Also serving the communities of De Luz, Rainbow, Camp Pendleton, Pala and Pauma
Also serving the communities of De Luz, Rainbow, Camp Pendleton, Pala and Pauma
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Hemorrhoidal disease is a common and often debilitating condition affecting millions of people in the United States. Traditionally, hemorrhoids have been treated through invasive surgical procedures requiring general anesthesia and uncomfortable trans-anal suture ligation, but more recently, endovascular hemorrhoid embolization (EHE) has emerged as a less intrusive alternative. A clinical trial study – the highest level of evidence in medicine – published in the Journal of Vascular and Interventional Radiology, “Em...
The United States Congress once again proposed cuts to physician reimbursement in 2025 – this time a 2.8% decrease – sparking significant concern among healthcare providers and patients alike. Insurance plans in the United States benchmark their reimbursement relative to Medicare, therefore all physicians would experience the decrease, except those practicing on a cash-only basis. This issue is particularly troubling given the increasing challenges physicians face in deliverin...
Abdominal aortic aneurysm (AAA) is a serious condition that occurs when the large blood vessel bringing blood from the heart to the body called the aorta weakens and bulges. If left untreated, an AAA can rupture, leading to life-threatening internal bleeding. Therefore, early detection is critical, and ultrasound screening has become a standard method for diagnosing AAAs, particularly in high-risk populations such as older adults and smokers. Ultrasound Screening for...
End stage renal disease vascular access options When kidneys stop cleaning the blood effectively, known as end-stage renal disease (ESRD), vascular access for dialysis becomes essential for patient survival and quality of life. There are several vascular access options available, including central venous catheters, arteriovenous (AV) fistulas, and AV grafts. Each option has its advantages and disadvantages, but AV fistulas are generally considered the gold standard due to...
Limb preservation with revascularization Vascular surgeons work hard to keep limbs on bodies. Often, folks with diabetes, kidney disease, high blood pressure, or a history of smoking present to us with diminished or absent blood flow to their feet, causing pain in or even wounds on their feet. This disease process is chronic limb-threatening ischemia (CLTI), part of the peripheral arterial disease (PAD) spectrum. Intervening to improve blood flow, relieve pain, and heal...
When asked by the surgery department chair as a medical student why I wanted to treat vascular patients, my response was to be useful, useful to people with a challenging systemic disease that often results in stroke, amputation, and death. Often, wounds that haven't healed for months on a foot or a hand, or persistent leg pain provoked by walking or simply laying in bed are subtle indicators that Peripheral Arterial Disease (PAD), a vascular health challenge affecting many...
