Greg Westin

@KenanWaters Sorry, don’t use X much any more, just seeing this. I don’t think I can know enough from this to give advice, but the bulging blood vessel may be a red herring. If it were me, I’d start by seeing a neurologist.

@greg_westin hi there, I’m in UK. I wondered if you’d kindly tell me what test I could try. Head pressure (not pain) for 9 years, vein or artery in left temple bulges. Makes me off balance. Inflammation markers normal, MRI’s/CT of brain normal. NHS not helpful

@gbosslet Even if it stares at you like that, please don’t eat it

If I don’t feed my cats first thing in the morning one of them stares at me as I shower and it is creepy AF

@IU_Surgery @RMotaganahalli @IUHealthPhys @IUCVInstitute @IU_Health @iu_vascular Currently available in the vascular surgery office… or fresh and hot on demand any day you tell me you’re coming to clinic! I’d love the excuse to get one for myself

@greg_westin @RMotaganahalli @IUHealthPhys @IUCVInstitute @IU_Health @iu_vascular 🥯We vote Sidedoor Bagel!!

Our vascular surgery patients in Avon , Plainfield and West of Indianapolis will have access to this brand new outpatient office space @IUHealthPhys @IUCVInstitute @IU_Health @IU_Surgery @iu_vascular . So nice to see the new space with integrated vascular lab . @greg_westin

@IU_Surgery @RMotaganahalli @IUHealthPhys @IUCVInstitute @IU_Health @iu_vascular So excited to see the excitement from the surgery department. Come visit our clinic, @IU_Surgery and @iu_vascular residents! I’ll bring teaching and also Indianapolis local pastries or bagels or other snacks

@RMotaganahalli @IUHealthPhys @IUCVInstitute @IU_Health @iu_vascular @greg_westin 👏🙌

@orthotraumamd @rkh_md @RMotaganahalli If you tell all of X that you’re Santa, Jan, then it’s no longer secret

We need to bring back Christmas to Indianapolis. Who's in? @rkh_md @greg_westin @RMotaganahalli

This thread gathers a variety of surgical techniques on how to explant infected stentgraft. Partial explantation living bare stent especially for endoleak is less agressive but in case of infection a total explant is preferable. Compiling various devices, this is HIDI #aortaEd

@kbilimoria @RMotaganahalli @IU_Surgery @iu_vascular Of all the groups going axe throwing, I think this group had a healthy sense of the breadth and depth (both literally and figuratively) of potential complications.

@RMotaganahalli @IU_Surgery @iu_vascular @greg_westin #WhatCouldGoWrong?

Work hard & play hard .Resident engagement event @IU_Surgery @iu_vascular after having fun with axe 🪓 throwing competition.#wellness #teambuilding @greg_westin .

@RMotaganahalli @IU_Surgery @iu_vascular I was about to propose an endovascular edition for next year with micropuncture needles, but then realized that this would basically be darts. I predict our vascular team would do very well at darts.

@RMotaganahalli @IU_Surgery @iu_vascular Not pictured: @RMotaganahalli suddenly comfortable as soon as throwing knives were brought out. “See? Just give me a knife and I can do anything”

🩸We can do better for our patients with #PAD and #CLTI 🩸We must come together promote #appropriateness by @VascularSVS @ACCinTouch @SIRspecialists 🩸We need to restructure our payment model in US healthcare @MedicareGov

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

Front page Sunday @nytimes - doesn't get much bigger than this. #Approrpriateness in the treatment of #claudication is finally getting the public attention it deserves. 👏 @jbsgreenberg @katie_thomas @gebeloffnyt Follow below for a short #Tweetorial on the #CMS data behind this

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Thanks to a little Googling, I see that Great Dane of Galen AKA Great Cerebral Dane could be an alternative for a neurointerventionalist. #NeuroTwitter Or Great Cardiac Dane for #CardioTwitter Perhaps for a litter of three… but we know which one the med student would remember.

#VascularTwitter help me out here: is there any possible name my coworker should consider for a new Great Dane puppy besides Great Saphenous Dane? #VascTwitter #MedTwitter

@mattsmeds I knew there must be at least one vascular dad out there who would enjoy that! I draw the line at non-locking Castro Viejo based puns, though. With such a small potential audience, I think it would be like a horse without a Ryder.

That’s funny.

@orthotraumamd I think the Ortho (ish) name I’d go with in the vein (ba dum ching!) of my initial post would be Great Gain(s).

@greg_westin Come on. Why would you want a vascular name. Bones are cooler. Indiana Bones, Bone Jovi, Bone-a-fide buddy, Humerous Hound.

@IU_Surgery @iu_ctsurgery @iu_vascular I notice @ZielkeTara showed up in vascular camouflage. I love it! Would have fit in with the acquired uniform of the day in my OR today…

It's #InternOlympics time at #IUSurgery! Lab time with our new interns is always so much fun. Check out 👀 those trophies ((ultimate bragging rights 😉))!!! #2023IUSurgeryInterns @iu_ctsurgery @iu_vascular

The tobacco industry has targeted the Black community with menthol cigarettes for decades. It’s time for the @US_FDA to stop this devastating cycle by finalizing the rule to eliminate menthol cigarettes. #NoMoreMenthol

Thank you from the #ComprehensiveVascularCare community to all primary care folks who support our patients and help prevent others from *becoming* our patients. Hooray for exercise and #VascularMedicine !