I had a question about available specialties as my background is mainly Cardiac Intervention (active MI, cath + stents both cardiac and peripheral, problematic arrythmias, carotid stenting etc.). Do these units exist in the military? Is there a cath lab/team?
Jan 12, '11
The truth is that we just don’t have the volume to support such a specialty. If you have worked in a specialty vascular setting for some time, you’ve seen that there are two types of interventional cardiologists; one who can place a stent in a mosquito’s diag – and one who wouldn’t thread a catheter in a garden hose.
The consolidation of military CABGs in San Antonio is a great example. We just can’t onzie twozie big vascular cases and expect good outcomes. Consequently, we consolidate big cases so everyone gets exposed to more and more. Better outcomes magically pop up when everyone does the job day-in and day-out. Doing one PTCA a week places everyone at risk (PT, tech, MD, RN, etc).
Last edit by CRF250Xpert on Jan 12, '11
: Reason: font wackiness