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Ryan D. Forsyth, PAC

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(Ryan Forsyth, PAC)

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Specializes in: Vascular Surgery

Professional interests include: arterial thrombosis, embolectomy, peripheral vascular disease, and more.

62 W 7TH AVENUE SUITE 420
SPOKANE, WA 99204

(509) 626-9440

Ryan D. Forsyth, PAC is in SPOKANE, WA specializing in vascular surgery. Ryan D. Forsyth, PAC is affiliated with Providence and PROVIDENCE HEALTH AND SERVICES WASHINGTON.

Office Locations

62 W 7TH AVENUE SUITE 420
SPOKANE, WA 99204

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Some issues Ryan D. Forsyth, PAC can help you with:

Angioplasty

Angioplasty is a common, minimally invasive procedure performed to restore blood flow in arteries and veins that have become narrowed or blocked. Age or illness can cause plaque to build up at certain spots within the veins and arteries, and if enough collects, it can restrict the flow of blood. Angioplasty uses a tiny balloon at the end of a small, flexible tube to inflate within the narrowed section and open it up again.

Angioplasty may be performed in several different areas of the body and for a variety of reasons, most often:

Peripheral arterial disease, which reduces blood flow in the arms or legs
Atherosclerosis, or general hardening of the arteries
Carotid artery stenosis, or narrowing of the arteries in the neck that supply the brain
Coronary artery disease, or narrowing of the arteries near the heart
Renal vascular hypertension, or narrowing of the arteries in the kidney, leading to increased blood pressure

During angioplasty, a patient is given a sedative while lying on a table under an x-ray machine. A catheter (a thin, flexible, and hollow tube) is inserted into the patient's skin in the arm or groin and guided into the blocked artery. Dye is injected via the catheter, and x-rays are used to position the tip of the catheter exactly at the blockage. The tiny balloon is guided through the catheter and inflated with saline. It pushes the plaque out of the way, squishing it against the walls of the artery. The balloon may be inflated and deflated several times to let blood pass by. A stent, a tiny tube of metal mesh like a spring, may be inserted to help keep the artery open. Then the x-ray is used again to check that blood is flowing properly, the catheter is removed, and the tiny incision is bandaged.

There are no nerves within veins and arteries, so an angioplasty is generally not painful. However, there may be some discomfort at the site of the incision and when the balloon is inflated. Overall, angioplasty is a very effective and low-risk procedure, useful for helping patients avoid more difficult bypass surgery.

Peripheral Bypass Surgery

Peripheral bypass surgery is a procedure that reroutes blood flow around a blockage in the arteries of the arms or legs. Atherosclerosis, or plaque buildup, can affect these arteries in a condition called peripheral artery disease or PAD. A thick, waxy substance composed of cholesterol and minerals builds up within the blood vessels, and in severe cases it can clog arteries. Without enough blood getting to the muscles, patients can experience weakness and pain. Peripheral bypass surgery opens up a new pathway for blood to flow where it is needed. Sometimes peripheral bypass surgery is used when arteries are damaged, for instance, by a severe injury. While it can be performed in the arms, it is most commonly done in the calf, knee, thigh, or hip.

During surgery, the blockage is identified, and an incision is made to expose the artery. The surgeon prepares a tube, called a graft, to be used as the bypass. Sometimes this tube is synthetic, and sometimes a piece of the patient's own vein or artery is used. The ends of the bypass graft are attached to the artery above and below the blockage. Now blood can simply flow around and continue on its way.

After a peripheral bypass, patients may need to spend a couple of days in the hospital while doctors make sure the bypass is working and not leaking. If the bypass was done in the leg, doctors may check the pulse in the feet to make sure blood is flowing well. Patients may experience some swelling in the area where they had surgery. Raising an arm or leg will help. Patients will likely be back to normal activities within 2-3 weeks.

Stroke

A stroke is a medical emergency that occurs when a blood vessel supplying oxygen and nutrients to the brain is ruptured or blocked. The brain cannot function without a steady supply of oxygen and nutrients, so when the blood supply to the brain is interrupted, even for a brief moment, brain cells begin to die. When a sufficient number of brain cells die, the brain itself can no longer function, meaning that strokes are very dangerous. Strokes can result in impaired movement, speech, cognitive ability, the impairment of important physical functions, and even death.

Anyone can have a stroke, regardless of age and health. Strokes are known to happen at random. However, certain conditions and behaviors can increase one's risk of stroke over time.

Risk factors for stroke include:

Heart disease
Older age
Smoking
Diabetes
High blood pressure
High blood cholesterol and lipids

There are two main types of stroke: ischemic stroke and hemorrhagic stroke. Ischemic stroke occurs more commonly and is when a blood vessel in the brain becomes blocked. Blockages are caused by blood clots and built-up plaque (deposits of fat and cholesterol), which leads to atherosclerosis, a condition where the blood vessels narrow and harden. The resultant restricted blood flow may lead to an ischemic stroke by blocking essential oxygen to the brain, causing the heart to exert more effort to pump blood.

Hemorrhagic stroke occurs when a blood vessel in or around the brain ruptures. The burst vessel leaks blood into surrounding brain tissue, causing irreparable brain damage.

Hemorrhagic strokes are less common and may occur from head injuries, brain aneurysms, brain tumors, and bleeding disorders, amongst other conditions.

Both ischemic and hemorrhagic strokes require immediate medical treatment. Medical intervention can prevent severe and life-threatening brain damage. Signs of stroke include:

-Disorientation or confusion

-Difficulty speaking

-Difficulty walking

-Impaired vision

-Weakness in the face, legs, or arms

-Severe headaches

When someone suspected of having a stroke reaches the hospital, the patient will usually receive a CT or other scan that provides an image of the brain. The scan results can reveal clotted or leaking blood in the brain. Physical exams, neurological exams, and blood tests may also be used to check for blood clotting and sugar. Treatment begins generally immediately if a stroke is detected.

Medical treatment for ischemic strokes includes a thrombolytic medicine which breaks up and disperses blood clots. This medicine can greatly improve stroke recovery and long-term health. However, the thrombolytic medicine must be administered as soon as possible to achieve these results. Other treatments for ischemic strokes are blood thinners and thrombectomy, a surgical procedure to remove a blood clot in the brain. Thrombectomy is performed by inserting a catheter (thin needle) into the artery to reach the blood clot and mechanically remove it. With the clot removed, normal blood flow to the brain resumes. Thrombectomy is typically performed at most six hours after a patient shows signs of a stroke.

Hemorrhagic strokes are treated with blood-saving medication and surgery. For a hemorrhagic stroke caused by the rupture of an aneurysm (blood vessel bulges), surgery to stem the bleeding aneurysm and vessel may be used. One surgical technique is stent-assisted coiling, which adds a stent (small wire-meshed tube) into the blood vessel to block the leaking opening of the aneurysm. A non-surgical procedure is endovascular coiling, where a catheter (thin, hollow needle) places a platinum wire coil at the spot of the aneurysm. The coil blocks bleeding and prevents the aneurysm from continuing to leak blood. These procedures are usually combined with blood-thickening medications. Blood transfusions may be administered if substantial blood loss has occurred.

Since stroke patients may have lost some essential functions while the blood flow to their brains was obstructed, both ischemic stroke and hemorrhage stroke patients may receive post-stroke rehabilitation to rebuild their physical and mental abilities. Some restorative treatments include occupational, physical, and speech therapy. Patients may also receive care from neurologists, who can assist patients in recovering certain brain functions and cognitive abilities, and rehabilitation psychologists, who may help patients with their emotional, behavioral, and cognitive recovery. Some stroke patients require lengthy rehabilitation and may never fully regain function, while others may recover more quickly. While the fastest recovery improvements are usually seen in the first three or four months, stroke rehabilitation can last for years.

If someone begins to show signs of stroke, contact emergency services and call 9-1-1 immediately since blood flow must be restored as soon as possible to help avoid significant brain damage. If an ambulance takes the person to the hospital, paramedics can initiate stroke treatment as soon as the patient enters the ambulance, allowing for more prompt medical intervention and care.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2012 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	50
hospital care	105
inpatient care	105

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2013 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	12
hospital care	35
inpatient care	35

2013 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	28
Female	22

**Age**
From 65 to 74	17
From 75 to 84	15
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2013

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	58
Depression	28
Chronic Kidney Disease	54
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	36
Chronic Obstructive Pulmonary Disease	38
Diabetes	58
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2014 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	118
hospital care	36
inpatient care	36

2014 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	91
Female	59

**Age**
From 65 to 74	61
From 75 to 84	53
85 and over	21
Less than 65	15

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2014

Hypertension	75
High Cholesterol	67
Stroke	7
Ischemic Heart Disease	57
Depression	21
Chronic Kidney Disease	44
Asthma	0
Osteoperosis	8
Atrial Fibrilation	15
Heart Failure	27
Chronic Obstructive Pulmonary Disease	25
Diabetes	39
Dementia	9
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2015 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	42
hospital care	37
inpatient care	37

2015 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	122
Female	88

**Age**
From 65 to 74	62
From 75 to 84	88
85 and over	22
Less than 65	38

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2015

Hypertension	75
High Cholesterol	70
Stroke	10
Ischemic Heart Disease	60
Depression	26
Chronic Kidney Disease	50
Asthma	15
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	30
Chronic Obstructive Pulmonary Disease	34
Diabetes	43
Dementia	0
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2016 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	62
hospital care	25
inpatient care	25

2016 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	52
Female	39

**Age**
From 65 to 74	42
From 75 to 84	27
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2016

Hypertension	75
High Cholesterol	65
Stroke	13
Ischemic Heart Disease	55
Depression	23
Chronic Kidney Disease	53
Asthma	40
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	36
Chronic Obstructive Pulmonary Disease	40
Diabetes	37
Dementia	16
Cancer	12

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2017 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	146
hospital care	17
inpatient care	17

2017 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	100
Female	63

**Ethnicity**
Non-Hispanic White	151
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	64
From 75 to 84	58
85 and over	22
Less than 65	19

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2017

Hypertension	75
High Cholesterol	66
Stroke	12
Ischemic Heart Disease	60
Depression	19
Chronic Kidney Disease	50
Asthma	0
Osteoperosis	7
Atrial Fibrilation	17
Heart Failure	35
Chronic Obstructive Pulmonary Disease	23
Diabetes	40
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2018 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	193
hospital care	28
inpatient care	28

2018 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	148
Female	80

**Ethnicity**
Non-Hispanic White	212
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	92
From 75 to 84	83
85 and over	28
Less than 65	25

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2018

Hypertension	75
High Cholesterol	67
Stroke	11
Ischemic Heart Disease	54
Depression	20
Chronic Kidney Disease	52
Asthma	0
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	28
Chronic Obstructive Pulmonary Disease	26
Diabetes	45
Dementia	10
Cancer	12

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	183

2019 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	122
Female	77

**Ethnicity**
Non-Hispanic White	185
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	85
From 75 to 84	78
85 and over	20
Less than 65	16

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2019

Hypertension	75
High Cholesterol	65
Stroke	12
Ischemic Heart Disease	54
Depression	22
Chronic Kidney Disease	54
Asthma	0
Osteoperosis	9
Atrial Fibrilation	16
Heart Failure	30
Chronic Obstructive Pulmonary Disease	26
Diabetes	45
Dementia	8
Cancer	13

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	132

2020 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	106
Female	62

**Ethnicity**
Non-Hispanic White	152
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	60
From 75 to 84	67
85 and over	17
Less than 65	24

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2020

Hypertension	75
High Cholesterol	61
Stroke	11
Ischemic Heart Disease	58
Depression	23
Chronic Kidney Disease	58
Asthma	0
Osteoperosis	0
Atrial Fibrilation	17
Heart Failure	37
Chronic Obstructive Pulmonary Disease	29
Diabetes	49
Dementia	13
Cancer	0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2021 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	78
hospital care	11
inpatient care	11

2021 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	80
Female	39

**Age**
From 65 to 74	44
From 75 to 84	45
85 and over	11
Less than 65	19

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2021

Hypertension	75
High Cholesterol	69
Stroke	0
Ischemic Heart Disease	56
Depression	22
Chronic Kidney Disease	53
Asthma	0
Osteoperosis	11
Atrial Fibrilation	15
Heart Failure	36
Chronic Obstructive Pulmonary Disease	24
Diabetes	44
Dementia	15
Cancer	15

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA during 2022 were hospital care and inpatient care.

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

doctor visit	66
hospital care	12
inpatient care	12

2022 Medicare Patient Data

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	63
Female	38

**Age**
From 65 to 74	34
From 75 to 84	39
85 and over	16
Less than 65	12

Conditions of Medicare patients treated by Ryan D. Forsyth, PAC in 2022

Hypertension	75
High Cholesterol	75
Stroke	21
Ischemic Heart Disease	55
Depression	24
Chronic Kidney Disease	49
Asthma	0
Osteoperosis	12
Atrial Fibrilation	33
Heart Failure	38
Chronic Obstructive Pulmonary Disease	35
Diabetes	44
Dementia	14
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Ryan D. Forsyth, PAC for Medicare patients.

The highest averages for the top procedures that Ryan D. Forsyth, PAC treated as in SPOKANE, WA were hospital care and inpatient care.

doctor visit	98
hospital care	34
inpatient care	34

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Ryan D. Forsyth, PAC.

**Gender**
Male	82
Female	51

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	63
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	50
85 and over	14
Less than 65	15
65 to 74	51

Average of Total of Conditions of Medicare patients treated by Ryan D. Forsyth, PAC From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Ryan D. Forsyth, PAC treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	68
High Cholesterol	61
Stroke	8
Ischemic Heart Disease	51
Depression	20
Chronic Kidney Disease	47
Asthma	5
Osteoporosis	5
Heart Failure	30
Chronic Obstructive Pulmonary Disease	27
Diabetes	40
Atrial Fibrillation	12
Cancer	9
Dementia	8

Education & Training

He is certified by the Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant and has a state license in Washington.

Board Certification: Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant

Licensed In: Washington

Affiliations & Hospitals

Ryan D. Forsyth, PAC is associated with these hospitals and organizations:

Providence

PROVIDENCE HEALTH AND SERVICES WASHINGTON

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Ryan D. Forsyth, PAC appears to accept the following insurance providers: Humana PPO, Aetna PPO, Wellcare Medicare (HMO), CIGNA PPO, Medicare Advantage, Interplan PPO, TriWest, United Healthcare, TRICARE, Regence Blue Shield, Medicaid, Humana, Cigna, United Healthcare Medicaid, OptumHealth Behavioral Solutions (United Behavioral Health), Providence, Humana HMO, First Health, Kaiser Permanente, Aetna Medicare PPO, Asuris Northwest Health PPO, Naphcare, Pacific Source Health PPO, Stevens County SheriffS Office, State of Washington Department of Corrections, Premera, Ferry County Jail, Evernorth PPO, Blue Cross of Idaho Health Service PPO, First Choice PPO, Regence BlueShield of Washington PPO and Interwest Health PPO.

Insurance Accepted by Provider includes:

According to our sources, Ryan D. Forsyth, PAC accepts the following insurance providers:

Humana PPO

Aetna PPO

Wellcare Medicare (HMO)

CIGNA PPO

Medicare Advantage

Interplan PPO

TriWest

United Healthcare

TRICARE

Regence Blue Shield

Medicaid

Humana

Cigna

United Healthcare Medicaid

OptumHealth Behavioral Solutions (United Behavioral Health)

Providence

Humana HMO

First Health

Kaiser Permanente

Aetna Medicare PPO

Asuris Northwest Health PPO

Naphcare

Pacific Source Health PPO

Stevens County SheriffS Office

State of Washington Department of Corrections

Premera

Ferry County Jail

Evernorth PPO

Blue Cross of Idaho Health Service PPO

First Choice PPO

Regence BlueShield of Washington PPO

Interwest Health PPO

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General Payments

These charts describe general payments received by Ryan D. Forsyth, PAC. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Janssen Pharmaceuticals, Inc	$24 XARELTO $24

**Types of Payments**
Food and Beverage	$24

Biography

Mr. Ryan Forsyth specializes in vascular surgery and practices in Spokane, WA. Clinical interests for Mr. Forsyth include thoracic outlet syndrome, portal hypertension, and iliac artery aneurysm. He is affiliated with Providence. He appears to be an in-network provider for Blue California, HealthSmart, and Coventry, in addition to other insurance carriers. He has an open panel in SPOKANE, WA according to Doctor.com.