I'm interested in the fact that after the TIPS procedure your Mike was silly with high ammonia but not mean. Right now I have alternating melancholy and mean. I think the mean is when the ammonia is high. He has had swinging ammonia levels...114 one week, 67 the next and then 17 in hospital. Now that he is home, it is heading toward mean again.
My hubby was doing pretty well, though still drinking, when we had our latest crisis. He had a bleeding episode that resolved quickly, then his edema got really bad and he was admitted to hospital with peritonitis. He has rebounded after 5 days on IV antibiotics, but now at home on oral antibiotics he seems to be going down hill again in the altered mental state department.
We have an appointment with a specialist this week. And maybe that procedure is next. I want to look up a lot about it today.
Thanks for posting.
Mama Lama