vascular surgery reddit

It’s ridiculous. Haimovici’s Vascular Surgery, now in its 6th edition, has been extensively updated to provide you with: Expert perspectives on how the vascular surgery field has evolved so you continue to stay on the leading edge of this dynamic field Sort by. Operate all throughout the body and on every vessel outside of the brain and heart. Welcome to /r/MedicalSchool: An international community for medical students. We'll save it in our wiki for future reference! VASCULAR SURGERY From the Society for Vascular Surgery A look at the future of vascular surgery Frank J. Veith, MD, New York, NY; and Cleveland, Ohio I would first like to thank Dr Perler and the Society for Vascular Surgery (SVS) for the singular honor of giving the Eleventh John Homans Lecture. Cheers. This thread is archived. With general surgery training, research time and my vascular fellowship combined, I did nine years training post-med school. Not overweight, non smoker, low blood pressure. Great questions. You pick the job you take, so of course you know the hours and the situation. Fellowships: https://vascular.org/career-tools-training/vascular-training-programs. Like rugby, vascular surgery is a team sport, and not for the faint of heart. What’s not to like? This is all I have for now. We're starting to really ramp up the TCARs that we're doing and also do stents occasionally. I don't like how they look, but mostly, I can like feel them, and I hate that most. Press J to jump to the feed. save hide report. What possible reason could there be for the report to conclude that everything is fine? I went to the doctor a couple days ago though about my hand and they referred me to a vascular surgeon and I’m getting a scan in the new year. Contact Us As specific questions come up, I’d be more than happy to try and answer those. Manageable MS only health problem. Go home anywhere between 1700 on a good day to 2100 on a bad day, see what cases are coming up in the week, read up on them, dinner, play with my kid, play with my wife, go to bed (not in any particular order). Program lengths vary from 5-7 years, depending on research requirements. In the end I switched to radiology because the hours on vascular were just miserable and radiology gives me the possibility of going into IR. share. Vascular Surgery Residency. This post will be cataloged on the wiki for posterity. The amount of people they have helped, lives and limbs saved, families comforted has been humbling to experience. When interviewed about personal interest in vascular surgery, general surgery residents cite concern for loss of vascular patients to other interventionalists as a possible deterrent to pursuing the field. Cases start at 0800 - usually two rooms running. I’ve decided not to because I don’t want to get locked into something that is 2 years away and lot can happen in that time. Society for Vascular Surgery. And I want to be really really good. I will then go see it and discuss plan with attending. During my residency, nothing was worse than the ER calling me with a cold leg. We now offer a five-year integrated residency leading to board certification in vascular surgery. This isn’t general surgery where we fix a hernia or take a gallbladder out and never see them again. There are mid-levels to otherwise staff a full day of clinic everyday on their own for postop evals, surveillance, etc. A place to share ideas, experiences, advances, and questions regarding Vascular Surgery as a specialty, procedures, etc. This isn’t a field for those who want to fix a problem and then never see it again. If the vascular surgery needs to be performed within a month of CABG, data such as ours may apply and the risk of such vascular surgery may be considered prohibitive. It is dedicated to the science and art of vascular surgery and aims to improve the management of patients with vascular diseases by publishing relevant papers that report important medical advances, test new hypotheses, and address current controversies. I have amazing mentors who throughout my residency never complained and just did work in front of them. 332 votes, 166 comments. To paraphrase Dr. John Eidt, “We are cobblers in vascular surgery, we aren’t Nike. Many Americans over the course of their lives will experience some form of vascular-related symptoms. Being a vascular surgeon, you are going to be very good-looking (because this field attracts such beautiful people) and thus many of the staff will not leave you alone. We see each patient, get to know them and develop a relationship, and then tailor an operation for their specific needs and goals.”. My attendings are averaging probably around 65 hours a week, but this can vary from as short as 40 some weeks to 80-90 other weeks. Major non‐cardiac surgery within 40 days of coronary angioplasty with stenting has high cardiac complication rates. I'm sure there are things I have forgotten. Background Type 2 diabetes mellitus is a risk factor for lower extremity arterial disease. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? Thanks for the great write-up! I'm applying to integrated vascular residency this coming season. 69% Upvoted. Inpatient vs Outpatient: Each attending does one full day of clinic a week and half day of veins. Although there have been landmark strides made in the field over the last 30 years, it still today remains an incredibly challenging and dynamic field from a patient care and research standpoint. Lifestyle: This is highly variable, but vascular surgeons tend to work a fair bit more than other specialties. Introduction Reduced antiplatelet activity of aspirin (ALR) or clopidogrel (CLR) is associated with an increased risk of thromboembolic events. - It's fairly common and although it goes in waves, we crank out 1-2 CEAs a week between all the surgeons combined. I would just see my entire night evaporate in front of me. If you're reading this and you're a resident who wants to share your specialty experience, check out this post to see some requests, and then start your own "Why you should go into X" thread in the sub. My program does not have a vascular surgery fellowship, which was great from a resident standpoint because nobody would be able to out-chief me for open AAAs, aorto-bifems, and other awesome stuff. We make one shoe at a time. Carotid endarterectomy (one of my favorite procedures to do): https://www.youtube.com/watch?v=Oa8XV27KNAY. I’ve had weeks where I was home by 1700 every night and one week where the earliest I got home was 2100 and even 0100 that one night. So what does that make me then? Bottom line - none of us are going to be hurting for money, and we will sure as hell work for it. 9400 W. Higgins Rd., Suite 315 Rosemont, Ill. 60018-4975. Would you say that's representative of the type of surgery that you do on a daily basis? And where? I was in vascular surgery, i was unhappy and seriously thinking of suicide, I am happy that I quit to a better speciality. Risk factors include previous surgery, intra‐abdominal pathology, … The devil is truly in the details and the good vascular surgeon will have the big picture of what they’re trying to accomplish with a patient while being cognizant of their overall clinical picture. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Even vascular surgery, often insulated from resource scarcity due to its status as an urgent specialty, has limited capacity due to the pandemic. Typical day from a general surgery resident standpoint:  The usual census ranges anywhere from 6-25. The data were analysed to evaluate the number of inpatient consultations, the reason for the consultation and its outcome. We are a not-for-profit professional medical society, composed primarily of vascular surgeons, that seeks to advance excellence and innovation in vascular health through education, advocacy, research, and public awareness. The vascular surgeon is trained in the diagnosis and management of diseases affecting all parts of the vascular system, excluding conditions that affect the vessels within the heart and brain. I have really enjoyed spending time with our IR guys because they're so eager to teach and just all around fun guys to be around. Background: Just finished a traditional 5-year general surgery residency and about to begin fellowship. On a day-to-day basis I would say that our working relationship with IR is much better than IC. Vascular surgery has a unique set of characteristics in the medical landscape that some practitioners will find appealing and others abhorrent. My Neurologist recently recommended physical therapy for weakness on my right side which I assumed was due to the MS. Hey, great write up. It is rewarding to have the ability to tailor each operation to achieve the best outcomes for individual patients in the goal of improving quality of life, limb salvage, or risk reduction for stroke or aneurysm rupture. Vascular surgery is the branch of medicine that involves the diagnosis and treatment of diseases of the vascular tree, including arteries, veins, and lymphatic vessels, exclusive of those within the cranial cavity and the heart. I do not smoke, rarely drink alcohol and drink a lot of water. I have stopped pinching them more than three months ago. Edit: Follow-up question - how do you feel about the 0+5 programs? A good vascular surgeon will also be hard-working, for anyone who has rotated on this service knows how demanding of one’s time this field can be. Income: If I remember correctly the starting median salary for an academic job is $382K/yr and private practice is $442K/yr (I could be completely wrong on these figures). It all depends on what you’re going to get called for. Surgical videos from DICET at Houston Methodist on open aortic procedures. All vascular admissions to the Vascular Surgery unit at the Royal Hobart Hospital as well as inpatient referrals by other units over a 6‐month period were recorded on a database. By using our Services or clicking I agree, you agree to our use of cookies. I recently flew across the country and noticed when I arrived that my feet were looking much more veiny than they perviously ever had, and realized that I had, seemingly overnight, developed varicose veins. Masochist squared? Press J to jump to the feed. https://www.youtube.com/watch?v=o0pJr6BiMjA, https://www.youtube.com/watch?v=Y1xS2TVL-GE. There will be concessions made in your personal life due to unplanned emergencies. My home institution is offering a stipend while I’m in fellowship and guaranteed $500K salary for two years if I signed right now. Journal of Vascular Surgery ® aims to be the premier international journal of medical, endovascular and surgical care of vascular diseases. Vascular surgery has a unique set of characteristics in the medical landscape that some practitioners will find appealing and others abhorrent. Background The novel Coronavirus Disease 2019 (COVID-19) pandemic is having a profound impact on global healthcare. Or you can go directly into vascular surgery and match into an integrated program right out of medical school. I began walking everyday for 30 minutes and started to wear compression socks, but the veins on my feet are hurting a lot. They are master technical surgeons and are often called to bail others out of trouble. Any help is appreciated. https://vascular.org/career-tools-training/vascular-training-programs. So you basically have a rapidly evolving field that can have a large positive impact for many people while using cutting-edge technology, power tools and loupes. https://www.youtube.com/watch?v=Z6WKuPFYnbQ&list=PLZpDzANLjPtX7eRfNzFjQpcq_N2-bRS3O. Vascular Surgeons are the only vascular specialist able to provide all treatment options available for Peripheral Artery Disease or PAD. Maybe 80/20 at most one day from an overall caseload standpoint. It's true. We are having a problem at my hospital in that the vascular surgeons are flooding our emergency list with their 'urgent cases'. Cheers. The Integrated Vascular Surgery Residency Program at the University of Washington was recently granted approval by the ACGME. Holy shit I just watched the video of the carotid endarterectomy and wow... is that a common procedure? I was his cheerleader and coach as he fought against the illness that eventually took his life, and learned that healing becomes the most important when a cure is out of reach. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? I go through labs, I/Os and various notes from the overnight team. A large chunk of our consults are intraoperative from other services that get into trouble and call for help or iatrogenic injuries in the ICU during catheter placement. No redness or discoloration is visible. Anyone who is already a practicing attending or fellow would be able to lend more insight. Cold limb, rupture, dissection, trauma, etc. Was planning on doing vascular as I absolutely LOVE everything about it...it has a large variety of procedures, it’s very technical and it’s just straight up baller honestly. Here’s a quick snapshot of what a vascular surgeon can do: Endovascular repair of abdominal aortic aneurysms, Open repair of abdominal aortic aneurysms, Endovascular repair of thoracic aortic aneurysms, thoracic aortic dissections and thoracoabdominal aneurysms, including hybrid aortic procedures, Open surgical reconstructions and balloon angioplasty and stenting in all vascular areas, Endovascular intervention, such as angioplasty and stenting, Bypass surgery and endovascular therapy for peripheral artery disease and gangrene of the limbs, Carotid endarterectomy and carotid artery stenting, Treatment for Carotid Body Tumors and other vascular tumors, Endovascular intervention and open bypass surgery for mesenteric and renal arteries, Endovenous laser therapy and open surgical intervention for varicose veins and venous ulcers, Endovascular and open surgical reconstruction for deep vein occlusions, Retroperitoneal exposure for spine surgery. We develop long-term longitudinal relationships with our patients similar to surgical oncologists and they will come back with other issues. Gives a list of training programs and various paradigms. Right now I’m experiencing numbness on my right side, especially hand but even a bit in my feet and a touch on my face. If I was enough of a masochist to do surg it would've been vascular. Is Vascular Surgery destined for outpatient venous work, amputations, and the less common (but still relatively high-volume) EVARs, CEAs, bypasses, and high-end emergency hospital case? Shortages in staff, operating theatre space and intensive care beds has led to a significant reduction in the provision of surgical care. Currently you will either go the traditional route (5+2) whereby you do a general surgery residency (5-7 years) and then a standard 2-year fellowship in vascular surgery. Followed by some sort of dialysis access work be it fistulgram or creation or de-clot. However, they do feel a little bit harder when touching them from the outside (I can't remember if they were as hard before). Being the chief of the service, I usually wake up around 0500 and get to the hospital around 0530. Can I get these veins treated and what is the likelihood they will get worse or come back? I don't know how you do it, but cheers to you. By using our Services or clicking I agree, you agree to our use of cookies. They call if they have questions, but do an awesome job of making sure these patients don’t fall through the cracks and get the follow-up they need. Do you think the surgeons they produce are as competent as those who do 5+2? Procedures: This is one of the best parts of vascular surgery as a field, its versatility and wide breadth of cases. I’m a 46 year old female. 6 comments. With rapidly evolving new technology available, it is important that alternatives be chosen that are effective in the long-term care of patients with vascular disease. Attending Call: q3 - giving a rough approximation I’d say that 1 in about every 3-4 calls they have to come in for something in the middle of the night. You also get distinct impressions along the course of your training. They have completed an intense training in General and Vascular Surgery which allows them to manage these diseases with treatment alternative ranging from medical management to operative intervention. Small profile on Dr. Conte at UCSF explaining his outlook on being a vascular surgeon. Not for me, but cheers. This includes minimally invasive endovascular techniques as well as open surgical procedures My questions are - is this condition serious at all, will my veins heal with time and is there any possibility of developing a more serious condition? Would you say that's representative of the type of surgery that you do on a daily basis? The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. [clinical] vascular surgery elective resources for m3? If you want a career as a vascular surgeon, here is how competitive the medical specialty is to match into a vascular surgery residency. Consults will come in throughout the day and the intern/junior will go see them and report back to me. 3 per cent to AAA suitable for endovascular AAA repair (EVAR) only. From what I've researched about arterial tortuosity it doesn't seem to be normal at all, at least not in the non-elderly. How do you know if vascular surgery  is right for you? My call as a fellow will be q3 for the next two years, but the above written was in regards to what my attendings in residency are doing. r/VascularSurgery: A place to share ideas, experiences, advances, and questions regarding Vascular Surgery as a specialty, procedures, etc. Additional sources to peruse if interested: Read “Taking the Gamble as Vascular Surgeons” on Page 3 by Dr. Zeltzer. For almost half a year, due to my health anxiety, I have been pinching my abdominal wall veins pretty hard, resulting in possibly damaging them (or the nerves above them). It’s unfortunate because it really is the coolest surgical special out there. I have had interactions with those in the 0+5 model and found them to be quite competent and I think it all evens out in the end. - It varies week to week but I'd say it's probably a 70/30 split endo versus open. You will either become enamored with it or you won’t. I’m scared though, especially since it’s getting worse. The Society for Vascular Surgery Vascular Quality Initiative (SVS VQI) was first established in 2011 as a national collaborative effort including 18 regional groups across the United States and hosted by the Society for Vascular Surgery Patient Safety Organization [] (www.vqi.org).The VQI was built upon regional quality groups (Fig. I was in vascular surgery, i was unhappy and seriously thinking of suicide, I was honestly expecting the text in this post to be, "Don't.". They also feel uncomfortable and some are slightly painful when I lift my arms, probably because they tighten, or after I touch them for some time. Thanks! 312-334-2300 | 800-258-7188. - On a daily basis, the most common procedure is a lower extremity angiogram with or without some sort of intervention. What are the paths after being a board certified vascular surgeon? The problem is, they eventually find their way to our service because they're local and often don't want to be transferred somewhere else. In the case of Vascular and Cardiovascular Surgery, a taskforce of vascular specialists was created, as described by Bonalumi et al. That all vascular surgeons are grumpy and hate their lives. Anyone know any good books or good anki deck? Having gone through GS and now staring down the barrel of two more years of grueling training. In my MRA report it is stated that my vertebral arteries are elongated and tortuous, however the conclusion states everything is "normal". I am now starting to get a bit of pain in my legs as well... help meee. We have 2 hybrid ORs and 3 vascular surgeons. Cheers. Clinical. Trained at a level-one trauma, tertiary “privademic” center. Approach with extreme caution, pick a good program with staff who have an honorable work ethic and motivated, you don’t want to work 90 hours a week for assholes. See who the new admissions are or if anyone got transferred to ICU. How do you feel about the 0+5 programs? Do you think the surgeons they produce are as competent as those who do 5+2? Hi - please help. Although everything is moving towards more endo, I don't envision a scenario where it's all endo for there will always be a need for (and the practitioners to provide) good open surgery. Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. But I do mean it when I say that this isn’t a field that you talk yourself into. There’s very little middle ground and I don’t think this specialty was ever meant to be any other way. How is the dynamic between vascular and IR or IC? This is a great place to start. - I have no issues with the 0+5 model and actually almost re-entered the match as a PGY-2 to try and obtain one of those slots. I mean is there any fellowships or advanced training in specific procedures? Buy Surgery journals, books & electronic media online at Springer. Talk to the overnight residents and get updates. Vascular Graft Market 2019 Global Analyses – by New Development, Business Opportunities, Share Overview, Demand, Regional Demand and Growth Insight to … Breakfast. The ICs at our own institution are also very easy to work with, however, there are private practice ICs that do some renegade stuff in their own out-patient angio suite and they've learned to send their complications to another hospital so as to avoid us knowing about it. But someone has to do it, might as well be us vascular surgeons... Stupid sexy ortho can't always take the credit.

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