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ANSWER TO QUESTION OF THE WEEK: (4/17/05)
Answer: While the presence of ascites usually stems from decompensated cirrhosis, there are other causes of ascites, unrelated to liver disease - such as kidney failure, heart failure or ovarian cancer. Veno-occlusive disease can also cause ascites in people who do not have decompensated cirrhosis. In this disease, the hepatic vein becomes clogged, blocking off the blood supply to the liver resulting in ascites. The pyrrolizidine alkaloids which are ingredients of some herbal teas, such as Comfrey tea have been associated with veno-occlusive disorder. Many herbal preparations that contain a mixture of herbs include comfrey, but due to the lack of labeling regulations of herbal products, comfrey may or may not be listed as an ingredient on these products.
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Dr. Palmer is an internationally renowned hepatologist who has been practicing medicine since 1985. Prior to 2012, she maintained perhaps the largest medical practice devoted to liver disease in the United States. Dr. Palmer is Clinical Professor of Medicine at New York University Medical Center. Dr. Palmer graduated from Columbia University with a B.A. and was trained in hepatology (as well as medical school) at the Mount Sinai School of Medicine in New York City.
Dr. Palmer is Board Certified in Gastroenterology and in Internal Medicine.
She has authored numerous scientific publications in the field of hepatology in such peer-reviewed journals as Hepatology, Gastroenterology, Seminars of Liver Disease, Transplantation and Archives of Internal Medicine.
She is frequently called upon by the media for her opinion on various topics related to liver disease. Dr. Palmer has appeared many times on television as a liver disease expert and has been quoted in such publications as TIME magazine, Cosmopolitan magazine, Prevention magazine, the Los Angeles Times, and Newsday. She also has appeared in numerous videos and CD-Roms aimed at educating doctors and the public about hepatitis C and other liver diseases, such as primary biliary cirrhosis.Dr. Palmer lectures to the medical and general public on liver disease-related topics on a regular basis.
Dr. Palmer has performed numerous clinical trials on various experimental medications for the treatment of hepatitis.
Dr. Palmer is currently available for lecturing, investor and hedge-fund consultations, consultations to industry, and media interviews and appearances-- including television. For such matters, she can be contacted through hepatitismedia@gmail.com.
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