Kishor Vora M.D.

07/14/2023

DVT case of a 70-year old patient with almost complete occlusion of Right common femoral vein and right distal external iliac vein. Patient came to our office with significant pain and swelling in leg. A Venous Duplex study conducted at our on-site diagnostic lab revealed the occluded veins. Within two days, we were able to schedule a minimally invasive intervention at our office-based Cath Lab, where patient underwent successful intervention using IVC filter followed by thrombectomy using 11French ASPIRE thrombectomy catheter. In the photos, you can see how the vein is almost completely occluded but after thrombectomy, the blood flow is restored. The second photo is the photo of the clot that we pulled out from the vein.

I'm happy that we could help the patient and relieve them of the leg pain. This was all achieved so quickly because of all the facilities available at our one office - I am able to check how severe a situation is and schedule the interventions or follow-ups accordingly.

03/30/2023

Dear Owensboro residents, I am honored to be in the "Best Physician" category in Owensboro Living's Best of Owensboro Contest 2023.

As a healthcare provider, my ultimate goal is to provide exceptional care and support to my patients. I would be grateful if you could cast your vote for me and acknowledge my efforts in keeping our community healthy.

Remember, voting for the "Best Physician" category is only open for one day, so don't forget to vote before it's too late.

Vote at this link: https://survey.tannerpublishing.com/s3/2023-Best-of-Owensboro-Living?fbclid=IwAR0E52y7vbLVjnkFXvfQC8rTfRus94IBxftze914PuIV1EXCB3cmUAStKRE

03/17/2023

Last week, I used a new kind of atherectomy device for one of my in-office Cath Lab procedures. The 60-year-old patient had clear symptoms of Peripheral Artery Disease because they kept complaining of severe pain and numbness in their left leg. After the ultrasound reports came in, we could see the blockage which caused narrowing of the artery, causing the patient pain due to reduced blood flow to the calf. My team and I used this new device to remove the plaque causing the blockage. In the photos, you can see -
first photo - uneven and reduced blood flow before the procedure
second photo - restored blood flow in the artery after procedure
third photo - the amount of plaque we removed from the patient's artery to restore the blood flow.

At our office-based lab, I'm always trying to bring in new devices so that I can use the best possible product available for each case and for every patient.

03/10/2023

Our wound care clinic had a patient with a non-healing wound on their 4th and 5th toe. The team started the treatment on the wound, and also referred the patient to me to check if they would need any vascular procedure. The diagnostic tests and ultrasound revealed a blocked peroneal artery, which restricted blood flow and oxygen supply to the patient's foot. This oxygen-rich blood that arteries supply to all our organs, is one of the necessities for any kind of wound healing. So, I performed a LASER atherectomy procedure to open up the blockage in the artery. As you can see in the before and after photos of the artery and the foot, the blood flow to the foot is restored to normal after the procedure. The patient went back to my wound care team after the procedure for quicker and better wound healing.

My vascular clinic and wound healing clinic are both very closely related to each other and I'm so happy that I can make this kind of difference in patients' lives with the interdisciplinary approach that we take to healthcare.

03/07/2023

Thank you for nominating me! Please continue voting for me!

02/16/2023

This is the importance of a Coronary Calcium Score (or a Heart Scan, as we call it in our office). This patient who didn't have any symptoms of a heart disease and was overall a very healthy person, found out that the calcium score in his arteries was so high that he had to go through a quadruple bypass surgery! I'm so glad his doctor insisted on getting his heart murmur checked out. Otherwise, the patient's very first symptom of a heart disease might have been a massive heart attack.

February is American Heart Month, and in this month, our office always offers a special price on Heart Scans. Please call our office and schedule a heart scan for yourself or for your family members, if you believe you have any risk factors for a heart disease.

David Holland of New York City thought he would be having a hip replaced. Instead, after a cardiology checkup, he wound up needing quadruple bypass surgery. Here's his story.

02/03/2023

As I work with my all-women Venous team today, I am reminded that today is National Wear Red Day to raise awareness about heart disease in women. Here are some of the things that immediately come to my mind about heart disease in women -
1. Heart disease is the leading cause of death for women in the United States, affecting more women than all forms of cancer combined. Despite this, many women still consider heart disease to be a "man's disease." This perception is not only incorrect but also dangerous, as it can lead women to ignore important warning signs and delay seeking medical attention.
2. To maintain heart health, women should adopt healthy lifestyle habits, such as eating a balanced diet, exercising regularly, and not smoking. It is also important to manage underlying health conditions, such as high blood pressure, diabetes, and high cholesterol.
3. A diet rich in fruits, vegetables, whole grains, and lean protein is essential for heart health. Women should also limit their intake of saturated and trans fats, added sugars, and sodium.
4. Exercise is another critical factor in maintaining heart health. Women should aim for at least 30 minutes of moderate-intensity physical activity each day. Regular physical activity can help lower blood pressure, reduce the risk of obesity, and improve cholesterol levels.
5. In addition to lifestyle changes, women can also work with their healthcare provider to monitor and manage any underlying health conditions. Regular check-ups, including blood pressure and cholesterol tests, can help identify potential problems early, when they are most treatable. In my opinion, the best screening test for CAD is CT calcium score (Heart Scan).
6. Finally, it's important for women to know the signs and symptoms of heart disease. Chest pain, shortness of breath, and fatigue are common symptoms, but heart disease can also present as more subtle symptoms, such as jaw, neck, or back pain, indigestion, and nausea. Women should not ignore these symptoms and should seek medical attention as soon as possible if they experience them.

In conclusion, heart health is a critical issue for women, and American Heart Month is an opportunity to raise awareness about the importance of maintaining a healthy lifestyle, managing underlying health conditions, and knowing the warning signs of heart disease. By taking these steps, women can reduce their risk of heart disease and enjoy a long, healthy life.

01/11/2023

I have yet another story of a successful thrombectomy I performed last Friday, thanks to the timely diagnosis of a massive Pulmonary Embolism by Immediate Care Center provider, Brandi Kost APRN. A patient came in at our office's urgent care facility, the Immediate Care Center experiencing shortness of breath and chest pain. They complained that it was the third day in a row that they were experiencing the symptoms. Our medical provider, Brandi suspected a PE, and referred the patient for an urgent CT at Owensboro Heart and Vascular. As soon as it was confirmed, we direct admitted the patient to hospital and I rushed out there for an emergency Thrombectomy procedure to remove the massive blood clot from their lungs. In the photos, you can see -
Photo 1 (Before the procedure) - The right side of the lung is completely blocked and there is no blood flow through the lungs. You can see how the left side of the lungs has regular blood flow (noticed by the black and grey colors in the photo, which are absent on the right side)
Photo 2 - Size of the blood clot that was blocking the blood flow to the right lung, which we removed with the thrombectomy procedure.
Photo 3 (After the procedure) - Blood flow is restored to the right lung, as indicated by the contrast flowing freely through the veins.

I want to give a big shout-out to Brandi Kost APRN from Immediate Care Center and our CT Tech Amy Lanham from Owensboro Heart and Vascular for diagnosing the problem in such a timely manner, which helped in saving the patient from a drastic and potentially fatal outcome. Thanks, also, to my hospital team for working so quickly and efficiently on the case.

12/16/2022

Medicare Advantage has been really bad for patients! Traditional Medicare is much better. If you qualify for Medicare, I urge you to read this article and see why you should choose Medicare over Medicare Advantage.

Part F gives insurance companies a chance to prove they can innovate and add value to the health care system. If they can't, single-payer forces may push the health insurance industry into its own Blockbuster corner.

09/26/2022

What a great story! True medical innovations will always produce amazing results like this!

A team at Duke Health has performed what is believed to be the world’s first partial heart transplant, with the living arteries and valves from a freshly donated heart fused onto a patient’s existing heart. The goal is to allow the valves to grow with the pediatric patient over time, increasing ...