@shacquie, if your mom's doctor recommends a liver transplant, you may be referred to a transplant center. You're also free to select a transplant program on your own or choose a program from your insurance company's list of preferred transplant centers.

You can read more about the liver transplant process here: https://www.mayoclinic.org/tests-procedures/liver-transplant/about/pac-20384842

I moved both your discussions into one so that people can see more of you and your mom's story. I see that you are very worried about your mom. It must be hard to see her suffer and even harder to wait for an appointment to see the GI specialist. Thank goodness she was given lactulose by the ER doctor. It will lower the level of ammonia by increasing bowel movements. It also may improve the health of her gut, making recovery easier.

As @katebw suggests you might wish to stay close to your mom the next days until her appointment with the GI. As Kate and @gently said, don't hesitate to call the GI office to see if you can get an earlier appointment.

If you would like to seek the opinion of Mayo Clinic experts, I recommend calling them or using the online form to request an appointment. You can find the Arizona number or online form here: https://mayocl.in/1mtmR63

Does your mom live with you or near you?

@shacquie i live in a very small town so I drove to Santa Barbara 2 hours away because of a really nice hospital there that was much more advanced than the one in my area I was in ICU for many months and was transported by ambulance to USC/Keck in Los Angeles which did transplant surgeries, look for the biggest hospital I recommend USC is 5 hours from my house it was totally worth it, I’m over 3 years Post and doing very well and swimming almost everyday