Posted tagged ‘eno’

Chopped Liver – A Certain Ratio

June 2, 2011

Not been much to report lately, hence my lack of posts. But here’s where we are healthwise.

All pretty good. The main issue I have is a curious one. Y’see for many years I have had a very low platelet count. Platelets are part of the blood that enables clotting – so it would logically stand that the fewer the quantity of platelets in the blood, the thinner the blood, and so the less chance of clotting (and the more chance of bleeding to death from a minor cut, natch).

So, with that in mind, how was it that I needed a liver transplant due to a blood clot in the portal vein?

Answers on a postcard, please.

But, what this means is that, having been prone to a blood clot in the portal vein, the docs don’t want a situation to arise again that precipitates another blood clot (I don’t really want it either). So, I am prescribed Warfarin – to thin my blood. I say to thin my blood – here’s how they measure it.

A normal person (if such a thing exists) has an INR of 1. Firstly, what does INR mean? Is it some sort elongated medical term only known by its acronym? Well, sort of. Bizarrely (to me) it stands for Internationally Normalized Ratio. Let’s stick to INR.

So, most people are 1. That’s the level. The plateau. But my INR needs to be nearer 2 for the docs to be happy. What does 2 mean? It means simply, that it would take twice as long for my blood to clot as a normal 1.

Nothing to worry about there then.

Now, some weeks ago, you may remember I was due to have an ERCP procedure, but they called it off at the last minute due to my INR being at 4.9 (therefore it would take me almost 5 times as long to clot as normal – not recommend for a surgical procedure). I have even been up to the dizzy heights of 6.0 recently – when I was told, that if I cut myself even slightly I should rush to casualty. Curiously the dosage of Warfarin I was taking at that time was 2Mg and 3Mg alternate days.

Now, I am taking 4mg a day – and I am struggling to get above a level of 1.5. It all seems a bit illogical to me. A bit hit and miss. But I mention this merely to try and appease the Goremongers, who must have been bored out of their minds lately, and to simply explain to you that my liver is doing fine (I call it MY liver now – decided I am not giving this one back) and that this is my main problem right now.

Ok, doing a bit of work now, before gearing my self up for a week away in a cottage in the South Coast with B and Wee D.

Btw, for completists, A Certain Ratio, the punk-ish band of the late 70’s took their name from a lyric in an ENO song called The True Wheel from his album, Taking Tiger Mountain (By Strategy). Of course.