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I had my surgery on March 15, 2011. I never saw the surgeon until I was prepped for surgery and never saw him again after I was released from the hospital. I saw the office PA who apparently thought he was smarter than most physicians and ruled the office like he was God. Since the surgeon was never ever there I guess that was true for that office. On my second visit after surgery the PA said I needed some tests. I asked why and he said my blood work was off and I asked which blood work and he loftily replied that my liver panel was “off”. I told him yes it was because I have 3rd stage PBC which was why I was trying to lose weight in case I needed a transplant in the future and I already had a liver specialist who handled my liver issues. At my next visit he again demanded I have tests and I said no, I have a hepatologist who handles my liver issues and further my insurance was not going to cover additional tests which I knew for a fact because I had called them. My liver Dr then wrote the PA a letter to explain my liver issues and that the tests were to be expected and he was following my case very carefully. At my 6 week visit the PA told me I didn't need a hepatologist but I did need some additional testing which again I refused and when I left that day they did not give me another appt because I was being “stubborn about following the DOCTOR'S orders”. I never had another appt and just followed the diet . As a humorous side note that office called me last fall and said they were closing out my case as it had been 5 years. I told the person who called that it should have been closed 5 years ago. I told her my experience and that I had not been seen since 6 weeks after my surgery and she was very apologetic. I asked if that PA was still there and she said yes he was. So basically I had to do my own post surgery monitoring practically from the get go.

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