My father has a transplanted liver for 16 years. The reasons for the cirrohis was cryptogenic. He has perfect liver enzymes yet has had for the last two months severe episodes of encephalopathy. He also has been very anemic and receives procrit injections weekly after being hospitalized for a complete gastro workup which turned up nothing. He was recently evaluated by a transplant team. During his hospital stay they have given him a many tests which have shown nothing and the final phase of tests was a liver biopsy which does not show any cirrohis. They are now going to do a nuerological workup. When his ammonia levels are very high he responds to the regime of increased lactulose and neomyicin. What else could be wrong? He is extremely weak and you can see his health slowly deteriating for the past two year. Can he still be in liver failure?
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