Nathan Orr

Husband, father, and vascular and endovascular surgeon; donut fan—tweets are my own;

[Society for Vascular Surgery @VascularSVS]

“We are not ‘and vascular.'" Learn about the next phase of the SVS branding campaign from @ShutzeW. #Vascular
https://t.co/4P1I32Nn8L

[Nathan Orr @NathanOrrMD]

Eaasy

👉https://t.co/SL6u6xhAtr

[Nathan Orr @NathanOrrMD]

EEaassy

▶️https://t.co/We5XS2DkES

[Nathan Orr @NathanOrrMD]

Ratte!

▶️https://t.co/PWEXvp1DiB

[Nathan Orr @NathanOrrMD]

@martknowles @AmputationSuck Agree 100%!

[Nathan Orr @NathanOrrMD]

@helizondo91 Hector, we’re very glad to have you! Welcome to our program!

[Nathan Orr @NathanOrrMD]

@BizNasty2point0 We all know that the regular season stats are a poor predictor of playoff performance. Pulling for the Stars all the way, but regardless, looking forward to playoff hockey.

[Nathan Orr @NathanOrrMD]

@talleycindy1 @MUSC_COM @MUSChealth Congrats!

[Nathan Orr @NathanOrrMD]

Excellent points. My greatest concern is for the patients who will often be poorly informed by their proceduralist about the pros/cons of all carotid options https://t.co/dxmdy5khsj

[Nathan Orr @NathanOrrMD]

@FarivarMD @mattsmeds My 2 cents—If you’re in academics you often are training GS residents so I think it adds some credibility. Now that I’m in private practice, we do all the lap PD catheters so it allows me that option for dialysis access care

[Samuel Chen @SamuelChenMD]

A time-lapse that illustrates pathologically the concept we see radiographically and surgically so frequently...awesome #VascularEd #vasctwitter

[Max Wohlauer, MD @doctormaxw]

Shout out to the 41 Programs and 149 registered applicants at the 4th Annual VESS Virtual Residency Fair 🙌 Thank you @BlakeEMurphy @KatDiLosa @LorelaWeise @NickGovsyeyev @drpillado Paulina Villanueva MD, Ryan Gedney MD, VESS President Marc Conrad MD, Angela Wetherbee @VESurgery

[Nathan Orr @NathanOrrMD]

@cfbechara I use these very frequently for my CEAs. Also can be useful for AVF creation. Nice little clamps

[Max Wohlauer, MD @doctormaxw]

Thank you to the 41 participating Vascular Residency Programs📝 Medical Students don’t miss out! Sign up now 🎟️ https://t.co/buBxPn3MSq

[Nathan Orr @NathanOrrMD]

@VascularArtist I answered “no”, but I’ll do inpatients that can be treated quickly and are only in the hospital waiting for their vascular procedure. I hate for them to be stuck in the hospital longer.

[Nathan Orr @NathanOrrMD]

@jmills1955 @ProleneQueen @MedBookClub1 @abe_verghese Really enjoyed “Cutting for Stone”. Haven’t started his new one yet, but it’s on my desk waiting for me. Did either of you read his first book? More of a medical memoir during the start of the AIDS epidemic.

[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

[Nathan Orr @NathanOrrMD]

@AWBeckMD @FrankCaputoMD @VascularSVS @AmCollSurgeons I imagine that in the patient’s perspective the doctor was her “surgeon”. It seems to me that majority of the time the patients have very little understanding of what type of specialist they’re being referred to…

[Caitlin Hicks MD, MS @CaitlinWHicks]

The onslaught of stories about #overtreatment of #claudication continues. Powerful @nytimes article on the cover today . . . And it really hits home. When will it stop???
#WeCanFoBetter #Appropriateness #PADEd @VascularSVS @JudithLin4

https://t.co/J2DDYTphfS

[Joseph L. Mills MD @jmills1955]

Appropriateness of Care: the term refers to doing the right procedure in the right patient at the right time and is a timely #PAD topic https://t.co/zPXQphx7Mr