The benefits of a heart and vascular institute

Vikram S. Kashyap, MD, pushes back against a recent editorial from Vascular Specialist medical editor Malachi Sheahan III, MD, in which the latter called into question the value of heart and vascular centers to the vascular surgical specialty. I am…
A self-fulfilling prophecy based on a fourth-year medical student’s misinformed decision

“How many programs conducted in-person interviews this year?” “Which programs conducted in-person interviews?” “Oh wow, I didn’t realize that many programs were conducting in-person interviews.” All of these are questions gleaned from last year’s Match process. To be sure, the…
Senior vascular surgeons: 10 options beyond the operating room

As vascular surgeons advance in their careers, many begin to consider alternative professional paths that draw upon their clinical expertise, while offering greater flexibility, intellectual stimulation or new challenges outside the traditional confines of full-time clinical practice. Whether motivated by…
A New Orleanian’s guide to New Orleans

Welcome! Our city is humid, crumbling and vaguely supernatural. Make the right choices and you will never forget your time here. Double that if you make the wrong ones. Here are some personal favorites. Restaurants: Lilette, Clancy’s, Paladar 511 and…
The Survivalist’s Guide to Heart and Vascular Centers

Malachi Sheahan III, MD, produces notes on a quixotic quest to find meaning in one of medicine’s most meaningless endeavors. Here’s how it happens. One day, you are walking through your hospital, and you notice a pack of incongruously well-dressed…
Standing on the banks of the Rubicon

“Where have all the doctors gone?” is the headline on the cover article of the January/February 2025 edition of the AARP Bulletin. Perhaps it should include, “or are going?” The article, which is quite extensive, explores why patients have a…
Redefining ‘optimal medical therapy’ for vascular patients

Vascular and endovascular surgeons are frequently the only specialists other than primary care involved in the longitudinal care of their patients afflicted with clinically active vascular disease. As such, while scrutinizing the longitudinal and periprocedural outcomes in their patients, involvement…
So you want to marry a surgeon?

In the second of a two-part series of editorials, Vascular Specialist Medical editor Malachi Sheahan III, MD, offers further insight into the world of surgeon-surgeon marriages with a little help from a few friends. Welcome to the first Vascular Specialist…
Marriage and other things I’m probably doing wrong

I met my wife, Claudie, at the Harvard Medical School vascular research lab. This was not a romantic environment by most standards (depending, I suppose, on your feelings towards Mike Conte). Many of the researchers were general surgery residents invigorated…
Track your wRVUs, because no one else does it better

If you were in the audience at the 2024 Southern Association for Vascular Surgery (SAVS) annual meeting, you might have been taken aback by the presentation from UT Health San Antonio and the San Antonio VA Medical Center, presented by…

