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Well, I had my long awaited appointment with the biliary surgeon at UAB today.

He was indeed a very nice man, but it seems I am on hold a bit longer. He was

not happy with the quality of the ct scans from my small local hospital, so he

wants to repeat the CT. He talked with my GI on the phone while I was there.

The GI told him that there is some stricture at the cystic duct at the point

where they removed my gallbladder. The surgeon wants to see the ERCP films so

he can see if he thinks there's enough of stricture to be causing my problems.

The surgeon said if any one of the ducts is causing the problems that it is very

correctable with surgery and that once corrected, you normally have no more

problems. However, he said if the problem is actually adhesions that even

though they can be removed surgically, you run the risk of causing more

adhesions in the future. I heard the surgeon say to my GI that there is

obviously some liver damage going on as I've had 3 separate incidents where the

liver enzymes were dangerously elevated.

So, anyway, the plan is that the surgeon will get the ERCP films from my GI and

review them. I will have a ct scan at UAB on Nov 1st and then see the surgeon

that afternoon. I'm just scared that if the surgeon feels that adhesions are

the problem, he's going to tell me there is nothing he can do. I have not gone

longer than two weeks without being in the hospital since this began in mid

July. I really just don't see how I can go on like this for much longer. Right

now it seems that pancreas has not sustained permanent damage, but I would think

it is only a matter of time if I keep having these attacks.

Although, out of the eight times I've been in the hospital since July, the

pancreas enzymes have only been elevated 3 times. the liver enzymes have been

elevated every time, but only dangerously elevated 3 times. Coincidentally,

only one of the three times the liver enzymes were dangerously elevated was when

the panc enzymes were also elevated.

I just got out of the hospital Saturday and I have been doing better. Not

great, but better. More than anything right now I'm scared and want some

answers as to why this keeps happening!

W

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