I have recently been diagnosed with PBC, ANA positive and a weak positive autoimmune hepatitis. I have been out of work for almost a month now. I have a very high paced job (about 50 hr's a week, plus 10 more in commute), getting up at 4am and often not returning home until well after 5. I drive about 9 hr's a day and was falling asleep while driving, more than I care to admit. I have been having symptoms for at least 6 months, finally getting a diagnosis last week. I'm awaiting my prescription from the damn mail pharmacy my insurance requires we use. I'm wondering 2 things, first, is it possible to return to work or is it just a pipe dream? Second, my Dr felt it wasn't necessary to do a liver biopsy at this time, how do I know what stage I'm at otherwise? She seemed quite comfortable not doing it, but I'm concerned that since I'm symptomatic and have been for a while, I may be more advanced. I'm trying not to get too stressed and would appreciate any feedback you can give.