What inspired you to choose medicine, and what drew you to specialize in CTVS ?
I come from a family with many relatives who have excelled in the medical field, and their achievements inspired me to pursue a similar path. From the outset, I was drawn to the surgical specialties. During my General Surgery postings, I was exposed to Cardiothoracic Surgery, which left a profound impression on me. Coincidentally, during this period, a close relative underwent coronary artery bypass surgery at the renowned Madras Medical Mission in Chennai. I stayed with him throughout his hospitalization until discharge. This experience was transformative. Observing the intricate surgical procedures( as a doctor I was allowed in the operation theatre), the precision of the medical team, and the seamless functioning of the hospital system deeply fascinated me. It solidified my decision to specialize in Cardiovascular and Thoracic Surgery (CVTS). Despite being fully aware of the immense dedication, hard work, and commitment required in this field.
Is there any incident or person to whom you credit your decision to choose CTVS?
During my stay at MMM Hospital in Chennai, I had the privilege of interacting with the chief surgeon, Dr. K.M. Cherian. His dedication and exceptional surgical skills were truly overwhelming, as he tirelessly performed 4-6 operations daily with remarkable precision and care.
What would you say are the biggest challenges of being a CTVS surgeon?
Split-second decisions : Cardiac surgeons must make critical decisions during surgery and postoperative care, which are honed through years of experience and mentorship under skilled surgeons. Steady hands for delicate surgery which relates to avoiding intoxicants and alcohol. Physical stamina: The profession demands exceptional physical stamina, as surgeries can last several hours, requiring surgeons to stand and focus for extended periods. Extended training duration: Becoming a cardiac surgeon involves a minimum of 12-15 years of education and training from MBBS, This timeline highlights the complexity and dedication required to evolve into an independent cardiac surgeon.
Are there any recent innovations or ideas in CTVS that excite you?
Minimal invasive and Robotic Cardiac Surgery
What’s a common myth about being a CTV surgeon that you’d like to debunk?
Cardiac surgery is a dying specialty.
Truth: Cardiac surgery is not a dying specialty; rather, it is a vital and evolving field that continues to advance with technological innovations and collaborative approaches. The Heart Team concept emphasizes collaboration among cardiovascular specialists. This approach ensures that patients receive the most appropriate and evidence-based treatment plan. Cardiac surgeons are always on standby during interventional procedures to address any emergencies that may arise. This ensures that patients receive immediate surgical intervention if needed, underscoring the critical role of surgeons in these settings.
What’s the most important advice you can give to medical students interested in CTVS ?
Focus on strong academic performance, research and publications. Seek mentors early in your medical school journey to guide you through rotations and research opportunities. Participate in cardiothoracic surgery rotations and electives to gain more experience.
What is your approach to a cardiothoracic surgery case ?
We must tailor our approach to meet the specific needs of each patient, balancing the benefits of medical treatment against surgical or minimally invasive techniques. Preoperative preparation and postoperative management in the intensive care unit are crucial. Surgical options are discussed with the cardiologist during the cath meeting, and a final decision is made. Ongoing follow-up is essential for up to one year
What is the most important lesson you have learned in your journey to become a cardiothoracic surgeon ?
Cardiothoracic surgery demands unwavering dedication and perseverance. Many aspiring surgeons face skepticism or discouragement, yet the ability to persist despite challenges defines success in this field Surgeons must embrace continuous learning, staying updated on innovations and refining their skills to adapt to new challenges. Cardiothoracic surgeons often deal with high-risk procedures where outcomes are uncertain. Mortality has to be accepted. The ability to maintain a positive outlook under pressure fosters resilience and inspires others. Success in cardiothoracic surgery relies heavily on teamwork with other healthcare professionals, Empathy and effective communication skills. This effectively enhances patient outcomes and builds trust within surgical teams.
If you could change one thing about the healthcare system, especially regarding CTVS, what would it be ?
Cardiovascular diseases (CVDs) are major acquired health conditions and leading causes of mortality, especially in developing countries. Prevention is the most effective approach to address this issue. Efforts to prevent acquired heart diseases should begin in early adolescence and extend to rural areas, ensuring widespread awareness and adoption of healthy practices. This strategy can transform healthcare systems by reducing the burden of CVDs, allowing resources to be redirected toward managing congenital and communicable diseases. However, implementing such measures may face resistance from various sectors.
