The way they found out about my liver was a blood test showing high liver counts. I started having high liver counts even when I was skinny about 30 years ago. Then when I took lamisil for a foot problem about 5 years ago, it sent the liver test sky high. Then they tried to do an ultra-sound but I was too heavy to get a good picture they said. So the primary care doctor sent me to a specialist. He told me to loose weight because I probably have a fatty liver or hepitis C and shoved me out the door.
Then 2 years later, my primary care doctor sent me to another liver specialist and he said I would have to have a liver biopsy to really see what was going on. The specialist told me some scary stuff about bleeding to death and such plus he said even if they found out there wouldn't be anything they could do. So I didn't have the biopsy done. A year later my primary care doctor asked what ever happened about it and I told him. So he sent me back to the liver specialist to have the biopsy. He didn't do it but another specialist did and I nearly died from a pain killer they gave me. The liver specialist told me the results over the phone--fatty liver with some scarring and told me to loose weight. Then he refused to see me again. So my primary care doctor told me that I need to loose weight in a big hurry and was mad that neither of those specialists referred me to a wieght loss surgeon. So I hired a patient facilitator to get me through the insurance hoops that had refused me weight loss surgery about 8 years ago when I had a 42 BMI and now I am 53 BMI.
Now my primary care doctor is in a miff and not happy that I am using him for the surgery referral process and having him send in the letters required. I wonder if has to do with insurance kick-backs or what? I am using a surgeon about 150 miles from here and not part of our city's medical bunch. There was no one around that could do this surgery or gastric bypass. I wasn't about to go to a general surgeon!