Thank you so much for all of your advice.
I will post again after she has seen a new dr. I must clear up the trust issue. She had total trust in her first gastro, and she is nervous about seeing a new one. The new dr has a partnership type office, so it is probable not to see the same dr. I have suggested that she request to be able to see the same dr. That is really all that I meant by not trusting. about the time she was going to have her surgery, her now ex-husband just walked out the door without even so much as a good bye. But as her Mom, I can say that I am glad that he is out of their lives. She is so much better since her surgery.
Thank you again.