Hi, Damselfly, and welcome to the forum. I am sorry to hear about your fiance's problems. He probably doesn't want to go to a doctor because he knows they wll tell him to stop drinking. If he's not willing to stop entirely, he will only continue to get worse and nothing that is done will help.
It appears that he does have liver disease, but it is difficult to say whether it is end-stage or not, as we are not doctors and each case is individual. Some patients will continue on as he is for years and others will get progressively worse more quickly--particularly if they continue to drink and do not eat a diet rich in fresh fruits and veggies. Yes, it is possible that you will one day have to call a rescue ambulance to take him to the ER for a bleed or coma or encephalopathy. I suggest you read as many of the educational threads on this forum that you can, to familiarize yourself with liver disease and all that it entails.
My thoughts and prayers are with you.
Forum moderator - Hepatitis
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland