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CT Assist Blog

Take, Take, Take - When Cardiac Surgery Consumes Your Life:         Advice on how to combat burnout in a demanding career.

Posted by Liza Szelkowski, PA-C on Aug 17, 2016 4:01:37 PM

It’s 0630.  I’ve only been at work for 15 minutes, and I’m barely awake enough to interact with society yet.  That being said, I’ve already fielded 3 questions from nurses who have poked their heads into my office looking for guidance, taken a call from an angry surgeon looking for a delinquent discharge summary, rid the office of several days of old patient lists and other trash, and restocked the coffee machine.  I haven’t even changed into my scrubs yet.  Working as a cardiac surgery PA in a busy practice can be extremely demanding, to say the least.  I’m the biggest offender when it comes to taking on too much, trying to please everyone, trying to save everyone, and just generally making myself crazy being all things to all people.  There are days when I feel like I just can’t do it anymore.  Yet I know I will never be happy doing anything other than cardiac surgery.  This predicament prompted me to reflect on the reasons why we get burned out and, possibly, what we can do to limit that.

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Topics: CVT Surgery

Choosing Vasoactive Medications in the Postoperative Cardiac Surgery Patient

Posted by Liza Szelkowski, PA-C on Jul 19, 2016 9:21:24 AM

A patient enters the ICU after a redo repair of ascending aortic aneurysm, and total arch replacement.  He is in cardiogenic shock with unstable hemodynamics.  Another patient has been doing well after a straight forward aortic valve replacement, and has been on no vasoactive medications, but has become increasingly pale and cold.  Urine output is down, but he is hypertensive.  A third patient arrested on the step down unit, and was resuscitated.  She transfers to your ICU and needs to be stabilized.   First line therapy for all of these patients will be vasoactive medications.  Unfortunately, choosing the best fit for each patient is not always straight forward.

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Topics: CVT Surgery, Medications

Robot Surgery

Posted by CT Assist on May 22, 2014 7:50:31 PM

Robot Surgery: CT Assist CEO Scott Yoder's article Robot Surgery: A Team Approach To Mitigate Risks and Improve Outcomes was recently published in the Spring 2014 CardioVISION Journal.  CardioVISION is the official Journal of the Association of Physician Assistants in Cardiovascular Surgery (APACVS).

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Topics: CVT Surgery, NP Job Opening, PA Job Opening, Physician Assistant or Nurse Practitioner Job Open, Robot Surgery, APACVS, Cardiothoracic, CT Surgery PA Job Opening