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Liver Specialists of Texas Newsletter Volume 9 No 5

  Welcome to the Liver Specialists of Texas newsletter of upcoming events, articles, jobs and more from our membership. Keep up to date with the latest in liver disease news, as well as general health and wellness information. We all look forward to feed back, and topics in the future you would like to learn about.   March was Colon Cancer Awareness Month: Podcast   March was colon cancer awareness month. Listen to Dr. Galati's podcast here. Among cancers that affect both men and women, colorectal cancer—cancer of the colon or rectum—is the second leading cause of cancer-related deaths in the United States. Colorectal cancer also is one of the most commonly diagnosed cancers in the United States. The risk of developing colorectal cancer increases with advancing age. More than 90% of cases occur in people aged 50 or older. Colorectal cancer... …


March is Colon Cancer Awareness Month: Podcast

March is colon cancer awareness month. Listen to Dr. Galati's podcast here. Among cancers that affect both men and women, colorectal cancer—cancer of the colon or rectum—is the second leading cause of cancer-related deaths in the United States. Colorectal cancer also is one of the most commonly diagnosed cancers in the United States. The risk of developing colorectal cancer increases with advancing age. More than 90% of cases occur in people aged 50 or older. Colorectal cancer screening saves lives. However, many people who are at risk for the disease are not being screened according to national guidelines. It is estimated that as many as 60% of colorectal cancer deaths could be prevented if all men and women aged 50 years or older were screened routinely. In most cases, colorectal cancer develops from precancerous polyps in the colon or rectum. …


Mice Helping Unlock Hepatitis B and Hepatitis C Treatments

In my blog this week, I highlighted a recent study looking at the use of mice livers, manipulated to look like human liver, that would allow researchers to use this mice to test new drugs agains the hepatitis B and Hepatitis C virus.   The full blog report is posted here. The full articles are also available for those wanting more detail.   Enjoy.   Dr. Joseph S. Galati


Job Opportunity: Internist Needed

Dear Internal Medicine Program Directors and Administrators:We are pleased to announce a career track Internal Medicine positions that will be available in April, July, and December 2010 for your graduating physicians. Kindly post the job offer and forward this opportunity to them. We are available for those with interest in the position to discuss the positions further.Thank you,Joseph S. Galati, M.D., FACGand the Liver Specialists of Texas Team     Job Opportunity: Internist Needed Author: Dr. Joseph S. Galati Release Date: Monday 25-Jan-10 8:00 AM Houston Based Liver Specialists of Texas is Seeking Internists for Their Growing Hepatology and Liver Transplant Program Internists are... [More Info]Posted by: Dr. Joseph Galati  Stay up to date with our RSS feeds.


Job Opportunity: Internist Needed

Internists are needed to expand within a busy clinical Hepatology and Liver Transplant practice, caring for the Internal Medicine needs of patients with all facets of liver disease. Disease management of hypertension, renal disease, hyperlipidemia, obesity, metabolic syndrome, and endocrine disorders in a supportive environment, located in the world’s largest medical center, has openings for April, July, and December 2010.Read more


PODCAST: Liver Transplant Evaluation

In this podcast,  Dr. Joe Galati discusses the liver transplant evaluation process that is used at The Methodist Hospital Center for Liver Disease and Transplantation. Individuals with end-stage liver disease, who have experienced various complication of cirrhosis, are considered for transplantation. Diseases that lead to cirrhosis include the following: chronic hepatitis C, chronic hepatitis B, alcoholic liver disease, non-alcoholic fatty liver, autoimmune disorders, and other genetic disorders of the liver.   The evaluation process usually takes place as an out-patient, where you are seen by one of our liver transplant surgeons, as well as specialized nurse coordinators, social worker, dietitian, financial counselors, and other medical specialists such as cardiology, psychiatry, and lung specialists as needed.   Once evaluated and approved, patients are listed for transplant. Priority for transplant is based on the MELD score. The higher the MELD score, the …


Update on Hepatitis C: AASLD Guidelines 2009

In the April issue of Hepatology, the AASLD published updated guidelines on the Diagnosis, Management, and Treatment of Hepatitis C. This is a comprehensive article, incorporating all of the new research on best practice standards for chronic hepatitis C. The full article can be downloaded here. A video of Dr. Galati explaining some of the recommendations is available here.


Colonoscopy Bowel Prep Instruction (with Podcast)

  HALFLYTELY BOWEL PREP INSTRUCTIONS NOTE: Before beginning the following steps, have your prescription for Halflytely® filled. THE DAY BEFORE YOUR PROCEDURE: *Make sure to take the Bisacodyl tablets at 10a.m. then wait 6 hours to start Halflytely® *CLEAR LIQUIDS ONLY, ALL DAY BEFORE PROCEDURE. Clear liquids include black coffee or tea, clear fruit juices (apple or white grape), broth or bouillon, non-red gelatin dessert, Sprite, Gatorade and Ginger ale. 1.    In the morning, after a clear liquid breakfast, prepare your Halflytely® solution according to the instructions on the package and refrigerate. 2.    Have a clear liquid lunch. 3.    By 10 a.m. – Begin by taking the 2 time released Bisacodyl tablets provided in the prep kit box. 4.    At 4 p.m. – begin drinking Halflytely® as instructed – 8 oz. every 10-15 minutes until the bottle is empty. (Rapidly …


Obesity and Fatty Liver Disease

Obesity, and all of its related complications, is more serious than most adults in America believe. More than one-third (34.9% or 78.6 million) of U.S. adults are obese. Obesity-related conditions include heart disease, stroke, type 2 diabetes, fatty liver disease, and certain types of cancer, are some of the leading causes of preventable death. We are seeing an increase in the number of young children and adolescents developing obesity, and all of the related complications.

The cost of obesity is staggering, with annual medical cost of obesity exceeding $147 billion in 2008 U.S. dollars. The medical costs for people who are obese were $1,429 higher than those of normal weight.

Dr. Galati and the Liver Specialists of Texas team are dedicated to evaluate, treat, and manage all aspects of obesity and non-alcoholic fatty liver disease (NAFLD and NASH), including the complication of cirrhosis and liver failure. Developing a customized plan of care for each patient they see is their objective.

Liver Transplant Resources

Dr. Galati has been involved in Liver Transplantation since 1989. As Medical Director for the Center for Liver Disease and Transplantation at Houston Methodist Hospital, Dr. Galati has cared for thousands of patients with advanced liver disease. In those with the most severe form of advanced liver disease and cirrhosis, liver transplantation is a life-saving surgery. For more information on liver transplantation, click here.

Indications for liver transplant include:

Online LIVER Second Opinion

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    From the comfort of your home, without the need to spend additional money on travel, lodging, and food, receive and expert second opinion from the expert physicians at Liver Specialists of Texas

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    There are five steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-65 minutes to complete.

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    Have your medical records or those of your loved one on hand as you fill out the medical history questionnaire portion of the online process. The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.

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    To start the process of an Online Liver Second Opinion, please fill out the initial contact form and fax back to our office. A representative from our office will call you for additional details.