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So far Arthur Goan has created 248 blog entries.

RVH Liver Support Group celebrates 25 years supporting liver patients in NI.

Its been 25 years this year since Kay Duffy OBE founded the Liver Support Group. And to recognise this wonderful achievement the Group held a gala event attended by almost 300 guests which included transplanted patients and their families.  Joining Robin Swann, former NI Health Minister, were senior medical staff from Kings London and Birmingham’s Children Hospital as well as our own highly valued liver unit consultants and nursing staff from the Regional Liver Unit at the RVH.

The RVH Liver Support Group was originally  founded to offer all kinds of support to any person, young or old, who suffers from any type of liver condition irrespective of cause within N Ireland. And this same level of support is offered today. A committee of eight volunteers provide the Group with all of the requisite qualities to effectively manage the Charity and, within, there are three adult patient carers and two child/adolescent patient carers.  These carers offer confidential telephone or face to face support to patients and/or their carers on a daily basis.

RVH Liver Support Group celebrates 25 years supporting liver patients in NI.2024-10-21T12:46:27+01:00

Mayor of Ards & North Down Borough Council hosts Liver Support Group.

The Mayor of Ards & North Down Borough Council, Cllr. Karen Douglas, kindly hosted some representatives of the Liver Support Group this morning, to help celebrate our 25th Anniversary, and to recognise the Group's work supporting the sizeable number of liver patients resident in the Borough. A very enjoyable time was spent drinking tea and coffee, eating the delicious cake the Mayor had graciously provided, all while chatting informally with her and relating our various liver disease journeys, and our current health. We thank her for her hospitality, her appreciation of the value of organ donation, and her pledge of the Council's continued support of the Group during Organ Donation Week and our ongoing work.

(L-R) - Heather Hayes, Carol Hawe, Joan Goudy, Luke Ogonda, Jim Kilpatrick (Chairman), Cllr. Karen Douglas, Patricia Getty (Child & Adolescent Carer), Kirsty Ferris, Ivan Irvine and Mark Armstrong

Mayor of Ards & North Down Borough Council hosts Liver Support Group.2023-05-14T13:35:12+01:00

Transplant patient James McCurdy helps the LSG celebrate 25 years.

James McCurdy has recently been transplanted and, as a thank you to the Liver Support Group which celebrates 25 years supporting liver patients this year, he and his loving family decided to organise a number of local events to raise both awareness of the Group and funds to support other liver patients. Indeed without the overarching support of his family he would not have been able to organise so many events.

Already James has organised a fireside quiz which has been completed this week. But, his plans don’t stop there!! As well as this he has organised a number of other events.

>Easter Hamper raffle; more information on purchasing tickets for this can be found here https://tinyurl.com/3ukad4we

> Ballycastle to Ballintoy walk on Sunday March 26th starting at 10.00am at the Moyle Road Spar shop. If you’re free, and would like to join him, I’m sure he’d be delighted with your company. If you can’t do that, why not consider sponsoring him via his Just Giving page instead?

And here is the link to his page Just Giving

>Armoy to Ballycastle Tractor Run on Saturday April 15th starting at 10.30am from Armoy rugby club. More details provided on the poster.

The Committee are indebted to James and his family for organising and running all of these events and we truly appreciate it. All monies raised for the charity are used wholly for the benefit of all of our liver patients throughout N Ireland.

Transplant patient James McCurdy helps the LSG celebrate 25 years.2023-05-14T13:37:50+01:00

RVH Liver Support Group are on top of the world; all because of Ryan and Dylan !

Ryan Caughey travelling to Everest

Ryan Caughey on his way to Everest

Ryan Caughey at Basecamp, Everest

Ryan at Basecamp Everest with the Liver Support Group

This is Ryan Caughey, father to Dylan who was recently transplanted due to being diagnosed at birth with Maple Syrup Urine Disease (MSUD). This is a rare metabolic condition which causes sufferers to be intolerant of many proteins.

The condition meant many visits to the Royal Victoria Hospital and the condition was so debilitating that Dylan was on a heavily restricted diet for most of his life.

After being put on the transplant list in 2016 he received his new liver in 2019. The transplant was a success and four years after receiving his liver, 19-year-old Dylan hasn’t needed any hospital treatment.

And if that wasn’t great enough news in itself the family learned that Dylan’s liver, which didn’t function for him, was transplanted to another patient.

Ryan wanted to give something back for the care and support that he and his family had received and he decided to do a sponsored trek to Everest Base Camp and that’s exactly what he has achieved. We received this picture of him today (13/03/2023) at Base Camp proudly holding up our banner.

As a charity we would like to thank Ryan so much for his support and for putting us on top of the world.

RVH Liver Support Group are on top of the world; all because of Ryan and Dylan !2023-03-13T17:50:44+00:00

RVHLSG benefits from Noah’s Ark Parent and Toddlers Group in Kilkeel.

“Noah’s Ark Parent and Toddlers Group in Kilkeel Presbyterian Church organised a pre-Christmas Craft Fair, in support of local charities.  Benefitting this year was the RVH Liver Support Group and the local RNLI team in the town.  Liver Support Group Chairman, Jim Kilpatrick, gratefully received a cheque for £675 from Lynda Curran, one of the Toddlers Group committee, and mother of our transplanted member Rachel Chambers.  Our thanks go to the Group and the Minister, Rev. Stephen Johnston for their hospitality and generosity.”

RVHLSG benefits from Noah’s Ark Parent and Toddlers Group in Kilkeel.2023-01-22T14:59:48+00:00

Heading to college soon? This webinar could help…..

Children’s Liver Disease Foundation (CLDF) is running a webinar on January 26th for those heading back to, or first time to, college.. The webinar will discuss things from the use of UCAS forms right through to filling in job application forms.

You can book a space directly at youngpeople@childliverdisease.org or, find further information by clicking on this link below:-

https://m.facebook.com/story.php?story_fbid=547462024087169&substory_index=0&id=100064701275212

Heading to college soon? This webinar could help…..2023-01-19T15:03:01+00:00

Remember our post in September on the Loch Ness Marathon?

Do you remember the post we put up about Damien running the Loch Ness Marathon in September of this year? Well he did it and raised a staggering sum of money to be distributed among three charities; one of which is the RVH Liver Support Group.

Mairead, Damien’s wife, received a life saving liver transplant approx five years ago and Damien wanted to give something back. Well, he has, by way of a donation amounting to £3885.45. We would like to thank him most sincerely for this and we hope that Mairead continues to do well.

Remember our post in September on the Loch Ness Marathon?2023-01-07T04:30:16+00:00

LSG Visit to King’s College Hospital, London

Thankfully, after an enforced break due to Covid, we were able to revisit King’s once again in November, to renew acquaintances, establish new relationships and provide the staff there with updates on the Group as of 2022.

Kay and Jim spent four very full and rewarding days in London, during which they reviewed some of the accommodation used by patients and carers when they go for treatment – a very worthwhile exercise which allowed them to consider distances and travel options and times to King’s, and the availability of dining and other options nearby.

Considerable time was spent each day meeting with the transplant coordinators, consultants, surgeons, Todd Ward staff and others whom patients and carers might encounter during their time in King’s.  A meeting with some of the committee members from the LISTEN patient support group in King’s was most welcome, and much was learned on both sides around patient care, particularly concerning those patients from Northern Ireland.

Kay and Jim were also fortunate to be able to spend some time with a local patient who had been transplanted immediately before their visit, as well as his partner, and to call in with another local man who had returned to King’s for a post-transplant procedure.

Much was gained during the visit, thanks in no small way to the fantastic support provided by King’s Senior Social Worker, Paul McKie, and we look forward to being able to return again later in 2023.

LSG Visit to King’s College Hospital, London2022-12-28T11:22:59+00:00

🧑‍🎄The RVHLSG Santa Claus unit gets into gear for Christmas 🧑‍🎄

Committee members of the Liver Support Group have been out recently gathering up lots of pressies to make up hampers for the child, adolescent and adult liver patients who are currently in hospital. They have all been delivered over the past few days to the wards and we would like to take this opportunity to sincerely thank all of those involved in “Operation Santa” !!

🧑‍🎄The RVHLSG Santa Claus unit gets into gear for Christmas 🧑‍🎄2022-12-23T14:10:36+00:00

RVHLSG contributes to research costs at the RVH Liver Unit

The RVH Liver Support Group recently made a donation to the RVH Liver Unit as it investigates the possibility of bringing “Enhanced Liver Fibrosis” testing to N Ireland. In the article below Dr Leanne Stratton, a hepatology consultant in the RVH leading the research, explains what it all means for patients here.

About the ELF test

The “ELF” test is a blood test, also known as the “Enhanced Liver Fibrosis” test.  This blood test is a panel which measures 3 separate blood markers of scar damage (fibrosis) in the liver: hyaluronic acid (HA), procollagen III amino-terminal peptide (PIIINP), and tissue inhibitor of matrix metalloproteinase (TIMP-1).  This blood test panel isn’t currently available in Northern Ireland.

NICE Guidelines 2016

The ELF test was mentioned in NICE (National Institute for Clinical Excellence) guidelines for non-alcoholic fatty liver disease (NAFLD) in 2016 as a way to determine if there is any significant scar tissue in the liver.  One in four adults in Europe has evidence of fatty change in their liver, but not all of these patients will develop scarring in their liver secondary to fat, and not all will need seen by a hepatologist.

The NICE guidelines suggest that the ELF test may be used in adults who have a diagnosis of NAFLD to determine if there is any evidence of advanced fibrosis.  These guidelines suggest that, for patients who have an ELF score of 10.51 or above and NAFLD, they can be considered to have advanced fibrosis.  For patients with an ELF score of less than 10.51, they are unlikely to have advanced liver fibrosis, and should be reassessed at 3 yearly intervals.

Current practice in RVH Liver Unit

In the RVH Liver Unit, patients are risk-stratified using the “NAFLD score” – this is a blood panel score taking into account recent liver bloods, platelet count, body mass index (BMI) and presence of diabetes.  For patients who are “low risk” on this score, they can be managed in primary care, addressing any relevant risk factors (weight, high blood pressure, diabetes, high cholesterol or sedentary lifestyle).  For patients who are of “indeterminate” or “high” risk, they are generally offered a Fibroscan and a clinic appointment in the service.

Fibroscans and current challenges

One of the current challenges in the Liver Unit, is with regards to demands on the Fibroscan service.  The Fibroscan can be used across lots of different causes of liver disease to help assess for fibrosis.  Some conditions, such as chronic hepatitis B, require an interval Fibroscan every few years as per guidelines, which adds to the demand on the resource.  Our current waiting time for a routine Fibroscan in Belfast is in excess of two years.  Over 25% of patients who are waiting for a Fibroscan have NAFLD.  For many years, the only Fibroscan machine in Northern Ireland was in Belfast, and so our waiting list still holds patients from other Trusts who were referred before each Trust had their own scanner.

Another challenge of the Fibroscan can be the difficulty in obtaining accurate readings in patients who are morbidly obese – an increasing challenge that we face in our clinics.  There is also currently a four year waiting time for routine clinic appointments in the hepatology service – yet another challenge that we are aiming to address.

Potential solutions

We are keen to explore other ways to “risk-stratify” our patients, so that patients who are at the highest risk of significant fibrosis are seen quickly, and those who are low risk can be given appropriate lifestyle advice and discharged back to the care of their GP.  We are currently working on a pathway for new NAFLD referrals into the service, development of a nurse-led first assessment clinic for NAFLD, and educations sessions for GPs across Northern Ireland.  As part of this work, we have been keen to explore whether the addition of ELF testing would help to risk-stratify patients, to enable more timely access to the service to those in highest need, and to reduce demand on the Fibroscan service.

RVH Liver Support Group

We have been very grateful to the RVH Liver Support Group for a very kind donation of £2,000 in 2022 to run a pilot study of ELF test feasibility.  With collaboration between our laboratory scientists, phlebotomy hub, Ninewells (Dundee) biochemistry labs, and our specialist hepatology nurse Jessica Brown, we have been able to invite 40 patients with “indeterminate NAFLD” scores for ELF tests which cost £50 per patient.  This has only been possible with the support of the RVH LSG.  This pilot is currently underway and results will hopefully be available and collated by the end of January 2023.  This will allow us to assess whether the introduction of ELF testing will be of benefit in the risk-assessment of new NAFLD patients referred into the service.  If it appears to be useful, it will give us the information that we need to approach commissioners to ask for funding for this service for patients in Northern Ireland.

RVHLSG contributes to research costs at the RVH Liver Unit2022-12-23T12:19:28+00:00
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