How do I schedule an appointment?
Click here for contact information.

What do I need to bring to my appointment?
Click here for forms that need to be filled out before you see a physician. These forms can be printed and filled out before your appointment to decrease waiting time. Wearing loose-fitting pants, skirts, or shorts make it easier to examine your legs.

How do I contact my doctor after hours?
If you think you are having a medical emergency, dial 911 immediately. We are available 24 hours a day, 7 days a week through our answering service. Click here for contact information and have us paged if your question or problem cannot wait until regular business hours.

Does a vascular surgeon take care of heart problems?
No. Cardiologists and cardiothoracic surgeons manage diseases of the heart. Vascular surgeons manage diseases of all blood vessels in the body outside the heart and brain.

What is endovascular therapy?
Endovascular therapy is simply another term for minimally invasive or catheter-directed therapy. We commonly use angiography, angioplasty, stents, and a variety of other techniques to re-open chronically occluded blood vessels and repair aneurysms. Endovascular therapy is heavily based on technology and imaging. We use only the latest technology, the newest stents, and state-of-the-art imaging.

What is the recovery time for my surgery?
This answer varies greatly with the type of surgery you are having. In general, endovascular therapy is outpatient surgery with a recovery time ranging from 2 to 6 hours. Venous procedures fall into this category. Aortic stent grafts and carotid surgery require overnight hospital stay. More invasive surgeries such as arterial bypass or open aneurysm surgery involve longer recovery times.

What does Board Certified mean?
Surprisingly, few surgeons that practice vascular surgery in San Diego are actually board certified in vascular surgery. The American Board of Surgery sets stringent requirements to qualify for the Vascular Surgery examination. In order to become board certified in vascular surgery, a physician needs to pass two written and two oral examinations in general and vascular surgery over a period of two years. Attaining a passing score in all four examinations is required before the board will grant certification to a surgeon. Both Drs. Rayan and Sedwitz are board-certified in general and vascular surgery.

I was referred to another specialist for vascular problems. What should I do?
Your health and the health of your family should be the most important thing in your life. Just as you would spend hours shopping for a television or an automobile, you should be sure that you are receiving the best medical care. Unfortunately most patients rely on the word of their primary care physician without doing much research on their own.
Is the doctor board certified in his/her specialty?
What imaging facilities are available to the physician?
How many procedures of this type have they performed?
Were they trained in this type of procedure or did they “learn it on the job”?
Do not be afraid to ask these questions or seek a second opinion at any time.

I have called the office for my doctor but have not received a reply. What should I do?
While we make every attempt to provide rapid and quality care to each of our patients, emergencies often cause unforseen delays. We cover the bulk of vascular surgery in three hospitals and Dr. Sedwitz also takes trauma call. Sometimes we cannot return calls as promptly as you might like. Please be patient. In the case of a prolonged or unreasonable delay, please call the office again.