Greg Hayes @canuc_57 Twitter profile

Last Seen Profiles

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@heytor_baseado

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@wasfureintrium1

@ibubohay2

@agbo_wilf

@cinnabuns621

@offsec

@oeccworcester

@ErnestineM37798

@GavinCecchini2

@_davisons

@WesleyP51958

@qqqixiyule

@iamfreyaparker

@Kohi83037

@piercetheveil

@akazenmind

@ahmedbinhafid

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@porisuta_

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@NIZIU_ANO_ONMA

@sxnmx_

@pecuIiarblue

@lyly1899814

@harry_forj

@EwigkeitMagick

@spongedotsol

Greg Hayes

@canuc_57

7 months

#whipple #pancreaticcancer #oncovascularsurgery #vascularsurgery #surgicaloncology resection portal vein-SMV with interposition tubularized bovine pericardium @VascularSVS @CanadianSVS @docpark @MaherSabalbal @farkomd @AWBeckMD @mattsmeds @JamesHBlackMD @mhumphriesmd @MJLenihan

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Greg Hayes

@canuc_57

7 months

#vascularsurgery Residents and fellows, what is the operation depicted here and what is it’s indication?

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Greg Hayes

@canuc_57

2 years

Carotid plaque extending high into ICA. CEA is still a great procedure. Not all high lesions have to be treated with a stent. Released posterior lateral attachments of hypoglossal to get to distal extent of ICA plaque. #CEA

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Greg Hayes

@canuc_57

1 year

@nickmmark @VascularArtist If the patient consented and it’s totally redacted, I typically wait at least a few weeks to post it

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Greg Hayes

@canuc_57

5 months

60 yo F juxtarenal 8.5cm AAA, tiny iliacs. L suprarenal clamp, AFB 18x9 long main body. Preserve L ren vein, you don’t have to divide it, just retract it. Plan return PMEG for visceral saccular aneurysm. #aortaed

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Greg Hayes

@canuc_57

2 years

@joannagiddens @nationalpost A surgical saviour???? Since when do we refer to murderers as saviours of any kind?

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Greg Hayes

@canuc_57

1 year

Received 2 calls from ER between 12:00-3:00 AM to discuss patients with claudication. ER doc wanted to admit for work up. Same response each time, “claudication is never an emergency”. #claudication #vascular #PAD

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Greg Hayes

@canuc_57

9 months

@farkomd I’ll call your fellow, and raise you my chief resident @SwedishSurgRes , she’s starting her vasc fellowship in 6 mos. #CEA # vascularsurgery

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Greg Hayes

@canuc_57

7 months

#breastcancer Surgeons who insert port-a-caths, please access the IJ preferentially. Complications from DVT/occlusion are much more frequent when the subclavian vein is accessed. @SIRspecialists @VascularSVS

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Greg Hayes

@canuc_57

6 months

@farkomd Wait wait! Claudication is claudication! Why does this pt even have an angio? 🚬 cessation, A1C<7, ASA, statin, exercise! No wires in tibials, no lasers,atherectomies, stents, , or balloons. “Frankly” keep catheters and wires out of this patient’s arteries Frank!

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Greg Hayes

@canuc_57

10 months

@VascularForum “They” can try all they want, however no interventional procedure will ever match the outcome of a #CEA performed by a well trained experienced #vascularsurgeon . #carotid #carotid stenosis

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Greg Hayes

@canuc_57

5 months

69yoF, poorly controlled DM, acute osteo R forefoot WWYD? Assume good GSV @AmputationSuck @limbsalvagedr @martknowles @farkomd @jmills1955 @kmadass @JimGMelton @FadiSaab17 @MaherSabalbal @ProleneQueen @AnahitaDua @ErbenYoung @ce_pineda @GAEscobarMD

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Greg Hayes

@canuc_57

7 months

@PipeCabreraV @BBASS_skills @rbarbosa91 @pferrada1 @David_ukan @XavierBerardMD @VasculonR @docpark @AWBeckMD Don’t be afraid to sew forehand out-to-in on the aorta. It’s an old wives’ tale one has to see in-to-out.

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Greg Hayes

@canuc_57

5 months

@DonGarbettMD @farkomd @SDhandMD @t_intheleadcoat @AmputationSuck @_backtable No one ever lost a limb due to any form of claudication. However they have due to complications. You should all know better than this concept. Don’t do tibial angioplasty for claudication.

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Greg Hayes

@canuc_57

5 months

My hair is short in that pic I’ve got a gift for @farkomd at VAM!

frank arko

@farkomd

5 months

Just so everyone knows, @canuc_57 and I are friends. He is a very good surgeon. We’ve a lot in common. We disagreed this weekend and I enjoyed it. There were no personal attacks. We disagree on raytecs and clearly the length of hair as you get older. But I’d let him operate on me

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Greg Hayes

@canuc_57

2 years

My 6 yo daughter wants to be a surgeon, learning to pronate/supinate on a watermelon. It had to be “perfect”! Look out surgical world she’s coming… @WomenSurgeons @womensurgeonpwr

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Greg Hayes

@canuc_57

7 months

Congratulations to @ProvSwedish incoming R1 class General Surgery 2024-2025. I’m wondering how many of these bright young minds I can recruit to 5+2 vascular surgeons? #vascularsurgery

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Greg Hayes

@canuc_57

2 years

@RKTvascular @farkomd When planned properly, a high carotid lesion can be effectively treated with CEA, without CN nerve injury. The gold standard remains CEA!

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Greg Hayes

@canuc_57

8 months

@vascularIR @VasculonR @AngioPod @FadiSaab17 @kmadass @DonGarbettMD @drcostantino1 @EricSecemskyMD @SDhandMD @docTPlive @t_intheleadcoat @Watts_IR @monteromiguel @bretwiechmann @HadyLichaaMD @AmputationSuck @keithppereira @ADiamantop @a_saratzis @K_Stavroulakis @Vascupedia_com @drochohan @SriniTummala @Kuldeep1926 @farkomd @VascularSVS Like this! Nice vein, P1 to PT BPG, rGSV, palpable PT pulse, 3 day LOS, foot healed.

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Greg Hayes

@canuc_57

3 months

Morning in cottage country! #Muskoka #Canada

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Greg Hayes

@canuc_57

2 years

The best operation we do, every trial since NASCET the operative M&M has gone down. There are now multiple generations of superbly trained VSs performing safe CEA everyday. Transfemoral CAS will never match CEA for major M&M. TCAR has a role, however CEA is tough to beat!

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Greg Hayes

@canuc_57

5 months

For all you followers in the @farkomd army, although he has never heard of this in 25 years of surgery, it took me approx 25 sec to find this reference. @martknowles we’ll be sure you are contacted about first person harmed by this technique. Now let me morn Leafs loss in peace.

Greg Hayes

@canuc_57

5 months

@farkomd Interesting: “segments of radiopaque monofilament thread used in surgical sponges” is described as a technique of marking proximal grafts. Darn it wasn’t my original idea after all. Frank you should write this journal and protest. I’ll just let you wallow in your biased victory.

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Greg Hayes

@canuc_57

7 months

@docpark @PipeCabreraV @XavierBerardMD @BBASS_skills @rbarbosa91 @pferrada1 @David_ukan @VasculonR @AWBeckMD The late great K Wayne Johnston used to say “the aorta doesn’t know which way you’re sewing”. “In-out” or “out-in”, whatever is technically easier.

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Greg Hayes

@canuc_57

1 year

That’s Dr. John Harlock @MacVascular giving the presidential address at @CanadianSVS annual meeting. Thank you for your leadership John. @VascularSVS

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Greg Hayes

@canuc_57

11 months

@saherssabri @jmills1955 @drcostantino1 @ReneLizola @farkomd @AmputationSuck @BEST_CLI @MichaelSConteMD @UCSFvascular @VASCevidence @BCM_Surgery I know I’m pontificating, however every graduate from a vascular surgery program today should be adept at tibial/pedal bypass. This skill should be available at all medium to large vascular centres across Canada and US

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Greg Hayes

@canuc_57

1 year

@CaitlinWHicks @jbsgreenberg @nytimes @VascularSVS @JudithLin4 I am so pleased to see this issue being addressed on a large scale. We @VascularSVS need to be more vocal and active protecting our patients from these harmful procedures.

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Greg Hayes

@canuc_57

11 months

Just walked out of a rAAA, 3 urgent messages regarding same patient , from PCP, clinic nurse, patient. “Type II endoleak, should he go to ED?” We really need to change the term or the classification. #AortaEd @VascularSVS #endoleak #EVAR

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Greg Hayes

@canuc_57

1 year

@thingcreator @nickmmark @VascularArtist Nonsense, with few exceptions we all have colleagues to go over cases with, and if one doesn’t then call a mentor or another colleague you respect.

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Greg Hayes

@canuc_57

7 months

@GAEscobarMD @AmputationSuck @UnTBAD I’ll just add this note, I’ve recruited 4 young fellowship trained (5+2) vascular surgeons in the last 10 years, and everyone of them can do a distal bypass to a 2 mm vessel.

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Greg Hayes

@canuc_57

7 months

Say hello to my best friends. Medium double/double and honey dip donut! Back in the home country 🇨🇦, always my first stop. ⁦ @TimHortons ⁩

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Greg Hayes

@canuc_57

1 year

@farkomd @cfbechara @thesurgerylife No interventional procedure will match the outcomes of CEA performed by an experienced surgeon with appropriate track record.

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Greg Hayes

@canuc_57

6 months

@ReneLizola @VasculonR @farkomd @AWBeckMD @XavierBerardMD It “hurts” me to say this, however I agree with @farkomd , 90 yo’s are never the same after open AAA repair. There is no such thing as a “good 90 yo”, when you get in the OR they’re all 90.

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Greg Hayes

@canuc_57

5 months

Back in the home country 🇨🇦, first stop @TimHortons for medium double/double and a honey dip donut. Look, they knew I was coming and sent a truckload!

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Greg Hayes

@canuc_57

9 months

WWYD? 72yo DM2, ulcer L 5th MTP joint, +\- osteo. Occluded P3, runoff PT and peroneal. Intact plantar arch. What more info would you like? #CLI

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Greg Hayes

@canuc_57

1 year

@cfbechara Come on people, within 24 hrs? Really? That goes to the OR right away, or you’re going to have a dead patient. Infected? Of course it’s infected.! Either autogrnous repair or ligation.

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Greg Hayes

@canuc_57

1 year

12 hr to go…..84 hr completed. The cardiac/cardiology service is abusing me! Ischemic leg after #IABP #penumbra . Ischemic arm #ECMO . CFA occlusion #PCI . Plus many more!Wonder what the next 12 hrs will bring? #vascular #SVS There’s no life like it, wouldn’t trade for the world!

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Greg Hayes

@canuc_57

11 months

This tells it all! @MichaelSConteMD has hit the ball out of the park! It’s a grand slam. Tibial interventions for IC are criminal! Been to meetings where it’s discussed, and even observed in live cases. It’s OBL driven, and prominently IC/IR. Sad, but true

Vascular Specialist Online

@VascularOnline

11 months

#VEITH23 : @MichaelSConteMD speaks on the increase in tibial vascular interventions for claudication @VEITHsymposium , asking what's behind it. "It's not the evidence," he says.

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Greg Hayes

@canuc_57

5 months

Do you intervene on tibial disease for claudication? @VascularSVS @CanadianSVS @SIRspecialists @ACCinTouch @SIR_ECS

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No

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Greg Hayes

@canuc_57

11 months

Happy 97th birthday dad, we love you. Yours is the greatest generation! 1945-19yo, 2023-97yo #WW2 #Veteran #VeteransDay2023 #RememberanceDay #Birthday

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Greg Hayes

@canuc_57

7 months

Back in the homeland 🇨🇦 again. Medium double/double and #Timbits ! I could get used to this ⁦ @farkomd ⁩ ⁦ @TimHortons ⁩

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Greg Hayes

@canuc_57

5 months

@farkomd @peterjrossi My100 favourites in #vascularsurgery : 1.carotid surgery 2.complex aortic surgery 3.CLI surgery, marked with a raytec …,.,,,,,,, 100. Responding to @farkomd biased, inflammatory interpretations of my posts with “rediculous” hyperbole

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Greg Hayes

@canuc_57

9 months

@cfbechara The “intern’s popliteal pulse” If the intern feels a popliteal pulse get an US, it’s probably aneurysmal.

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Greg Hayes

@canuc_57

4 months

“A fool and his money are soon departed”. Time for an oil change for my 2010 Toyota Camry Hybrid. As long as it keeps on ticking, I’ll keep driving. Say hello to 200,000 miles and counting. #Toyota

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Greg Hayes

@canuc_57

1 year

@FotehMazinMD @CMSGov @farkomd @AWBeckMD @scarolinavasc @VascularSVS @Dr_Bowser @AmputationSuck @drseanlyden Mazin, how about this beauty for a TFCAS….?

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Greg Hayes

@canuc_57

8 months

@jmills1955 @mattsmeds @LeonardoRandial @GAEscobarMD @farkomd @docpark @limbsalvagedr Joe, I had a similar experience as a PGY-3 at Toronto General. @UofTSurgery Chairman, the late Dr. Bernard Langer used to say “you learn to be a surgeon at 2:00 in the morning, not 2:00 in the afternoon”. All those nights taking care of sick patients remains invaluable.

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Greg Hayes

@canuc_57

1 year

@farkomd @dratiehammar That looks very familiar. No stents, no conduits. Like I said, the “high carotid lesion”seems to be getting “lower and lower”

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Greg Hayes

@canuc_57

8 months

@ProleneQueen @jmills1955 @limbsalvagedr @mattsmeds @DejahJudelson @nnainej @RuthLBush @farkomd @jfhemingway @AmputationSuck Believe it or not, elective AAA with horseshoe kidney, 7 renal arteries. Asked for a little handholding from the chief, the late Dr. Ray Alexander @UFJacksonville .

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Greg Hayes

@canuc_57

1 year

@BlueJays Here at Blue Jays stadium west with a few of my new best friends!

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Greg Hayes

@canuc_57

1 year

@IRKhalsa @VascularSVS I’ll say it till the I’m blue in the face. The problem described in NYT is about patient care! It’s not specialty- centric. This egregious care implicates VS/IR/IC by a few bad apples. We all need to band together to stop it, not bicker with each other.

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Greg Hayes

@canuc_57

10 months

@LeonardoRandial @GAEscobarMD @jmills1955 @DevinZarkowsky @limbsalvagedr @monteromiguel @PipeCabreraV @Cirbosque @VesaliusCX @docpark @mricardomd @AmputationSuck Very nice, I am concerned that the collateral fills faster than the bypass….comment?

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Greg Hayes

@canuc_57

2 years

Yesterday was my father’s 96 bday. Survived COVID critical illness. Lives independently, married 72 yrs and counting.(mom’s 92) Proud of you dad! #WWII #VeteransDay #Veterans

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Greg Hayes

@canuc_57

7 months

WWYD? 76 yo M, DM, SLE, pulmonary fibrosis, arch aneurysm 4.8 to 5.6 in 6 mos with chest pain. What questions do you have? @farkomd @RKTvascular @XavierBerardMD @docpark @AWBeckMD @westleyohman @ShereneShalhub @DrPatGeraghty @ErbenYoung @MaherSabalbal @FotehMazinMD #AortaEd

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Greg Hayes

@canuc_57

8 months

@farkomd #callvascular

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Greg Hayes

@canuc_57

9 months

@AortophilicMD Bravo! Keep posting Cassra, we need to saturate social with these cases and end the “full metal jackets” in patients who are good op candidates and have adequate vein!

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Greg Hayes

@canuc_57

5 months

@limbsalvagedr @MaherSabalbal @drvasimlala @AmputationSuck @martknowles @farkomd @jmills1955 @kmadass @JimGMelton @FadiSaab17 @ProleneQueen @AnahitaDua @ErbenYoung @ce_pineda @GAEscobarMD @BEST_CLI I believe all vascular trainees should have the skills to do a distal tibial/pedal bypass.

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Greg Hayes

@canuc_57

1 year

@RKTvascular Well it almost seems taboo to suggest it, how about a small RP incision and repair directly? Especially if he’s got normal EF and good lungs. Then it’s done, fixed! Preserve IIA. After all we are vascular surgeons! Let’s use our skills. Out of the hospital in 2 days.

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Greg Hayes

@canuc_57

5 months

@farkomd @AmputationSuck @SriniTummala @SIRspecialists @SIRRFS @SIR_ECS @ACCinTouch @EricSecemskyMD @JayMathewsMD @AnahitaDua @Vascular_India @ISVIRIndia @EndovascularNy Say what @farkomd ? Now you can look at an arteriogram and predict the symptoms and outcome? “In a couple weeks could have an ulcer, he is just 10 feet away from rest pain ” Let’s begin our weekend debate, I’ll bite on that bait. That is complete and utter nonsense!

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Greg Hayes

@canuc_57

5 months

@limbsalvagedr @thesurgerylife @KarenWooMD @CaitlinWHicks Agree 💯. Tibial artery interventions should be limited to limb preservation only! No catheters, no wires, no interventions. This patient should not even have an arteriogram. Risk factor modification, statins, ASA, and exercise.Hands off!

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Greg Hayes

@canuc_57

5 months

@ReneLizola @AmputationSuck @limbsalvagedr Respectfully, vascular surgeons need to stop using sartorius flaps, they just become a fibrous scar. Rectus femoris much more viable

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Greg Hayes

@canuc_57

5 months

@IR_Doctor Redmond, WA

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Greg Hayes

@canuc_57

11 months

So happy to see that @ESVSmembership has doubled down on @VascularSVS guidelines for Rx #claudication : don’t intervene on tibial disease for claudication!

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Greg Hayes

@canuc_57

7 months

@farkomd No “endovascular” procedure will ever match CEA

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Greg Hayes

@canuc_57

9 months

@academicaorta Let me give you a hint…..

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Greg Hayes

@canuc_57

7 months

@doctorORbust @AmputationSuck I would agree, each and every residency has its stressors. We need to be kind and care for one another. There were “several” cases of self harm when I was a resident/fellow. Look for the signs and reach out to your colleagues in need.

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Greg Hayes

@canuc_57

5 months

Breakfast of Champions

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Greg Hayes

@canuc_57

2 years

@docpark Michael, I suspect you are being rhetorical.However, I’ll bite. The IFU is there for a reason. Bright lights and cold steel.

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Greg Hayes

@canuc_57

8 months

A very useful technique outlined by @SDhandMD

Sabeen Dhand

@SDhandMD

5 years

Important tip for crossing CTOs: Vary the wire tip weight by changing tip length from support cath, keep straight & gently test wire after cap. Increase your crossing chances & keep luminal! @kmadass @LessneVIR @DanHan @Watts_IR @monteromiguel @AlexCVIR @bretwiechmann @rkryu

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Greg Hayes

@canuc_57

1 year

@DanielCarradice @farkomd @AfifiRana @Dr_Bowser @limbsalvagedr @ColemanDM_vasc @DrLizGenovese @trisharoymd @VascularGirl212 That aorta is over 3 times the size of the native aorta. Guidelines are exactly that, “guidelines”. Each patient should be treated as an individual, not as a “guideline”, there is no question in my mind I would treat that aneurysm.

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Greg Hayes

@canuc_57

1 year

@drochohan @kmadass @iRadRock @AmputationSuck @kush_r_desai @keithppereira @CHICKVIR @KaremHarthMD @SriniTummala @DrJayMohan @HadyLichaaMD Totally agree, sometimes it’s just another individual trying

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Greg Hayes

@canuc_57

11 months

@ReneLizola Transabdominal, juxtarenal, can sew at the level of renals. Supra-renal clamp, looks like you can clamp if downward traction on sac, if not supraceliac clamp, decompress sac, move clamp down. Aorto-bi-iliac graft. Would like to see coronal. My record 18 cm dia. #AortaEd

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Greg Hayes

@canuc_57

1 year

@CaitlinWHicks @mattsmeds @KatDiLosa @thesurgerylife @malas_mahmoud @JVascSurgCIT @VascularMaximus @RMotaganahalli @drpillado @limbsalvagedr @JVascSurg @VascularSVS @FutureVascSurgn @farkomd There is no reason not to test for Plavix resistance, it may save a few strokes. If they are resistant, we switch to Brilinta

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Greg Hayes

@canuc_57

4 months

Did you eat your berries today? @farkomd

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Greg Hayes

@canuc_57

2 years

@GAEscobarMD @limbsalvagedr @henriqueSBBr @LeonardoRandial @jmills1955 @martincont91 @ManuelHosma @farkomd @docpark @DevinZarkowsky @CarlosAHinojosa @mricardomd @IR_Doctor @vascularIR @monteromiguel I now look at a long SFA occlusion I’m confident I can cross, and think “good vein, good op candidate, bypass is a better option” This is an option only vascular surgeons have!

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Greg Hayes

@canuc_57

11 months

@limbsalvagedr @jmills1955 @saherssabri @drcostantino1 @ReneLizola @farkomd @AmputationSuck @BEST_CLI @MichaelSConteMD @UCSFvascular @VASCevidence @BCM_Surgery @UMassVascSurg @BIDMCVascular @UABVascular @usc_vascular @UvaVascular @VascularMD @BAulivolaMD @TL_Forbes @UofTVascular @NealBarshes @VEITHsymposium @DHMCVascular @UWVascsurg @WashUVascular Endo will never beat a well performed tibial/pedal bypass in appropriately selected patients.

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Greg Hayes

@canuc_57

2 years

@SyedAAhmad5 ALL surgery can be humbling, it’s not a competition

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Greg Hayes

@canuc_57

1 year

@farkomd @AWBeckMD Touché

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Greg Hayes

@canuc_57

1 year

I think I just found my exit strategy for #burnout #vascularsurgery

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Greg Hayes

@canuc_57

5 months

Do you believe patients can have isolated “ foot claudication” ? @VascularSVS @CanadianSVS @SIRspecialists @ACCinTouch

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No

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Not sure

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Greg Hayes

@canuc_57

7 months

@farkomd @DrPatGeraghty “The profunda is the lifeline of the leg” The late Ronald J. Baird MD, Toronto General Hospital

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Greg Hayes

@canuc_57

6 months

@somubetageri @vascularIR @keithppereira @karananandpara @AustinBourgeois @cirsesociety @DonGarbettMD @drdeepakmadhu @drmcumming @ganeshd_VIR @Guiro_IRad Let’s not forget the first responders, nurses, respiratory therapists, ED docs, trauma surgeons, IR techs who were all a part of this team. It took longer than the 5 minutes you describe.

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Greg Hayes

@canuc_57

8 months

Say what?

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Greg Hayes

@canuc_57

9 months

@mattsmeds @DukeVascular @VESurgery Having fellowship training in both trauma and vascular, I find myself wondering why this is a debate? Trauma training does not provide the experience required to competently repair complex vascular injuries IMHO. Isn’t the goal to provide the patient the best care?

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Greg Hayes

@canuc_57

10 months

@monteromiguel Absolutely 💯, could not agree more. I have been critical of several posts on this account. Including tibial interventions for claudication. However in some cases I have gone farther to be disparaging of the physicians

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Greg Hayes

@canuc_57

11 months

@docpark @VascularForum Excellent, whether eversion or more traditional CEA, do it frequently and do it well. Carotid stenting will never match #CEA

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Greg Hayes

@canuc_57

11 months

@farkomd Frank, what is the percentage of these explants that were placed outside IFU? Do you have a sense of that?

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Greg Hayes

@canuc_57

1 year

@mattsmeds @VascularMaximus @JVascSurgCIT @KatDiLosa @RMotaganahalli @CaitlinWHicks @malas_mahmoud @farkomd @VascularSVS @JVascSurg @mimmieMD My belief is asymptomatic carotid surgery will be of historical significance only following CREST 2

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Greg Hayes

@canuc_57

1 year

@farkomd That looks like a fem-fem BPG with a pseudoaneurysm, the SFA looks patent, although we don’t see it distally. Not sure what the end goal was here, looks like open repair of the pseudo and outflow would be most appropriate.🤷🏻

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Greg Hayes

@canuc_57

5 months

@farkomd Interesting: “segments of radiopaque monofilament thread used in surgical sponges” is described as a technique of marking proximal grafts. Darn it wasn’t my original idea after all. Frank you should write this journal and protest. I’ll just let you wallow in your biased victory.

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Greg Hayes

@canuc_57

6 months

@farkomd You’ve rediculously biased your question Frank, and shame on you Martin, you have to prove some harm prior to suing someone. Markers of various types have been left around bypass grafts for decades, I challenge you to present some case where harm has been done.

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Greg Hayes

@canuc_57

1 year

@dratiehammar @farkomd @VarenyamVasc @mattsmeds @ReneLizola @CincyVascSurg @XavierBerardMD @RKTvascular Not a fan of sacrificing both IIA, even if staged. Concerned about spinal cord/bowel, perineal necrosis. Need to make every effort to preserve at least 1 IIA. Have used hybrid technique with Viabahn to distal IIA and jump graft off biiliac limb. As described by @hawkeyeBJP

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Greg Hayes

@canuc_57

2 years

@Dr_Sudi @farkomd @VascSurgMD @VascularSVS @_backtable @AmputationSuck @VascularMD I don’t consider another test unless they’ve displayed a significant increase in velocities on aggressive medical therapy, or their EDV>125. Far too many asymptomatic carotids are intervened on in my humble opinion.

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Greg Hayes

@canuc_57

2 years

@farkomd @drdevirgilio @UCSDsurgery @PCSAsurg @jmills1955 @PipeCabreraV @limbsalvagedr @Brig13Smith1 @malas_mahmoud Throughout my career I have done both GA and regional, do them all under GA now. Transfusion indications are very heterogeneous, ie- was restrictive transfusion policy in effect?

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Greg Hayes

@canuc_57

5 months

@AmputationSuck @Adolfoferrero @thesurgerylife There are muscles in the foot, humans do not use those foot muscles to walk. Humans do not get “foot claudication”. Next thing I’m going to hear is we should do tibial angioplasty for foot claudication. I’ve already heard that argument at AMP, and a vehemently protested! Baaaah!

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Greg Hayes

@canuc_57

10 months

@kmadass @farkomd @SIRRFS @monteromiguel @vascularIR @LessneVIR @Watts_IR @SIRspecialists @dandu_n @SDhandMD @jmills1955 @drochohan Anytime I see that scenario I start thinking thrombophilia

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Greg Hayes

@canuc_57

1 year

@ReneLizola @farkomd @monteromiguel @KaremHarthMD @UkVenous @JVSVL Great demonstration of examining the thrombus removed, important in both arterial and venous thrombectomy. A point stressed by Fogarty himself in a talk he gave. Esmarch is a valuable tool in venous trauma, ie-popliteal venous injury for clearing distal venous system.

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Greg Hayes

@canuc_57

1 year

@KhashiRahmani If that patient can tolerate an operation, open repair. Don’t be afraid to operate! Most patients can tolerate an open repair.

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