Locations
Office
Atlanta, GA
Address
Piedmont Transplant Institute, Piedmont Hospital, 1968 Peachtree Rd NW, Atlanta, GA
DirectionsPhone
Practice website
About
Bio
Specialist in the diagnosis and treatment of liver diseases including, but not limited to: viral hepatitis (B and C), cirrhosis, autoimmune liver diseases, fatty liver disease (NAFLD/NASH), hemochromatosis, liver cancer, and liver transplantation. The Piedmont Transplant Institute performs about 90 liver transplants per year. Our practice is exclusively focused on the management of liver diseases at the Piedmont Transplant Institute at Piedmont Hospital in Atlanta, GA.
SpecialtiesDoctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Hepatology
Languages spoken
English
Doctor Q&A
54 Answers
1 Agree
The number of answers this doctor has agreed with.
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
A Few: Not sure, but the overall number is very small. Wilson's has variable manifestations and not all people with 2 copies of the atp7b gene mutation with... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
For Life: The disease is not curable with phlebotomy. However, it can be treatable. Phlebotomy is performed until a ferritin level of 50 is achieved and this ... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Hepatitis b can be associated with a vasculitis (inflammatory disorder of the blood vessels) called polyarteritis nodosa (pan). It is a secondary eve... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Appropriate use of condoms and significantly decrease the risk of hep b transmission and sexually transmitted diseases. These are advised.
6.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Any source of blood to blood contact can lead to transmission of hepatitis C from one person to another. Safe sex with barrier methods are highly imp... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: All patients with chronic liver diseases need to be counseled to stop drinking. Alcohol will cause the liver damage from hepatitis b and hepatitis C ... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Right upper side: Your liver is in the right upper quadrant of your abdomen, usually tucked under the ribs. It has multiple roles in bodily function but is primarily c... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Jaundice can occur in acute hepatitis b or chronic hepatitis b infection but it is rare. Hepatitis b more commonly is a silent infection until compli... Read More
6.5k viewsAnswered >2 years ago
A 20-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Hepatitis c can be transmitted through sexual contact but it is rare. <5% of spouses who have long term sexual contact with a hepatitis C positive sp... Read More
6.5k viewsReviewed >2 years ago
A 31-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: But hepatitis b vaccination success should be confirmed 6 months after the series to ensure immunization and protection. Check a hepatitis b surface ... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Those with cirrhosis and advanced fibrosis are at an increased risk for liver cancer.
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Many: Hepatocellular carcinoma (hcc) risk factors include hepatitis b, liver cirrhosis due to any cause, hemochromatosis, alcohol and non-alcoholic fatty li... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Liver cancer (or hcc) is curable with a liver transplant and in some cases with a partial liver resection surgery (hepatectomy).
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Sometimes: It depends on multiple factors.
6.6k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Hereditary hemochromatosis related to the hfe gene: treatable, yes. Curable, no.
Not to be confused with other causes of iron overload.
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Some types of porphyrias may lead to liver failure requiring a liver transplant.
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: It is prevalent in certain sub-populations such as certain immigrant groups and alaskan natives. There are over 1.25 million hepatitis b carriers in ... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Many options: Liver cancer (or hcc) is curable with a liver transplant and in some cases with a partial liver resection surgery (hepatectomy). There are other trea... Read More
6.6k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Liver Cancer: For screening, it depends on the liver center/physician. At a minimum a liver ultrasound is recommended for patients at risk for liver cancer as reco... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Cirrhosis: Patients with hepatitis C and liver cirrhosis are at the highest risk of liver cancer (hcc). Patients with hepatitis C but no cirrhosis are at an ext... Read More
6.6k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Timing: Acute hepatitis b occurs after a new infection (ie. A needle stick). If infected as an adult, 95% of cases of acute hepatitis will be self-limiting an... Read More
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Certain types of hepatitis C are commonly associated with diabetes. There are usually not increased hepatitis C complications in diabetics unless fat... Read More
6.5k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Patients with hepatitis C who drink alcohol are more likely to develop liver cirrhosis and liver cancer and at a younger age. Abstinence is encourage... Read More
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Inflammation: Hepatitis means inflammation of the liver. Many things can cause "hepatitis" such as viruses (hep a, b, c), medications, alcohol, genetic diseases, an... Read More
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Screening: Patients identified at a high risk for liver cancer (hcc) will be offered screening by their physician.
6.6k viewsAnswered >2 years ago
A 22-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
It depends on the cause of the need for liver transplant and the transplant center, but generally, 90-95% of patients are alive at 1 year, 75-85% at 2... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Imaging or biopsy: Hepatocellular carcinoma (or hcc) can be diagnosed with imaging studies such as ultrasound, CT scan, mri, and angiography. Usually two studies are ne... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Advanced liver scar: Cirrhosis is a pathologic definition describing the amount of scar tissue within the liver. Sometimes the definition can be made without a liver biops... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Multiple treatments: Liver cancer, or hepatocellular carcinoma, to be clear, has many different treatment options. Some are curative and others are not. Every case is di... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Many: When liver cancer (or hcc) is caught early, there are many treatment options and they may include the only curative options of liver transplantation o... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Despite what your naturopathic doctor recommends, no herbal remedies have been shown to lead a cure for hepatitis c. The goal in any hepatitis C trea... Read More
6.5k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: There are various reasons when and why hepatitis B therapy should be started. There are 5 different medications (pills) approved for use in the US an... Read More
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: You are only at risk is universal infection precautions are not carried out. Ie. Sterilization, disposable needles, etc. Homemade or prison tattoos wh... Read More
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: 3 shots are needed.
6.5k viewsReviewed >2 years ago
A 22-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: You are only at risk is universal infection precautions are not carried out. Ie. Sterilization, disposable needles, etc. Homemade or prison tattoos ... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Depends: On the organ and diagnosis. If it is for liver cancer, then usually a percutaneous (through the skin) liver biopsy is done (though not the only route... Read More
6.6k viewsAnswered >2 years ago
A 28-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Preventable: If a pregnant woman is infected with hep b, then the risk of transmission to the fetus is high during peripartum period (vertical transmission). Mom c... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Rectal varices are associated with liver disease but only when portal hypertension (or high pressures within the portal vein) are present as is seen i... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: The answer will generally be yes and the liver will not be affected by wilson's disease but the identified donor will undergo a full battery of tests ... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Small: Infection is extremely rare after a liver biopsy. Bleeding is quite common as the liver is a highly vascular organ but significant bleeding that lead... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Egypt: The prevalence of HCV ab positivity in egypt approaches 15% of the population.
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
No: Screening for liver cancer is only necessary in hepatitis C patients who have cirrhosis or advanced fibrosis on a liver biopsy.
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: There are many treatment clinical trials available for patients with liver cancer and options ae constantly changing as we learn more about liver canc... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Depends: Some patients undergo resection first and some undergo chemotherapy. These decisions are best made in conjunction with your medical team (surgeon, on... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
HCC Risk with HCV: Hepatitis c (hcv) infection leads to liver inflammation and liver scarring. Advanced liver scarring is also called cirrhosis. Patients with HCV and ... Read More
6.6k viewsReviewed >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: But usually only when liver cirrhosis is present.
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Yes. Patient with chronic hepatitis b will require screening for liver cancer at some point. Current recommendations are starting at age 20 for afri... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Any source of blood to blood contact can lead to transmission of hepatitis b from one person to another. Safe sex with barrier methods are highly impo... Read More
6.5k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: It is reported but luckily a rare event. Many times a liver biopsy is not necessary to diagnose liver cancer and imaging of the liver is enough to ma... Read More
6.6k viewsAnswered >2 years ago
A 21-year-old member asked:
Dr. Lance Steinanswered
Specializes in Hepatology
Yes: Hepatitis c is common in dialysis patients due to previous risk factors, but dialysis itself rarely can lead to hepatitis C infection if universal inf... Read More
6.5k viewsAnswered >2 years ago
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
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Thank you notes
HealthTap member
Mar 30, 2015
Dr. Stein is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
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Mar 31, 2015
Dr. Stein is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
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Thank you, your answer or tip was very helpful!
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Education & Training
Medical/Graduate school
Temple University School of Medicine, PA
MD
Awards
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