Audible Bleeding

In this special episode of Audible Bleeding, we sit down (socially distanced by miles) with Drs. Ben Starnes, Niten Singh and Malachi Sheahan to discuss how we as vascular surgeons should be approaching our practices and our roles within the hospital throughout this COVID-19 pandemic.  Dr. Starnes and Dr. Singh recently authored an editorial in Vascular Specialist describing their experience with the COVID-19 virus, as well as some of the changes they have made in their service line based on insight they gained from vascular surgery colleagues in Northern Italy. We are also fortunate to have Dr. Malachi Sheahan on the podcast with us to discuss some of the lessons he learned during his time at University Hospital in New Orleans after Hurricane Katrina, and how that can help us going forward. 

Dr. Starnes is a returning guest at Audible bleeding and I encourage you to listen to Episode 11 for a complete intro and to hear the discussion on his military experience and entrepreneurial endeavors.  Dr Starnes is a Professor of Vascular Surgery, Chief of the Division of Vascular Surgery and Vice Chair of the Department of Surgery for UW Medicine. 

Dr. Niten Singh is a Professor and Associate Chief of the Division of Vascular Surgery at University of Washington.  He’s also the Director of the Limb Preservation Service at the Regional Vascular Center at Harborview and the Program Director of the UW Vascular Surgery Integrated Residency and Fellowship. Dr. Singh earned his M.D. from the Uniformed Services University of the Health Sciences in Bethesda, Maryland.  He completed his general surgery residency at Tripler Army Medical Center in Honolulu, HI and his Vascular surgery fellowship at Georgetown in Washington DC.

Dr. Malachi Sheahan is also a returning guest on Audible Bleeding and I would likewise encourage you to go back and listen to Episode 3 for a discussion on mentorship, the Fundamentals of Vascular Surgery curriculum and vascular surgery during Hurricane Katrina.  Dr. Sheahan is 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

Links:

Letter From Seattle (Dr. Starnes’ and Dr. Singh’s editorial in Vascular Specialist)

SVS Connect

The SurgeonMasters Podcast

Dr. Misty Humphries is an Associate Professor in the Division of Vascular Surgery at the University of California at Davis Medical Center where she serves as the Vascular Surgery Residency Program Director and Vice-Chair of Surgical Outcomes.

In 2019 she was awarded a K award from the National Institutes of Health investigating the role of telemedicine programs to reduce amputation rates in rural populations and joins our team to discuss updates and best practices in Telemedicine the face of COVID-19 pandemic.

Useful Links

• VESS Telemedicine Tips
• Dr. Humphries Telehealth Grand Rounds
• • Example of a Zoom.us virtual clinic
• Center for Connected Health Policy
• • Telemedicine in COVID-19
  • Map for Telemedicine Laws by State
• NCTRC Webinar - Telehealth and COVID-19
• • Telehealth Technology Overview
• National Consortium of Telehealth Resource Centers
• Zoom Healthcare
• TeleHealth in Vascular Surgery Publications by Dr. Judith Lin

Congratulations to our own Nicole Rich for being featured in this month’s JVS Editor’s Choice! 

In this latest installment of our JVS collaboration, Jacob discusses the March Editor’s Choice articles with Editor in Chief of the Journal of Vascular surgery, Dr. Peter Gloviczki.

Dr. Gloviczki YouTube Video

Articles Discussed:

• The new Society for Vascular Surgery and Society of Thoracic Surgeons reporting standards for type B aortic dissections (Editor’s Choice)
• Incidence, natural course, and outcome of type II endoleaks in infrarenal endovascular aneurysm repair based on the ENGAGE registry data (CME)
• Critical analysis and limitations of resting ankle-brachial index in the diagnosis of symptomatic peripheral arterial disease patients and the role of diabetes mellitus and chronic kidney disease
• Long-term freedom from aneurysm-related mortality remains favorable after endovascular abdominal aortic aneurysm repair in a 15-year multicenter registry
• • Original Publication: Ten-year results of endovascular abdominal aortic aneurysm repair from a large multicenter registry
• The incidence and risk factors of stent fracture in patients treated for proximal common carotid artery stenosis

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In our second installment of the JVS-Venous/Lymphatic series, Jacob discusses the March 2020 editor’s choice articles with Senior Editor, Dr. Peter Lawrence.

• Laser ablation versus mechanochemical ablation in the treatment of primary varicose veins: A randomized clinical trial (CME and Editor’s Choice)
• Midterm outcomes in postpartum women following endovenous treatment for acute iliofemoral deep vein thrombosis
• Patient radiation exposure for endovascular deep venous interventions
• Technical success and short-term outcomes after treatment of lower extremity deep vein thrombosis with the ClotTriever system: A preliminary experience

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Congrats to Dr. Rae Rokosh a general surgery resident from NYU for winning our listener survey raffle.

The survey is still open so we would love to hear from you, even if there isn't a chance to win a t-shirt.  Click here to fill one out.

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Audible Bleeding sits down with Drs. Malachi Sheahan, Dawn Coleman and John Eidt to discuss the SVS Wellness Task Force and peer support.  

Dr. Malachi Sheahan is a returning guest on Audible Bleeding. He was featured on our 3rd episode discussing the Fundamentals of Vascular and Endovascular Surgery curriculum and his experience as a surgeon during Hurricane Katrina.  Dr. Sheahan is a Professor and Chair of Vascular and Endovascular Surgery and Program Director for the Vascular Surgery Integrated Residency and Fellowship at the LSU Health Sciences Center in New Orleans.

Dr. Dawn Coleman is also a returning guest.  She spoke with us on physician burnout in episode 20.  She is an Associate Professor of Surgery at the University of Michigan, and she is the Program Director of the Integrated Vascular Surgery Residency Program and Fellowship.  She is the Chair of the SVS Wellness Task Force and discusses the results of the vascular surgery burnout survey on today’s podcast.  

Dr. John Eidt is a practicing vascular surgeon at Baylor Scott and White Heart and Vascular Institute and a Professor of Surgery at Texas A&M Health Sciences and the Vice Chair of Surgery at Baylor University Medical center.  He has an interest in surgical education and surgeon well-being.

Dr. Sheahan’s Editorial: “Am I my brother's keeper?”

https://vascular.org/news-advocacy/editor-am-i-my-brothers-keeper-skeptics-call-peer-support-vascular-surgery

Surgeon Masters Podcast:

https://surgeonmasters.com/podcast

SVS Connect

https://svsconnect.vascular.org/home

Stay on the lookout for the upcoming Webinar and live call with Surgeon Masters on March 4th, 2020! Further details to follow.

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In our next installment of the JVS Editor’s choice series, Jacob discusses the JVS February Editor’s Choice articles with Senior Editor, Dr. Peter Lawrence. 

Migration and sac expansion as modes of midterm therapeutic failure after endovascular aneurysm sealing - Editor’s Choice and CME

Carotid endarterectomy for asymptomatic carotid stenosis is safe in octogenarians

The Vascular Quality Initiative 30-day stroke/death risk score calculator after transfemoral carotid artery stenting

Nationwide trends in drug-coated balloon and drug-eluting stent utilization in the femoropopliteal arteries

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Dr. Melina R. Kibbe, MD, is the Colin G. Thomas, Jr. Distinguished Professor and Chair of the Department of Surgery at the University of North Carolina, and Professor in the Department of Biomedical Engineering. She did her general surgery residency at the University of Pittsburgh Medical Center, followed by vascular surgery fellowship at Northwestern. Prior to UNC, Dr. Kibbe was faculty at Northwestern University for 13 years where she also served as the Vice Chair of Research in the Department of Surgery and as Deputy Director of the Simpson Querrey Institute for BioNanotechnology. Dr. Kibbe’s research interests focus on nitric oxide vascular biology and developing novel and innovative nitric oxide-based therapies for patients with vascular disease. She has funding from the NIH, the American Heart Association, the Department of Veterans Affairs, the AMA, and various intramural sources. She holds 11 patents or provisional patents, has over 200 peer-reviewed publications, and is also the Editor in Chief of JAMA Surgery. Her research was recognized by President Obama with the Presidential Early Career Award for Scientists and Engineers in 2009.

A small sampling of some of Dr. Kibbe’s relevant articles:

Targeted Nanoparticle Therapies for the Treatment of Surgical Diseases

Biodegradable Vascular Scaffolds - The "Liquid Stent" Project

Sex Bias in Research - Interventional Clinical Trials

The Extinction of the Surgeon Scientist

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Abdominal Vascular Trauma – Venous with Dr. Todd Rasmussen. 

Episode 3 of 6 for our vascular trauma series. Kevin and Adham discuss the management of injuries to the vena cava and portomesenteric venous system with Dr. Rasmussen. 

Dr. 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 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. 

Check out Dr. Rasmussen’s book 

https://www.elsevier.com/books/richs-vascular-trauma/9781455712618 

https://www.amazon.com/Richs-Vascular-Trauma-Todd-Rasmussen/dp/1455712612 

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