Andrew J Sauer MD Profile picture
Jun 27, 2021 12 tweets 2 min read Read on X
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.
3. Avoid adding consumer debt. Pay off consumer debt. Even if interest rates are low, debt enslaves you to a job because it makes you dependent on monthly income. Delay the new car. Consider a more minimalist lifestyle. Target experiences over stuff. Buy memories over things.
4. Write and speak. Both will make you think, reconsider, read, evolve, and better define what mark you make on the world. The written word is your mark on history. Think of it as part of the legacy you are fortunate enough to leave behind.
5. Live and work like you are dying. If you spend time observing and listening to dying patients (like those we see often suffering from advanced heart failure) you will see what I mean by this. Dying people never regret working less. Dying people regret loving too little.
6. Eat less. Move more. The science repeats the value of both of these mantras. Don’t get so busy that you comfort yourself with giving yourself excess. Don’t become physically, mentally, emotionally lazy. Keep moving.
7. Care about people. Truly. Always stay humble. You don’t know anyone else’s full situation or story. Be kind. Someday, maybe even today or tomorrow, you will need the kindness of another. Choose kindness. Choose to care.
8. Passion is worth it. Don’t let others shame you for being vulnerable and passionate about what matters most to you. Say no to what isn’t your passion. Be honest with yourself. Haters are out there. Ignore them. Surround yourself with those who embrace your passion.
9. Die on the right hill. Not every hill. But the right one. For the right reasons. For the right people. But choose to put the stake in the ground and hold the ground.
10. Get over yourself. This simple concept has so many layers. People are not thinking or talking about you as much as you think they are. They don’t care about you as much as you think they should. Think about how you can give to the world and make people part of your legacy.
Best wishes on your journey. Thank you to so many who contributed to mine.

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More from @AndrewJSauer

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
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
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
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
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
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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