BY MALACHI G. SHEAHAN III, MD MEDICAL EDITOR, VASCULAR SPECIALIST

Spend a morning in my clinic and it becomes clear that many U.S. medical schools have no formal training in vascular disease. Certainly the symptoms of PAD are never taught; otherwise, why am I being referred so many patients with spinal stenosis? Some days I would have more use for an MRI than for my vascular lab. Then again, reviewing the aftermath of patients “treated” by other specialties, maybe some are better off going undiagnosed.

The EHR and our troubled health care system, Part 1

BY MALACHI G. SHEAHAN III, MD MEDICAL EDITOR, VASCULAR SPECIALIST

Just thought I would write and give you a quick update on our situation, not that you asked. As you recall, a few years ago we spent many hours discussing and planning the Heart and Vascular Service Line that you encouraged us to set up in our new hospital. 

BY MALACHI G. SHEAHAN III, MD MEDICAL EDITOR, VASCULAR SPECIALIST

BY MALACHI SHEAHAN III, MD DEPUTY MEDICAL EDITOR, VASCULAR SPECIALIST

AIDS, the Vietnam War, whatever your preferred scale for measuring horrific events, the numbers from the opioid crisis are as grave or worse. And, once again, it is the young who are dying. How we got to this point is an unbelievable story of corporate greed, government incompetence, regulatory commission overreach, and, unfortunately, physician ignorance.

BY MALACHI G. SHEAHAN III, MD DEPUTY MEDICAL EDITOR, VASCULAR SPECIALIST

BY MALACHI G. SHEAHAN III, MD DEPUTY MEDICAL EDITOR, VASCULAR SPECIALIST

BY MALACHI SHEAHAN III, MD

For the first time in history, four generations of physicians work side by side in the U.S. health care system. An expanding population, longer life expectancies and later retirement ages all contribute to this phenomenon. Each of these generations has made significant contributions to modern surgery and how we practice it. For better and for worse.

For the public, navigating the complex world of vascular care must seem like being adrift on the high seas, with brigands and pirates galore. Vascular surgeons, cardiac surgeons, interventional radiologists, and interventional cardiologists all raise their friendly flags to lure patients. 

BY MALACHI G. SHEAHAN III, MD ASSOCIATE MEDICAL EDITOR, VASCULAR SPECIALIST