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WHO:

Dr. Gish is a Hepatologist specializing in all forms of liver disease, liver cancer and liver transplant. Dr. Gish has partnered with TeleMed2U to provide telemedicine consultative services for patients with liver disease.

WHAT:

TeleMed2U is a telemedicine-based multi-specialty clinical practice increasing access to specialist providers providing, “healthcare anywhere and everywhere.” The telemedicine consultation will be conducted through our HIPAA and HITECH compliant platform. Connectivity testing will be done in advance to ensure you can connect via our telemedicine platform. Following the consultation, a clinical note will be provided including a summary of your liver consultation with Dr. Gish and his consultative recommendations.

COST:

Payment will be processed through an online secure transaction portal. The fees for consultative services are:

Initial 60 minute consultation per patient: $500.00
Follow Up 30 minute consultation per patient: $300.00

NEXT STEPS:

If you’d like to continue, please click Next to complete the form and we will contact you to schedule connectivity testing. During the test you will have the opportunity to determine the method of providing medical records, discuss appointment availability as well as discuss any additional questions that you have. If you are a healthcare facility interested in services, please complete the form and we can discuss the options that are right for you and your patients.

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You should be aware of the general risks of transmitting information over the Internet, which may not use encryption. You should therefore not share any personal medical information that you would wish to be held confidential in a physician/patient or similar clinical relationship.

The information contained on this website is not intended, should not substitute for, or be used instead of, a clinical or therapeutic relationship with a health care professional who is fully familiar with the specifics of your case. The information on this site may assist you in your personal, general research but none of it constitutes the practice of medicine or any other health care profession.

Nothing in this site is intended as a recommendation or endorsement of any specific tests, products, procedures, healthcare provider, opinions, or other information that may be mentioned in this site. Any reliance on any information provided by the website personnel, others appearing on the site at the invitation of the website and/or other visitors to the site is solely at the user's risk.

E-mail correspondence with Dr. Robert G. Gish Consultants, LLC or any of its employees, or agents, does not create a physician/patient relationship between us or cause Dr. Gish to create or retain any medical records about you, monitor your care, or communicate with your own health care provider.

Always seek the advice of your physician or other qualified health care provider with any questions you have regarding your medical care. If you suspect that you may have a medical condition, or are seeking medical advice or treatment, we recommend that you consult a qualified health professional as soon as possible.

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Hepatitis B At-A-Glance Men Who Have Sex with Men

Jun 1, 2018

What is Hepatitis B?

Hepatitis B is a highly preventable liver disease caused by the Hepatitis B virus that lives in the infected person’s body fluids. While healthy adults can often fight off and remove the virus in its early stage, if the infection does not go away and is left untreated, it can cause the liver to swell and form scars. This can cause liver failure or liver cancer.

How is Hepatitis B spread?
The hepatitis B virus (HBV) spreads when blood, semen or vaginal fluid of someone infected enters another person’s body.
A person with HBV can give the virus to another person from:

Having unprotected anal, vaginal and/or oral sex
Sharing needles, syringes or straw for drug use
Sharing a toothbrush or razors
Direct contact with the blood or open sores of an infected person
Birth (mother to baby)

Tips for safer sex:

Latex condoms can reduce the risk catching HBV
Oral sex is believed to be very low risk for catching HBV under most situations (i.e., no bleeding, no scar, no sore)
There is no risk for kissing and hugging because body fluids like saliva and sweat do not have enough virus to be infectious

What are the recommendations for men who have sex with men (MSM)?

A simple blood test can show whether the person is infected with HBV or needs vaccination. The Centers for Disease Control and Prevention (CDC) recommends that MSM to get tested and vaccinat- ed for HBV.

Speak to a doctor about testing and/or vaccination if you:

Have sex partner(s) with HBV
Have multiple sex partners
Have other Sexually Transmitted Disease (STD) or HIV/AIDS
Are living with someone with HBV
Are born in a country where the rate of HBV is high or moderate
Are unvaccinated and have at least one parent who was born in a country with high HBV rate

LiverFoundation.org
1-800-GO-LIVER (1-800-465-4837)

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