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Dr. Joe Galati

There is so much information available on the new hepatitis C drugs, that at times, it can be overwhelming for the patient. It's amazing to think that we now have a cure rate of over 95% for the majority of patients who have hepatitis C. Yet despite the use of these amazing new drugs that have been FDA approved, many patients and they are family members still don't fully understand what needs to be done, and how to go about getting access to these new therapies. Even the most seasoned patient find navigating the system difficult.

For those with hepatitis C, whether you have been treated, or new to antiviral therapy, below all are a few tips to follow;

  1. If you have hepatitis C, you want to make sure you have all of the necessary medical records for a liver specialist to see when you are evaluated. This would include blood work, including your CBC, liver chemistries, ultrasound of the liver, and a liver biopsy report if you've had one. If you were previously treated for hepatitis C, you want to know the specific drugs that you were treated with, so that the new treating physician has an idea of how you responded to any sort of prior therapy.

  2. If you were seen by any other medical specialists, such as cardiology, pulmonary medicine, or endocrinology, having those medical records available would be necessary.

  3. Knowing your specific hepatitis C genotype is of value, because depending on your situation, the appropriate hepatitis C drug today may be based on your genotype.

  4. Make sure you have an up-to-date list of all other medicines that you're taking, because there are drug interactions that may take place with the newer hepatitis C therapies.

Many patients wonder what type of physicians they should see for hepatitis C treatment? As the therapies have become easier to administer, is not unrealistic to thank that a primary care physician or internal medicine doctor can safely treat you. In some parts of the country, infectious disease doctors have taking great interest in treating hepatitis C. Likewise, gastroenterologists may also be keenly interested in treating hepatitis C.

As a hepatologist, we have additional training in liver disease, its complications, as well as liver transplant. Patients that have hepatitis C, with more advanced scarring in the liver, have a greater risk for cirrhosis, as well as liver cancer. If you have an increased amount of scarring on your liver biopsy, or you have been told that you have cirrhosis, I would recommend being seen by a liver specialist. This will afford you the greatest opportunity to see that you are managed appropriately.

If you have any further questions, we would be happy to evaluate you.

Dr. Joe Galati, and the Team at Liver Specialists of Texas

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

  • 1

    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

  • 2

    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.

  • 3

    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.

  • 4

    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.