Dr. Daniel Machleder is the latest doctor to join Vein Institute of Connecticut. He started with us in October, primarily working out of the Fairfield CT vein clinic. We sat down with Dr. Dan to learn a little more about him and his passion for helping people with vein disease.
Daniel Machleder, M.D., didn’t always know he wanted to be a doctor, but from a young age he did understand that his future would involve helping people.
In my senior year of high school I was treated for spontaneous pneumothorax (if you Google it, look it up, you’ll see it’s basically a collapsed lung) and was really touched by the care, demeanor and professionalism of my pediatric surgeon. I pursued a corporate and business career after college and although I enjoyed the work I really wasn’t getting the type of satisfaction I expected. I wanted to help people. So I went back to school to pursue medical studies.
I grew up in the Riverdale section of the Bronx in New York City, a place with people from literally every walk of life and socioeconomic position. I think that growing up in such a diverse environment really helped me develop empathy for people from all different backgrounds — each of us has a unique story to tell. Being a physician means that I am lucky enough to hear many of these stories, and even be a positive part of someone’s story at a potentially really sensitive time in his or her life. This is the aspect of “doctoring” that I cherish the most. At the end of the day, this is what I hope my legacy is to my patients.
In medical school, he quickly realized that treating vein disease would be his specialty.
I am a type of specialist called a vascular/interventional radiologist, meaning I am a board certified radiologist with additional fellowship training in minimally invasive procedures throughout the body. Most of them utilize image guidance, such as ultrasound.
Vascular/Interventional radiology appealed to me from the moment I first learned about it in medical school. What I love about my specialty and about treating vein disease is that it allows me to make potentially dramatic improvements in people’s lives through minimally invasive techniques. The procedures typically involve only small incisions so they are very easy on the patient and with a much reduced risk profile than older treatments. It allows me to combine my love for the human aspects of medicine – getting to know patients — with my love for working with my hands. Also, as a specialty, we are known to be creative and innovative in developing techniques and treatments, and I’m grateful that my training gave me that ethos. Treating patients with vein disease has been everything I hoped it would be when I decided to practice medicine.
Dr. Machleder creates a treatment plan for each patient based on a conversation about the specific issues the patient is dealing with.
I want patients to understand that a lot of people have vein disease. Many patients are reassured to know that their condition is not only common, but very treatable by a practice like ours with experience and expertise with the condition. At the same time, the condition affects each patient in a unique way, and success is measured differently for each patient. For some it means proper healing of debilitating venous stasis ulcers; for others it’s not having leg pain inhibit their ability to do their work; for others it’s being able to be as recreationally active as they’d like; and for others it’s feeling comfortable wearing certain clothing.
I hope my meetings with patients create a space where they can feel comfortable telling me their precise concerns. Then we can devise a suitable and tailored treatment plan.
I also want to make sure I give patients a full understanding about their treatment. For instance, vein disease cannot be treated in a single appointment. Venous insufficiency is a chronic condition — it takes time to progress to the point of causing problems and will take some time to treat optimally, usually involving a series of treatment sessions with appropriate follow-ups. Thankfully each treatment is relatively short and should not otherwise interrupt the patient’s schedule, but adequate and optimal treatment requires patience. The nice thing about this is that it allows us to build a relationship with each patient. For me, a satisfying outcome is when patients feel they have been a partner in their treatment course — that everything has been explained adequately, all their questions have been answered, no unpleasant surprises. And, of course, I want the clinical outcome to meet or exceed the patient’s expectation.
Dr. Machleder holds certification from the American Board of Radiology. He explains why he pursued this higher level of documented expertise.
The visible manifestations of venous disease are almost invariably the result of processes that are beyond the naked eye to discern — things that only medical imaging can see with accuracy. Being board certified in radiology means that I have undergone years of training in interpretation of medical imaging studies, including those related to the veins and arteries. Ultrasound studies of vessels are the baseline technique in diagnosing venous insufficiency. My additional fellowship training and post-training experience in vascular/interventional radiology means that I am well-trained and qualified in performing minimally invasive techniques using imaging guidance, and managing vascular disease in patients.
Dr. Machleder lived and studied in New York, but was attracted to Connecticut and the Vein Institute.
Dr. Afshar has created a great practice and has generated so many great results and so much patient trust, and has assembled a team of professionals that really works well together for our patients. The practice is really patient- and community-centric. We settle for nothing less than ensuring that not only do patients have a successful clinical outcome, but that their experience is pleasant and streamlined throughout — from minimal office wait times, to helping patients understand and talk with their insurance companies.
Connecticut is really beautiful. I love the New England vibe and charm. People are cultured, educated and sensible. Connecticut is my home now. I am blessed to have a young family, and I can’t think of anything better than coming home and doing bath-time and story time with my kids.
Think you may have a vein disease? Schedule a free consultation with Dr. Dan.
Board Certification: American Board of Radiology
Bachelors of Arts: Columbia College, Columbia University, New York, NY
Pre-Medical post-baccalaureate coursework: Hunter College, City University of New York, New York, NY
Medical Degree: Albert Einstein College of Medicine, Bronx, NY.
Residency: Radiology. North Shore-LIJ/Staten Island University Hospital, Staten Island, NY
Fellowship: Vascular and Interventional Radiology. Montefiore Medical Center, Bronx, NY