Andrew J Sauer MD @AndrewJSauer Twitter profile

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Andrew J Sauer MD

3 years

My top ten tips for graduating fellows and faculty entering and continuing “early career” as I am transitioning into “mid-career”. A thread:

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Andrew J Sauer MD

@AndrewJSauer

10 months

🔥 this just in Patient could not afford SGLT2i that I prescribed for HF. Understandable and common challenge. Patient called insurance. Insurance directed patient to glimepiride which would cost $5 Patient wants Rx for glimepiride. This now requires 30 minutes of…

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Andrew J Sauer MD

@AndrewJSauer

4 years

A patient on my service died. I have spent hours now reviewing the case. Many lessons learned. But need to be honest. I feel like a failure. We don’t really talk about these feelings. We tend to dismiss them. Medicine is not just humbling. Sometimes it’s plain defeating.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Medical staff meeting to discuss “resiliency” just scheduled at 6:50 AM on Friday morning. 😳Wish I was making a joke. But no, just reporting reality.

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Andrew J Sauer MD

@AndrewJSauer

2 years

I just put in my note, “if the insurance company peer MD wants to deny my patient sac/val being Rx for symptomatic HFrEF with EF 30% this would be denying patient Class I guideline recommended therapy—which is malpractice.” #GDMTWorks Yeah, I’m going there now.

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Andrew J Sauer MD

@AndrewJSauer

8 months

@allisonoconn Disagree. It’s actually the best way to learn anatomy. And get some dissection skills. I honestly can’t think of an alternative. And every “dead human body” was donated with full understanding of what we would be doing. Gross anatomy is still a good thing for medical students.

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Andrew J Sauer MD

@AndrewJSauer

3 years

I will be stepping down as Section Chief effective July. My goals from then forward will be focused on clinical care, scholarly activity and innovations, as well as continuing to serve my family at home. I want to be a better Dad and take better care of myself. Lead in a new way.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Heart failure is more deadly than most cancer diagnoses. Let’s treat this disease with greater respect. Putting heart failure into remission means giving the disease our best fight. Carvedilol 6.25 and losartan 25 and see you next year is not our best. I’m here all day.

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Andrew J Sauer MD

@AndrewJSauer

4 years

Didn’t work on a manuscript, a presentation, or respond to an email today.

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Andrew J Sauer MD

@AndrewJSauer

4 years

For the new cardiovascular fellows about to begin, congrats on the new adventure! My ten tips to follow:

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Andrew J Sauer MD

@AndrewJSauer

3 years

Six months ago I saw a new patient with EF only 15%. Today, I saw him to give great news, no ICD needed because EF now 55% on BB, MRA, ARNI, SGLT2I. #FunctionNotFailure . #GDMTWorks @JJheart_doc @gcfmd @DrNasrien @JonathanDavisHF @gmac78 @dranulala @SJGreene_md @noshreza

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Andrew J Sauer MD

@AndrewJSauer

10 months

@cmmtchll It’s definitely a challenge and we do all we can to raise resources for assistance within the limits of the law and managed care. But to refer a patient to a completely different medication class is malpractice and insurance companies pull this nonsense too often

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Andrew J Sauer MD

@AndrewJSauer

2 years

Rounding tips for the new attending cardiologist. With a few 🥵 takes, focused on efficiency, IMHO after doing this many different ways for nearly a decade. A thread 🧵

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Andrew J Sauer MD

@AndrewJSauer

4 years

Heart failure cardiologists when somebody stops the spironolactone for K of 4.5:

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Andrew J Sauer MD

@AndrewJSauer

1 year

I honestly don’t remember my college GPA, MCAT score, or any USMLE exam scores anymore. I would call this a nice milestone.

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Andrew J Sauer MD

@AndrewJSauer

2 years

I have started meeting with a psychologist to get some help. I share this to encourage others who may benefit from the same. Honestly, I think everyone needs it. And we need to be more open about the challenges we face as healthcare workers having experienced moral injury.

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Andrew J Sauer MD

@AndrewJSauer

1 year

If the dermatologist can start spironolactone for acne without even checking labs, …perhaps you can stop discontinuing my patients’ spiro for K = 4.5 I’m here all day. @AHajduczok @DrMarthaGulati @RyanTedfordMD @ShelleyZieroth

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Andrew J Sauer MD

@AndrewJSauer

3 years

Diltiazem infusion or IV pushes for AF w RVR in acute HF. Let’s stop this. Thanks.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Doctors. Let’s not normalize giving up activities/hobbies outside of our job for the sake of some higher calling or duty we feel bound to. We are better humans because of our non-work passions and this makes us even better doctors. IMHO.

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Andrew J Sauer MD

@AndrewJSauer

2 years

What is your favorite heart failure therapy and why is it spironolactone?

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Andrew J Sauer MD

@AndrewJSauer

3 years

This is a happy looking immediately postoperative transplanted heart. I never stop being amazed at how these hearts just come back to life (almost every time). Miraculous.

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Andrew J Sauer MD

@AndrewJSauer

4 years

In medicine, we can’t save everyone. In fact, we don’t really save anyone. But the sound of a mother’s sobbing when facing the impending loss of her 24 yo daughter, who we cannot save—it’s really unbearable. This is what we witness. This is what we absorb. It’s hard sometimes.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Dr Fauci in 6 minutes. Watch a master communicator.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Well today I officially am 40 years old. My kidneys hurt more in the morning after a salty meal. And I’ve grown to know better the meaning of a legacy. Right here in these 3. Life is short. Very short. Enjoy the ride.

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Andrew J Sauer MD

@AndrewJSauer

3 years

I saw 26 patients suffering from heart failure on consult rounds yesterday. Truthfully, looking back on the day, no patient got my very best. Because having so little time with each patient is never the best. I am particularly haunted by the patients for whom prognosis was heavy.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Social determinants of receiving bystander CPR. Sobering results. Black and Hispanic persons were less likely to receive bystander CPR. Important work led by members of our group.

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Andrew J Sauer MD

@AndrewJSauer

1 year

Never forget, coronary arteries fill during diastole. The gradient is defined by 1. Diastolic AoP at the “top of the hill” and 2. LV diastolic pressures at the “bottom of the hill” A patient with low MAP and very high LVDP / PW may have coronary ischemia. Unload the LV.

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Andrew J Sauer MD

@AndrewJSauer

2 years

I’m saying this louder for the people in the back. SGLT2i are NOT nephrotoxic! They are actually kidney protective! Watch the GFR yes but don’t just reflexively punt the kidney saving medication because the creatinine bumped a little (as expected).

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Andrew J Sauer MD

@AndrewJSauer

4 years

I’ll just say it. Diltiazem kills patients with heart failure.

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Andrew J Sauer MD

@AndrewJSauer

2 years

😮- SGLT2i : 🔥 🔥 🔥

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Andrew J Sauer MD

@AndrewJSauer

3 years

Being told by insurance company I cannot prescribe SGLT2I for my patient with heart failure (reduced EF) until we have “tried metformin for 30 days” is today’s example of #moralinjury - watching patients suffer and even die needlessly due to lack of access to #GDMTWorks

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Andrew J Sauer MD

@AndrewJSauer

3 years

RHC for cardiogenic shock remains underutilized despite reducing risk for stroke, death, and readmission for HF. Check out our fresh press.

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Andrew J Sauer MD

@AndrewJSauer

9 months

26% of cardiologists are 61+ yo If only half of them retire in the next five years, will we fill the void with freshly minted cardiologists? Only half of AHFTC fellowship spots are going filled? 8 million HF patients by 2030 Burnout epidemic. What should be done?

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Andrew J Sauer MD

@AndrewJSauer

4 years

Last week I informed a critically ill patient’s mother that we had no more options and support had been maximized. I apologized for the limitations of medicine. And admitted the outcome was not in my hands. And then the patient recovered. We don’t control it all. #humbled

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Andrew J Sauer MD

@AndrewJSauer

2 years

I wonder if (and suspect) pharmacists on hospital rounds and in our complex disease clinics (VAD/transplant, etc) save more lives protecting our patients from Rx errors than just about any other member of the team. Thank you pharmacists. We need you! @K3_PO4

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Andrew J Sauer MD

@AndrewJSauer

3 years

A patient today refused to wear his mask over mouth and nose in our waiting area, claiming the mask wasn’t necessary, despite our clear policy otherwise. I went out to the waiting area and demanded he leave. He did. This is a place to get healthcare, #respect the care team.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Coffee reduces incidence of HF? Best news of the day.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Thrilled to announce I am joining my esteemed colleagues at @MidAmericaHeart starting July 11th! @MkosiborodMD and @jspertus have kindly committed support for 50% of my time to be devoted to research. I am joining a field changing program! #grateful

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Andrew J Sauer MD

@AndrewJSauer

8 months

An historic Class 1A recommendation for HFpEF. Expected but still remarkable. #ESCCongress @escardio Proud of the many who brought this forward for our patients. @MkosiborodMD @MidAmericaHeart @saintlukeskc

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

2 years

I now routinely work to start SGLT2i and MRA simultaneously for patients with heart failure. Ejection fraction independent. These are complementary therapies with solid evidence for all patients with heart failure. Using them together helps mitigate hyperkalemia risk.

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

2 years

When I was a kid, I struggled with introducing myself to other kids who I wanted to play with because I didn’t feel I would belong. Today, I still struggle with this. I have learned to push through my fear of being an imposter. So, if you struggle also— You are not alone.

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Andrew J Sauer MD

@AndrewJSauer

2 months

I don’t know who needs to hear this, but, after HF consults all week, this PSA: SGLT2 inhibitors: 1. Don’t cause the UTI 2. Protect the kidneys (in stable CKD) 3. Are safe and effective in elderly pts 4. Rarely cause ketoacidosis when patient not insulin dependent Thank you 🙏

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Andrew J Sauer MD

@AndrewJSauer

3 years

Clavicle fracture after older brother landed on her while climbing a chair. The hazards of being a toddler.

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Tips on basic approach to wealth building for early career physicians: a 🧵 (Disclaimer: I am not a financial advisory—seek professional assistance for specific questions)

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Andrew J Sauer MD

@AndrewJSauer

9 months

42 trips around the ☀️ My advice: Learn to say: “Thank you.” “I love you.” “I need help.” “I’m sorry.” Stay humble. Be kind. Have mercy. Stand for justice. And make it home for dinner.

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Andrew J Sauer MD

@AndrewJSauer

4 years

PA catheter: Gold Standard Again: Complete Hemodynamic Profiling With Pulmonary Artery Catheters in Cardiogenic Shock Is Associated With Lower In-Hospital Mortality | JACC: Heart Failure

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Somebody stopped spironolactone on my patient overnight for K of 4.5. So I feel it’s time to resurrect this old tweet. @DrMarthaGulati @JonathanDavisHF @RyanTedfordMD @JHMontfort10 @AHajduczok @dranulala @robmentz @mpsotka @hvanspall @docbhardwaj @ajaysmd @gmac78 @DrNasrien

Andrew J Sauer MD

@AndrewJSauer

4 years

Heart failure cardiologists when somebody stops the spironolactone for K of 4.5:

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Andrew J Sauer MD

@AndrewJSauer

1 year

If twitter dies tonight… …remember what happens when heart failure cardiologists witness you stopping spironolactone… …for potassium 4.5

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

4 years

VA-ECMO by itself does NOT “help the LV” in myocardial infarction. It loads the LV especially when running the speeds high. High preload, high afterload. Increased VT/VF and increased pulmonary venous pressures. The VA ECMO, without a drain, is to save the patient, not the LV.

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Andrew J Sauer MD

@AndrewJSauer

4 years

At the end of your life, you will remember the people who you were fortunate enough to love and you will remember how you made the world a little better than you found it. Invest in others. With reckless abandon. Because you can’t take any of the titles, power, stuff with you.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Once upon a time, one medical school gave a young man from Nebraska a shot at becoming a doctor, when all other medical schools did not. That young man was me. In an ocean of “no”… All you need is one “yes.” Thanks @UofR Meliora.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Big changes in proposed hemodynamics definition of pulmonary hypertension. 😮

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Andrew J Sauer MD

@AndrewJSauer

2 years

When I was a fellow training in the ICU to care for critically ill patients with heart failure, LVAD, transolant… …there was this nurse named “Sue” (pseudonym) who knew how to get the patients through the night… Most units have a “Sue”… Find him/her and pull up a chair.

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Andrew J Sauer MD

@AndrewJSauer

4 years

Legendary Dr Eugene Braunwald. And 70 years of heart failure therapies innovation. What a slide! @ShelleyZieroth

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Andrew J Sauer MD

@AndrewJSauer

2 years

Proud of our boys for getting COVID-19 vaccinated yesterday. So brave. Grateful we now have virtually no concerns about them becoming severely sick from COVID-19. Also, they are less likely to transmit and make others sick. #vaccinated

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Andrew J Sauer MD

@AndrewJSauer

2 years

Heart failure cardiologist watching people stop spironolactone for… K of 4.5

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

3 years

I’m only 3 hours into my day. I have spent 15 minutes each of 4 patients I have seen today convincing them of vaccination combating the misinformation campaign. This is exhausting and demoralizing that we are doing this now. An entire hour dispelling myths and begging for trust.

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Andrew J Sauer MD

@AndrewJSauer

1 year

Daddy-Daughter Dance Night

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

3 months

Daddy-Daughter Dance. 💃 🕺 2024

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Andrew J Sauer MD

@AndrewJSauer

3 years

Balance. We talk about it. But the dirty secret: it doesn’t exist. What’s worse, everybody on #MedTwitter appears balanced and accomplished with perfect marriages and parenting! This increases #impostersyndrome among doctors. My thoughts on balance in this thread.

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

1 year

@njohncamm @IRajapreyar 1. You changed her words. @DrMarthaGulati was discussing bias not discrimination or intentional delay. Poor debate form sir. 2. Your statement reflects a lack of awareness of the literature. 3. You claim there is “fabrication” — once again, an ignorant statement. Do better

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Andrew J Sauer MD

@AndrewJSauer

4 years

Thrilled to announce the @acgme has approved our fellowship program for advanced heart failure. Dr Bhanu Gupta will serve as our inaugural PD supported by our faculty. With more than 30 transplants and 45 VADs annually, plus robust innovations and research, why not consider us?

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Andrew J Sauer MD

@AndrewJSauer

1 year

Ok folks, I’m at three manuscripts rejected in a single week. 🤯 If you all need to know that success only comes after repeated failure, let me serve as Exhibit A for you. We get back up and try again! But it’s hard not to feel like an imposter today #ImposterSyndrome

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Andrew J Sauer MD

@AndrewJSauer

3 years

Not a flattering photo for me. Clearly. But I want you all to see Beatrix, who climbed up on my chest, “to rest” yesterday. With her favorite pal, a dragon. This. Is. My. World. Right. Here.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Goodbye 2020. 43 heart transplants. 50 LVAD implants. During a pandemic. Proud of how our advanced heart failure and heart transplant team stepped up to meet the needs of patients suffering from heart failure in Kansas and KC metro. @KUHospital @KUEVC_Simari @GregMGraves

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Andrew J Sauer MD

@AndrewJSauer

3 years

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.

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Andrew J Sauer MD

@AndrewJSauer

3 years

What is the most useless cardiac drug and why is it diltiazem? @menachem_j

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Andrew J Sauer MD

@AndrewJSauer

2 months

I look back at much of my life, and if I’m honest with myself, I’ve been chasing dopamine. Striving for: Top of my class. Latin letters. Honors. The pedigree. First author pubs. Podium time. Power. The paycheck. But the real treasure is purpose …right in front of me.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Fresh guidelines are out now! 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure - Journal of Cardiac Failure

2022 ACC/AHA/HFSA Guideline for the Management of Heart Failure

The “2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure” replaces the “2013 ACCF/AHA Guideline for the Management of Heart Failure” and the “2017 ACC/AHA/HFSA Focused Update of the 2013...

onlinejcf.com

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Andrew J Sauer MD

@AndrewJSauer

9 months

This take Richard Baron has on “a doctor who takes up photography” gives great insight into what ABIM and society leaders are thinking. They own your time. Since they know MOC cannot be done during normal work hours. Don’t take up photography or fly fishing until you done…

chadi nabhan MD, MBA, FACP

@chadinabhan

9 months

This Tue AM, I host the epic discussion btw @AaronGoodman33 and @RichardBaron17 on the MOC of the ABIM exclusively on #HealthcareUnfiltered podcast. This is a clip from the pod that U will NOT want to miss. It all started with a petition, now with >11k signatures. watch it all

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Andrew J Sauer MD

@AndrewJSauer

2 years

Today my patient who used to have a BMI of 50, now down to 25 after gastric sleeve and total overhaul of lifestyle including routine exercise, officially came off diuretics, anti-HTN meds, and even metformin (after coming off insulin). I was just #grateful to be her cheerleader.

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Andrew J Sauer MD

@AndrewJSauer

2 years

Our system will promptly pay for an ICD after 3 months of homeopathic dose generic ACEI but won’t pay for the legit dose of ARNi that can reverse remodel the LV to the point of not needing ICD at all. Insanity.

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Andrew J Sauer MD

@AndrewJSauer

4 years

10. Give a shit. The most important of all. Nothing is more disturbing than the fellow who cares less about the patient than others on the team. Patient dying? Be present at the bedside? Diagnostic dilemma? Be Present. Interesting pathology? Be Present. Crazy procedure? Present.

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Andrew J Sauer MD

@AndrewJSauer

10 months

Obesity phenotype in HFpEF STEP-HFpEF evaluates semaglutide and will be presented by @MkosiborodMD of @MidAmericaHeart at @escardio as a 🔥 hotline LBCT See you in Amsterdam.

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Andrew J Sauer MD

@AndrewJSauer

1 year

6 months ago, I saw this patient, 30ish woman, with acute HFrEF in my clinic. EF 25% Started sac/val, furosemide initially. Brought back quickly, and then added MRA/SGLT2i. Brought back another month later, added carvedilol. APP titrate all to nearly max. Bets on EF?

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Andrew J Sauer MD

@AndrewJSauer

2 years

How I want to react when the spironolactone is discontinued for K of 4.5 @AHajduczok @RyanTedfordMD @DrMarthaGulati

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Andrew J Sauer MD

@AndrewJSauer

3 years

Yes. We had a VAD patient successfully deliver a baby! It can be done safely! @TravisAbicht @SunitChaudhryMD @gmac78 @RyanTedfordMD @igor_igorgosev @ajaysmd @tonkhueMdPhd @JHMontfort10 @DrNasrien @ShelleyZieroth

The VAD Journal

@TheVADJournal

3 years

@TheVADJournal is very proud to publish the first case of a successful pregnancy and birth in a patient with a centrifugal-flow left ventricular assist device. Check it out today!

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Andrew J Sauer MD

@AndrewJSauer

29 days

Breaking🔥 STEP-HFpEF-DM 🔥 Semaglutide (vs placebo) leads to more weight loss, improved health status (KCCQ-CSS), increased walking distance, improved glycemic control, reduced inflammation (CRP), reduced natriuretic peptides, reduced HF hospitalizations, with favorable safety…

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Andrew J Sauer MD

@AndrewJSauer

2 years

“Patient with EF 25% - stable on carvedilol 6.25 mg twice daily and losartan 25 mg fail. No changes. Follow-up in a year.” Are we doing the best we can for this patient suffering quietly from a disease with a prognosis worse than most forms of cancer? No. We can do better.

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Andrew J Sauer MD

@AndrewJSauer

3 years

I’m on HF consults this week and it is raining spironolactone wherever I go. I don’t even wait for the ejection fraction to get measured. If your JVP is up, you are getting spironolactone. #LetMeSeeYourJugular

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Andrew J Sauer MD

@AndrewJSauer

3 years

When the first patient your brand new heart program transplanted tags you on social media to announce his joyous 5-year anniversary. #priceless #grateful this is why we do this work. To give patients their joy back.

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Andrew J Sauer MD

@AndrewJSauer

3 years

Why do discussions on HF therapies so commonly get hung up on mortality while so many common #EPeeps and #IC therapies have no mortality benefit yet so readily endorsed and adopted?. 🤔 quality of life and rescued hospitalizations should matter for patients with HF, right?

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Andrew J Sauer MD

@AndrewJSauer

3 years

Best wishes on your journey. Thank you to so many who contributed to mine.

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Andrew J Sauer MD

@AndrewJSauer

2 years

My taxi driver is getting a free cardiology consult out of me. He’s smart. Now he plans to continue his atorvastatin he was on the fence before I got in the cab. #HFSA2022

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Andrew J Sauer MD

@AndrewJSauer

2 years

My top 5 milestones for 2021, as the year wraps (a thread): 5. Ten+ published papers. 4. Eliminated all consumer debt. 3. Reduced time/days at work by 10% 2. Achieved 150 rides/runs thanks to @onepeloton community 1. Grew relationships with friends and family. Unmeasured.

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Andrew J Sauer MD

@AndrewJSauer

3 years

As a transplant cardiologist, nothing is sweeter then telling a patient they most likely do not need a new heart because their existing heart is better with optimal #GDMTWorks . #HeartSuccess @MKIttlesonMD @DrNasrien @dranulala @robmentz @RyanTedfordMD @SusanJosephMD @ajaysmd

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Andrew J Sauer MD

@AndrewJSauer

8 months

🔥 BREAKING 🔥 @MkosiborodMD from @MidAmericaHeart ❇️STEP-HFpEF, semaglutide Obesity-phenotype HFpEF 🔆 Dual primary endpt. achieved 1. 🔼 health status (KCCQ) 2. 🔽 weight 3. 🚶 🔼 walk distance 4. Reduced NTproBNP The beginning of a new era of therapies for this…

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Andrew J Sauer MD

@AndrewJSauer

3 years

This girl is going to be whoever she wants to be. I guarantee it. And that’s why it’s important men support women in their vocational aspirations. Because every man knows a little girl with big dreams.

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Andrew J Sauer MD

@AndrewJSauer

2 years

I will continue to encourage all who will listen. Money is a tool. A means. Not an end. Use it to buy time with loved ones, experiences, sanctuary—to give your mind opportunity to wonder, to give your soul opportunity to fly free like the winds rushing over the mountains.

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Andrew J Sauer MD

@AndrewJSauer

2 years

After dinner photo with my kids the night before starting the new job. A reminder to myself, my number one job will always be the irreplaceable role of being their dad. #grateful

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Andrew J Sauer MD

@AndrewJSauer

2 years

My new home. @MidAmericaHeart #grateful to be here. @MkosiborodMD @jspertus @MichaelNassifMD @BrettSperryMD @jtsaxon @michaelleemain

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