I had a post-operative workup for surgery (called Lap) to see if I had Endrometriosis. My OB/GYN did not even attempt to remove all of the Endo he found because it was severe. I received a call from my regular Dr. to come in and do liver enzyme tests because he told me that the post-op tests revealed that I had elevated total bilirubin in my urine. I have done a lot of reading and I know this can be a very bad sign!! I did my liver enzyme tests which all came back normal. How can this be?? I have been very fatigued for about the past year with no explanation. Also, after my lap was done, I noticed pain underneath my ribs which continues every day. (Lap was done over two weeks ago). Anyway my regular Dr. wants to blow this off and forget about it. Should this be forgotten about?? I am only 38 and want to make sure my liver is OK. I do have panic disorder and take Effexor and Klonapin every day. Thank you so much for your help!!