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Janet Gripsover

Janet Gripshover, DNP, MBA, FNP-BC, is a hepatology nurse practitioner and Nurse Manager for the Liver Transplant Program at Cedars-Sinai in Los Angeles.

Aug 18, 2026

13:33
agreed.
13:33
And to your point on sarcopenia, this is such an impactful issue for patients with cirrhosis.
13:40
And really, we need to be doing everything we can to combat and slow its development because it's really a positive feedback loop with uncontrolled encephalopathy.
13:50
So people with encephalopathy, we talk about altered mental status.
13:53
I don't know how much of this we really talked about so far, but You know, it has a very variable presentation, right? But one of the first things that happens is that it changes people's behavior.
14:03
It changes their ability to balance.
14:06
And so, you know, they often lose a little bit.

10 MINS LATER

23:49
And then I say, the next time I really want you to bring, you know, somebody in with you, somebody that's a family member, also that's with you on a regular basis, because they can sometimes be the most helpful assessment, if you will.

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