Hello everyone longtime 🙏

[Sachin1234]

I’m moving to Chantilly Virginia so bye to Kentucky after 16 years 😔🤗..

So I need a help from pbcer living around that area for good liver and endocrinologist, please!!

[Cyndylouwho]

I’m in VA but my provider is in the Richmond area. Plus I just started with all this so I don’t know I how good she is. Hope you find someone good. I would check with the biggest hospital near you n also check the hospitals rating. God bless.

[Dcgal]

I go to Dr James Lewis at Georgetown MedStar in Washington DC

[Aprilbalech in reply to Dcgal]

Hi I live in Maryland and I am looking for a good doctor as well. I still don’t have a definite diagnosis. Do you think your doctor is experienced with PBC? Thanks.

[Dcgal in reply to Aprilbalech]

Yes. And that is why I go to him. He is a gastroenterologist

[Aprilbalech in reply to Dcgal]

I see an go doc in Annapolis and I’m just not sure about things. He’s not really that concerned. He doesn’t think it’s pbc because my alp is never elevated. My lfts went up while on antibiotics but th n came back down to normal. I’m just so nervous he will miss something. I do have the positive Ana.

[Dcgal in reply to Aprilbalech]

PBC is indicated by positive AMA

[gwillistexas in reply to Aprilbalech]

PBC I don’t think PBC is diagnosed solely on positive AMA. I believe there has to be at least two biomarkers, 1) being positive AMA and 2) being elevated ALK PHOS and/or elevated bilirubin.

[gwillistexas in reply to Aprilbalech]

That wasn’t clear...positive AMA, ALK PHOS & possibly bilirubin. Sorry

[Aprilbalech in reply to gwillistexas]

Thank you so much. My liver had a mildly course texture and positive ama but no elevated enzymes except for while on antibiotics. It’s very puzzling and very scarey. No real diagnosis. I also tested positive for norovirus when this was going on. It’s a wait and see thing right now.

[Sachin1234 in reply to Dcgal]

I’m referred dr James and I’m seeing him Wednesday 🤗 how does he approach?