I was diagnosed with end stage liver disease after my liver biopsy was performed to start my treatment for Hep-C several years ago; I no longer have Hep-C. I also was an alcoholic for many years, I'm currently 8 years sober and grateful! In the beginning I was getting tapped every two weeks, until my GI Doctor tweaked the dosages of the Spironolactone, Furosemide and Propranolol I was given. I was doing great, with no taps for about 4 to 5 years, then a wrench got thrown at me with an emergency gall bladder surgery this past February 2018. My body just flipped upside down on me and I haven't been able to recover to my previous normal. I've been hospitalized with Peritonitis and C-Diff, which just added insult to injury. While in the hospital the option of the TIPS procedure had been mentioned to me by several GI Doctors and that I'm an excellent candidate for this. I will be scheduling this tomorrow on Friday 6/1/18, my concern is the after care and the ammonia levels being an issue among other things. I've already had some experience with Lactulose for 2 and 1/2 days. I was basically handcuffed to the toilet!!!! The worst substance I've ever had to deal with!! I really don't think I can go through that again, it really messed with my mental and emotional state. Any thoughts would be so greatly appreciated!!