to cut is to cure - a vascular surgery blog
This podcast generated from this blog post “perfectly compulsive, perfectly smart” discusses the critical importance of not falling into the efficiency trap of algorithms and treatment pathways. Algorithmic thinking is the bane of modern medicine -ask patient where it hurts, touch the part that hurts and describe it, order labs and imaging studies, read the […]
When you sprain your ankle and its on the mend, you instinctively start stretching to retain and regain range of motion, or you end up limping. The fibrosis seen in many pathology specimen of median arcuate ligaments resected surgically suggest the need to do the same -range of motion needs to be entrained with these […]
Generated from my prior posts on the biomechanical problems generated by a bipedal lifestyle, this podcast discusses those issues. This was discussed by Dr. Elen Feurriegel on her lecture series “Big Mysteries of Human Evolution” available on Audible where she describes the human spine as a stack of teacups and saucers supporting a bowling ball.
The patient information paper on median arcuate ligament syndrome has had a surprising amount of traction. I had Google’s notebook LM create a podcast. Link to paper in here.
Podcast generated from this older post. Last December, I received an email from a LOCUMS company begging for Christmas coverage at a nearby hospital. It offered an eye watering $330/hr for coverage during Christmas week and weekend. A friend posted about this on X, and it was edifying because no vascular surgeon gets this as […]
This article went up earlier this year and it was an oversight to not post it here on my blog. It is an article explaining MALS for the lay public drawn from my clinical experience going back ten years. Our approach is still a work in progress as each patient is comes with a unique […]
A day in my life Today, I got up at 630, made some coffee, and Zoomed in on our morning report at our main campus hospital. I have a patient there who I will be operating on tomorrow and wanted to know the current status of the patient. Once the report was over, I brushed […]
In George Orwell’s Animal Farm, under the dictatorship of the alpha pig, Napoleon, the pigs who represented the nomenklatura of the farm chant the slogan “four legs good, two legs better,” after initially declaring “four legs good, two legs bad” during their revolution. They clearly understood the luxury afforded by a bipedal lifestyle, because in […]
Recently, an AI was fed the world literature on AAA repair and asked about guidelines and superiority of open versus endo repair. It concluded that the past twenty year, endografting has only benefitted the physicians and the device companies (this was present at VEITH). I recommend open to patients likely to benefit from it. I […]
I will touch on vascular compression disorders like median arcuate ligament syndrome, thoracic outlet syndrome, nutcracker syndrome, pelvic congestion syndrome, popliteal entrapment syndrome, varicose vein disease. Presentation given to the Oxford University vascular unit. Will be streamed on Oxford Vascular Collaterals. Topic: “Vascular Compression Syndromes: The Consequences of a Bipedal…