Liver Disease, North Austin And South Austin discussed on The Armor Men's Health Hour


My co host, very intelligent, credibly stylish Donnelly. That's right. A brilliant and stylish and super sexy well today in her mind, at least Welcome to our show. This is a men's health show. I am a board certified urologist. We talk about a number of topics that can affect men's health, including those that are specifically your logically based like testosterone and kidney stones and prostate cancer, But well To talk about all the things that cause men, illness or lack of wellness. Our urology practice has been around in Austin since 2007. We got a whole bunch locations that we do We have locations all over have round rock, North Austin, South Austin and the fabulous Dripping Springs. You know, I don't give kudos to the other locations like I do Dripping Springs. I should probably start dreaming. They love dripping and dripping. They love dripping and we're trying to fix that makes all the dripping and dripping as urologist. We fixed in continents in case you guys were wondering in case they're listening at home. Go with that. What do they do? You know, a lot of people wonder if my name is a gimmick. It is not Dr Mysteries, my real name, but you know what I would if I was going to be in the military and I was going to be a major in the military. My last name would be gone. Good. What? Major gun? I would love that, wouldn't you? That's exactly that's a Segway into our guest, the former retired major gun of the US Air Force. Did EJ welcome. Thank you for joining us today. Thank you. Glad to be here, Doctor. Major gun. Document Your gun. You know, when I was in residency and in medical school, I would hate to admit anybody that I was ever kind of afraid of certain organs. But the pancreas and the liver those air to organs that I never really understood. They kind of look funny. And then invariably you stick things in him by accident when you're operating And that they're frightening. And people that have pancreatic and liver disease are very, very sick. And you dedicated your life for these people. Absolutely. My what? Prompted you to go into a liver disease medicine? Probably because I like alcohol, and I just wanted Teo Major. I just want to know what the long term ramifications for that and it was a long night long weekend that I was like, Oh boy side of medical school. In all seriousness, it just seemed very fast. Eating to me and the disease course is quite complex. And I thought I could make a difference by helping people with this disease and knowing that ultimately, in many cases if the liver starts to fail, there's transplantation as a as a fix for that. And and I and I enjoyed that. So so next to urologist, Of course, I've always thought that hepatology ists were like vest. Smartest doctor right below your old thunder just just just under urologist. And what often fascinated me about hepatology was that you? Do a lot of transplant medicine, so it's not just chemistry balance. It's not just helping people with horrific end of liver disease kind of problems, like the cirrhosis causes fluid in the abdomen and various sees with bleeding vessels everywhere and bleeding out their throat and then living after liver transplants. No walk in the park, either. It's a huge incision. Somebody either has to donate part of their liver or somebody has to die to get a liver. And then you have to be an anti rejection. I mean, had liver disease sucks. Idiot. It's hard, though. People who spend tireless hours helping patients with liver disease and know that it's complicated, and they have a special calling to help those people so that they're just like anybody else. When we look at liver disease, we know well, at least of the physician. I know what a really sick liver patient looks like. But I don't know is what is a less sick liver patient. And this concept of fatty liver was something that I guess I heard more about when I was finishing training, But I'm out of it, and I don't know. I see so many patients diagnosed with fat. Oliver and I don't know what it is or how to fix it or why people should care. Well, it's really not that easy to identify out the box, so you really have to be discerning and looking. But the first thing I would say is look at your patients. If you see someone who's an obese, diabetic, Hispanic female, Maybe that's a that's a good fino type of patients that are likely to have patty liver, diabetes and in particular, they may or may not have abnormalities in their liver in science, But the fact that they have those metabolic syndrome disorders, it's likely that they could Fatty liver, just swimming in the background as well. And the way for you to identify that is you can start with just some liver enzymes if they're abnormal, and when I say abnormal, it may not be that the lab calls it abnormal and it's red on the on the lab profile. It's just the S T greater than 19 and a female or greater than 30 and a male that might be a trigger to look into liver disease. Also the platelet count the platelet kind kind of flies under the radar. But if you see a platelet count less than 150,000, that might be someone with advanced liver disease. And there is a technology which is relatively new. It's called a fibrosis Can it will measure the stiffness of the liver. So if you have a patient that you're suspecting, fatty liver disease in, especially who fits

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