Category Archives: scholarship

bLifeNY: The Challenges of Raising Organ Donation Awareness

The field of organ transplantation has become a victim of its own success. With vastly improved antirejection medications, surgical techniques, and medicines to prevent transplant related infections, the chances of long term success for all solid organ transplants are uniformly … Continue reading

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Protein Okay for Cirrhotics

I was just seeing a patient in liver transplant clinic today with end stage liver disease secondary to fatty liver disease leading to Non Alcoholic Steatohepatitis (NASH) and cirrhosis. She was miffed with her primary care physician because he had … Continue reading

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Fatty Liver Disease

The “Metabolic Syndrome”, defined by the International Diabetes Federation as the presence of central obesity (or increased waist circumference) plus any two of the four following conditions: insulin resistance, high blood levels of triglycerides (fat), low levels of HDL (High … Continue reading

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A Conversation About Kidney Transplantation

Here is a typical conversation that I have with a potential kidney transplant recipient. Dr. Barry: Good morning. Your Nephrologist has referred you to our center for evaluation of your kidney transplant surgical candidacy. I understand that the cause of … Continue reading

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Surgery in the Cirrhotic Patient

For this particular article, I am focusing on general surgical procedures such as hernia repair, gall bladder removal, and liver cancer resection in patients with cirrhosis. This information is applicable to other types of surgery, such as cardiac, colon, breast, … Continue reading

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Liver and Kidney Transplantation in People with HIV

Transplanting people with HIV infection for end stage organ disease was, not too long ago, considered inappropriate because of the unknown long term outcomes and the fear that administering antirejection drugs to patients with a preexisting immunosuppressive viral infection would … Continue reading

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Why Biopsy Liver Cancer?

Liver cancers, especially when early in their genesis, are usually asymptomatic. Often they are detected when an ultrasound scan, a CT scan or MRI are performed for other reasons, or when a patient has underlying liver disease (cirrhosis of any … Continue reading

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