Blood system complicated in liver
Dear reader outlines the liver failure dilemma in a cousin with metastatic carcinoid causing portal hypertension and ascites. Explains TIPS versus Denver shunt, MELD score, and risks, noting TIPS may ease portal pressure but not reverse liver failure, while Denver shunt offers temporary relief with high complication risk.
MENTIONED IN THIS ARTICLE
Dr. Roach
Denver
Retirement jitters and nose picking at table
Readers share bite size crises from retirement privacy to public nose digging. Liz in Iowa juggles identity and space after a spouse stays home, while John in Fort Worth asks Abby how to handle a nose picker at a birthday dinner. Abby advises private etiquette and counseling if needed.
MENTIONED IN THIS ARTICLE
Abby
Maryland
Liz
Iowa
John
Fort Worth
Texas
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Dear Abby