Subject: RE: Ghoulie September Core ChallengeNow I am investigating for my case...looks like acute liver failure due to acetominophen ingestion plus chronic alcoholism... Look at all the stuff I am learning... chronic alcohol intake + large quantities of tylenol = bad news bears... Also...obesity...non-alcoholic steatohepatitis (NASH )...new epidemic cause of liver failure and will soon be #1 reason for liver transplant. NASH=bad news bears. (BNB ) We had a discussion today if they will have to impose requirements on people requiring liver transplant due to NASH. Kind of like how they require that alcoholics stop drinking for 6mo. before they are put on the list...so should obese individuals requiring liver transplant be required to furfill requirements of a "healthy livestyle" (ie. 10% body fat loss ) before they are put on the list? Our preceptor's husband is a pediatric surgeon and he had to remove a 14yr old girl's gallbladder last week due to gallstones...her BMI was 37 and they did a liver biopsy and she already exhibits grade 1 inflammation in her liver...they figure if she stays on this course that she will require a new liver before she is 25.... |