,In discussion with Mr. A and review of his chart that I have available, it is unclear as to the status of his liver disease, however, he has never had a liver biopsy, so his diagnosis of cirrhosis that they were concerned about in North Carolina is in doubt. 
,In discussion with Mr. A and review of his chart that I have available , it is unclear as to the status of his liver disease , however , he has never had a liver biopsy , so his diagnosis of cirrhosis that they were concerned about in North Carolina is in doubt .