### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
HI MY BROTHER HAS HEP C AND VARCIEL BLEED.  HE HAS HAD 6 PINTS OF BLOOD IN 2 WEEKS AND 3 ENDOSCOPIC SURGERIES TO BAND VEINS IN 3 WEEKS.  HE CAME DOWN WITH HEPATIC ENCEPHALOPATHY LAST WED. AND WAS UN RESPONSIVE.  HE HAD 5 LTRS OF FLUID DRAINED IN 2 DAYS. HE IS HOME FROM THE HOSPITAL AND HIS MEMORY IS A HIT AND A MISS.  HE BEGAN SWELLING IN HIS FEET AND LEGS MONDAY.  HE IS ALSO A DIABETIC. IS THIS CONSIDERED END OR FINAL STAGE OF LIVER FAILURE? I KNOW YOU CAN NOT TELL ME HIS LIFE EXPECTANCY BUT CAN YOU GIVE ME A GUESS AT WHAT WE ARE FACED WITH

### output:

Hello, How are you? My name is Chat Doctor.  I am a Liver transplant surgeon and I hope to answer your question today. The symptoms you are describing suggest an acute decompensation of the liver function. Hepatitis C damages the liver, albeit slowly over a period of 15 to 20 years. It leads to cirrhosis of the liver where the healthy liver tissue gets replaced by scar tissue. This essential leads to a decrease in the number of liver cells (hepatocytes) to maintain normal liver function. Under normal circumstances, even 30% of total liver cells are sufficient to take care of daily activities, but in times of stress more volume is required. Unfortunately in cirrhotics, this reserve volume is not available. So even in times of mild stress (infection, electrolyte imbalance, deny