bad was told they Putting me in hospital because I was dying,it was Saturday afternoon said I be lucky if I last the week I’d lost it mentally ha,ha ,about a week or two before real mess poor,poor DR,Nurse,Wife,an Kids I was more painful than normal ha,ha,walking around with nothing on ,they find me sleeping everywhere an anywhere,my poor,poor wife what a person ,the BEST , we been together for 31 years an two years as just mates,any way Wednesday at five in the afternoon my nurse tells me that got me a liver and going in at 7 am Thursday morning for transplant that night two friends in my ward told they going to die,have never seen them again ,seven an a half hour in surgery, a week in intensive care,with life support, an six weeks in hospital after transplant, I got cmv an eb virus from my donor five months after transplant this got me a beauty, unbelievable,three months of treatment after five weeks in hospital what a ride , all from picking up a rubbish bag full of dirty needles at work putting it in the back of a truck the bag pop an needles went everywhere twenty years earlier got sick at the time of that told I probably have hep ( THANK S) just keep working yep what a ride it’s been nine years since transplant the first seven years were ruff till I got the medicine right but now I’m back into Life an living thanks to my Donor .yep what a ride 🇦🇺👍✌️

[@lawrenceessien363]

You have my maximum respect Dr Igudia, I am now negative from Hepatitis B after I did the test, I wonder what might have become of me it I didn't get the herbal cure From your KZbin channel. God bless you sir.

[@AtheistExpert]

my dad was doing great with the tips procedure, he even kept drinking for 15 years with it xD

[@germanshepherdmom1143]

My friend Eric died from it in 2005. He was an alcoholic.

[@moshedayan2810]

😢

[@mikepayne5780]

You want all you public hair to fall out and impotence keep taking it. Triempterene is better . works great for me.

[@raymondlin8728]

You write too small