Pleased

This IS my happy face.

Actually, I'm over the moon!

So, the attending this week is the new Chief of Staff for the Liver Center and is the Biliary Atresia guru.

And the fellow is someone who has been with us through this whole fiasco starting in September.
Awesome team this week.

YAY!

So, Dr. S says that the biopsied tissue looks really good!

-Little to no inflammation

-BILE DUCTS ARE REGENERATING

CAN I GET AN AMEN??
TESTIFY!!

-"If a pathologist was just looking at random samples, he'd think this was a pretty normal finding."

OH EM GEE!!

BUT.

-No, Doc. No buts. Let's end it there and Bubby and I will ride off back to Stephenville.

I would say off into the sunset; but, you know, its after 5pm.

Its stupid dark so early!!

...

BUT..."we have no idea what has caused all of this. It's an anomaly."

There's that word again.

When they do the biopsy, they go into the right lobe of the liver. You are assuming that the left lobe is behaving the same way. You know what they say about assuming...

I guess they have a good reason why they don't biopsy from the left lobe. 

Needless to say, they don't.

The LIVER looks amazing in the biopsy. The labs, especially the GGT (bile duct) is still crazy high.

Weird.

Three hypotheses:

1. Chronic Rejection: Maybe he was starting an episode of chronic rejection and the steroids and extra immunosuppresant are starting to work at turning the situation around. Labs are just going to be the last thing to reflect that.

2. Medication Related: Medication theory that something he was taking was destroying the bile ducts. *Pretty much ruled out, because everything potentially hazardous has been stopped for quite some time and the GGT is still abnormal*

3. Hepar Sinister: (I totally made that up just now. Look at the big brain on me)-It is possible that there is a piece of liver in the left lobe causing all these problems and while the majority of the liver is functioning normally, that is the part being reflected in the labs. Which may explain the intermittent weird poo and the bile related itching.

One more test...

A MR Cholangiogram. 

I'm not going to even pretend to know why and how this is different from the cholangiogram they did during the biopsy yesterday. Suffice it to say, it is and it's what might be able to tell if the left side is running-a-muck.

Fine.

Whatever.

The important part of my story is
WESTON'S LIVER IS DOING WELL AND THE BILE DUCTS ARE COMING BACK!!!

He is scheduled as the first case of the day at 0730 (meaning 10am) and then after he recovers from the sedation, we can go!!