@jeanne5009 thanks for sharing! I've been on lactulose and Rifaxamin for 2 years also yet lately I've been on the brink feeling that HE episode is around the corner. Since I had no choice in the matter of losing my license I've been dependent on others. As soon as I started on the lactulose the ministry automatically revoked it. I have tried to get my doctors to complete the paperwork but to no avail. They will not reinstate until I'm off lactulose post transplant. I agree that maybe it's for the best. I would hate to cause an accident. I'm lucky to have quite a few family members who remain accessible 24/7. I've been thinking about a medical bracelet. I always have emergency numbers in my wallet. My thoughts are with you.