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		<title>Diary Entries for mikealpha1</title>
		<description>Thoughts:  started July, 2010.  Listed July, 2007, Henry Ford Hospital, Detroit.  Listed Integris Baptist Medical Center, OK City, September, 2009.  Transplanted February, 2011.</description>
		<link>http://www.mdjunction.com/diary/mikealpha1</link>
		<lastBuildDate>Thu, 23 May 2013 08:58:39 +0100</lastBuildDate>
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			<title>Proud papa</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/proud-papa</link>
			<description>&lt;p&gt;COOL NEWS:&amp;nbsp; Nathan will be receiving a $1500 scholarship from the Alpha-1 Association (the formal announcement will be Friday.)&lt;/p&gt;&lt;p&gt;To be eligible to apply a student must have or be a dependent of someone who has (had) alpha-1.&lt;/p&gt;&lt;p&gt;&amp;nbsp;Nate will be attending Oakland University in&amp;nbsp; Rochester, MI.&lt;br /&gt;&lt;/p&gt;</description>
			<author>mikealpha1</author>
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			<title>26 month checkup</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/26-month-checkup</link>
			<description>The MRI of the bile ducts done last November looked good.&amp;nbsp; Doc wants to have a biopsy done, so that will be June 6.&amp;nbsp; Only have to take the acid reflux pill (I take omeprazole) as needed now.&amp;nbsp; See the doc again in August.&amp;nbsp; hopefully I can fit the endocrinologist in the same day. </description>
			<author>mikealpha1</author>
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			<title>The weeks before transplant</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/the-weeks-before-transplant</link>
			<description>&lt;p&gt;I believe that 2 1/2 weeks before transplant was when my MELD broke the 20 barrier.&amp;nbsp; I was not really aware enough to keep track myself at that time, I was sooooo tired.&amp;nbsp; My mom and one sistervisited 3 weeks prior and I know my MELD was only about 18.&lt;/p&gt;&lt;p&gt;&lt;br /&gt;I know that a couple of weekends before I went in the hospital they were rushing around trying to get MELDs entered into UNOS, but the faxes kept getting &amp;quot;lost&amp;quot; or entered too late.&amp;nbsp; Perri was beside herself. [...]</description>
			<author>mikealpha1</author>
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			<title>When I grow up --</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/when-i-grow-up-</link>
			<description>For my next life, which started in Feb., 2011, I want to be a Diagnostic Medical Sonographer, and specialize in general.&amp;nbsp; These are the ultrasound people for primarily the abdomen.&amp;nbsp; I ran acrossthis the other day and got excited.&amp;nbsp; You can start with and Associates Degree, or get a BS.&amp;nbsp; Since my transplant, my career assessment profile has changed from &amp;quot;you need to be a chemical engineer&amp;quot; to &amp;quot;you need to be in a technical field where you can help people, such as [...]</description>
			<author>mikealpha1</author>
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			<title>Cool Result</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/cool-result</link>
			<description>&lt;p&gt;This would appear to be another good development post transplant.&amp;nbsp; Prior to my transplant I had been taking 300 mg allopurinol twice daily for my gout.&amp;nbsp; (I&amp;#39;m tempted to think that thisgot upped after my first bout of HE, I may have given the wrong info, but I&amp;#39;m not sure.)&amp;nbsp; Since transplant They reduced that to 300 mg once a day.&amp;nbsp; Then my PC asked if I was seeing the endocrinologist for my gout.&amp;nbsp; Because of that I figured I should address it at my endocrinologi [...]</description>
			<author>mikealpha1</author>
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			<title>18 months!</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/18-months-146150</link>
			<description>&lt;p&gt;Follow up visit today, it&amp;#39;s been 6 months.&amp;nbsp; Everything looks good.&amp;nbsp; He does want to make sure the cardiologist is on top of things though.&lt;/p&gt;&lt;p&gt;&amp;nbsp;We are now on a schedule to get off of prednisone in November, WOOHOO!&amp;nbsp; Also the endocrinologist&amp;nbsp; modified my synthroid dose very slightly.&amp;nbsp; Instead of daily, I am to skip the first of the month. He is also checking my uric acid to see if gout medicine can be changed with the new liver.&lt;/p&gt;&lt;p&gt;I&amp;#39;m doing great now [...]</description>
			<author>mikealpha1</author>
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			<title>June 6, 2012</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/june-6-2012</link>
			<description>&lt;p&gt;Just got home from an varices follow up EGD.&amp;nbsp; The last was two years ago prior to my transplant.&amp;nbsp; I was looking forward to itt since I would finally get to see my gastro again, he hasn&amp;#39;t seen me since August 2010.&amp;nbsp; It turned out his associate that worked on getting me transferred to OKC back in Feb. 2011 was also there so I got to meet him.&lt;/p&gt;&lt;p&gt;&amp;nbsp;EGD showed no varices, so there will be no follow ups.&amp;nbsp; Will only need to see them again if something new crops up, or [...]</description>
			<author>mikealpha1</author>
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			<title>Proud Pappa</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/proud-pappa</link>
			<description>I came in the door just after noon, and my son, Nate, calmly said &amp;quot;I just got a phone call.&amp;quot;&amp;nbsp; Northwestern Oklahoma State University football program called and is looking at recruitinghim!!!!!!!!</description>
			<author>mikealpha1</author>
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			<title>Med reduction!</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/med-reduction</link>
			<description>Just got off the phone with the transplant center.&amp;nbsp; I get to reduce my prograf from 3 a day to 2 a day.&amp;nbsp; Yea me! </description>
			<author>mikealpha1</author>
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			<title>Donor Family Letter</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/donor-family-letter</link>
			<description>&lt;p&gt;I just got back from taking my youngest two on a 1365 mile round trip visit to &amp;quot;Aunt&amp;quot; Kara, their foster mom before we adopted them.&amp;nbsp; Considering that just over a year ago driving 3 miles to the grocery store was out of the question, it was pretty neat.&lt;/p&gt;&lt;p&gt;And on arriving home --- THE LETTER!&amp;nbsp; A nice letter from the spouse and daughter of my donor.&amp;nbsp; They are gratified to hear that their loved one&amp;#39;s liver is able to bring me a fuller life.&amp;nbsp; The donor was a  [...]</description>
			<author>mikealpha1</author>
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			<title>Letter forthcoming</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/letter-forthcoming</link>
			<description>&lt;p&gt;I just got a call from the transplant center.&amp;nbsp; They received a letter from my donor&amp;#39;s family in response to my letter, and wanted to make sure I wanted it before sending it to me.&amp;nbsp; I&amp;#39;ll be getting it next week.&lt;/p&gt;&lt;p&gt;&amp;nbsp;&lt;/p&gt;&lt;p&gt;Excited! &lt;br /&gt;&lt;/p&gt;</description>
			<author>mikealpha1</author>
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			<title>First Birthday</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/first-birthday</link>
			<description>&lt;p&gt;Just back from my one year check up.&amp;nbsp; The liver labs look good.&amp;nbsp; The doctor reduced my prednisone from 7.5 mg to 5 mg per day, and said to stop the ursodiol.&amp;nbsp; So, two med reductions is nice.&amp;nbsp; Actually, for the transplant, I only take three (prograf, cellcept and prednisone)&amp;nbsp; everything else if for other problems.&lt;/p&gt;&lt;p&gt;It was good to see some of my nurses and therapists:&amp;nbsp; respiratory, physical, and speech (for swallowing.) &lt;br /&gt;&lt;/p&gt;&lt;p&gt;&amp;nbsp;Stopped in and visite [...]</description>
			<author>mikealpha1</author>
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			<title>Another piece to the puzzle.</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/another-piece-to-the-puzzle</link>
			<description>&lt;p&gt;I&amp;#39;ve always been confused as to whether I was ICU or a regular room the day they found my liver (Feb. 15, 2011).&amp;nbsp; Well, today I was browsing photos on my phone and discovered that they wereboth time and day stamped.&amp;nbsp; Two were dated Feb. 15.&amp;nbsp; The one at 8 something in the morning I took as a view from my bed.&amp;nbsp; It looked out at the ICU nurses station.&amp;nbsp; Another one at 12:52 was me eating the only solid food I had had since Feb. 4th.&amp;nbsp; This photo was definitely in [...]</description>
			<author>mikealpha1</author>
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			<title>The day of &quot;the call&quot; Feb 15, 2011.</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/the-day-of-the-call-feb-15-2011</link>
			<description>&lt;p&gt;I was in the hospital that day (as well as the previous ten) back in ICU.&amp;nbsp; When I woke up that morning things were looking pretty good.&amp;nbsp; Perri said she would like to go back to Tulsa, a twohour drive, and go into work, another 45 minutes beyond, that day.&amp;nbsp; I said in effect, go for it.&amp;nbsp; That day I posted to the &amp;quot;junction&amp;quot; the first time since the 3rd.&amp;nbsp; I had a pretty hard time trying to figure out how to use my computer and wanted to post on facebook, but man [...]</description>
			<author>mikealpha1</author>
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			<title>Profile  Picture</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/profile-picture</link>
			<description>Put on a new profile picture, taken Jan. 11, 2012.&lt;br /&gt;</description>
			<author>mikealpha1</author>
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			<title>My first Thnaksgiving.</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/my-first-thnaksgiving</link>
			<description>&lt;p&gt;We went to some friend&amp;#39;s house for Thanksgiving Day for dinner.&amp;nbsp; We had been invited last year, but Perri had to call and cancel due to me.&amp;nbsp; Last Thanksgiving was not a good week at all.&amp;nbsp; I think hospice was out a couple of extra times, had some blood work done, several meds brought in, and was real achy if I recall.&lt;/p&gt;&lt;p&gt;&amp;nbsp;This year, AWESOME.&amp;nbsp; I could interact with people and eat real food.&amp;nbsp; Today, two days later, I got down the Christmas Ttree and&amp;nbsp; put [...]</description>
			<author>mikealpha1</author>
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			<title>Lab Results</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/lab-results-121157</link>
			<description>&lt;p&gt;Nov 2 lab results (looking good):&lt;br /&gt;&lt;/p&gt;&lt;p&gt;BUN 29&lt;/p&gt;&lt;p&gt;Creatine 1.2&lt;/p&gt;&lt;p&gt;Albumin 4.1&lt;/p&gt;&lt;p&gt;Bilirubin 1.1&lt;/p&gt;&lt;p&gt;AST 34&lt;/p&gt;&lt;p&gt;ALT 23&lt;/p&gt;&lt;p&gt;Cholesterol 191 (never been over 150 before)&lt;br /&gt;&lt;/p&gt;&lt;p&gt;LDL 113&lt;/p&gt;&lt;p&gt;HDL 53&amp;nbsp; (always had been 25-30) &lt;br /&gt;&lt;/p&gt;</description>
			<author>mikealpha1</author>
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			<title>What else does a transplant mean.</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/what-else-does-a-transplant-mean</link>
			<description>&lt;p&gt;Besides the fact that I&amp;#39;m alive and enjoying it?&amp;nbsp; &lt;/p&gt;&lt;p&gt;My oldest son&amp;#39;s grades are up one letter grade across the board.&amp;nbsp; I asked if it was easier without worrying about dad, he nodded.&amp;nbsp; (He&amp;#39;s 16 so I don&amp;#39;t expect lot&amp;#39;s of words.) &lt;br /&gt;&lt;/p&gt;</description>
			<author>mikealpha1</author>
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			<title>Do you have to be so happy?</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/do-you-have-to-be-so-happy</link>
			<description>I was at my old place of work today.&amp;nbsp; My old boss, now my client, asked at one point, &amp;quot; How could you be so happy all the time.&amp;quot;&amp;nbsp; I responded &amp;quot;How could I not!&amp;quot;&lt;br /&gt;</description>
			<author>mikealpha1</author>
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			<title>Cirrhosis a Disease?</title>
			<link>http://www.mdjunction.com/diary/mikealpha1/cirrhosis-a-disease</link>
			<description>&lt;p&gt;I debated heavily about where to put this as these are just some thoughts of mine.&amp;nbsp; I decided to put it here so as not to offend. &lt;br /&gt;&lt;/p&gt;&lt;p&gt;When I think about it, cirrhosis is not the disease.&amp;nbsp; Cirrhosis is a caused by something: hemachromatosis, fatty liver, alcohol, and many others.&amp;nbsp; These are the diseases that cause cirrhosis.&amp;nbsp; Not to say that cirrhosis can&amp;#39;t itself cause complications, but without know for certain what the underlying disease is the treatment is  [...]</description>
			<author>mikealpha1</author>
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