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Andrew J Sauer MD Profile picture
@AndrewJSauer
Dec 22, 2019 • 4 tweets • 4 min read • Read on X
According to @propublica my profile of prescription behavior (CMS data 2016) reflects my number one Rx is spironolactone. I ❤️ spiro. #GDMTWorks. @gcfmd @IAmDrIbrahim @ShashankSinhaMD @yaleHFdoc @SJGreene_md @MKIttlesonMD @JonathanDavisHF @MichaelNassifMD @ajaysmd @JJheart_doc
projects.propublica.org/checkup/ if you want to check out your prescribing behavior.
I generally love #GDMTWorks and it pretty much tops my action list when seeing patients. Descending order of Rx below. Image
In reality this probably reflects me filling in gaps in therapy. Most of the patients I see are already on a beat blocker. I do a lot of swapping to S/V and adding spiro. Still way more K supplements than I would like. I generally hate metolazone.

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More from @AndrewJSauer

Andrew J Sauer MD Profile picture
Jun 20, 2022
@AHajduczok @DrMarthaGulati @DrJenniferCo_Vu @ShelleyZieroth @DrJMieres @mirvatalasnag A couple rules for myself:

1.

Don’t bring credit cards when shopping.

Use: Debit card or cash (even better).

Proven strategy to reduce spending impulse because you immediately feel the pain of reducing bank account. Credit spends don’t have same impact as deterrent.
@AHajduczok @DrMarthaGulati @DrJenniferCo_Vu @ShelleyZieroth @DrJMieres @mirvatalasnag 2.

If I haven’t worn it in the past year it automatically gets donated or sold at consignment.
@AHajduczok @DrMarthaGulati @DrJenniferCo_Vu @ShelleyZieroth @DrJMieres @mirvatalasnag 3.

Every season I go through all my clothes and shoes and force myself to get rid of one garbage bag sized pile of clothes/shoes. For me the size is a kitchen garbage bag, for others it may be more or less.
Read 9 tweets
Andrew J Sauer MD Profile picture
Jun 27, 2021
My top ten tips for graduating fellows and faculty entering and continuing “early career” as I am transitioning into “mid-career”. A thread:
1. Decide what you will be known for and why. Believe in extreme ownership. Don’t expect all to agree. The goal is not to be liked but to be respected for being authentically you. They will know then your name. And that matters.
2. Identify mentors who believe in you and support where you are trying to go. Mentors plural. Life coaches. Content experts. Early career and post retirement. Vocational. Best ones blow up your ideas to make them better and hold you accountable to your purpose and your family.
Read 12 tweets
Andrew J Sauer MD Profile picture
Sep 29, 2020
1 / Well, this is it, my final week as medical director of our heart transplant program. Please welcome Dr Andrija Vidic who accepts the new role, and as @UNOSNews #OPTN Primary Transplant Physician, October 1st. (a brief explanatory thread).
2/ More than five years ago @TravisAbicht and I left @NorthwesternMed @NMCardioVasc to begin a journey of developing a new comprehensive HF and heart transplant program @KUHospital making history reported by @KCStar in early 2017.
3/ We are presently at more than 40 LVADs implanted and 30 transplants for calendar year 2020 and we have enjoyed some excellent outcomes every year.
Read 10 tweets
Andrew J Sauer MD Profile picture
Aug 4, 2020
The votes are in, what did we learn? Keeping this simple. My ten brief points below:
1. Look for blue cells but also look for necrosis. More blue cells and more necrosis means more severe rejection by histopathology. While ISHLT grading is important, remember this is a spectrum so don’t rely on your pathologist to give you the answer to a clinical question.
2. It seems the survey reflects appreciation that this is bad. So how do you decide how to treat?
Read 11 tweets
Andrew J Sauer MD Profile picture
Aug 4, 2020
The votes are in, and what did we learn? Ten quick points below:
1. This is NOT normal.
2. Volume overload, restriction, RV or BiV failure can all be possible diagnoses.
Read 11 tweets
Andrew J Sauer MD Profile picture
Jun 21, 2020
Here’s my tips for freshly minted cardiology attendings. Fair warning, I’ve only got six years on you. Buyer beware.
1. Don’t immediately get into big debt. Don’t lease or buy a new car. Don’t buy a house on 100% financing. Don’t pay the minimum on credit cards. It’s foolish, and ultimately cliche. And unbecoming. And did I say foolish?
2. Find your why. Google the @simonsinek @TEDTalks. People don’t care about what you do or how you do it. Neither are inspiring. What is inspiring? Why you do it. That’s what people get excited about.
Read 11 tweets

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