Audible Bleeding

Audible Bleeding editor Wen (@WenKawaji) is joined by 5th year general surgery resident Richa Kalsi (@KalsiMD) from University of Maryland Medical Center, 3rd year general surgery resident Sasank Kalipatnapu (@ksasank) from UMass Chan Medical School, JVS editor Dr. Forbes (@TL_Forbes), and JVS-CIT editor Dr. Smeds (@matsmeds) to discuss two great articles in the JVS family of journals regarding endosuture aneurysm repair mid-term follow-up and endovascular repair of thoracic aortic aneurysm with aberrant subclavian artery. This episode hosts Dr. Frank Arko (@farkomd), Dr. Sukgu Han (@SukguH), and Dr. Fernando Fleischman, authors of the following papers:

Articles:

• Five-year outcomes of endosuture aneurysm repair in patients with short neck abdominal aortic aneurysm from the ANCHOR registry by Arko et al

• Sandwich thoracic branch endoprosthesis technique for endovascular repair of thoracic aortic aneurysm with aberrant right subclavian artery by Fleischman and Han et al

Show Guests:

• Dr. Arko is the Chief of Vascular and Endovascular Surgery with Atrium Health, Siverling Endowed Chair of vascular surgery clinical professor at Wake Forest University, and co-director of Center for Aortic Disease at Sanger Heart and Vascular Institute.

• Dr. Sukgu Han is an Associate Professor of Surgery and Program Director for the residency/fellowship in the Division of Vascular Surgery and Endovascular Therapy at Keck School of Medicine of USC. He is also the Co-Director of the Comprehensive Aortic Center at Keck Hospital of USC.

• Dr Fernando Fleischman is a cardiothoracic surgeon with extensive aortic expertise at Keck Hospital of USC. He is an Associate Professor of Surgery and Associate Program Director of cardiac surgery at USC. He is also the Co-Director of the Comprehensive Aortic Center.

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Audible Bleeding editors Matt (@chia_md) and Gowri (@GowriGowda11) are joined by 3rd year General Surgery resident Sasank Kalipatnapu (@ksasank), 2nd year medical student Nishi Vootukuru (@Nishi_Vootukuru), JVS editor-in-chief Dr. Thomas Forbes (@TL_Forbes), and JVS-VL Associate Editor Dr. Meryl Logan (@ProleneQueen), to discuss two great articles in the JVS family of journals regarding treatment of asymptomatic carotid artery disease and comparison of venous insufficiency treatment via radiofrequency ablation and microfoam ablation. This episode hosts Dr. Robert Chang, Dr. Stephanie Talutis, and Dr. Juan Carlos Jimenez, the authors of the following papers:

Articles:

JVS: A comparative effectiveness study of carotid intervention for long-term stroke prevention in patients with severe asymptomatic stenosis from a large integrated health system by Chang et al.

JVS-VL: Comparison of outcomes following polidocanol microfoam and radiofrequency ablation of incompetent thigh great and accessory saphenous veins by Talutis et al.

Additional article discussed for JVS-VL: Adjunctive techniques to minimize thrombotic complications following microfoam sclerotherapy of saphenous trunks and tributaries by Jimenez et al.

Show Guests:

• Dr. Robert Chang – Assistant Chair of Vascular Surgery, Adjunct Investigator, KP Division of Research Northern California

• Dr. Stephanie Talutis - Assistant Professor of Vascular Surgery, Tufts Medical Center

• Dr. Juan Carlos Jimenez, Clinical Professor of Surgery, Director, Gonda Venous Center, Vice-Chair for Justice, Equity, Diversity, and Inclusion at UCLA

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

In this episode, Imani (@iemcelroy) sits down with Dr. Lyssa Ochoa, vascular surgeon and founder of The San Antonio Vascular and Endovascular (SAVE) Clinic, discussing her efforts to decrease diabetic foot amputations in South Texas. Dr. Ochoa was born and raised along the Texas-Mexico border and attended medical school, general surgery residency, and vascular surgery residency at Baylor College of Medicine in Houston, TX. Understanding that collaboration is key to change health outcomes, Dr. Ochoa has partnered with hospitals, managed care organizations, universities, non-profit organizations, local school districts, city council districts, and clinicians of all kinds to develop amputation prevention programs, awareness platforms, and additional resources.

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Dr. Matt Chia and Dr. Ezra Schwartz (@ezraschwartz10) continue the exploration of how vascular surgeons and patients communicate. They discuss how we share stories with one another and what may get lost in translation.

We are excited to welcome Katie Wright (@Translucentone) and Dr. Sherene Shalhub (@ShereneShalhub) to discuss the patient experience of living with Vascular Ehlers-Danlos Syndrome or vEDS.

Katie Wright is the vEDS Natural History Study project coordinator in the Division of Vascular Surgery at Oregon Health & Science University, a podcaster, and a patient advocate. They served as the Director of the Marfan Foundation's vEDS Division, The VEDS Movement until this past March, and they sit on the VEDS Collaborative (@vEDSCollabo) and Aortic Dissection Collaborative (@ADCollab) advisory board. Katie was diagnosed with vEDS in 2017 at the age of 28. Shortly after diagnosis, they started raising awareness and fostering community through YouTube videos. Katie then began a podcast titled Staying Connected, a space to share the stories of other patients and patient families. In 2018, Katie started volunteering on the advisory board of the vEDS Collaborative, a patient-centered research collaborative group led by Dr. Sherene Shalhub.

Dr. Sherene Shalhub is the inaugural John M. Porter Chair in Vascular Surgery and Division Head of the Division of Vascular and Endovascular Surgery at Oregon Health & Science University. She is also the Vice Chair of Regional Strategy & Surgical Operations for the Department of Surgery. Dr. Shalhub's research interests focus on improving healthcare and outcomes for those with genetic vascular conditions. She is the lead investigator for the vEDS Collaborative Natural History Study and the PCORI-funded Aortic Dissection Collaborative. Dr. Shalhub obtained an MPH followed by her medical degree at the University of South Florida. Dr. Shalhub completed her general surgery training at the University of Washington. She then pursued fellowships in trauma research and vascular surgery at the University of Washington.

Resources:

• The VEDS Movement

• VEDS Collaborative & Natural History Study

• If you are interested in taking part in the study or would like more information, please contact the study team [email protected]

• Donate to the vEDS Natural History Study here.

• Aortic Dissection Collaborative for Patient-Centered Research | BeCertain.org

• Staying connected

• Episode: What Medical Professionals Should Know about VEDS

• Splenic artery pathology presentation, operative interventions, and outcomes in 88 patients with vascular Ehlers-Danlos syndrome

• Open repair of abdominal aortic aneurysms in patients with vascular Ehlers-Danlos syndrome

• Audible Bleeding Exam Prep Aortopathies Episode with Dr. Shalhub

• Free Chime Sound Effects Download - Pixabay

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Audible Bleeding editor Wen (@WenKawaji) is joined by first-year vascular surgery fellow Zach (@ZMatthay), 5th year integrated vascular surgery resident Kaitlyn (@DunphyKaitlyn), JVS editor Dr. Forbes (@TL_Forbes) and JVS-VS associate editor Dr. Curci (@CurciAAA) to discuss two great articles in the JVS family of journals regarding machine learning in carotid endarterectomy and abdominal aortic aneurysm. This episode hosts Dr.Li (@ben_li123), Dr. De Mestral (@vasc_surg), Dr. Kiang (@sharon_Kiang_MD), and Dr. Tomihama (@roger_tomihama), the authors of the following papers:

Articles:

• Using Machine Learning to predict outcomes following carotid endarterectomy by Li et al.

• Machine learning analysis of confounding variables of a convolutional neural network specific for abdominal aortic aneurysms by Tomihama et al

Show Guests:

• Dr. Li is a vascular surgery resident and PhD candidate at the University of Toronto

• Dr. De Mestral is an associate professor of vascular surgery at the University of Toronto who also has a PhD in health services research and focuses on clinical effectiveness, cost, and quality of surgical care.

• Dr. Sharon Kiang is the chief of vascular surgery at the Loma Linda Veteran's affairs hospital as well as an associate professor and vice-chair of research of surgery at Loma Linda University. She is also the PI for the Center for Artificial Intelligence and Vascular Engineering.

• Dr. Roger Tomihama is an associate professor of interventional radiology with 18+ years of experience in clinical medicine, biomedical research, graduate medical education, and professional organizations. He was a former officer in the United States Navy and recipient of the Navy Commendation Medal. As a clinician scientist, he has procured $1.4 million dollars of extramural research grant funding, have 22 peer-reviewed publications, 4 invited publications, and 4 book chapters. His current research focus includes artificial intelligence in imaging for vascular disease. Lastly, he is currently pursuing a Master's of Business Administration at the Wharton School of Business at the University of Pennsylvania.

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Vascular Team Talk is back with our second episode! This podcast mini-series is brought to you by the Society of Vascular Surgery Physician Assistant Section and Audible Bleeding. How does your Vascular team communicate or organize the day? Teams can consist of many people who have different responsibilities and due to the busy nature of vascular surgery services, it may be difficult to ensure urgent matters get passed on. In this episode, we focus on the importance of communication and relationships between vascular surgery students, residents, APPs, fellows and attendings.

Jessica Fernandes, PA-C, a Vascular Surgery physician assistant at Boston Medical Center (BMC), interviews Dr. Katie Shean, a vascular surgeon at St. Elizabeth's Medical Center, regarding the importance of communication and the transition from a fellowship to an attending position. Both Jessica and Dr. Shean discuss how they worked together at BMC and compare how Dr. Shean runs her current vascular team at St. Elizabeth's Medical Center.

Show Guests:

- Jess Fernandes, PA-C, is an inpatient physician assistant in the Division of Vascular and Endovascular Surgery at Boston Medical Center. She is also a member of the SVS PA committee and NESVS PA committee. She graduated with her bachelor degree and Master in Physician Assistant Studies from MCPHS University in 2016.

- Katie Shean, MD is a vascular surgeon in the Division of Vascular and Endovascular Surgery at St. Elizabeth's Medical Center in Brighton, Massachusetts. She completed medical school at University of Vermont Medical School in 2013, followed by her general surgery residency at St. Elizabeth's Medical Center and vascular surgery fellowship at Boston Medical Center which she completed in 2022.

Show Links:

SVS Physician Assistant Section

St. Elizabeth's Medical Center Vascular and Endovascular Division

Audible Bleeding editors Wen Kawaji (@WenKawaji), Yasong Yu (@YasongYuMD), and Imani McElroy (@IEMcElroy) are joined by Seth Sankary to discuss their experiences this past year going through the fellowship match process. They discuss the pearls and pitfalls of the interview trail and what influenced their final rank list decisions.

Show Guests:

• Seth Sankary, MD - General Surgery Chief Resident at the University of Chicago

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

Audible Bleeding editors Wen (@WenKawaji) and Matt (@chia_md) are joined by Lara Lopes (@laralopesMD), Nitin Jethmalani (@nijethmalani), JVS editor-in-chief Thomas Forbes (@TL_Forbes), and JVS-VS Associate Editor Gale Tang, to discuss two great articles in the JVS family of journals. This month's articles discuss the outcomes of aortic repair after Medicaid expansion, and the process of developing a novel device for repair of aortic injury. Don't miss this fantastic discussion with the authors and editors at the forefront of vascular surgery!

Articles:

• Impact of Medicaid expansion on outcomes after abdominal aortic aneurysm repair by Ramadan et al.

• A dumbbell rescue stent graft facilitates clamp-free repair of aortic injury in a porcine model by Kenawy et al.

Show Guests:

• Omar Ramadan, MD - Chief General Surgery Resident at University of Pennsylvania

• Grace Wang, MD MSCE FACS - Director of the Vascular Lab and Associate Professor of Surgery in the Division of Vascular and Endovascular Surgery at the Hospital of the University of Pennsylvania

• Bryan Tillman, MD PhD - Vascular Surgeon Wexner Medical Center, Associate Professor of Surgery and Director of vascular research at the Ohio State College of Medicine

Audible Bleeding Contributors:

• Lara Lopes, MD - Vascular Surgery Integrated Resident, Northwestern University

• Nitin Jethmalani, MD - General Surgery Resident, Vascular Surgery Research Fellow, NYP Cornell

Follow us @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

In the International Series, we interview international vascular surgeons and trainees with the focus of learning and exploring how vascular surgery is practiced around the world and by doing so, gain new insight into how we practice vascular surgery in the United States. In today's episode, Ezra Schwartz interviews Dr. Ahmed Kayssi, a vascular surgeon in Canada.

Dr. Ahmed Kayssi is a vascular surgeon at Sunnybrook Health Sciences Centre, an Assistant Professor at the University of Toronto and an associate scientist in evaluative clinical sciences at the Sunnybrook Research Institute. Dr. Kayssi completed his general surgery residency and vascular surgery fellowship at the University of Toronto and a limb preservation and wound care fellowship under the supervision of Dr. Richard Neville. Dr. Kayssi holds a Master's degree in Public Health from the Harvard Chan School of Public Health and is currently pursuing a Doctorate of Public Health in Health Policy and Management from the Johns Hopkins School of Public Health under the supervision of Dr. Lilly Engineer. Dr. Kayssi recently joined the editorial board of Seminars in Vascular Surgery.

Contact Information: Dr. Ahmed Kayssi

Email: [email protected]

Twitter:

• Dr. Ahmed Kayssi (@ahmedkayssi)
• Dr. Ezra Schwartz (@ezraschwartz10)
• Dr. Morgan Gold (@morgansgold)
• University of Toronto Division of Vascular Surgery

Articles, resources, and societies referenced in the episode:

• Canadian Society of Vascular Surgery Research Committee
• Wounds Canada and Wounds Canada Research Committee
• Canadian Medical Protective Association
• Dr. Charles de Mestral
• University of Toronto Limb Preservation Fellowship
• Dr. Heather Gill, The PREHAAAB Trial, and Preoperative Exercise Rehabilitation in Cardiac and Vascular Interventions
• International Symposium on the Diabetic Foot
• SVS Vascular Annual Meeting 2024
• Canadian Society of Vascular Surgery Annual Conference
• Health Canada. Canada's Health Care System - Canada.ca.
• Canada: Health system review. Health Systems in Transition

Today, Dr. Ezra Schwartz and Dr. Nakia Sarad continue exploring how vascular surgeons and patients communicate. They discuss how we share stories and what may get lost in translation.

Dr. Rita Charon is a general internist, professor of medicine, and professor and founding chair of medical humanities at Columbia University. Dr. Charon originated the field of narrative medicine and is the founder and executive director of the Program in Narrative Medicine at Columbia. A literary scholar, Dr. Charon completed a Ph.D. in English at Columbia, concentrating on narratology and the works of American-British author Henry James. She is the author of Narrative Medicine: Honoring the Stories of Illness, co-author of Principles and Practice of Narrative Medicine, and co-editor of Stories Matter: The Role of Narrative in Medical Ethics and Psychoanalysis and Narrative Medicine.

Dr. Abraham Fuks is a clinical immunologist, a Professor in the Department of Medicine and Division of Experimental Medicine at McGill University, a Professor of Oncology at the Goodman Cancer Institute, and served as Dean of the McGill University Faculty of Medicine from 1995 to 2006. Dr. Fuks' has published on the metaphors of medicine and ethics in clinical research. In 2021, Dr. Fuks published a book, The Language of Medicine, in which he explores the ability of language to heal or harm and the potent metaphors prevalent in clinical care, especially military metaphors.

Dr. Anahita Dua is a vascular surgeon at the Massachusetts General Hospital, an associate professor of surgery at Harvard Medical School, and a frequent guest on Audible Bleeding.

Resources:

• Dr. Charon's related works:
  • Narrative Medicine: Honoring the Stories of Illness
  • The Principles and Practice of Narrative Medicine
  • Stories Matter: The Role of Narrative in Medical Ethics and Psychoanalysis and Narrative Medicine
  • TEDx Talk
• Dr. Fuks' related works:
  • The Language of Medicine
  • The Mindful Medical Learner Podcast featuring Dr. Fuks
  • Arthur Frank, The Wounded Storyteller: Body, Illness, and Ethics
• Dr. Dua's related works:
  • Epidemiology of Peripheral Arterial Disease and Critical Limb Ischemia
  • Peripheral Artery Disease: Where We Are and Where We Are Going
• Validated QOL surveys and Patient Reported Outcome Measures:
  • PORTRAIT (Patient-Centered Outcomes Related to Treatment Practices in Peripheral Arterial Disease: Investigating Trajectories): Overview of Design and Rationale of an International Prospective Peripheral Arterial Disease Study
  • Patient-Reported Outcomes for Peripheral Vascular Interventions for the Vascular Quality Initiative
  • Eric Cassell & Functionality
  • Vasc QOL Questionnaire
  • PAD QOL Questionnaire
  • Vasc QL-6 Questionnaire
  • European QL 5D 5L Questionnaire

X Handles (previously known as Twitter):

• Dr. Anahita Dua (@AnahitaDua)
• Dr. Rita Charon (@RitaCharon)
• Dr. Abraham Fuks (@Abe_McGill)
• Dr. Ezra Schwartz (@ezraschwartz10)
• Dr. Nakia Sarad (@NakSaradDO)