Now, hearing that he was in end-stage cirrhosis didn’t surprise me, given his heavy drinking. What did surprise me was that he’d visited several doctors and specialists in the months before his death, and no one knew his liver was struggling either.

So what happened? Does end-stage liver cirrhosis really sneak up that fast? Were there other signs that would have alerted someone to his failing liver?

As for why the doctors and specialists didn’t know what was happening, that mystery resolved reasonably quickly. The plain truth is that alcoholics rarely divulge the amount and frequency of their drinking to their doctors. This was the case for my dad. He had many health issues that he was trying to solve, but he protected his drinking habit fiercely. So he refused to spill the beans, even when it mattered.