Samantha Boggs, Nurse Practitioner: What is a Nurse Practitioner

Samantha Boggs, a Nurse Practitioner with Dr. Galati and Liver Specialists of Texas, is a guest on Your Health First this weekend. She explains to listeners on the radio the educational path for nurse practitioners, and the role they play in the current healthcare environment.

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Watch Dr. Joe Galati in the KTRH Studio: Your Health First

Take a look at Dr. Joe Galati in the KTRH studio, broadcasting one of this weeks segment of Your Health First. Dr. Galati broadcasts every Sunday evening at 7:00 p.m. (CST).

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Hepatitis C Education for the Public: 31 Days of Wellness

Today, learn about hepatitis C.


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31 Days of Wellness: Texas to Raise the Legal Smoking Age to 21-Dr. Joe Galati Discusses

For todays entry, I was interested to comment on some new suggestions that the legal age for smoking is being raised to 21 years old. What do you think?

Smoking is once again in the news.

Texas is poised to become the 3rd state to raise the legal smoking age to 21.

Senator Carlos Uresti has previously pitched the age increase three times in the past, but this year there may be bipartisan support to make it a reality. The increase to 21 years of age would include cigarettes, e-cigarettes, and chewing tobacco.

According to government statistics, 5.6 million of todays youth will die prematurely from a smoking related illness…such as lung disease, cancer, or heart disease.

Studies show smokers cost U.S taxpayers as much as $170 billion in health care expenditures each year.

While personal responsibility and control of our own destiny is part of the American way, there is no doubt that as a society, we need to do all we can to improve upon the health and wellness of our citizens, even if legislative changes like this may be viewed as encroaching on our personal freedom.

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31 Days of Wellness: Colon Cancer Screening-Make it a Priority this Year-Coby Tyner Explains

31 Days of Wellness: Colon Cancer Screening-Make it a Priority this Year-Coby Tyner Explains

Wellness comes in many forms and flavors. Preventing disease should be priority number one for all of us. Reacting to a problem is never a good approach. Coby Tyner, the Practice Administrator for Liver Specialists of Texas shares his colonoscopy experience with all of us (thanks Coby!).

Bottom line?

  1. If you are African American, start getting screened at age 45
  2. If you are not African American, start at age 50 (assuming you don’t have a family history or other medical conditions)
  3. The prep is not all that bad, and should NOT be an obstacle to getting screened.

Below is Coby’s experience in his own words:


My Colonoscopy Experience-by Coby Tyner

I am thankful to Dr. Galati, the Liver Specialists of Texas staff and our partners at the Texas International Endoscopy Center, for a great patient centered experience.

My decision to get a colonoscopy (and now share my experience with you in this blog) is for two reasons.  1.  As an African American male, the American College of Gastroenterology recommends I start the screening process at 45 years of age instead of the 50-55 age range for other groups.  As I discussed on Dr. Galati’s radio show, “Your Health First,” my hope is to encourage African Americans to put aside fears, some of which are well founded, and get a screening colonoscopy.  As my boss says from time to time, the facts themselves are scary – African Americans are one of the least screened populations with the highest rates of colon cancer found.  2.  I have a history of diverticulitis and the condition has at times reared its ugly head.

So, without withholding anything from you, here is my experience with my recent colonoscopy:

·       Overall, the Liver Specialists of Texas team (including Dr. Galati) was great from start to finish.

·       The initial office visit was timely (didn’t have to wait too long).

·       Dr. Galati had to put his hands on me with a detailed exam (a lot of palpation of my abdomen).

·       The Liver of Specialists of Texas scheduling staff did a great job of coordinating the procedure with the Texas International Endoscopy Center (TIEC) which is where the procedure took place.

·       TIEC personnel did an admirable job communicating with me about the time of the procedure, the expected cost(s), and all the expectations.  As a patient, I was not surprised when I arrived (specifically, there were no additional obligations, unexpected costs, and/or expectations) which is always important to any patient.

·       Taking the prep – I opted for the Movi Prep.  Initially, it took me a while to start the cleansing process (using the restroom) but when it started, it didn’t stop until early in the morning (1AM or so).  On the scale of 1-10, the taste of the Movi Prep was “at best” a 5.  Not the best prep if you’re primarily concerned about the taste.  For me, the priority was it doing the job well.  Cleaning me out (not the taste).

·       After a very brief wait in the lobby, I was escorted back to triage.

·       TIEC personnel completed a good history and physical and prepped me for the procedure.

·       Dr. Galati, the Nurse Anesthetists, and the Procedure Tech, all approved moving forward with the procedure (I had to give them my name, DOB, and the type of procedure being performed).  Dr. Galati explained the procedure (for the third time). This process is called a “Time Out.”

·       After sedation and the going through the procedure, I woke up in recovery with a minimal level of discomfort.

·       After the procedure, Dr. Galati visited with me and gave me specifics on what was found and how the procedure went.

·       A registered nurse provided good care and instruction to me on what to expect during the next 24 hours.

·       I was discharged to home where I rested.


So overall, the experience was a good one. Most importantly, I am reasonably assured there are no major problems with my GI functions (such as colon cancer).  As an added bonus, I won’t have to be screened again for another 10 years.  I encourage all interested patients, as well as those they may have concerns, to put aside any fears and get a screening colonoscopy without delay.  The assurance of being healthy far outweighs the artificial comfort of not knowing (and still being at risk).

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31 Days of Wellness: More Peanuts for Kids? Say What? January 7, 2017

31 Days of Wellness: More Peanuts for Kids? Say What? January 7, 2017

Check this out:

Peanuts are back on the menu. In a significant reversal from past advice, new national health guidelines call for parents to give their children foods containing peanuts early and often, starting when they’re infants, as a way to help avoid life-threatening peanut allergies.

The new guidelines, issued by the National Institute of Allergy and Infectious Diseases on Thursday, recommend giving babies puréed food or finger food containing peanut powder or extract before they are 6 months old, and even earlier if a child is prone to allergies and doctors say it is safe to do so. One should never give a baby whole peanuts or peanut bits, experts say, because they can be a choking hazard.

If broadly implemented, the new guidelines have the potential to dramatically lower the number of children who develop one of the most common and lethal food allergies, said Dr. Anthony Fauci, the institute’s director, who called the new approach “game changing.”

Dr. Fauci is one of the most esteemed physician and researcher America has to offer. If he is backing this new recommendation, I am all in.

The full article is here Peanut Allergy Report

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31 Days of Wellness: Do You Really Need Daily Vitamins? January 6, 2017

31 Days of Wellness: Do You Really Need Daily Vitamins? January 6, 2017

The simple answer is no, you do not need a daily “one-a-day” vitamin, despite the billion dollar supplement industry.

While walking through a local discount warehouse store, I was amazed at the “wall of vitamins and supplements” on display. Looking closely at the picture I took, there is a specialized vitamin formula for just about everyone. “Mature Support”, “Daily Support”, “Children’s Support”, “Heart Support”, and “Immune Support”. This is a brilliant marketing ploy, with the manufacturers basically telling you”what you need”.

With three new studies finding that a daily multivitamin won’t help boost the average American’s health, the experts behind the research are urging people to abandon use of the supplements.

The studies found that popping a daily multivitamin didn’t ward off heartproblems or memory loss, and wasn’t tied to a longer life span.

The studies, published in the Dec. 17 issue of the journal Annals of Internal Medicine, found that multivitamin and mineral supplementsdid not work any better than placebo pills.

Dietary supplements are a multibillion-dollar industry in the United States, and multivitamins account for nearly half of all vitamin sales, according to the U.S. Office of Dietary Supplements.

But a growing body of evidence suggests that multivitamins offer little or nothing in the way of health benefits, and some studies suggest that high doses of certain vitamins might cause harm.”

For me, the best vitamin you can take is a serving of carrots, broccoli, spinach, and fresh fruits.

Links of interest are posted below.

Supplements of No Value

Consumer Reports Supplement Report

Harvard Health and Vitamin Supplements

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Dr. Joe Galati Discusses Meal Preparation: 31 Days of Wellness

The cornerstone of wellness is nutrition. As I have stated numerous times before, the art of cooking a meal is nearly dead. Young families rarely cook, siting no time, lack of interest, and minimal skills. This must change if we are to pull ourselves out of the global obesity epidemic. We cannot turn over the responsibility of feeding our families to chain restaurants.

This short video gives you a few pointers to get serious about preparing for meals at home.

Links of interest include:

Pop-Tarts Nation

Dietary Fiber Guidelines

Salad for Breakfast? Dr. Galati Explains

Lentils-My Favorite

Frozen Fruits and Veggies: Good to Use

Make a Shopping List

A Healthy Shopping List

Let me know what you think-your feedback is important to all of us.

Dr. Joe Galati


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31 Days of Wellness: Food Shopping Tips with Celeste Zerbarini, R.N.

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31 Days of Wellness: Preparing for Your Doctors Visit-Celeste Zerbarini, R.N. Visit with Dr. Joe Galati

Celeste Zerbarini discusses how to make the best out of your time with you visit to the physician.


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