Thanks for the reply Jabay. My laparoscopy was done by a fertility specialist who I was seeing at the time for unexplained infertility. I now have two kids and they never found a reason for the delay in getting them. I did have ITP when I was very little, about 4 years old until about 9 or 10 when I finally had a spleenectomy which corrected my bleeding problem from the ITP. I have never had an irregular platelet count since. The hepatologist didn't say that the picture looked like scar tissue on my liver, he said it looked like some kind of membrane covering my liver. The picture shows the light colored membrane on top of a layer of normal colored liver. I have been thinking about a second opinion from a different hepatologist. The doctors don't seem to think that surgery is necessary and because of this my insurance won't cover it. I guess if I requested or insisted that something be done they can't refuse. I was a little aprehensive about the nerve block also. The hepatologist said that it would determine if my pain was from muscolskeletal or actually from some type of organ. I worry that it might bring up more issues that really aren't issues and confuse the situation even more. Do you think rechecking the gallbladder before an invasive surgery might be worthwhile? I've heard of gallbladders going bad and people having them rechecked only to find their percentage go down and removal necessary. Thanks again for your advice
What was the laparoscopy done for? It almost sounds like you had new scar tissue beginning to form on your liver, indicating some kind of inflammation (from infection of some sort?) had to be present. You have had the "million dollar work-up", and at this point, if I were in your shoes, I'd begin to push for a diagnostic/ exploratory laparoscopy. Of course, that's just me. It just seems like you've had every possible test that can be run, and it may be time to take a peek inside to see what has happened in the past 6 years.
As for the nerve block, I'm assuming that is simply being offered for pain management. Personally, I wouldn't block any symptoms until I had a firm diagnosis of WHY the pain is there in the first place.