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Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.
Vascular Surgery
Languages spoken
English
Doctor Q&A
119 Answers
3 Agrees
The number of answers this doctor has agreed with.
A 31-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Tough question!: The classic symptoms of DVT are pain and swelling of an extremity. Muscle cramps are nonspecific and may be the result of several different conditions... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Separation of vessel: Vertebral artery dissection is separation or splitting of the layers of the blood vessel wall. This is often related to trauma, and may result in post... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
"doesn't": Coumadin (warfarin) does not dissolve clot. It prevents further clotting and allows your body to dissolve the clot on its own schedule (typically week... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 53-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
Complicated: Medical management is most often Aspirin or Plavix (clopidogrel) and cholesterol lowering drugs. Surgery or less commonly stenting is controversial an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 48-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
See vascular surgeon: Iliac artery dissection is fairly uncommon but can often be evaluated non invasively with ultrasound, pressure testing or ct scans to see if there are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 47-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
dialysis catheter: A vascath is a temporary central venous catheter used for hemodialysis. It is typically used for only a week or two in order to minimize infection ris... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 49-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
YES: Infection can occur in a few hours. Have you seen a doctor?
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Generally unrelated: Very broad question. Edema = swelling, hematoma is collection of blood in the soft tissue, usually due to trauma or procedure. Will usually resolve on... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.3k viewsReviewed >2 years ago
A 33-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Poor circulation: Thru small blood vessels typically involving calf and foot, or hands. May be due to blockage (commonly diabetes), spasm, extreme temperature change,
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Very specialized: neurointerventional radiologist or neurologist
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 20-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
superficial clot?: Sounds like superficial phlebitis. Why are you on coumadin (warfarin)? An ultrasound will painlessly evaluate for both deep and superficial clot.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 31-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Atherosclerosis: When plaque forms in an artery, the ways may thicken and thus the term "hardening of the arteries". This is not the same as blockages but, should be e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
usually normal: Often seen in fit, thin patients. Leave them alone if you can!
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
several options: Aspirin, stay hydrated (not alcohol
) and a mild compression stocking. Get up and walk around every hour or two. Blood thinners can be used if your D... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
Not good: Your blood is too thin and you should call the doctor prescribing the Coumadin (warfarin) for recommendations immediately! hold Coumadin (warfarin) un... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 40-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Hematoma: This most likely represents a collection of blood which oozed into the fatty tissue of the groin after the procedure. This will usually resolve and re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 29-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
Too HIGH!!!: Typically, 2-3 is considered therapeutic range, depending upon why you are on coumadin (warfarin).
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Not removed: Very unusual to remove stents unless infected (rare). They may be redilated or a surgical bypass may be needed.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Easiest way: this is theclassic surgical method of removing fresh clot from a blood vessel. Why? To restore circulation and remove the obstruction caused by the b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Not related: No relationship between prostate cancer and an aneurysm. Is that the question?
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Complicated question: Poor? How do you know? Are there blockages? Spasm? Cold feet? Answer depends on underlying condition, .
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Ignore: Varicose veins may be more than a cosmetic problem. They may cause pain or aching and can be treated.
Created for people with ongoing healthcare needs but benefits everyone.
3.3k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Not much to do now: See doctor if concerned about infection. Probably should have tetanus shot if not done recently.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Minimal swelling: Minimal=mild=trace.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 56-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
Ultrasound: Carotid bruit is turbulent blood flow which can be heard with a stethoscope. It does not mean there ids significant blockage or narrowing. An ultrasou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
Way too high!!!!!!: An inr of 7 is dangerously high. The normal therapeutic inr is 2-3, depending on the indication for warfarin. You should see your doctor immediately f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Not likely: Risk of future procedures on that carotid artery should be less than 5% long term.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Atherosclerosis: Smoking, elevated cholesterol, hypertension, and a family history of artery problems are associated with an increased risk of blockages.
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 47-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Pentoxifylline: generic Trental (pentoxifylline) has been available for several yrs.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 18-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Not likely: Doubtful an 18yo would have aneurysm without inherited connective tissue disorder (like marfans). Physical exam, x-ray or ultrasound of abdomen would ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.2k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Vessels constrict: smooth muscle in artery walls MAY constrict the artery and prevent life threatening hemorrhage in some cases.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Probably not: Stockings, intermittent elevation. Spider veins are, however, very treatable.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
May need surgery: 3rd degree burns are full thickness skin involvement and may need surgery for debridement or skin grafting if large. You should see a doctor.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
See doctor: This could be a potentially serious problem. You should see a primary care doctor or urologist.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsAnswered >2 years ago
A 38-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Improves circulation: atherectomy is plaque removal. If successful, it should reduce blockage and improve blood flow. This will reduce pain.
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 46-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Depends: Its not the size of the plaque. In general, it is how much the plaque obstructs the flow in the artery that is important. The doctor should be able to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsAnswered >2 years ago
A 33-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Dilated blood vessel: An aneurysm is an abnormally dilated blood vessel, usually defined as a diameter 2x normal or larger. As weakened vessels get larger, there is risk of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
793 viewsReviewed >2 years ago
A 25-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Very unlikely.: Abdominal aorta contains arterial blood under pressure and would very rarely be narrowed or constiricted by abdominal pressure or stress.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Opposite: hypercoaguability = abnormal tendency to form clot.
Bleeding disorder implies bleeding and failure or abnormal formation of clot.
Created for people with ongoing healthcare needs but benefits everyone.
3.8k viewsReviewed >2 years ago
A 36-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Plaque: buildup of plaque and cholesterol deposits, etc. in the arteries--- "hardening of the arteries". Risk factors--- smoking, family history, high cholest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years agoMerged
A 41-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Yes: Assume all medicines effect coumadin (warfarin) and the INR/ coumadin (warfarin) dose should be adjusted accordingly.
Created for people with ongoing healthcare needs but benefits everyone.
2.9k viewsAnswered >2 years ago
A 48-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Yes: Either of these problems may result in enough brain injury to produce coma. Get a neurology consultation if needed.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Groin to above knee: begins at top of groin and extends to lower 1/3 of thigh.
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 42-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Not related: Exercise and working out should not cause an embolism.
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 32-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Blood thinners?: You should consider injectable blood thinners throughout your pregnancy. At the least, an Aspirin and thinners late in the pregnancy. Your obstetricia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
plaque: Often associated with mild atherosclerosis and age. Not worrisome unless associated aneurysm or blockages.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. J mark Rheudasilanswered
40 years experience
no: The visibility of veins on the surface will not typically correlate with the inr level.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 24-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
NO: Superficial phlebitis related to an IV does not require oral contraceptive cessation.
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 62-year-old male asked:
Dr. J mark Rheudasilanswered
40 years experience
Treat varicose veins: Elevation, compression and would care is the standard treatment for a venous stasis ulcer, usually a result of deep vein insufficiency. Superficial ve... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.8k viewsAnswered >2 years ago
A 39-year-old member asked:
Dr. J mark Rheudasilanswered
40 years experience
Stabilize plaque: Elevated cholesterol is associated with an increased risk go plaque formation in the arteries or atherosclerosis. Lowering the cholesterol may stabili... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
3
Recommendations
83
Thank you notes
HealthTap member
Dec 5, 2013
This doctors answer was very helpful .... I would recommend this doctor, The input he put into his answer was excellent
HealthTap member
Mar 31, 2015
Dr. Rheudasil is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Rheudasil is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This was very helpful. Thanks! increased blood pool activity below the heart measuring approximately 77 by 56mm as seen on bone scan?what could it be an anuerysm or hernia ,which is it more likely to ...Read More
HealthTap member
Thank you, your answer was very helpful! Thank you Dr Rheudasil. Very much appreciated.
Eli
HealthTap member
Thanks for your quick reply! You fully understood my #. Great answer. Bye!
Education & Training
Medical/Graduate school
University of Texas Southwestern Medical School at Dallas, TX
Graduated 1983MD
Awards
Top Vascular Surgeon, Second Place, National - Spring
2014
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