Although he received spironolactone, furosemide diuresis, albumin infusion, and intravenous antibiotics, the model for end-stage liver disease (MELD) score [19,20] continued to increase to 29 points on 9 November 2018, and he was finally placed on the waiting list for liver transplantation (Figure 1). The gene discussed is ALB; the disease is End Stage Liver Disease.