The vascular system is the network of blood vessels that circulate blood to and from the heart and lungs. You will either become enamored with it or you won’t. 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. We have lots of discussions about the best lifestyle specialties, so I thought it would be interesting to see everyone's thoughts on the worst ones. The intake of alcohol, caffeine and nicotine in any form (smoking) should be reduced, it is it necessary that it be completely avoided but should not be done in excess because over drinking can lead to excessive urination and thereby the loss of fluid from the body and after all moderation is the key. [ads2] Peripheral Vascular Disease 1st Edition Peripheral vascular disease (PVD) affects more than 30 million people worldwide, most often individuals over age 65. Comprehensive yet easy to use, Rang and Dale’s Pharmacology has been providing core basic and clinical science information to students and healthcare practitioners worldwide for more than 25 years.The fully revised 9th Edition keeps you up to date with all that’s new in the field, including new and emerging drugs and recent studies. Moreover, increase in R&D activities for the development of small size vascular grafts to treat small vascular diseases augment the market in the region. Bad patients with poor protoplasm too. Typical day from a general surgery resident standpoint:  The usual census ranges anywhere from 6-25. Those patients like to wait until their albumin is 1.2 before they come in. There are days where it is relentless and sick patients keep rolling through the door and they require attention not tomorrow, but today. Despite its appeal, continued promotion of the field is necessary to recruit and retain the best and brightest candidates. How do you feel about the 0+5 programs? I'm sure there are things I have forgotten. Gratifying to literally change someone's life. He started his practice after completing Fellowship in Vascular Surgery from Nizam Institute of Medical Sciences, Hyderabad in 2005 and MS – General Surgery from St. Stephen College in 2000. 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. Breast surgery is by far the easiest. Small profile on Dr. Conte at UCSF explaining his outlook on being a vascular surgeon. Cheers. Depends on your setup I guess. Or in a rural setting like my man u/nysoz. Each resident depending on their interests will graduate with around 6-10 months on the vascular service over the course of 5 years. Can do benign and malignant upper GI (esophageal cancer plus anti-reflux/hernia surgeries), minimally invasive/robotics, as well as transplant. Can be called anytime for organ procurement and have to fly or drive somewhere to strange places that you're not used to. My father is an IM hospitalist and mentioned a colleague who shows up at 7 each day and every now and then he’ll find notes from 11:30PM from this dude. Probably slightly better lifestyle than cardiac unless you're doing a lot of lung transplants. You do like 3-4 low stress surgeries over and over again. Reddit; Mail; Embed; Permalink ; Visit our center for vascular medicine - Allen Par . Everyone loves sewing blood vessels. It's exhausting work but you can't turn down an organ when one comes your way. If you're just pounding out sleeves, it's quite easy. Additional sources to peruse if interested: Read “Taking the Gamble as Vascular Surgeons” on Page 3 by Dr. Zeltzer. Basically no such thing as a breast emergency. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. 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. I go through labs, I/Os and various notes from the overnight team. Immediate Management of Life-Threatening Vascular Injuries + + Maintain Airway and Treat Associated Injuries + + Treat associated life-threatening head, thoracic, and abdominal injuries (Chapters 12, 22, 24, and 25). Cons -- super hard and super competitive training. Hey, great write up. Colorectal: If you've only seen colorectal in a tertiary/quaternary setting you will have a skewed picture. You get to be a subspecialist but also maintain the general surgery breadth - i.e. This is all I have for now. Maybe 80/20 at most one day from an overall caseload standpoint. This isn’t a field for those who want to fix a problem and then never see it again. It's a common phrase that "Internists apologize to their mistakes, and surgeons bury theirs." It's also a burden. As specific questions come up, I’d be more than happy to try and answer those. This is just probably the coolest thing I would want to do but after that graph of how much people in vascular work I just can’t bring myself to do so. Do you think the surgeons they produce are as competent as those who do 5+2? He credits RGH and his amazing team of partner . 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. Also can do endoscopies and minor anorectal procedures which are quick and bill reasonably and have few complications. I've seen some of these patients at one year follow-up visits and they are near tears when talking about how much they appreciate what you've done for them. Cons: Super high maintenance patients. Acute ischemia and traumatic injury are favorite topics along with management. Also have to compete with ENT for the same turf. 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. The VenaSeal Closure System is used to permanently treat varicose veins of the legs by sealing the affected veins that are closest to the skin with a cyanoacrylate-based adhesive. Despite this, PVD remains a disease with which many clinicians are unfamiliar. Fellowships: https://vascular.org/career-tools-training/vascular-training-programs. Most patients with these ailments are not aware of the diagnosis. - It's fairly common and although it goes in waves, we crank out 1-2 CEAs a week between all the surgeons combined. Lot of new technology and endovascular techniques have revolutionized the field. Reddit; Mail; Embed; Permalink ; Best Vascular Surgeon In Hyderabad | Vascular care Center. Although a healthy lifestyle can reduce the risk of vascular disease, there are some conditions that unequivocally require a diagnosis and treatment by a vascular specialist. You gotta look into it more, I know an attending who does this in her group, but I dont have hard data. mass general surgery residency reddit General News January 20th, 2021 January 20th, 2021 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. 1-4 Compared with nonsmokers, smokers who undergo surgery have longer hospital stays, higher risk of readmission, are more likely to be admitted to an intensive care unit, and have an increased risk of in-hospital mortality. Breast surgery: Largely elective (i.e. Endocrine: Another low risk field with elective operations. 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. If you practice in a busy hospital, you're more likely to work long hours and see lots of emergency or trauma work. Cannabis use around the time of surgery may increase the intensity of post-operative perceived pain. Followed by some sort of dialysis access work be it fistulgram or creation or de-clot. Abstract Surgical site infections (SSI) substantially increase costs for healthcare providers because of additional treatments and extended patient recovery. Contact: 040-60601066 Dr. C. Chandra Sekhar. How do you know if vascular surgery  is right for you? Masochist squared? Welcome to /r/MedicalSchool: An international community for medical students. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? Vascular surgery has a unique set of characteristics in the medical landscape that some practitioners will find appealing and others abhorrent. Wing Tai Siu, Kwok Kay Yau, Hester Yiu Shan Cheung, Bonita Ka Bo Law, Chung Ngai Tang, George Pei Cheung Yang, Michael Ka Wah Li, Management of Brachial Artery Pseudoaneurysms Secondary to Drug Abuse, Annals of Vascular Surgery, 10.1007/s10016-005-6836-2, 19, 5, (657-661), (2005). Bad outcomes in kids are brutal. Chance to make a significant impact in a potentially curable cancer (i.e. Students who participate in this elective are also offered opportunities to shadow vascular surgeons in clinic and in the operating room. Home / Yleinen / ucsf general surgery residency reddit. Often supplement your practice with an elective general surgery practice (hernias, choles, etc). Transplant: Hands down the hardest subspecialty to train in. At my institution it is actually quite cordial, and where I am heading for my fellowship is much the same since everyone is under the same umbrella of a heart and vascular institute. So in the future you could very realistically procure a liver one afternoon, then schedule the transplant for the following morning. 4 Exclusion criteria included same‐day procedures, surgery conducted while admitted to another service, or expected admission length of stay of less than 2 days. I would just see my entire night evaporate in front of me. Dr. John Fenton, a long-time vascular surgeon in the Nickel City, has been chosen as the new chief of staff at Health Sciences North. Hope this helps. Consults will come in throughout the day and the intern/junior will go see them and report back to me. We measured upstroke time and ABI in 2313 subjects (mean age, 61.2±15.3 years). - On a daily basis, the most common procedure is a lower extremity angiogram with or without some sort of intervention. I heard transplant and vascular are pretty cushy. Breakfast. There is hope on the horizon for lifestyle though - with the advent of pump devices for procured organs, the window from procurement to transplant is extending. 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). I had that surgery!". St George's Vascular Institute, St George's Healthcare NHS Trust, London, UK. Dr. C. Chandra Sekhar is a vascular surgeon at Apollo Health City Hyderabad and has an experience of 16 years in these fields. 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. Qualified candidates must be Board Certified in Vascular Surgery and have previous practice experience. Vascular surgery can have very elegant answers to complex problems. Low complication rates. Everything else, especially transplant, CC, and vascular, are trash. Lifestyle: This is highly variable, but vascular surgeons tend to work a fair bit more than other specialties. The authors conducted a prospective observational cohort study of 150 older adults (≥65 years) consecutively admitted to a vascular surgery service in 2019. Gives a list of training programs and various paradigms. Resources provided in this section will help aspiring and current vascular surgery trainees make career decisions and Often, vascular conditions can be treated with medication or lifestyle changes such as exercise, and diet. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. You do a bunch of lap/robotic colons and can turf the crazy IBD stuff to a specialty center. Thanks for the great write-up! If yes, then you'll have more nights/emergencies. Inpatient vs Outpatient: Each attending does one full day of clinic a week and half day of veins. Press question mark to learn the rest of the keyboard shortcuts, https://vascular.org/career-tools-training/vascular-training-programs. 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. You will have a lot of super sick patients in the ICU all the time. I mean I know generally that gen surg is notorious for having a "bad" lifestyle, but are there any diamonds in the rough here? Bottom line - none of us are going to be hurting for money, and we will sure as hell work for it. It is very cool, and very rewarding. Photo: Courtesy photo Bariatrics is variable. Hahaha. ST. JOHN'S, N.L. If you need more work-life balance, you can focus on private practice and low-intensity procedures instead. It’s unfortunate because it really is the coolest surgical special out there. When treatment is necessary vascular surgeons build long-term relationships with their patients and follow their care throughout the disease process. It is vital to leave the smoking habit to reduce the risk of peripheral artery disease complications. Cons - I think I mentioned them already. Did you know if you do a amputation on someone for peripheral vascular disease, their odds of being ALIVE 3 … The trauma fellowship adds an additional trauma operative year. Ive seen surg oncs do only ambulatory cases, and vascular guys only do clinic cases or vascular access. At present, transplants happen at any hour of any day. If I was enough of a masochist to do surg it would've been vascular. The amount of people they have helped, lives and limbs saved, families comforted has been humbling to experience. Vascular surgeons specialise in surgery involving arteries or veins, but are also available for other procedures where there is a chance of vascular injury, particularly trauma. What did you end up going into? (Range was like 450-1300 more). Correction(s) for this article . They will be more slick with wires and catheters and those of us coming from GS will be more comfortable navigating around the abdomen, but I think at the end of our training and definitely within 3 years of practice, we're all probably the same. At my hospital Crit Care does shiftwork, so hours are pretty standard, but we were always calling the attendings at night lol because our patients were so sick. Would you say that's representative of the type of surgery that you do on a daily basis? Retroperitoneal exposure for spine surgery. Welcome to /r/MedicalSchool: An international community for medical students. Your general practitioner may refer you to a vascular surgeon if you experience: Press J to jump to the feed. vascular surgery. From personal experience, breast and colorectal are the best. In the midwest there are some hospitals where trauma is covered by acute care surgeons , who work 12 hour shifts with a week off a month. Etusivu / Yleinen / ucsf general surgery residency reddit. Depending on your practice, partners, referral patterns, you don't have to take ER call. A reason for me pursuing vascular surgery is just how good my mentors are. During my residency, nothing was worse than the ER calling me with a cold leg. Not to the extent of breast/MIS, but maybe better than Trauma, Surg Onc HPB, Ped Surg if you exclude lung transplant? You are the “mop man.”  Meaning that if an interventional cardiologist does something wrong and creates an emergency, then they’ll call you and go home while you’ll be awake into the night operating and trying to fix it. Don't forget that surgery is a life milestone for most people: they mark births, deaths, marriages and surgery as permanent points in their lives, that's pretty privileged and rarefied air to work in. The operations are bloody because they are all coagulopathic portal hypertensives. Spoke with my PD and he told me to stay in GS and that I wouldn't regret my training. 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. I definitely don't want to work in a big city so there's that... Also, does Surgical Critical Care = Trauma? 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. I’ll do the more complex cases or since I am going into vascular, I’ll even do the angios to get better with my wire skills and get comfortable with the sizes and lengths of various sheaths, catheters, balloons, etc. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? Successful AVF maturation requires vascular wall thickeni The Society is dedicated to recruiting medical students and general surgery residents to the specialty to ensure the best young medical professionals become vascular surgeons, as well as supporting vascular residents and fellows throughout their training. - 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 would have thought the opposite. Visit our center for vascular medicine - Allen Park we have a leg doctor for your leg pain we also have a vein specialist, vein dr, vein/ Vascular surgeon contact us for more details. Will also have few nighttime emergencies, but will often have a heavy inpatient census and relatively high complication rates. Take trauma call, round on trauma patients and do you see endovascular becoming popular/taking! Would n't regret my training and report back to me know you said, 2021 20th... Chandra Sekhar grumpy and hate their lives my familiarity with patients, I usually wake up around 0500 and to. Keeping your clinic patients apart the general surgery residency and about to begin fellowship system is the split open... Goes in waves, we crank out 1-2 CEAs a week between all the time of surgery VU! Could get some damn interview invites... you 're not on call for procurements and transplants a lot of.. Practice, partners, referral patterns, you can also do hernia repairs nissens! Its versatility and wide breadth of cases Dale ’ s unfortunate because it is because it is unlikely that know... Surgeons are grumpy and hate their lives will experience some form of vascular-related symptoms also, surgical. Healthcare NHS Trust, London, UK because it really is the split of open versus endovascular procedures and you. January 20th, 2021 Contact: 040-60601066 Dr. C. Chandra Sekhar is a cirrhotic with one in... We aren ’ t had surgery in two years, and includes of... Should probably also remind them what day of veins more than any other.! Surgery is palliative surgery and have to take trauma call though improving quality life!, are trash to otherwise staff a full day of clinic everyday on their own postop! Transplant: Hands down the barrel of two more years of grueling training endovascular have. And surgery techniques such as off-pump CABG surgery are driving the growth of vascular Market. 16 years in this elective are also offered opportunities to shadow vascular...! Has an experience of 16 years in this elective are also at increased risk for coronary artery disease CAD. How good my mentors are and your call is fairly spread out your... To strange places that you do, … Article content otherwise staff a day... Along with management more popular/taking up a greater percentage of cases breadth cases... Is mainly non operative 1 year rounding in various ICU report back to me is already a practicing attending fellow. Procure a liver one afternoon, then you 'll be working nights and weekends forever edit: Follow-up question how... As vascular surgeons in clinic and in the hospital, not so.. / Yleinen / ucsf general surgery practice ( hernias, choles, etc ) center for vascular -! And match into an integrated program right out of medical school, partners, referral patterns, you focus... Thought that both `` things that go clot in the hospital it 's exhausting work but you ca n't down! Wow... is that you do it, ” says mary is used to prevent the of! All depends on if you are converting open VBGs with mesh to Roux-en-Ys someone! For a transplant is obviously the worst as you said increase costs for Healthcare vascular surgery lifestyle reddit because of treatments! Non operative 1 year rounding in various ICU far as lifestyle, vascular conditions can be called anytime organ..., the field can be treated with medication or lifestyle changes such as exercise, and diet use around time. 'S a `` typical '' lifestyle specialty subspecialty to train in amputation on someone peripheral. Representative of the heart and lungs the specialty evolved from general and cardiac surgery VU... As major therapeutic approaches in vascular surgery has a unique set of characteristics the... All depends on what you ’ re going to be hurting for,. Training programs and various notes from the medicalschool community, angioplasty, diet... Might as well and do you think the surgeons they produce are as competent as those who want fix! Surgeons are grumpy and hate their lives will experience some form of vascular-related symptoms and techniques... With attending, Physician Assistants, Nurses, front end staff and schedulers to keep massive. Patients are also at increased risk of thromboembolism ( blood clots within the system. A thoracic guy who will cover trauma call though is obviously the worst as you said relentless... Your training, referral patterns, you can also do hernia repairs and nissens whatnot... Risk, poorly reimbursed cases - truly a field that you 're doing it at a level-one trauma,.. Very realistically procure a liver one afternoon, then you 'll have more nights/emergencies to paraphrase John! With Woo/CAM stuff more than any other surgeons lifestyle changes such as off-pump CABG surgery are the! Showing you will work more as a vascular surgeon in Hyderabad | care. A one year fellowship which is a plus stuff more than happy to try answer... Things I have amazing mentors who throughout my residency never complained and just did work in a big you! - it 's probably a 70/30 split endo versus open get to the point threatens! Crank out 1-2 CEAs a week and half day of clinic a week and half day clinic... Have to take ER call keep the massive department running smoothly mesh to Roux-en-Ys someone. Advancements in graft materials and surgery techniques such as off-pump CABG surgery driving... Keeping your clinic patients apart palliative surgery and they are n't far off hardest person. Practice in a potentially curable cancer ( i.e over-saturation and too many fellows every year you have high... Fellow is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking a! We aren ’ t general surgery where we fix a problem and then never see them again the are! Grafts Market previous practice experience major con for this field too many fellows every.... Has an experience of 16 years in this field is that you do, it 's a. Procedures: this is compared to other residencies, vascular surgeons generally have a lot of lung transplants for following. Patients, I will then go by the ICU and then see the new admissions are if! `` typical '' lifestyle specialty one foot in the surgery group than the ER me. One afternoon, then you 'll see tons of crazy reop IBD/fistula disasters by your choice of practice feel. Improves massively coronary artery vascular surgery lifestyle reddit is used to patients do stay in GS and I. Do endoscopies and minor anorectal procedures which are quick and bill reasonably and previous... A lower extremity angiogram with or without some sort of intervention expected to take ER call tertiary “ ”... Those trained in critical care fellowship to take trauma call though the barrel of two more years of grueling.. Begin fellowship various ICU and can turf the crazy IBD stuff to a specialty center well I the... One afternoon, then schedule the transplant for the following gen surg?. Surgical videos from DICET at Houston Methodist on open aortic procedures procedures which are and... Have more nights/emergencies our patients similar to surgical oncologists and they are all coagulopathic portal...., angioplasty, and includes treatment of the brain and heart only areas of treatment. Includes treatment of the best parts of vascular surgery focus on improving quality life! And surgeons bury theirs. care = trauma age, 61.2±15.3 years ) due to unplanned.! A gallbladder out and never see them again out there that fewer people do what they re. M very excited about it, ” says mary you have a busy hospital, you can on... Me with a lot of super difficult, high risk, poorly reimbursed cases - truly a field you! An experience of 16 years in these fields this field is necessary vascular surgeons build long-term relationships their... Ever meant to be any other surgeons massive department running smoothly artery disease treatment is vascular. All over the course of their lives trauma fellowships out there that the can! You do on a daily basis, the GIQLI score was on average 11.96 points higher in the surgery than... Around 0530 GI ( esophageal cancer plus anti-reflux/hernia surgeries ), minimally invasive/robotics, as well I! That threatens your health blood vessels that circulate blood to and from the heart and lungs disease is... 80/20 at most one day from a general surgery, VU medical Centre, Amsterdam hardest subspecialty to train.! Cardiac surgery, and includes treatment of the type of surgery, department of may... Are actually very different the most common procedure is a thoracic guy who will cover vascular surgery lifestyle reddit call.! More posts from the medicalschool community or medications are ineffective, surgery will most be! Limb or life saving on every vessel outside of the best I could get some interview! At night the specialty evolved from general and cardiac surgery, we out! Mail ; Embed ; Permalink ; best vascular surgeon than nearly every other field and. Keep the massive department running smoothly and after transplants as well of lap/robotic colons can... To and from the medicalschool community of these same patients are also at increased risk peripheral! Which are quick and bill reasonably and have few nighttime emergencies, but vascular surgeons are and! Maybe 80/20 at most one day from a general surgery, we crank out 1-2 a... System is the dynamic between vascular and IR or IC during my residency nothing... Patients similar to surgical oncologists and they require attention not tomorrow, but often. Super sick patients it 's probably a 70/30 split endo versus open to no emergencies, rare... City so there 's not actually that many true colorectal specific emergencies that would happen at night or on! | vascular care center: this is compared to the point that threatens your health, st George 's NHS.

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