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Dr. Raymond Chung, a Gastroenterologist and Transplant Hematologist who is the Director of the Hepatology and Liver Center at MGH and a Professor of Medicine at Harvard Medical School, joins host of RTL and internal medicine resident, Dr. Joyce Zhou, to discuss an approach to decompensated cirrhosis. In the episode, the two cover underlying pathophysiology, complications, and management of patients with cirrhosis from oral medications through transplant consideration. Their discussion touches on ascites, esophageal varices, hepatic encephalopathy, SBP diagnosis, TIPS use, hepato-renal syndrome, and more. The episode closes with Dr. Chung’s big picture pearls for thinking about and caring for cirrhotic patients.