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Dr. Todd Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of the Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan and cared for many traumatic vascular injuries at Walter Reed Medical Center. Through his experience and research, he has become one of the foremost leaders in the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma. Dr. Marlin “Wayne” Causey is a Lieutenant Colonel in the US Army and the Chief of Vascular Surgery at Brooke Army Medical Center. Dr. Kevin Kniery is a vascular surgeon at Brooke Army Medical Center. Seminal Papers in Blunt Thoracic Aortic Injury AAST 1997 Paper: https://pubmed.ncbi.nlm.nih.gov/9095103/ AAST 2008 Paper: https://pubmed.ncbi.nlm.nih.gov/18545103/ JVS 2011 Paper: https://pubmed.ncbi.nlm.nih.gov/20974523/ Timing of repair of BTAI JVS 2020: https://www.jvascsurg.org/article/S0741-5214(20)31575-5/fulltext Dr. Ben Starnes’ podcast on Behind The Knife on BTAI: https://bit.ly/2LuycWq
If you want to hear more vascular surgery specific content, be sure to check out Audible Bleeding wherever podcasts are found. Dr. Todd Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of the Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan and cared for many traumatic vascular injuries at Walter Reed Medical Center. Through his experience and research, he has become one of the foremost leaders on the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma. Dr. Marlin “Wayne” Causey is a Lieutenant Colonel in the US Army and the Chief of Vascular Surgery at Brooke Army Medical Center. Dr. Kevin Kniery is a vascular surgeon at Brooke Army Medical Center. Seminal Papers in Blunt Thoracic Aortic Injury AAST 1997 Paper: https://pubmed.ncbi.nlm.nih.gov/9095103/ AAST 2008 Paper: https://pubmed.ncbi.nlm.nih.gov/18545103/ JVS 2011 Paper: https://pubmed.ncbi.nlm.nih.gov/20974523/ Timing of repair of BTAI JVS 2020: https://www.jvascsurg.org/article/S0741-5214(20)31575-5/fulltext Dr. Ben Starnes’ podcast on Behind The Knife on BTAI. https://bit.ly/2LuycWq
Dr. Sachdev-Ost graduated from medical school at Icahn School of Medicine in New York City, where she stayed to complete both her general surgery residency and vascular surgery fellowship. During her residency she also completed 2 research years in basic science at Mount Sinai and Rockefeller University studying platelet-leukocyte interactions in vascular disease. She then went on to UPMC in 2006 as a surgeon-scientist, where she also secured an independent R01 grant in 2018. Dr. Sachdev heads a research lab that focuses on the role of Toll-like receptors in angiogenesis and muscle regeneration. She is currently the site chief of vascular surgery at Magee Women’s Hospital, the associate program director of the vascular surgery residency and fellowship at UPMC and was recently appointed as an associate editor for clinical research focused on diversity, equity and inclusion at JVS. Useful links: Dr. Sachdev-Ost Editorial “Moving ahead”: https://www.jvascsurg.org/article/S0741-5214(20)32361-2/fulltext Recruiting women to vascular surgery and other surgical specialties: https://www.jvascsurg.org/action/showPdf?pii=S0741-5214%2812%2901613-8
It’s our pleasure to start off the new year with an episode on social media and surgery! In this episode, we were joined by Dr. Sean Langenfeld (https://twitter.com/seanlangenfeld). Dr. Langenfeld is a colorectal surgeon at the University of Nebraska and has spent a long time doing research and thinking about social media and surgery. We talk about the concept of “professionalism” on social media, the infamous “medbikini” incident, and online reputation management. Links: 1. An assessment of unprofessional behavior among surgical residents on Facebook: a warning of the dangers of social media. https://pubmed.ncbi.nlm.nih.gov/24981657/ 2. The Glass Houses of Attending Surgeons: An Assessment of Unprofessional Behavior on Facebook Among Practicing Surgeons. https://pubmed.ncbi.nlm.nih.gov/26276300/ 3. CNN article on #MedBikini: https://www.cnn.com/2020/07/25/cnn10/medbikini-backlash-and-apologies-trnd/index.html 4. RETRACTED: Prevalence of unprofessional social media content among young vascular surgeons. https://www.jvascsurg.org/article/S0741-5214(19)32587-X/fulltext 5. Social Dilemma documentary. https://www.netflix.com/ca/title/81254224 6. ASCRS Facebook group. https://www.facebook.com/fascrs/groups/ Bio (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755771/): Dr. Sean Langenfeld is a staff colon and rectal surgeon at the University of Nebraska Medical Center in Omaha, NE. Sean received his undergraduate and medical school training at St. Louis University in St. Louis, MO, and performed his General Surgery Residency training at the University of Kansas School of Medicine, Wichita, KS. Following this, Sean completed his Colon and Rectal Surgery residency at the University of Texas, in Houston, TX. Since that time he has been at the University of Nebraska where he is an Associate Professor of Surgery, Chief of Colon and Rectal Surgery and Associate Program Director for the General Surgery Residency. He is also the Director, Endoscopic Simulation at the University of Nebraska Medical Center. Sean remains a busy active clinician and academic surgeon, teaching residents on a daily basis. He is an active researcher and has several ongoing projects on the use of social media in surgery and simulation training in the era of the modern residency. He is an active participant in multiple surgical societies and serves on several national committees of the American Society of Colon and Rectal Surgeons. Sean and his wife, Elizabeth, have three children, and live in Omaha, NE. When not working, Sean enjoys playing in a men's soccer league, watching all Creighton Bluejays' sports teams, and is a huge Nebraska Cornhusker football fan.
Join us this week to hear about Paola's (concerning? impressive?) obsession with a new album, and Taylor's brush with an instagram celeb. Then pick up your popcorn as we dish about the bad science that lead to the #medbikini movement with a study entitled, "Prevalence of unprofessional social media content among young vascular surgeons." We'll break down the bias in this study that undermines the results, and reminds us to maintain a critical eye to hold researchers accountable. Not to mention, Paola brings us an "Animal House" segment on a snail/hippo, while Taylor struggles to remember the word bioluminescence, and later caps us off with a "Mean for a Sec" moment. Our research today is bad... And has since been redacted, but if the spirit moves you to investigate further, you can find the redacted text here: https://www.jvascsurg.org/article/S0741-5214(19)32587-X/pdf We also include audio clips from the Journal of Vascular Surgery's Youtube video which you can find here: https://www.youtube.com/watch?v=aUZ43ENm_fE Please subscribe, rate and review our show on Apple Podcasts! Follow the show on Instagram @studybuddiespodcast Follow Taylor Collins @tlc.therapy Follow Paola Sanchez Abreu @mmm_pao Graphic designed by Monica Rae Summers Gonzalez @_monicarae_ Music composed by singer/songwriter Caught In Between @caughtinbetweenct Email the show with any suggestions, comments, or feedback at studybuddiespodcast@gmail.com!
Episode 55 is here! Today Zach and LJ are joined by returning guest Meghan, who joined us back on episode 31. The gang talks about professionalism and a bizarre study that triggered the hashtag #medbikini, and then they go over the MD/RN relationship, and how we can try and improve it. Enjoy!Links:Professionalism study: https://www.jvascsurg.org/article/S0741-5214(19)32587-X/pdf?fbclid=IwAR3esPZ0P3EW7_75BSko2cXjqGT58nyg9tevqMCJoR1Ka2c-YwxbdGlGcuUMusic:You're There by The Mini VandalsAll Night by Ikson
May, 13th, 2020 Dr. Sam Money joins us to discuss the importance of ergonomics in vascular surgery. Dr. Money completed his surgical residency at SUNY Downstate and trained in vascular surgery at the Ochsner clinic in New Orleans. He remained at Ochsner Clinic for 15 years where he rose through the ranks to be Division Head of Vascular Surgery. He then moved to the Mayo Clinic in Arizona where he served as professor and Chairman of the Department of Surgery. Currently, he serves as chair of Surgery and associate medical director for surgery at Ochsner Medical institutions. He has served in numerous leadership positions including presidency of the society for clinical vascular surgery, the southern association of vascular surgery and the vascular and endovascular society. Articles from this episode: Impact of procedure type and equipment on surgeon discomfort: https://www.journalacs.org/article/S1072-7515(20)30125-3/fulltext Wearable devices to measure ergonomic risks: https://jamanetwork.com/journals/jamasurgery/fullarticle/2762518 Ergonomic issues in Vascular Surgery: https://www.jvascsurg.org/article/S0741-5214(18)30800-0/fulltext Survey of Ergonomic Injuries (male sex and long case time in surgical oncology): https://www.sciencedirect.com/science/article/abs/pii/S1072751516314971 Randomized ergonomics study: https://journals.lww.com/annalsofsurgery/Citation/2019/12000/A_Preventive_Program_for_Work_related.10.aspx If you enjoy our content, please contribute to Support Audible Bleeding! Help us improve through our Listener Survey! Follow us on Twitter: @AudibleBleeding
December 4, 2019 In our second JVS Meet the Author episode, we also pilot our first Audible Bleeding/JVS Online Journal Club. Jacob Schwartzman joins Dr. Paul DiMuzio from Jefferson and Dr. Sarah Deery from Johns Hopkins in a discussion with first author Dr. Caitlin Hicks. Dr. Hicks is an Assistant Professor of Surgery in the Division of Vascular and Endovascular Therapy at Johns Hopkins in Baltimore, with special interests in health services research and healthcare costs. On Sunday, December 8th, we will be opening a public Twitter forum/extended online discussion where you can log on to discuss these papers as well as any other literature relevant to the topic. We will be opening several polls on Twitter as well as posting some free-response questions. Questions can be sent to @JVascSurg or searched by #VascularJC. Dr. Hick’s paper, “Contribution of 30-day readmissions to the increasing costs of care for the diabetic foot,” elucidates some of the very significant healthcare costs related to readmissions for patients with diabetic foot ulcers. View the transcript of the episode here. Additional Papers Discussed: “Contribution of 30-day readmissions to the increasing costs of care for the diabetic foot.” https://www.jvascsurg.org/article/S0741-5214(19)30170-3/fulltext “Burden of diabetic foot ulcers for Medicare and private insurers.” https://www.ncbi.nlm.nih.gov/pubmed/24186882 “Costs of lower-extremity ulcers among patients with diabetes.” https://www.ncbi.nlm.nih.gov/pubmed/15333473 Questions: For patients with diabetic foot ulcers, Dr. Hicks and colleagues reported a 30-day readmission rate of 20.8%. What is an expected / acceptable rate of readmission for patients with diabetic foot ulcers?
Dr. Michael Conte is a professor of surgery and co director of the UCSF Heart and Vascular center and chief of the division of Vascular and Endovascular Surgery. Dr. Conte is the lead author on the Global vascular guidelines on the management of chronic limb-threatening ischemia just published in the Journal of Vascular Surgery in June 2019. Article link https://www.jvascsurg.org/article/S0741-5214(19)30321-0/fulltext To access the SVS that includes WIFI Calculator search in iTunes Store or Google Play for "SVS iPG". It is free and full of useful information and calculators to use in everyday practice.
Have you ever felt like you’re coming down with a cold or sore throat on a Friday night, you go out and party pretty hard only to wake up with a full blown illness the next day? Is this a coincidence? Does alcohol really have anything to do with immunity? Annie Grace answers this interesting question using published articles and research. Find out what illnesses you’re more susceptible to when you over-consume alcohol. Are you coming? Because I want to meet you. I would love to shake your hand. I'd even love to give you a hug. Let's be honest, I'm a hugger. And more than that, I want to blow your mind at This Naked Mind Live 2019. We have a handful of tickets left, and I would like nothing more than to connect those few tickets with my podcast listeners. You can get all the juicy details and grab your ticket at thisnakedmind.com/live. And as always, rate, review, and subscribe to this podcast, as it truly helps the message reach somebody who might need to hear it today. Episode Links: http://www.alcoholjournal.org/.../S0741-8329(14.../abstract https://www.niaaa.nih.gov/alcohol.../alcohols-effects-body https://www.niaaa.nih.gov/alcohols-effects-body?fbclid=IwAR3K7pEVOl0ys350wGt2jxMcyXOE9lM97Wcppxw2MHA6GmK0C4UF0Ex626U http://pubs.niaaa.nih.gov/.../Hangovers/beyondHangovers.pdf
Episode 1 of 3 from our time at VAM 2019 Dr. Joseph Lombardi is a Professor of Surgery at Cooper Medical School and Head of The Division of Vascular and Endovascular Surgery at Cooper University. He is the PI of the Stable II Trial on endovascular treatment of Acute, Complicated Type B Aortic Dissection with a Composite graft design. Stable I Trial https://www.ncbi.nlm.nih.gov/pubmed/22169668 Stable II Trial https://www.jvascsurg.org/article/S0741-5214(16)00633-9/fulltext SVS/STS Dissection Classification System Please see Audible Bleeding’s Twitter feed for an animation of the new classification system. To Support Audible Bleeding please go to Audiblebleeding.com/support
Dr. Warren Gasper is the Chief of Vascular Surgery at the San Francisco VA, an assistant professor of vascular surgery at UCSF, and the president of the Northern California Vascular Society. He did his general surgery residency and vascular surgery fellowship at UCSF. He is the principal investigator in multiple NIH-funded clinical trials studying interventions for PAD, broadening the application of MRA imaging in vascular surgery, and treatment of para-visceral and thoracic aortic aneurysms with fenestrated endografts. Dr. Ahmed Shalabi (Ahmed.Shalabi@ucsf.edu, LinkedIn) is the Chief of Vascular Anesthesia at UCSF, where he is an associate professor of anesthesia and perioperative care. He did his residency in anesthesia at the Alexandria University Hospital in Egypt and has pursued advanced training in pediatric anesthesia at the University of Lille in France, in transplantation anesthesia at UCSF, and in transesophageal echocardiography at UCLA. He discovered his passion for doing anesthesia for complex open and endovascular cases and is a member of the Center for Aortic Excellence at UCSF, where he has developed a Vascular Anesthesia Quality Improvement Database. Dr. Leigh Ann O'Banion (lobanion@fresno.ucsf.edu) is an assistant professor of Vascular Surgery at UCSF Fresno, where she also completed her general surgery residency. She did her fellowship in vascular surgery at UCSF, graduated in 2017 and then returned to UCSF Fresno as an attending. She has a busy clinical practice with a focus on mentoring the next generation of vascular trainees. She is currently enrolling patients in a prospective study focused on improving the multidisciplinary system of care for patients who undergo amputations. Anesthesia in acute aortic syndrome: Review Article: Anesthesia for vascular emergencies. Ellard L and Djaiani G. Anaesthesia. 68 (Suppl. 1), 72-83. 2013 Outcomes for EVAR under sedation / local: Observations from the IMPROVE trial concerning the clinical care of patients with ruptured abdominal aortic aneurysm. IMPROVE trial investigators. British Journal of Surgery. 101(3): 216-224. 2014 Decreased mortality with local versus general anesthesia in endovascular aneurysm repair for ruptured abdominal aortic aneurysm in the Vascular Quality Initiative database. Faizer R et al. Journal of Vascular Surgery. S0741-5214(18)32551-5. 2019 Local anesthesia for percutaneous endovascular abdominal aneurysm repair is associated with fewer pulmonary complications. Van Orden K et. al. Journal of Vascular Surgery. 68(4) 1023-1029. 2018 Type of Anesthesia for Endovascular Abdominal Aortic Aneurysm Repair. Armstrong RA et. al. Journal of Cardiothoracic and Vascular Anesthesia. 33: 462-471. 2019 Renoprotection: Outcomes after Angiography with Sodium Bicarbonate and Acetylcysteine. Weisbord SD et. al. New England Journal of Medicine. 378(7): 603-614. 2018 Mannitol for the Prevention of Peri-Operative Acute Kidney Injury: Systematic Review. Waskowski J et. al. European Journal of Vascular and Endovascular Surgery. In press. 2019 Spinal cord protection guidelines for thoracic aortic work: 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease. Hiratzka LF et. al. Circulation. 121(13): e266-369. 2010 Contemporary spinal cord protection during thoracic and thoracoabdominal aortic surgery and endovascular aortic repair: a position paper of the vascular domain of the European Association for Cardio-Thoracic Surgery. Etz CD et. al. European Journal of Cardio-Thoracic Surgery. 47: 943-957. 2015 Perioperative coronary artery revascularization and antiplatelet bridging: Coronary-Artery Revascularization before Elective Major Vascular Surgery. McFalls EO et. al. New England Journal of Medicine. 351(27) 2795-804. 2004 Bridging antiplatelet therapy with cangrelor in patients with recent intracranial stenting undergoing invasive procedures: a prospective case series. Godier A. British Journal of Anaesthesia. In press. 2019 Rapid ventricular pacing for aortic arch work: Rapid Ventricular Pacing for Landing Zone Precision During Thoracic Endovascular Aortic Arch Repair: A Case Series. Bokoch MP et. al. Journal of Cardiothoracic and Vascular Anesthesia. 31: 2141-2146. 2017
Malachi Sheahan, MD, professor and chair of vascular and endovascular surgery and program director for the vascular surgery integrated residency and fellowship at LSU Health Sciences Center in New Orleans chats with us about mentorship, his role in developing the fundamentals of vascular surgery curriculum, burnout and surgeon wellness, his experiences during Katrina, and his thoughts on the #ThisIsOurLane controversy. (0:25) Full Biography: http://www.lsuhn.com/healthnews/Malachi-Sheahan-MD (2:39) Jim Menzoian: https://health.uconn.edu/find-a-provider/physician/Menzoian-James (3:11) Larry Hollier: https://www.medschool.lsuhsc.edu/surgery/faculty_detail.aspx?name=hollier_larry (3:48) Robert Batson: https://www.medschool.lsuhsc.edu/surgery/faculty_detail.aspx?name=batson_robert (7:57) How young vascular surgeons who are interested in academia can get involved: VESS - http://vesurgery.org/vess-special-programs SCVS - http://symposium.scvs.org/Young-Surgeons/ APDVS - https://vascular.org/apdvs/residents-fellows (11:30) Fundamentals of Vascular Surgery: https://www.jvascsurg.org/article/S0741-5214(18)30798-5/pdf (15:22) Mission Rehearsal research https://www.ejves.com/article/S1078-5884(16)30647-5/pdf https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4362978/pdf/vhrm-11-195.pdf (21:28) Burnout links and wellness How EMRs contribute to burnout: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687935/pdf/189e1405.pdf SVS effort to recognize burnout: https://vascular.org/news-advocacy/tackling-burnout-special-report-part-1 (27:46) Providing care in the aftermath of Hurricane Katrina https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1863583/pdf/tacca118000069.pdf https://www.chron.com/news/hurricanes/article/Trapped-hospital-workers-kept-most-patients-alive-1502571.php https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681680/ (33:31) Dr. Sheahan’s editorial about gun violence, “It’s Time for Us to Talk About Guns”: https://www.mdedge.com/vascularspecialistonline/article/154467/its-time-us-talk-about-guns Dr. Sheahan’s other Vascular Specialist editorials: https://www.mdedge.com/vascularspecialistonline/editor
Dr. Frank Veith, a pioneer in vascular surgery, takes a few minutes out of his busy schedule preparing for the Veith Symposium to talk about limb salvage, his philosophy of vascular surgery and climbing mountains--both figuratively and literally! (0:22) Dr. Frank Veith Biography http://www.veithpress.org/veithpress.php?pg=bio (7:01) One of Dr. Veith’s first publications in limb salvage - https://www.ncbi.nlm.nih.gov/pubmed/1129696 (7:30) More about Charles Theodore Dotter, MD and Dotter Angioplasty https://www.ncbi.nlm.nih.gov/pmc/articles/PMC101126/ (11:53) More about Anthony Imparato, MD https://www.jvascsurg.org/article/S0741-5214(03)01040-1/pdf (12:52) Winston Churchill, 'Never Give In' Speech https://www.nationalchurchillmuseum.org/never-give-in-never-never-never.html (15:24) John A. Mannick, MD Presidential Address - “Vascular Surgeons - Are they for Sale?” https://www.jvascsurg.org/article/0741-5214(93)90409-F/pdf (22:58) Veith Symposium 2018 Program Schedule http://www.veithsymposium.org/index.php?pg=program-2018 (23:47) Veith Symposium Recording Archives https://www.veithondemand.com/2017/index.php (26:54) Free Solo https://www.nationalgeographic.com/films/free-solo/ (27:36) The Half Dome https://www.nps.gov/yose/planyourvisit/halfdome.htm (29:15) Frank Veith, MD - A look at the future of vascular surgery https://www.jvascsurg.org/article/S0741-5214(16)30835-7/pdf Information about Veith Symposium http://www.veithsymposium.org/index.php Email us at audible.bleeding.podcast@gmail.com
Dr. Frank Veith pioneered the way for endovascular surgery in the US. We are lucky enough to discuss with him the past, present and future of vascular surgery. As you will learn Dr. Veith does not mince his words, and let's his opinions be known. Below are the papers referenced in the podcast. His presidential address to the SVS 1996 titled "Charles Darwin and Vascular Surgery" http://www.jvascsurg.org/article/S0741-5214(97)70316-1/abstract Collected World and Single Center Experience With Endovascular Treatment of Ruptured Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms http://journals.lww.com/annalsofsurgery/Abstract/2009/11000/Collected_World_and_Single_Center_Experience_With.21.aspx