Upper RQ pain, comes and goes for the last year and a half, but getting worse the last two months. Sometimes it spreads around to the back, and my right shoulder hurts now too. US was normal, other than a small polyp on the gallbladder. ALT liver enzyme level was a bit high last month, but has come down to almost normal levels now (63). HIDA scan showed 88% EF. GI doc and surgeon both said this was fine, but reading a lot of anecdotal evidence on the internet that an EF this high, may be just as bad as having an EF too low. This seems like new evidence, so a lot of docs aren't on board with this yet. I don't know what to do at this point. Scared of having my GB removed, only to have no change and then not have a gallbladder anymore. Would like to keep all my internal organs where they are! Any southern California docs know about this?