cover of episode Surgical Angiology (VEINS & ARTERIES) with Sheila Blumberg

Surgical Angiology (VEINS & ARTERIES) with Sheila Blumberg

2024/11/27
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Ologies with Alie Ward

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Sheila Blumberg
Topics
Allie Ward: 就血管系统、动脉、静脉和毛细血管的功能和结构,以及各种血管疾病(如静脉曲张、动脉硬化和血栓)的成因、症状和治疗方法,对血管外科医生Sheila Blumberg博士进行了采访。采访中还探讨了电影中血液的真实性、晕血、止血带的使用、吸烟和电子烟对血管健康的影响以及其他相关问题。 Sheila Blumberg: 详细解释了动脉、静脉和毛细血管在循环系统中的作用,以及它们在结构和功能上的差异。她解释说,动脉将富含氧气的血液从心脏输送到身体各处,静脉将缺氧的血液送回心脏,毛细血管是动脉和静脉之间进行氧气交换的微小血管。她还讨论了动脉硬化、动脉瘤和血栓等血管疾病,并解释了这些疾病的成因、症状和治疗方法。此外,她还讨论了吸烟、电子烟和体重对血管健康的影响,以及如何预防和治疗静脉曲张等疾病。 Allie Ward: 就血管系统、动脉、静脉和毛细血管的功能和结构,以及各种血管疾病(如静脉曲张、动脉硬化和血栓)的成因、症状和治疗方法,对血管外科医生Sheila Blumberg博士进行了采访。采访中还探讨了电影中血液的真实性、晕血、止血带的使用、吸烟和电子烟对血管健康的影响以及其他相关问题。 Sheila Blumberg: 详细解释了动脉、静脉和毛细血管在循环系统中的作用,以及它们在结构和功能上的差异。她解释说,动脉将富含氧气的血液从心脏输送到身体各处,静脉将缺氧的血液送回心脏,毛细血管是动脉和静脉之间进行氧气交换的微小血管。她还讨论了动脉硬化、动脉瘤和血栓等血管疾病,并解释了这些疾病的成因、症状和治疗方法。此外,她还讨论了吸烟、电子烟和体重对血管健康的影响,以及如何预防和治疗静脉曲张等疾病。

Deep Dive

Key Insights

Why do arteries have thicker walls compared to veins?

Arteries have thicker walls because they need to withstand higher blood pressure as they carry oxygen-rich blood away from the heart. This makes them stronger and more muscular to handle the pressure during each heartbeat.

What causes the hardening of arteries as we age?

The hardening of arteries, or atherosclerosis, is caused by lifestyle factors such as smoking, exposure to smoke, and diabetes. These factors lead to plaque formation and calcium deposits in the arterial walls, making them less compliant and harder.

How do veins manage to return blood to the heart against gravity?

Veins use a combination of valves and muscle contractions to return blood to the heart against gravity. The valves act as one-way gates that prevent blood from flowing backward, while muscle contractions and breathing help push the blood upward.

What is the difference between arterial and venous blood in terms of color?

Arterial blood, which is oxygen-rich, is bright red, while venous blood, which is oxygen-depleted, is darker, more purplish in color.

Why is deep vein thrombosis (DVT) a serious concern?

DVT is serious because it can lead to a pulmonary embolism, where a blood clot travels to the lungs and blocks blood flow, potentially causing sudden death.

How does COVID-19 increase the risk of blood clots?

COVID-19 increases the risk of blood clots, especially in patients with severe infections requiring intensive care. The virus can also infect coronary vessels, inducing plaque inflammation that increases long-term cardiovascular risk.

What are the main factors that contribute to arterial health issues?

The main factors contributing to arterial health issues are smoking, diabetes, and obesity. These factors can lead to hardening of the arteries and increase the risk of serious complications.

Why do some people have 'rolly veins' that are difficult to access for blood draws?

Rolly veins are more common in very thin people because there is less fat surrounding the vein, making it move under the skin and harder to stabilize for blood draws.

What is the best practice for stopping a nosebleed?

The best practice for stopping a nosebleed is to keep your head down, use a tampon or cotton ball in one nostril, and apply pressure. Avoid tilting your head back to prevent swallowing blood.

What is the most challenging part of being a vascular surgeon?

The most challenging part is when a patient's condition is so severe that even the best surgical intervention cannot change their ultimate outcome, despite the surgeon's efforts.

Chapters
Dr. Blumberg explains the fundamental differences between arteries, veins, and capillaries, highlighting their roles in the circulatory system and how they function differently.
  • Arteries carry oxygen-rich blood away from the heart.
  • Veins return oxygen-depleted blood back to the heart.
  • Capillaries facilitate the exchange of oxygen and nutrients at the tissue level.

Shownotes Transcript

Vaping and vein health! Covid and clots! Easy bruising! Movie blood! Spider veins! Free socks! The heroic vascular surgeon Dr. Sheila Blumberg of NYU Langone Health let me ask her one million questions about how blood gets from point A to B all day. She explains the difference between arteries, veins, capillaries, and vessels and we cover everything from fainting to teenage movie tropes, how to tie a tourniquet, atherosclerosis, aneurysms, stents and why your leg is asleep right now. 

View Dr. Blumberg’s publications on ResearchGate)

A donation went to BreakingGround.org)

More episode sources and links)

Smologies (short, classroom-safe) episodes)

Other episodes you may enjoy: Diabetology (BLOOD SUGAR)), Field Trip: My Butt, Colonoscopy Ride Along), Functional Morphology (ANATOMY)), Hematology (BLOOD)), Surgical Oncology (BREAST CANCER)), Biogerontology (AGING)), Proptology (THEATER & FILM PROPS)), Vampirology (VAMPIRES))

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Editing by Mercedes Maitland of Maitland Audio Productions) and Jake Chaffee)

Managing Director: Susan Hale

Scheduling Producer: Noel Dilworth

Transcripts by Aveline Malek 

Website by Kelly R. Dwyer)

Theme song by Nick Thorburn