Wife was hopitalized, alcohol stage 4 cirrosis; she was released, does not eat, refused to eat going on 4 weeks. Her bilirubin, enzymes (24-27?) and ammonia in blood is elevated. She is a skeleton, Hospice finally put a GI tube in today feeding ensure. No IV... why? She is incoherant today. Sister (nurse) is concerned that she may be at the stage of "hepatic encephalopathy, her abdomen is huge (ascites). Someone be straight with me and tell me what I need to do. Dr has dicussed transplant list. Should I have her sons come to see her from out of State? You have been through this... what does all this mean, what should I do, and what can I expect at this point. Help!