0747_Schneider.pdf

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1、My Journey from Clinician/Scientistto Inventor and EntrepreneurPeter A.Schneider,MDUniversity of California San FranciscoDisclosures for Peter A.SchneiderI have the following potential conflicts of interest to report:Consultant:Surmodics,Medtronic,Boston Scientific,Phillips,Cagent,Acotec,Abbott,Endo

2、logix,Shockwave,Silk Road,Healthcare Inroads,Inari,BDPassionGratitudePresenceThree Principles for Your JourneyThree Principles for Your JourneyPassion:Desire to do more,develop additional outlets for your talentsGratitude:Humility,willingness to learn,the patient is at the centerPresence:Embrace the

3、 challenge,you cant solve everything,look for the goodInnovationExecuting new ideas to create value.Tim KastelleUniversity of Queensland Business SchoolOur Mission as PhysiciansServiceStewardshipInnovationQuality“Today,of Americans officially designated as poor,99 percent have electricity,running wa

4、ter,flush toilets,and a refrigerator;95 percent have a television,88 percent a telephone;71 percent a car.Cornelius Vanderbilt,the richest man in the world in the late 1800s,had none of these.”I want to be optimistic,but everyone is telling me things are getting worse.Innovation has changed our live

5、sBloodletting:First Vascular Operation5000 BC1890sGalen 200 ADBalance of 4 humoursBloodPhlegmYellow BileBlack Bile1740sDec,1799Most Common Vascular Operation60 years agoearly 1960s30 years agomid 1990sNow202530 years from nowAmputationSympathectomyTraumaCEAOpen AAAFem-popFem-tibAortobifemCEA/TCAR/CA

6、SEVAR/F-B-TEVARLE endoWay distal bypass?Mostly EndovascularMostly OpenEndovascular Early 90s Cut film-no digital imaging No sheaths Seldinger technique Needle with trochar 035 coaxial only No hydrophilic coating No stents2025:We Dont Have All the Answers Incredible progress over 30 years.Vascular Fi