DD, My wife (59 yrs old) has had problems in the past with encephalopathy, in that she has lost track in mid-sentence of what she is saying, walking into a room and then forgetting why she went there, etc. She also tires very easily, and like your husband, if she does anything physical one day, it may take 3-4 days for her to recover, and she may sleep day and night for a day or two.
Good to see you back here, Scott. I thought maybe we had lost you to "that other sitse."
I sometimes used the hand flapping as a gauge for increasing Dougs lactulose. He got so he would do it himself and if they were flapping bad he would even give himself a little extra. I know the Dr's only use it as a rough guess but they told me different levels effect people differently and at different times. I have seen Doug be almost 300 and just be confused yet another time be 130 and in a coma like state, so unpredictable for the individual and any given time. I wish you the best as you go through this.
DD, you have so much on your shoulders, it's just unreal that family doesn't "get" that! You really do need to make a stand and say enough is enough! People that haven't had to deal with fatigue from liver disease just don't get it. I've been the butt of many jokes about my sleeping and it is hurtful.
Rick, I appreciate your input. I may try the B complex. I've been more fatigued than usual lately, for no good reason other than waking up every 2=3 hours during the night.