IN West Jefferson Hills Fall 2019 | Page 36

L Tony Villiotti and his daughter, Gina Madison, Executive Director of NASH kNOWledge, on the one-year anniversary of his liver transplant. On a Mission to Help Others Through a documentary and nonprofit organization, liver transplant survivor hopes to pay it forward. BY JENNIFER BROZAK 34 724.942.0940 TO ADVERTISE ❘ icmags.com ike many people who are raised in an Italian family, Anthony Villiotti of Scott Township grew up surrounded by food. Hearty pasta dishes and loaves of bread were staples at his dinner table, and Villiotti and his family enthusiastically devoured every bite. Despite the heavy caloric intake, Villiotti was able to keep his weight in check by maintaining an athletic lifestyle; he graduated from Penn State in 1968 weighing around 200 pounds, which he carried easily on his 5'11" frame. After college, Villiotti found a job in accounting and finance, where he spent long hours behind a desk, indulging in fast, unhealthy foods. Shortly before he was married in 1978, he learned he had high blood pressure. By 1988, as a father of two and weighing more than 290 pounds, he would be diagnosed with Type 2 diabetes. On medication to control his blood sugar, he vowed to lose weight and eat better. He lost around 30 pounds and, as he states, “I felt good and life moved on.” A few decades later, at age 57, he retired. With more time to devote to health and fitness, Villiotti began walking, and felt like he was in the best shape of his adult life. Then, unexpectedly, everything changed. While he was out walking one day in 2004, his heart began to race and he broke out in a cold sweat. Anxious, he called his doctor and soon found himself being rushed to the hospital in the back of an ambulance. At the hospital, he was told he had atrial fibrillation, which causes an irregular heartbeat. He had also suffered a mild heart attack. A cardiologist performed a catheterization and, thankfully, no open-heart surgery would be needed. He was given a prescription for a beta blocker to lower his blood pressure and sent home the next day. Then, at a checkup in 2005, Villiotti’s primary care physician told him his liver enzymes were elevated and that he had a fatty liver, or, more specifically, Non-Alcoholic Fatty Liver Disease (NAFLD)—a disease that affects an estimated 100 million Americans. His doctor told him to lose weight, and since his doctor didn’t make a big deal out of the diagnosis, neither did Villiotti. For the next few years, his weight ping-ponged up and down, and the fatty liver silently continued to worsen. Then, in 2014, following routine bloodwork, his doctor called with troubling news: he was concerned that Villiotti might have cirrhosis and wanted him to get an MRI. Villiotti soon learned he not only had cirrhosis but also Non‑Alcoholic Steatohepatitis, or NASH, the most severe form of NAFLD. It’s estimated that NASH affects approximately 25 million people—nearly a quarter of those who have NAFLD— and most people don’t know they have it. “I was diagnosed with NASH and liver cirrhosis basically on the same day in 2014,” says Villiotti. “The first emotion I felt with the diagnosis was confusion. What was NASH? I had never heard of it. And cirrhosis—I didn’t drink, how could I have cirrhosis?” He was astonished by the lack of information he and his wife, Betsy, had about the potential outcomes of the disease. Cirrhosis,