in the last three months she has gone into hepatic encephalopathy
with high ammonia levels
of 90 and 85. At these levels she was showing signs of falling asleep at dinner, long stretches of sleep slurred speech, can't answer simple questions like our children's names, birth date, etc She is in a skilled nursing facility now and her ammonia level was 95 three days ago. She was lucid, alert, not falling asleep at odd times, so the Doctor there was not concerned.