Audible Bleeding

Mr. Mohamed Barkat, Mr. Nicholas Greaves, and Mr. Michael Jenkins discuss thoracoabdominal aneurysms.  Originally published Dec 2, 2021, and was created in collaboration with the Rouleaux Club in the United Kingdom.

Vascular Surgery Exam Prep eBook - TAAA

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Drs. Anna Ohlsson and Sherene Shalhub review genetically inherited aortopathies.  Originally published May 18, 2020.

Vascular Surgery Exam Prep eBook - Aortopathies

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Audible Bleeding editor Wen (@WenKawaji) is  joined by JVS-VS Associate Editor Dr. Jose Diaz, JVS Assistant Editor Dr. Paul Dimuzio (@pdimuziomd) , and JVS Editor-in-Chief Dr. Thomas Forbes (@TL_Forbes) to discuss two great articles in the JVS family of journals.  They’re joined by Dr. Oliver Aalami and Dr. Terence Ryan, authors of each of the papers discussing SVS supervised exercise therapy and two proteins (S100A8 and S100A9) that play an integral role in the ischemic limb pathophysiology. 

“Use of an app-based exercise therapy program including cognitive behavioral techniques for the management of intermittent claudication” by Aalami et al.

“S100A8 and S100A9 are elevated in chronically threatened ischemic limb muscle and induce ischemic mitochondrial pathology in mice” by Ryan et al.

Show Guests:

• Dr. Oliver Aalami (@DrAalami) is a clinical professor of surgery at Stanford University. He is also the director of Stanford Byers Center for Biodesign since 2018. 
• Dr. Terence Ryan (@TerenceRyan_PhD) is an assistant professor on tenure track in the department of applied physiology and kinesiology at the University of Florida. Dr. Ryan’s work focuses on understanding the molecular pathways that regulate muscle and vascular responses to environmental and endogenous stressors. 

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Drs. Matthew Spreadbury, Adham Elmously, Einar Brevik and Joseph Lombardy review aortic dissections.  Originally published November 1, 2021.

Vascular Surgery Exam Prep eBook - Aortic Dissection

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Drs. Mia Miller and Julie Duke review abdominal aortic aneurysms (AAA).  Originally published March 30, 2021.

Vascular Surgery Exam Prep eBook - AAA

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REGISTER HERE for the NEXT webinar 3-D, at 7 pm EST/4 pm PST on December 12, 2022. From 3-D printing to presurgical planning using 3-D modeling, this webinar will explore how 3-D technology is being utilized in vascular surgery today.

Today, we are republishing the Health Information Technology (HITC) Webinar from September 7, 2022, Hacking the EMR: Making the EMR work for you. 

A blessing and a curse, the EMR is an integral part of the modern practice of providing medical care. The Community Practice Section, Health Information Technology Committee, and Wellness Committee have collaborated to develop a webinar about making the EMR work for you. We review how to manage the EMR to benefit your daily practice needs; make the EMR work for small independent practices, including OBLs; how to manage EMR burnout; and a few hacks to make the EMR work for you.

Faculty & Topics:

• Mal Sheahan, MD - Stating the problem of whether the EMR works for us or the other way around. Vascular surgeons, burnout, and the EMR. Mitigation strategies and SVS’ role in resolving this issue.
• Daniel Bertges, MD - Strategies/updates on SVS discussions with EPIC/Powerchart on ways to integrate vascular-specific documentation requirements and streamline data entry (including VQI, etc.).
• London Guidry, MD, and James Craven, MD - How does the smaller independent group effectively use EMR in daily practice/OBL setting? Barriers/challenges/advantages. 
• Robert Beaulieu, MD, presenting for Jeniann Yi, MD - Challenges and opportunities of integrating different EMRs.

Moderator - Geetha Jeyabalan, MD; Vascular Surgeon, MedStar Heart & Vascular Institute.

Full Webinar Video

Relevant Links

• Epic dot phrase - .vasexam
• Weed. “Medical Records That Guide and Teach.” (1968) NEJM. 278(11): 593–600
• Longman. Best Care Anywhere: Why VA Healthcare is Better than Yours. (2012) Penguin Random House
• Chaiyachati et al. “Assessment of Inpatient Time Allocation Among First-Year Internal Medicine Residents Using Time-Motion Observations.”(2019)  JAMA IM 179(6):760–67.
• Chawla et al. “Settled Science: The Indisputable Link between EHR and Burnout.” (2021) Vascular Specialist 
• Corby et al.. “A Qualitative Study of Provider Burnout: Do Medical Scribes Hinder or Help?”(2021)  JAMIA Open 4(3)
• Sheahan. “An Open Letter to Epic Systems.” (2021) Vascular Specialist.
• IOM. To Err Is Human: Building a Safer Health System. Edited by Kohn et al.(2000) National Academies Press (US).
• Balasubramanian. “Physicians Would Need Almost 27 Hours A Day To Provide Optimal Patient Care, Per New Study.” (2022) Forbes.
• Morgenstern. “Of Clamps, Clips, and Computers.” (2006) Texas Heart Institute Journal. 33(3):279–80.
• Sinsky et al. “Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties.”(2016)  Annals of Internal Medicine. 165(11):753.
• Stark. “H.R.6898 - 110th Congress (2007-2008): Health-e Information Technology Act of 2008.” (2008) Legislation,
• “VQI & Epic Electronic Health Record Integration.” Accessed November 23, 2022.
• Specialty Steering Boards Improve Quality on a Global Scale.  Epic Publication. 2016
• Suki.ai AI Voice Assistant for Healthcare.

SVS members can join the Community Practice Section by emailing [email protected].

What other topics would you like to hear about? Let us know more about you and your thoughts about our podcast through our Listener Survey or email us at [email protected].

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Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

The COVID pandemic has resulted in increased rates of burnout and mental illness among surgeons. The quiet epidemic of mental illness continues to leave both surgical trainees and staff at increased risk of self-harm or suicide. In this episode, we talk with Dr. Carrie Cunningham and Dr. Dawn Coleman about their efforts to change the narrative and provide data on the impacts of mental health on surgical training and practices. 

Disclaimer: Topics covered in this episode may be sensitive for some listeners. If you or someone you know is experiencing suicidal thoughts or a crisis, please get in touch with a trained professional or call 988 for the Suicide Prevention Lifeline.

Guests

• Dr. Carrie Cunningham (nee Lubitz) (@lubitz_carrie) is an Associate Professor of Surgery at Harvard Medical School, Section head of the Massachusetts General Hospital Endocrine Surgery Unit, and Associate Director at the Massachusetts General Hospital Institute for Technology Assessment.
• Dr. Dawn Coleman (@DawnDM_vasc) is the newly appointed Division Chief for the Division of Vascular and Endovascular Surgery at Duke University.

Additional Resources

• Vascular surgeon wellness and burnout: A report from the Society for Vascular Surgery Wellness Task Force
• If you need Mental Health Resources for Physicians or the National Suicide Prevention Lifeline.
• For more information on the Lorna Breen Foundation. 
• For more information about Jo Shapiro.

What other topics would you like to hear about? Let us know more about you and your thoughts about our podcast through our Listener Survey or email us at [email protected].

Follow us on Twitter @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Drs. Young Lee and Matthew Smeds review hemodialysis access.  Originally published March 28, 2020

Vascular Surgery Exam Prep eBook - Hemodialysis

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Drs. Matt Smith and Nedal Katib review thoracic outlet syndrome.  Originally published November 27, 2019.

Vascular Surgery Exam Prep eBook - Thoracic Outlet Syndrome

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In this episode, we explore the role of vascular surgeons in oncologic surgery. We will be discussing the nuances of vascular involvement in oncologic resection, common practices, and future directions of this collaborative surgical culture.

Dr. Adam Beck (@AWBeckMD) is a vascular surgeon and Professor of Surgery at the University of Alabama at Birmingham where he serves as the Director of the Division of Vascular Surgery and Endovascular Therapy, holds the Holt A. McDowell, Jr, MD Endowed Chair in Vascular Surgery and serves as the Director of Quality and Associate Chief Medical Quality Officer for the UAB Cardiovascular Institute. Dr. Beck completed his general surgery residency training and a surgical oncology research fellowship at the University of Texas-Southwestern Medical Center. He trained in vascular surgery at the Dartmouth-Hitchcock Medical Center and then completed a fellowship in advanced endovascular techniques, including branched and fenestrated endografts for aortic aneurysmal disease, at the University Medical Center of Groningen in The Netherlands. You can learn more about Dr. Adam Beck here.

Dr. Xavier Berard (@XavierBerardMD)  is a French vascular surgeon and serves as a Consultant in the Department of Vascular Surgery and Professor of Vascular and Endovascular Surgery in Bordeaux University Hospital in Bordeaux, France. He is board certified from the French College of Vascular and Endovascular Surgeons and from the European Society for Vascular and Endovascular Surgery. He has also completed a PhD in Vascular Biomaterials and has built a library of educational video content. He works closely with Institut Bergonié Bordeaux Cancer Center for sarcomas. You can see educational videos and learn more about Dr. Xavier Berard here

Dr. Sharif Ellozy (@SharifEllozy)  is a vascular surgeon at the New York-Presbyterian/Weill Cornell Medical Center where he serves as Associate Professor of Clinical Surgery in the Division of Vascular and Endovascular Surgery, and Program Director of the Vascular Surgery Fellowship program. He is also one of the founders of Audible Bleeding. He is readily involved in oncologic resection at the Memorial Sloan Kettering Cancer Center and works closely with surgical oncologists on operative cases that have vessel involvement.

Authors/Interviewers:

Dr. Sree Kanna, MD - McGill, Montreal (@VulnerableAorta)

Dr. Nakia Sarad, DO, MS - New York-Presbyterian/Queens - Weill Cornell, New York (@NakSaradDO)

Editors:

Morgan Gold, MD,CM candidate - McGill, Montreal (@MorganSGold)

Ezra Schwartz, MD,CM, MS, MMSc-Med Ed candidate - Harvard, Boston (@EzraSchwartz10)

Helpful Resources:

To learn more about sarcoma resections, check out the Schwarzbach papers on lower extremity sarcomas and retroperitoneal sarcomas

Click here to learn more about the NCCN Guidelines on Resectability of Pancreatic Cancers

Click here to learn more about IVC Reconstruction Techniques in Oncologic Surgery

Video of IVC Leiomyosarcoma Reconstructions here (courtesy of Dr. Berard)

Click here to learn more about the Renal Cell Carcinoma Mayo Staging System

Click here to find the original article on the Shamblin Classification for Carotid Body Tumors

Check out this review paper on Oncovascular Surgery 

Check out this paper on spiral endografts here Video of spiral saphenous vein graft technique here (courtesy of Dr. Berard)

What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at [email protected].

Follow us on Twitter @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.