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Life is all that matters – ch. 03
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“I suppose both of you must have several questions about Tina’s condition. I will try to explain the best I can and feel free to ask me anything. It’s a complex matter so I will abide by the essential for now. Too much information sometimes confuses more than helps.”
She stopped for a brief moment looking for one woman to another, both of them just nodded their understanding. So she resumed her explanation.
“Tina has Primary Biliary Cirrhosis (PBC). It’s a liver disease in middle aged women, generally between 30 and 60 years old. It’s a chronic disease characterized by progressive inflammation and destruction of the small bile ducts within the liver. The bile ducts are tubules that make up a plumbing system for the liver. The bile ducts along with the gallbladder are part of what is called the biliary tract. Those bile ducts carry bile, a fluid that is produced by the liver cells. Bile contains substances required for digestion and absorption of fat as well as other compounds such as the pigment bilirubin.” She stopped again to check if they were still with her. They were both following her explanation attentively. But her experience showed her that most of the information would get lost as soon as they talked about treatment and prognosis. “The destruction of the small bile ducts blocks the normal flow of bile into the gut. The medical term for that is cholestasis. As the inflammation continues to destroy more of these bile ducts, it spreads to destroy nearby liver cells. The combined effects of progressive inflammation and toxicity of bile culminates in cirrhosis.”
“And what causes the disease?”
“The cause remains unclear. But the major factor seems to be that the immune system trough some specific antibodies attack the bile ducts.”
“And what are the symptoms and the treatment?”
“It depends of the stage of the disease. First we have a phase were the antibodies are present, but there aren’t any symptoms yet we have abnormal liver tests. It can last from 2 years to 20 years in some patients. We don’t know how long lasted in Tina’s case. Then we have the symptomatic phase that can last 3 to 11 years and finally the advanced stage. The first symptoms are fatigue, itching, fat and vitamin malabsorption, and with the progression jaundice. There are a lot of other symptoms that I won’t comment now. Tina had on her last trimester of the pregnancy what’s called cholestasis of pregnancy. Indeed after the birth the cholestasis had to get better. It was then we discovered Tina had had the others initials symptoms months before and her cholestasis was due the PBC so we were able to diagnosed her. She has had the disease for about two years now. We don’t know why her progression has been so fast because she’s already in the end of the advanced stage.”
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You did great great on the treatments and what can and can’t be done. So many people are waiting for transplants. They can only hope and pray. Most transpalant patients has a problem with transplants. That someone must die for them to live. you are doing great ,Carloline has really no say in this since Bette in next of Kin. and she said she would stop Bette from having anything to say about Tina or Angie.Red flagto Bette. Thanks
i hate healthy drama..BUT is part of life..i hope Tina be better soon and please dont let her die what i think is going to be a miracle..post soon and with some good news..thanks
The drama of it all… What about a partial liver transplant? Bette…don’t alienate the relatives too soon; you might need one.So, B&T do the CA domestic partnership registration? Hopefully, also, B’s on Angelica’s birth certificate as parent. If so, she’s got a good chance vs. Caroline. Then again, they were separated (which matters more for the dp than the parentage.)
Woooo lot of info there. The update was perfect. Bette was so confused about everything and at the same time angry. Tina is still her wife in her heart and her soul even now. I really hope there will be an transplants on time. They need more time together. Keep up the good work.
Great job.THANKS..
just get the liver from carline LOL…is tina conscious? i hope B&T can reconcile and also find donor soon
Great chapter very informative and all spot on…so Caroline is going to be trouble??? ok her liver might do??? if shes going to be nasty to Bette that is!keep it comin its great
You did an excellent job of the medical diagnosis and clinical protocol. I can’t wait to see how she’ll react to seeing Tina. I can just see it. She’ll collapse and blame herself. DAMS….this is some good shit. Please post soon. :P
Whoa PBC nasty disease, my mum had it thank-fully for us she got a transplant 9 years ago and is doing good, but sad for the 25 year old woman who lost her life in a car crash, for my mum to live. It was an emotional chapter for me brought memory back of when she was in for her transplant.Please make Tina survive and her and Bette get back toghether.PLease post soon.
WoW! this is really sad I’m just catch up to read of your story and it’s really interesting Whoa! so Tina she is really sick I hope that is OK! Please fixed it LOL! I’ll know it’s only FF story BUT still LOL! Hey I love it I trust you to make Tina get better PLEASE Thanks!!
this is sad. make it better? thanks for the update
I’ll bet Caroline is a perfect match for a transplant. Partial or total, depending upon how hard she acts toward Bette. If she starts talking custody of Angelica, kill her a** off I say! This is fanfic…this is fanfic…
And why did Bette run off and leave her baby (Angelica) for seven months? Unforgivable! After Tina gets well, she should cut Bette off for a couple months for revenge. Ha! “I got my transplant. I’m not yellow anymore! How you like me now? Sleep on the couch, bit..I mean, Bette!”
This is sad and very bad and please don’t let Tina die. Post soon please, thanks!
hope Tina will come out of coma soon.
You sure know how to create some drama elword…very nice and what is Bette going to do when she sees Tina….please continue
I am full out of patience!!!!!!!!!!!!!!!!!! she has to wake up now!!!!!!!!!!! fix it like yesterday!!!!!!!!!!!!!!!!!!
Please make this story happy. I will have patience but I don’t need another story to drive me to the bottle. Albeez..you are with me, right?
wow… i hope i never have what you described… and i was wondering… what about a partial liver transplant… or go thr natural way… take her to a Natural Doctor…reading on