Hepquant - Worth It?
Hi all
Quick background: was diagnosed back in July with decompensated cirrhosis with ascites, edema, jaundice and with what I suspect was the beginning of HE. MELD was a 29 at the time of diagnosis and basically was told in the hospital that I needed a liver transplant but would not be eligible at that time. I’ve made massive changes, quit alcohol, dropped a ton of weight and managing the ascites with diuretics. Jaundice and HE are for the most part gone and my MELD is 15 now.
I went back last month for my 3 month follow up and got the positive news that my bloodwork has improved a lot and seems like I’m stable and doing pretty well for the most part. Dr is very happy with my turnaround and significant progress so has tabled the discussion regarding a transplant until December as she wants to see if see I continue to make progress and lower my score more. I see a GI doctor for the first time this week and was told by the Hep about getting an endoscopy done with the GI doctor to check for varices (she thinks it’s likely I may have some) and if I have them she’ll start me on beta blockers. At this appointment she had mentioned Hepquant and getting bloodwork work done as it can tell me how much of my liver is still functioning. She didn’t push me to do it but just let me know about it after I asked about liver function I have left. It isn’t in network for my insurance so it’ll cost me about $2k to get done. I can get the money together to pay for it luckily but obviously it’s a steep price tag and I’m trying to weigh out if it’s worth it to do. Just wanted to get people’s opinion on it. My husband and I were discussing it and don’t really know how much info this will add and if it does, will it change or open up treatment options.