After the Liver Evaluation
The Transplant Institute's interdisciplinary team meets weekly, and includes transplant hepatologists and surgeons, infectious disease specialists, transplant pharmacists, transplant nurse coordinators, psychologist, social workers, ethicist, financial coordinator, inpatient nurses and case managers. We review all of the information gathered during your evaluation to determine if:
- Transplant is the best treatment option for you
- Another treatment option may be a better choice for you at this time
- More information/tests are needed to decide what type of treatment is in your best interest
We schedule a follow-up appointment with you to discuss your test results and our team's recommendation. Most people we evaluate for a transplant are suitable candidates. We will notify you in writing when you are activated on the
United Network for Organ Sharing (UNOS) waiting list.
Regular Clinic Appointments
We schedule an appointment to see you in the transplant clinic every one to six months while you wait for a liver transplant depending on the severity of your liver illness. During this time, we may request that you repeat some of the tests to determine eligibility for transplant. You can expect to be well informed about the transplant process. We want you and your loved ones to establish a partnership with the transplant team, in order to best achieve your health goals.
In our weekly multidisciplinary conference, the transplant team continues to discuss all patients on the active waiting list, to update medical conditions. This discussion reflects any changes in your health status or living circumstances while on the waiting list, and how these changes might affect your eligibility for transplant.
If you are identified in the team meeting as a good candidate for liver transplantation, you may meet with the center's nutritionist if indicated. We may ask you to bring a three-day food record so the nutritionist can review your diet with you. The nutritionist checks this food diary, and your blood work, to be sure you are choosing healthy foods. Also, we want to know that you can successfully follow a special diet. Making the right food choice is an important part of preparing for transplant surgery and for taking care of your new liver after surgery.
Your nutritionist will also review your overall body mass index (BMI) to help decide if you need to gain or lose weight before surgery. The nutritionist may recommend more physical activity to help you lose weight. Feel free to ask any questions you have about your diet. Your nutritionist can create an eating plan that is right for you.