@racing212 when you say last October I presume you are referring to October 2018: not this just past October. If that doctor is not at a hospital that does not do transplants and does not have a hepatology department, he/she is probably not that familiar with your condition.
I live in NH and there are only two hepatologists in the state, both I believe at Dartmouth. There is no hospital in the state that does liver transplants. I was at a Manchester hospital for HE episodes and they really were not that knowledgeable. If I knew then what I know now I would never have gone there but the times that I did my husband just wanted to get me care quickly. One time with a more serious Pre-transplant issue the hospital in Manchester did get an ambulance to bring me to Mass General.
JK