coronary, pulmonary or spontaneous bleeding and
clotting can occur at any time and
Additionally, it is not uncommon for liver
failure patients to wax and wane in terms of their mentation, confusion and overall state. Paradoxically, it's a laxative (lactulose) which can improve their mentation by converting and clearing amonium from the system - which is a function of a healthy liver
So it's a roller coaster I'm afraid.