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Andrew J Sauer MD Profile picture
@AndrewJSauer
Sep 29, 2020 • 10 tweets • 4 min read • Read on X
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.
4/ My motivation for stepping aside has been known for some time by our administration as I have sincerely believed that building a program is not the same as growing it. As such, raising up a new leader has been a calculated part of the five year plan.
5/ My own new five year plan remains in evolution but I know I will remain highly satisfied with investing in our newly recruited faculty and continuing efforts toward innovation in heart failure devices, remote monitoring, and #telemedicine.
6/ I also have found rejuvenation in taking my personal health and #wellness into a much more serious focus as I approach my 40th birthday in 2021. With changes to my diet and @onepeloton my weight dropped from 212 lbs at my peak to a recent more lean low of 186 lbs.
7/ I also recognize the years with my kids ages 6, 4, and 2 are flying by. Bringing home the burdens of worrying about the transplant program outcomes has honestly been a challenge for me find appropriate boundaries with my family. True #confession
8/ As I have grown as a leader, as a human, as a man who has made many mistakes and learned lessons the hard way, the single greatest lesson is this...
9/ tomorrow is never guaranteed so...
10/ make no excuses, don’t wait for tomorrow. Make no small plans. And start today, not tomorrow. Find your why. Define your mission. Write it on the white board. Don’t apologize for being true to yourself. The mirror never lies. Be willing to look in the mirror and see the truth

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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
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
Andrew J Sauer MD Profile picture
Jun 20, 2020
For the new cardiovascular fellows about to begin, congrats on the new adventure! My ten tips to follow:
1. Get comfortable with echo scanning and interpretation quickly, even if you are not on echo rotation. Read your go to echo text book front to back in the first month. To be trusted as a CVD consultant you must speak echo.
2. For the sickest of patients, echo helps the least. Learn to stand at the bedside, labor over the clinical trends, discern with thorough examination, and get invasive hemodynamics when you feel like you are flying blind.
Read 11 tweets

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