36M, heavy drinker averaging 12-20 drinks per night for the past 8 years. I get yearly bloodwork. Overweight, but more of a skinny fat type of dealAST 23ALT 37Bilirubin 0.8Albumin 4.8Platelets 275K My labs have remained at this level give or take? by all means i should have cirrhosis right? Only thing i can thing of is i take nac and a statin daily, and consume almost no sugar
People are different fam. I can chuck down two bottles of whisky in one weekend and still function the next week. The hangovers came with my age so I've quit.
You only get symptoms when ur about to die
>>950064599What’s your resting heart rate and blood pressure Heavy breathing?
>>950064599What a helpful chartI'll just take a peek at my liver and see where we're at here
>>950064768like 70, 130/90 ish on average, no
>>950064735i have heard this, but why is the fib-4 formula considered highly sensitive for ruling out cirrhosis? im really just confused on all of it tbh
>>950064722sure... but this doesnt mean you're escaping liver damage by any means
>>950064599I've been downing similar for about 6 years. Funny enough, I'm 36, drinking same amounts per night (just finished a 12 pack last night), and in a similar boat to you.1) liver damage has basically no symptoms until liver failure. You can kill 80% of your liver with no elevated enzymes or symptoms.2) as mentioned, people are different. Some people get liver failure after a 6 pack/night for a year. Some can drink from 13 years old every day onwards and just exist.3) it will catch up to you. When labs change, it's usually closer to end-stage. You won't just die, but you do go from "I feel normal" to "my eyes are yellow" overnight, randomly.
>>950064599It is because you are 36. Life will be very different when you are 46.
>>950065106are you a medfag? i have read heard labs can be completely normal, but its unusual "especially blood platelets". it sounds like you're talking more about severe acute alcoholic hepatitis
Good by gay earth
>>950065176if i slow down now, is there hope?
>>950065216meh... looks like mild alcoholic hepatitis. the bilirubin is too low for it to be severe
>>950065244Hope so. This was taken post an alcohol withdrawal seizure at er. Thanks for the info
>>950064599warranty period on your body hasn't expired yet
>>950065300if it was severe, you wouldnt be on 4chan right now
>>950065300curious.. did you try to quit cold, or did it just happen? its 100% hepatitis, but if it were going to immediately kill you, i suspect your bilirubin would be much higher
>>950064599hi anon. I was like you, not quite as bad but I was getting there. I got fed up with being overweight from the drinking, plus being broke, always feeling shitty and tired and knowing I was slowly killing myself. I took a week off work, bought an 1/8th of weed and quit cold turkey. spent the week high playing vidya to take my mind off of drinking. Its changed my life for the better and now I'm able to enjoy like 1 pint out every few months. quit. it sucks, especially if your withdrawals are bad, but its worth it. not to mention non-alcoholic beer is actually fairly good now and doesnt taste like toilet water like it used to.
>>950065220Yes. Quitting drinking now will still be better for your liver than just continuing.
>>950065651see the probably with weed for me, it just makes me horny, tired, anxious (sometimes panic attacks) and hungry... i have tried 100's of different kinds... all the same. I have cut back a few days, i get severe night sweats, bad nightmares, and insominia... but that seems to be the extent.. i actually start to feel better after 2 days. for whatever reason though alcohol is a major upper for me, and gives me great euphoria, so it doesnt last long. One thing i can say is i have and only ever drink at night, so for that reason i have been trying to get an overnight shift at my work, something about drinking during the day seems just so unappealing to me, i think it would actually help me
>>950065731Yeah weed just does that to some people, but if it helps you quit its worth it. >it just makes me horny, tired, anxious (sometimes panic attacks) and hungryThats what weed does.
>>950065563I was on a road trip and trying to taper. Went from at least half a bottle(probably more)/day to a shot per day.Been drinking like this for years. Often on an empty stomach
>>950065807drinking on a empty stomach is a loaded gun, if you don't mind sharing your age, and how long and how much you have been at it. i would appreciate it? like i said im no dr but if you had life threating hepatitis; you wouldn't be talking to me right now. you do have hepatitis for sure, and i wouldn't be surprised by a cirrhosis diagnosis anon. thx for your time
>>950065731>One thing i can say is i have and only ever drink at nightThats good, at least you have boundariesIf you dont mind me asking, what do you 'do' when you drink?If you're saying stuff like >i have been trying to get an overnight shift at my work, something about drinking during the day seems just so unappealing to me, i think it would actually help me...it might partially be just a need to keep your hands busy. >I have cut back a few days, i get severe night sweats, bad nightmares, and insominia... but that seems to be the extent.. i actually start to feel better after 2 days.Yeah alcohol withdrawals are annoying but you get over them pretty quickly. You'll feel shitty for 2 to 3 days and crave carbs like you wont believe, then randomly you'll wake up one morning feeling really refreshed. >alcohol is a major upper for me, and gives me great euphoria, so it doesnt last long. Yeah thats how it gets you. Seriously, give non-alcoholic beer a go. Even if you're having like... 1 regular beer, 1 non-alc back and forth to help you quit. Most non-alc beer is like 0.1% or 0.5%. Enough to keep your withdrawals happy but not enough that you'll ever actually feel anything. Soda water helps a lot too. Quitting drinking sucks ass I wont lie, but you just have to push your way through. One day 6 or 12 months later you'll look back on it and you'll feel ridiculous at yourself for being a bitch to liquid and feel glad you quit.
>>950064599It comes like an avalanche. First they start taking stuff like your gallbladder..
>>950065780then where does the relaxing and playing vidya part come in?
>>950065890Keeps you busy and not thinking about alcohol.
>>950065879video games and youtube, im a loner, so you're saying mix NA's in with regulars?>>950065883so it all burns down at once? no blood labs would give me a warning?
>>950065883gallbladder is perfect, i think a zero sugar diet, and some stuff like nac and milk thistle and a statin has helped me at least
>>950065905but when im high on weed, all i want to do is jerk off and sleep. i actually dont like the feeling at all most of the time. am i smoking to much?
>>950066039>am i smoking to much?Probably. Most people have way too much too often. I ended up getting medical and they "prescribe" me 20g a month. I make it last almost 6 months. But hell, if jerking off and sleeping stops you from drinking its a win-win.
>>950066054i usually torch a pretty packed bowl of 29-32% stuff, im not a very experienced smoker. i heard i need sativa for what i want, which is focus, and playing vidya.. but i have never really noticed a difference between indica. sativa does induce anxiety a bit more me
>>950065865I’m mid 30 and unsure of how long I’ve been drinking. 5-10 years with increasing intensity. I’ll give it my best not to doom post if it turns out I’m dying lol.
>>950066054also, i use a bong as my primary method; because the hot smoke kills my throat. dont know how much that matters
>>950064865>he doesn't have eyes growing inside his abdomen
>>950066161thx for answering. if you dont mind whats your race, type of alcohol you where consuming "beer/liquor" . Any family history of liver problems, autoimmune disorders, ect
>>950065780damn nigga
The rate of progression varies, but at that quantity it will catch up to you eventually.
FYI death from alcohol-induced liver failure is a very unpleasant way to go. And slow. Ammonia levels build in the bloodstream making you loopy as fuck and you'll be shitting your brains out the whole time while cakey yellow shit literally seeps from your skin and eyes.
One other FYI: especially heavy drinkers should not quit cold turkey. It can kill you. Taper down over time.
>>950066268but if you're loopy asf; would you not have any idea whats going on?
>>950066324most dying people in t he us, are basically od'd on morphine, to ease pain and awareness
>>950066324You might not know your name, but you do feel all of the pain and misery.
>>950066364how do you know? have you been in this position? serious question, not a gotcha troll
>>950066353Only if they get put on comfort care measures by the POA for healthcare/decision maker. And even then it's less OD than titrate for effect. >>950066384ICU RN. Managing withdrawing severe alcoholics and end stage liver failure patients are a regular part of my job.
>>950066418if they feel all the pain and missery, would that not be the medical staff doing their job right? isnt that your job, escpeically for people that're going to die. serious question. my mom died in the hospital from colon cancer, at the end the pain became so bad they let her press a button to dose herself with morphine, a few times we had to press it for her. I like to think my mom had a somewhat less miserable experience but the insight of an RN not bullshitting me, is much appreciated
>>950066465There's usually quite a delay for families to decide to make a patient comfort care status, that efforts being made to improve things are futile. When the patient is Full Code, the docs will prescribe some medications for comfort and or sedation but only if the body can physically tolerate it safely. Often these ones can't. There's also the issue where if you give too many sedatives and pain medications then seeing what their actual mental state is and if they're improving it's hard to tell. Again if you're trying to get them better. Then there's also the circumstance where sometimes their body is in. Just such a state that the amount of medication it would take to make them comfortable would also end up with them needing a breathing tube or having their blood pressure go too low. One of the running themes in the ICU is that there are a lot of patients who really should be put on Comfort Care measures only since they're not really going to get better or by much. But Grandpa is a fighter so we give them all the meds and the tubes and break all the ribs when we do CPR when they should just be allowed to die comfortably.But yeah, like in your mom's case on comfort Care. Ideally we should be giving enough medications to get them comfortable as we possibly can. And if I can't then I should be contacting the doctor to get more medications to do that. In comfort Care, the question is only will it make them be more comfortable or not? That can mean don't turn them or don't clean them up because turning my feel horrible for them.
It really isn't that much, especially if you are a big(overweight) man, in alcoholic terms. If you can go throughout the day without drinking I wouldn't even consider it alcoholism and you'll probably not even get any real withdrawal if you quit cold turkey.(ofc a doctor will say otherwise)
>>950066593thx for the advice, is there a form somewhere i can sign. to give hospital staff the right to pump we full of drugs in this event?
>>950064599Per night? Every night? It's time to slow down, mon ami. I just turned 33 and I'm coming to a point where I dread even the weekly function with the crew. Maybe 4 drinks at band practices? Im lucky if I even get through 2 if I'm at home. You don't need bloodwork to tell you how you feel and I imagine it's probably like crap until you start up again. One of my coworkers drinks every night, he just turned 50 and he looks older and 10x worse than my 65 year old father.Honestly slow down on the sauce and get in the gym just a few times a week with decent intensity and you'll feel way better. Booze sucks all the water out of your joints and rots your muscles like old rubber bands. You don't necessarily have to quit but you definitely gotta switch up your habits a bit, dude.
>>950066649Yes! And doctors have them filled out disproportionately high compared to the general population if that tells you anything. In hospitals we've gotten a lot better in the last few decades, even at keeping bodies going a lot longer, the quality of life and meaningful recovery is a whole other thing.It varies based on where you are but it's usually called DNR (do not resuscitate) or allow natural death. You can also pick and choose if you would want meds and a breathing tube but not chest compressions for example. Technically, I think any clearly written/typed out form with your signature counts, but it's probably better to go for a more official one. If you have a primary doctor you can probably get it filled out with them to keep on file and to have copies made to keep around. At least in the United States notably. Also next of kin can override your wishes, because dead people don't sue. So even if you have the paperwork filled out, make sure your closest living relative understands what you want in that event. Or appoint someone else's your decision maker for healthcare who will do that for you and that is a legal form.You might even be able to just fill out a form with every hospital in the area to be on the safe side
>>950066756thx, i live in NY, so im guessing its pretty liberal. is it something i can sit down with my primary and fill out; or does its need someone more qualified? thx for answering my questions btw
>>950066752every night, in a 4-8 session. i gave up spirits entirely; i know it doesnt matter
>>950066818If you get put into the hospital and you are mentally with it, you can get it filled out right there.Granted, if it's alcohol related, you probably won't be. Planning ahead you need a doctor to sign it, or maybe a nurse practitioner. And yeah ask your primary doctor about getting it done. They might pop quiz you about suicide risk to rule that out.
>>950066873can my family make the decision for me, i only have my sister and my father left . is there some how i can give them lets say power of attorney rights if i were to fall ill?
>>950066465>if they feel all the pain and missery, would that not be the medical staff doing their job right?No, that would be that they drank too much.
I was able to drink almost every night for more than a decade. Eventually I developed anxiety during the day and I'd drink a drink or two after a hard night drinking in the morning. Soon after I'd drink all day every day and developed physical dependence, thats when the real fun started. Eventually drinking wasn't even fun anymore and instead of making me social and euphoric it made me sad and I didn't want to see anyone
>>950066946would you say the same about people that got type 2 diabetes, lung cancer, ect? those diseases are almost always self inflicted as well
>>950066943By default /automatically it goes to closest next of kin. It depends on which state you're in I think, but most follow the pattern: It goes from spouse to adult children to parents to siblings in order of who gets to make the call. It can get messy for example if it's just siblings but they disagree. So in your case it would go to the father, unless they could not contact him. If we can't get a hold of anyone we assume Full Code status until a year otherwise.
>>950066969i feel like im at this point, and thats why im asking these questions. sometimes when im just sitting and "relaxing" everything feels like its "pauses for a second", and i jolt back to reality; like a jump scare. i dont like it
>>950067035Of note also like for example if the father deferred that to the sister, then by all means we would let her make the decisions, as long as everyone is on board with that.
>>950067035*Until we hear otherwise, not 'year'
>>950066998If their thought process was that the leading cause of their suffering was the doctor not intoxicating them further, then yes. Most denizens of the current time have trouble even fathoming that they are both the cause and solution to most of their problems, particularly when it is inconvenient to them.
>>950067192oh dont get me wrong, i will 100% own up to whatever happens.