Saturday, May 10, 2014

An Unscarred Liver

Saturday - May 10, 2014
Dog walks are fabulous excuses to drink in this phenomenal view!


It has been a quiet week of alone time with the hounds.  Joseph is away on travel and I am hunkered down prepping for the upcoming trip east with Megan to celebrate Jonathan's second (and last!) graduation from Virginia Tech.  Substitute plans and two weeks of advance class preparations have kept me focused and grateful as I approach tomorrow's "diagnosis day" milestone. I revel in my ability to see out of both eyes and to live migraine-free!  To have regained my health!  Hurrah!

Peace of mind has also come in the form of good news from UCSF.   My liver specialist writes that "I reviewed the pathology and the biopsy did not reveal any specific diagnosis. This is good news and makes me suspect drug-induced liver injury as the cause of your liver enzyme elevation. Are you still taking acyclovir? I have seen mild liver enzyme increases with acyclovir. Importantly, I did not see any evidence of scarring (fibrosis) on the liver biopsy that might have come from your prior high-dose methotrexate use.  And good news - your liver enzymes went down too!  But now we know for the future that, in the absence of significant scarring, we can be more "tolerant" of liver enzyme elevations if they occur again in the future."  So .... that sounds like we're simply not going to worry about those enzyme numbers anymore, yes?  I await confirmation that we are now in "watchful waiting" mode #2 for my liver.

Waiting is preferable to treatment.  I'll take it ANY day!

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