Charlie, I am so sorry to hear of the additional problems. I do hope that things will be sorted out soon. Unfortunately, in ESLD, new medical problems are fairly common. Remember to try to take some time for yourself or you will burn out very quickly. If Janie is at home, try to get some medical asst. care at home and some respite for yourself.
My thoughts and prayers are with you both.
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"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland