Joe Savarese

part time vascular surgeon, full time dog dad. #GoGators

[Joe Savarese @joesavy]

Passed vascular surgery certifying exam. Today was a good day.
@AmBdSurg

[Joe Savarese @joesavy]

@mattsmeds @AmBdSurg Listened to your @AudibleBleeding HD podcast a few days ago to help prepare for QE.

[Joe Savarese @joesavy]

Friends, long overdue life update. I’ve accepted a vascular surgery job back in my hometown in West Palm Beach, FL. Get your arteries and veins fixed soon… right after I take my boards this Monday. #MedX #MedTwitter #surgery #vascular #vascularsurgery #NewProfilePic @AmBdSurg

[Adam W. Beck @AWBeckMD]

Excellent and timely article @katie_thomas, @anniewaldman, @andrewfordnews and @ikeswetlizt, thank you. If I were a patient with #PAD, this would scare the hell out of me, and probably should.
A few important takeaways from this if you're a patient:

-Doctors do get paid for procedures, so they are inherently conflicted in some ways.
-In some settings, doctors can make tremendous amounts of money doing certain procedures, and this can be intoxicating and lead to overtreatment and nefarious business practices
-Despite this, most doctors want to help you. But you should advocate for yourself and always consider a second opinion when you are offered a procedure.
-All #PAD does not need a procedure!
-Patients with claudication (pain in the legs when walking due to poor blood flow) most often don't need a procedure.
-If you are a claudicant, you are very unlikely to lose your leg. And plaques/atherosclerosis/hardening of the arteries/peripheral arterial disease/peripheral vascular disease (all terms to describe the same thing) in your legs do not cause strokes or heart attacks (but are a marker of you being high risk for those problems)
-If a doctor tells you that they think you should NOT have a procedure, listen! They are a good doctor.
-If you can quit smoking(!!!), get on a statin medication (if you are able...even if your cholesterol isn't high), take an antiplatelet medication like aspirin, and walk, walk, and WALK some more, you will lower your risk of amputation and will improve your symptoms without a procedure
-Nothing can MAKE you quit smoking, but your doctor can help you.
-Sometimes atherosclerosis can be severe and become what is called Chronic Limb Threatening Ischemia (CLTI for short), manifested as pain at rest or leg wounds due to very poor blood flow, and this may require a procedure to save your leg.
-Sometimes this can be done with wires, catheters, balloons and even atherectomy (little data, long story). Sometimes surgery ("bypass") is better! This is a complicated decision process and depends on the severity of ischemia, the extent of your blockages, and your overall health
-Not all legs can be saved unfortunately, and sometimes amputation is the only treatment option. Your doctor can help you get through this, rehabilitate and it is possible to walk again afterwards.
-Make sure to ask your doctor if they participate in quality registries such as the Society for Vascular Surgery Vascular Quality Initiative (SVS VQI) and the National Cardiovascular Data Registry (NCDR). Doctors that follow their outcomes are simply better doctors.
@CaitlinWHicks @nichosbo @VascularSVS @ACCinTouch

[Joe Savarese @joesavy]

Running into @ScottiePippen vibing with people in the @LITAirport really takes me back to 1998 with my @chicagobulls poster on the wall. #dreamteam

[UAMS Vascular & Endovascular Surgery @UAMS_Vascular]

Dr. Savarese (sr. Vascular fellow) and Dr. Price (PGY-3 vascular resident) restoring some lower extremity blood flow! @joesavy @vascmatch2023 @vascular @vascularsurgery @KylaSL2

[Kyla Shelton @KylaSL2]

I feel like this is a setup…what news is Dr. Savarese about to tell me? 🧐 @joesavy @UAMS_Vascular

[Joe Savarese @joesavy]

A catholic priest complimented my #deadpool scrub hat. Can’t imagine that was featured movie on movie night at the church. @MarvelStudios #surgery #MedTwitter

[UAMS Vascular & Endovascular Surgery @UAMS_Vascular]

@KylaSL2 already holds title for first TCAR performed in Arkansas at UAMS and has performed countless since then… but she now also holds title for first one performed in Baptist Health yesterday along with vasc fellow @joesavy. @SilkRoadMed @uamshealth @BaptistHealthAR #vascular

[Joe Savarese @joesavy]

@jmills1955 @mattsmeds @Dr_Tonnessen @UAMS_Vascular @NealBarshes @VAHouston @BCM_Surgery Now that’s a dream job for me.

[Joe Savarese @joesavy]

@mattsmeds @Dr_Tonnessen @UAMS_Vascular Know anyone hiring? Recently started my vascular surg job search 😬

[Joe Savarese @joesavy]

@elonmusk Can I get a blue checkmark if I buy more #TSLA

[Joe Savarese @joesavy]

Hospital discovery of the day while waiting for anesthesia to put patient to sleep. This simple machine that squirts a drop of Purell requires 4 D batteries. I bet there’s a more economic or efficient way to do this. Any ideas #MedTwitter? #heroeswithoutcapes #Covid_19

[Joe Savarese @joesavy]

My birthday present today: doing my first 1st rib resection for thoracic outlet syndrome and my @JVascSurg publication accepted. @UAMS_Vascular @uamshealth #vascularsurgery #March31st

[Joe Savarese @joesavy]

#floridalife @ The Country Club at Mirasol https://t.co/8VUEkJDeZ4

[Joe Savarese @joesavy]

@hyeinkimmd @OUVascular @StevenVang_DO @cfbechara @farkomd @KylaSL2

[Joe Savarese @joesavy]

@KempeKelly @OUVascular @Vernon_HorstMD @VirajPandit @StevenVang_DO @prn19 @KimZamorMD @hyeinkimmd Yep she’s one of a kind.

[Joe Savarese @joesavy]

@andrealubitz1 @UAMS_Vascular @uamshealth She just said “yeah ABIs are a good one, how did I miss that?”

[Joe Savarese @joesavy]

So after 9 months of hearing me answer pages as a vascular fellow, my fiancé with no medical background came into the bedroom, said she figured out the laws of vascular surgery, and she wrote this out. @UAMS_Vascular @uamshealth #MedTwitter #vascular #surgery #MedEd

[Joe Savarese @joesavy]

@CTheodorouMD @UAMS_Vascular @uamshealth Oh that’s a good one also.