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It’s in His Veins

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LEXINGTON “Son of surgeon follows in father’s footsteps and becomes a surgeon.” It’s a nice story, but hardly unique. At least not on the surface, but if you go a little deeper, you find that the career path of Nick Abedi, MD, FACS, was anything but predetermined.

Abedi grew up Gaithersburg, Md., before moving to West Virginia in sixth grade. At that time, the thought of growing up to be a surgeon could not have been further from his mind. “I remember my dad working awful hours, not being able to see him the majority of the time or on weekends, and I told myself I wasn’t going to do that,” Abedi says.

Even when Abedi began studying at the West Virginia University School of Medicine, surgery was still far off his radar. His plan was to be a cardiologist. That’s what his head was telling him, but it turned out that he was a surgeon at heart after all.

“Starting medical school, it’s like you turn on a switch and all of a sudden a magnet is drawing you in one direction,” Abedi says. “That’s really what happened to me. I fell in love with anatomy. I fell in love with being able to have instant gratification. To be able to fix problems was a major reward for me.”

Abedi was reluctant to embrace his passion for surgery, but Dr. David McFadden, the chair of surgery at WVU School of Medicine, mentored Abedi and encouraged him to follow his ambitions. Abedi eventually set his reservations about the impact of a surgeon’s lifestyle on family life aside and moved forward toward a career in surgery.

Abedi and his wife Courtney Markham-Abedi, MD, met in medical school and did a couple’s match. Lexington was not a first choice, but they were both invited to interview and decided to give it a try. From the beginning, it was clear that Lexington had something unique to offer.

“We stayed at the Hyatt downtown,” Abedi recalls of their first trip to Lexington for his wife’s interview with the Department of Psychiatry at the University of Kentucky College of Medicine. “The first night I was there I got on the elevator and there’s William Shatner. I said to my wife, ‘Something’s different about this place.’”

That carried over to his interview, where Abedi found that most of the existing residents were married with families, a rarity among the places he had interviewed. Lexington became the couple’s first choice, and they came to Lexington in 2002.

Abedi intended to specialize in cardiac surgery, but his first rotation was in vascular surgery.

“It was before the rules of 80 hours limits,” Abedi recalls. “I was on call every other day. I remember getting up at 4:30 in the morning to start rounds, and I would stay in the hospital every other day. Amazingly, I loved every minute of it.”

Abedi, who credits much of his success during his residency to Eric D. Endean, MD, FACS, went on to perform his vascular fellowship at the University of Kentucky College of Medicine from 2007–09. Later in 2009, he joined KentuckyOne Health Surgery Associates, where he currently practices with seven other physicians.

Most of Abedi’s patients have chronic diseases such as COPD, coronary artery disease, hypercholesterolemia, hypertension, and diabetes. Most are over the age of 60, but many are also in their 40s or 50s. “I love these patients because I can drastically improve their lives,” Abedi says. “I can take them from being unable to get out of bed and walk into their kitchen to being able to comfortably walk in a grocery store and take care of themselves.”

Saving Lives and Limbs

One of the emerging changes in endovascular surgery is treatment of ruptured aortic aneurysms. Survival rates of such patients have historically been very low, but Abedi reports that he’s experienced great outcomes treating ruptured aneurysms with a stent graft.

Abedi also points to progress in the treatment of peripheral vascular diseases as being central to his practice. Frequently, such cases resulted in amputations, but emerging aggressive treatments are changing that outcome for many patients. “We don’t perform as many amputations now because, with advanced technology, we can open blood vessels that have been blocked for many, many years,” Abedi says, indicating that he performs a quarter of the open bypasses that he did just a few years ago. “That’s been a huge change in how many limbs we are able to save.”

Abedi prides himself on taking on the most challenging of cases. “The message I want to share with other physicians is that, if you have a patient that needs another vascular opinion, if they’re at the end of the road, I’d be happy to see them.”

Abedi sees KentuckyOne Health Surgery Associates continuing to grow and becoming “a larger, more robust vascular program” in the coming years. His goal is to establish a group of younger physicians who will want to establish roots in the community.

Being part of the community and establishing a solid home life is important to Abedi. He never forgot those thoughts he had as a child, wanting to make sure that he would be there for his family. Now, with a wife and three children, Abedi is staying true to his word.

“I’m not my father,” he says. “Even though I’m a vascular surgeon and have a very busy practice, I’ve been able to dedicate a lot of my time to my family. I have three very active kids. I spend a lot of time with my kids, and I think I’ve found my calling.”

In medical school, it’s like you turn on a switch and all of a sudden a magnet is drawing you in one direction.

We don’t perform as many amputations now because, with advanced technology, we can open blood vessels that have been blocked for many, many years.– Dr. Nick Abedi

KentuckyOne Health Surgery Associates KentuckyOne Health Office Park 1401 Harrodsburg Road, Suite C-100 Lexington, KY 40504 P 859.276.1966