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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 …


Liver Specialists of Texas Newsletter 25-Sep-08

Welcome to the Liver Specialists of Texas newsletter of upcoming events, articles, and more from our membership.   Podcast: Pregnancy and Cirrhosis This podcast discusses the effect of cirrhosis on pregnancy. While women that have cirrhosis get pregnant less often, when women with cirrhosis do become pregnanct, there are added concerns and dangers. Complications include and increased risk of bleeding esophageal varicies, worsening hepatic function, internal bleeding, and hepatic encephalopathy. Details from the article are posted below. Esophageal Varicies Esophageal variceal bleeding has been reported in 18% to 32% of pregnant women... [More Info]   Podcast: Normal Liver Enzymes in Fatty Liver Disease Still A Danger Fatty liver disease remains a very big public health problem for all of us. This podcast reviewes a recent article in the journal Hepatology that discusses the impact of normal liver enzymes on the …


Podcast: Pregnancy and Cirrhosis

This podcast discusses the effect of cirrhosis on pregnancy. While women that have cirrhosis get pregnant less often, when women with cirrhosis do become pregnanct, there are added concerns and dangers. Complications include and increased risk of bleeding esophageal varicies, worsening hepatic function, internal bleeding, and hepatic encephalopathy. Details from the article are posted below.


Podcast: Normal Liver Enzymes in Fatty Liver Disease Still A Danger

Fatty liver disease remains a very big public health problem for all of us. This podcast reviewes a recent article in the journal Hepatology that discusses the impact of normal liver enzymes on the progression of fatty liver. Their findings suggest that patients with non-alcoholic fatty liver disease, who have normal liver enzymes, remain at risk for disease progression. It does not appear that having normal enzymes protects you from further damage. Additionally, having signs of insulin resistan


Healthy Breakfast for School Kids

Dr. Galati recently reported for News Radio 740 KTRH the importance of breakfast in children heading off to school. Here is the transcript of the podcast that can be listened to.School will be starting in the next couple of weeks, and now is the time to begin thinking about your students health and what you need to do to have a healthy and productive school year. A health breakfast is one of the most important things you can do for your child. Never allow your child to skip or skimp on breakfast-especially the girls. A nutritious breakfast including some of these foods items is the goal, and includes: fresh fruits, fruit juice, eggs, oatmeal, whole grain toast, yogurt, a glass of milk, a small serving of chicken or turkey, reduced sugar cold cereals, and peanut butter will give your child a …


Do You Know Your ALT? A Podcast Moment

The liver is the largest organ in the body and is located in the right upper quadrant of the abdomen, immediately under the diaphragm and weighs approximately three pounds. The size of the liver is proportional to the size of the person. No two livers are the same size.


Your Health First Newsletter: July 3, 2008

As many of you know, Dr. Galati hosts a weekly radio program "Your Health First" every Sunday evening on Houston's 740 KTRH. It can also be heard streaming on the web by going to the station's web site www.ktrh.com. The program puts out a newsletter with highlights of prior segments and


Vaccination for Hepatitis A and B: Their Overall Role in Liver Health

Erin Yates, PA-C Liver Specialists of Texas Hepatitis is simply an inflammation of the liver. There are multiple causes of hepatitis including very common viruses such as hepatitis A, B and C. Hepatitis A virus is spread by close personal contact with someone who has the infection, eating food prepared by someone with hepatitis A or drinking contaminated water. Hepatitis B virus is a sexually transmitted disease or may be passed from a hepatitis B infected mother to child. It is not spread by shaking hands or hugging. The tables below show people at high risk of contracting hepatitis A and B. TABLE 1: High risk populations Hepatitis A (HAV) Hepatitis B (HBV) Travelers to developing countries with high rates of HAV (includes Mexico) Men who have sex with men IV drug users People exposed to hepatitis A in a research setting People who work with infected non-human primates …


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.