Dr. Michael 孔特 is chief of UCSF's Division of Vascular 和 Endovascular Surgery. 在他的临床实践中，孔蒂专门治疗患者 外周动脉疾病. His research includes developing technologies to improve the longevity 和 durability of common vascular procedures.
十大赌博平台排行榜问&A:迈克尔·孔蒂
Q: What sparked your interest in biomechanical engineering 和, later, medicine?
A:在纽约长大, 我上的是一所数学和科学高中, 那是我第一次对工程学产生兴趣的地方吗. 晚些时候, 在波士顿大学读本科的时候, I was studying biomechanical engineering when my mother got very ill 和 needed heart surgery. 那是我第一次近距离观察医学. I was struck by two things: the confidence of her surgeon 和 how dramatically she improved after surgery. 她病得很重，多亏了手术，她很快就好了. That made a big impression on me as a young person: the overwhelming fear of a situation that feels so out of control 和 the calm 和 confidence instilled by a surgeon who knew exactly what to do. I saw firsth和 the potential of surgery to change the course of someone's life 和 I knew that's what I wanted to do.
问:你从2008年开始就在加州大学旧金山分校工作. 是什么让它成为你工作的理想场所呢?
答:加州大学旧金山分校在血管外科方面处于领先地位. 我们的培训项目已经有50年的历史了，是全国最早的培训项目之一. 史上第一位获得血管外科认证的外科十大赌博平台排行榜. 埃德温·J. 怀利在加州大学旧金山分校实习. 他的血管外科证书挂在我的办公室外面.
悠久的历史使加州大学旧金山分校成为任何血管外科十大赌博平台排行榜的理想之地, but what I really love about working at UCSF is our blend of clinical complexity, 创新和发现. UCSF's reputation for excellence means that other doctors frequently refer complex cases to us. 我喜欢帮助最严重的病人的挑战.
和, 最后, 作为一名教师和研究者, 我可以培养优秀的年轻人成为下一代的领导者. The gratification of a challenging clinical practice 和 a great research environment is unparalleled at UCSF.
Q: How might a patient benefit from coming to UCSF versus another vascular center?
答:与其他十大赌博平台排行榜中心相比，加州大学旧金山分校有一些明显的优势. 对于初学者来说, our team is comfortable treating high-risk patients who may be refused surgery elsewhere. The vascular surgery team at UCSF has a high level of expertise in getting these patients through surgery 和 recovery. 和, 当然, those patients who aren't high-risk benefit enormously in terms of receiving safe, state-of-the-art surgery 和 great follow-up care with an experienced 和 dedicated team.
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At UCSF two of our programs are internationally recognized 和 attract patients from well beyond the Bay Area. 第一个与主动脉疾病有关:动脉瘤和夹层. UCSF surgeons pioneered minimally invasive approaches for treating complex aneurysms using devices available at only a few medical centers worldwide. We also offer experienced open surgical repair for complex aortic pathologies that are not available in many centers. Our results for abdominal aortic aneurysm (AAA) repair were rated at the highest level in the state of California in last year's Leapfrog hospital survey.
UCSF的第二个创新血管项目是 肢体保存中心，有严重腿部循环问题的病人，如 糖尿病由一组提供者密切治疗和监督. 团队成员包括血管外科十大赌博平台排行榜, 足病医师, 执业护士, 和, 在必要的时候, 其他领域的专家, 包括内分泌学, 传染病和整形手术. In the same visit, patients see the team 和 make treatment decisions together.
在加州大学旧金山分校之外, a person with severe 外周动脉疾病 or a diabetic foot can lose valuable time waiting to see three or four different specialists. 在加州大学旧金山分校，综合治疗方法可以及早解决问题, 提供良好的血管, 足部和伤口护理, 并确保没有人从裂缝中溜走.
问:在你的工作领域，最大的挑战是什么?
A: The good news is that people with vascular disease are living longer than ever, 但坏消息是，许多手术并不像我们的病人那样衰老. 血管外科十大赌博平台排行榜s offer all sorts of technologically complex 和 minimally invasive procedures to replace or open up blocked or damaged blood vessels, 但这些手术会造成疤痕，使血管再次变窄. 随着人们年龄的增长, 它们通常需要多次重复操作, 每个人的收益都在下降. 对于大型船只来说，这不是一个问题, 比如主动脉, 更大的问题是小血管, 比如四肢上的那些.
在一个完美的十大赌博平台排行榜, 我们可以疏通或搭桥血管，修复效果可以持续20年, 哪个是关于人工关节的寿命, 为了便于比较. 但是血管手术还没有发展到这一步. That's why I'm so interested in underst和ing the vascular wound-healing process.
Q: Scarring is the body's defense mechanism, so, basically, you're fighting Mother Nature?
是的. 疤痕是身体已经愈合的伤害或伤口. 身体从一系列的侮辱和伤害中恢复过来的能力是惊人的. 在一生中, 我们的身体上有成千上万大大小小的伤口, 从蚊子叮咬到手术切口. But the body scars on the inside as well as the outside 和 when blood vessels are "injured" during vascular procedures, 身体用疤痕组织来愈合. 随着时间的推移, scar tissue build up in an artery can be just as damaging to the patient as their original blockage.
问:请告诉我你是如何指望鱼油来帮助解决这个问题的?
A: Scarring is a result of inflammation, which is the body's natural response to injury. 科学家们早就知道鱼油可以减少炎症. 想象炎症就像一团闷烧的火. Components in fish oil trigger the body's sprinkler system, essentially dousing the embers. With funding from the National Institutes of Health 和 in collaboration with Dr. 加州大学旧金山分校的生物工程师Tejal Desai博士. 哈佛大学的Charles Serhan说, our lab developed therapeutic biomaterials 和 nanotechnology that uses fish-oil-derived compounds to enhance vessel healing 和 reduce scar-tissue formation.
One device we are working on is a thin, biodegradable film laced with these compounds. 在手术过程中, the physician places the film at or near locations where scarring is likely to become problematic, such as where a vein graft is attached to redirect blood flow around a blocked or narrowed artery. The goal is that the film slowly releases anti-inflammatory compounds as the wound heals, 减少疤痕组织. 最终，薄膜会在体内溶解. 我们正在动物身上测试这项技术，结果非常令人兴奋.
问:在你的一生中，你希望看到这个领域发生什么样的变化?
A:理想情况下，我想让血管外科十大赌博平台排行榜失业. 如果我们不用手术就能控制或停止动脉狭窄会怎么样? As it st和s, arteriosclerosis, or the narrowing of the arteries, is a very slow process. What if we could slow it down even more so that a person could live out his or her life without the disease ever causing a problem? 要做到这一点, we need better tools to identify those patients who are most likely to progress 和 learn how to treat them earlier.
问:你最喜欢你工作的哪一部分?
A:这是一种混合物. 我经历了执行复杂手术的严峻挑战. I get to take people through a medical crisis 和 see them safely on the other side. 我可以教聪明、上进的年轻人. 和 I have the excitement of bench research, where I never know what I am going to find. 简而言之，我从不感到无聊.
问:当你不行医的时候，你喜欢做什么?
A: My wife 和 I have three teenagers 和 we love to play tennis together as a family. A little tennis with family 和 friends 和 a nice meal makes for the perfect Sunday.
