Tuesdays Tip

[DonnaBoll]

Computer glitch yesterday...

Unfortunately, liver biopsy has been offered far too often, and incorrectly as a method of diagnosis in the past,’ explains Professor Jones. ‘In fact, in around 90% of cases, AMA and LFT tests together can provide a definite diagnosis of PBC.

‘Crucially, if you have had AMA and LFT (usually Alk Phos) tests which confirm you have PBC you do not need usually a liver biopsy for diagnostic purposes. Sometimes a biopsy will help with diagnosis and management but your doctor should be able to explain why this is the case, specifically.’

[Michi1]

The first hepatologist I saw fired me as his patient when I refused to get a biopsy (because I had done a lot of research and knew what Dr. Jones is saying) and told me I should see his associate. Thank God! His associate was Dr. Cynthia Levy, who had recently relocated to Miami and had no interest in pushing me to get a biopsy I didn't need. She is now known as one of the leading doctors for PBC in the U.S.

[DonnaBoll Administrator in reply to Michi1]

Good for you for being informed- apparently more than the first doctor was!