Justin Sacks MD MBA FACS

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Justin Sacks MD MBA FACS

Justin Sacks MD MBA FACS

@JMSacks

Professor&Chief,Plastic and Reconstructive Surgery WashU in St. Louis School of Medicine/ @bjc_healthcare @wustlmed @washuplastics Head to toe Surgery Innovator

St.Louis, United States Katılım Haziran 2009
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Justin Sacks MD MBA FACS
@edgaralandough Every day when you wake up ask yourself and answer two things: 1. Where are you going? and 2. Who is going with you? If you are satisfied with the answers to these two questions the world is yours. LG!
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CooperBaggs 💰🍞
CooperBaggs 💰🍞@edgaralandough·
I’m 32 now please give me advice if you’re older than me. I don’t care where you are from. Life advice, just one.
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Mike P
Mike P@mikepat711·
Andrej joining Anthropic kinda feels like when LeBron went to the Heat
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Pejjy
Pejjy@CuriousPejjy·
Not gonna lie, now that $TSLA stock is above $400, I think I will sit back and chill. Kind of getting tired of buying the dip especially for 5 years straight. I bought at $101, $150, all of the $200's & $300's and some of the $400's. I will load up on share again if it goes below $400 without a doubt of course but it's now time to relax and touch some grass. P.S. I said "I think I will sit back and chill"
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Justin Sacks MD MBA FACS
Reading this there is only conclusion we must draw as a species and that is Ad Astra (To the Stars) @elonmusk
Dustin@r0ck3t23

Elon Musk just said something that deserves far more weight than it’s getting. “How come we’ve not found any aliens? Trust me, I would know. We have not.” That’s not a fun question about UFOs. That might be the most unsettling thing ever said by someone who would actually know. The universe is 13.8 billion years old. Trillions of stars. Billions of habitable worlds. Civilizations with billions of years of head starts on us. And nothing. No signal. No probe. No artifact. Not even wreckage. The math says the galaxy should be so saturated with intelligent life we couldn’t miss it if we tried. Instead, every instrument we’ve ever pointed at the sky returns the same answer. Silence. Fermi asked the question in 1950. Where is everybody? Seventy-six years later, the answer hasn’t moved. Nowhere. Musk understands what that silence almost certainly means. They didn’t make it. Not one of them. Musk: “There is a certain probability that is irreducible that something may happen to Earth. Despite our best intentions, despite everything we try to do, there’s a probability that some external force or some internal unforced error causes civilization to be destroyed.” Irreducible. Not a risk you engineer away. Not a threat you legislate out of existence. Not a problem that disappears with enough funding or enough time. A certainty that only needs enough time to collect. Asteroid. Supervolcano. Engineered pandemic. Nuclear exchange. AI alignment failure. Or something no one alive has thought of yet. The specific threat is irrelevant. The number never reaches zero. We treat civilization like gravity. Like a permanent condition. Like it will always be here because it’s been here for every second of every life we’ve ever lived. The universe owes nothing to anything it built. Every civilization that ever arose on another world probably felt the same certainty we feel now. Looked at their own sky. Assumed tomorrow was guaranteed. They’re the silence. Musk isn’t building toward Mars because he’s bored or chasing legacy. He looked at the Fermi Paradox and reached the conclusion most people refuse to. Single-planet species don’t last. Not one. Not ever. Not across enough time. Mars isn’t an escape plan. It’s a second copy of everything humanity has ever built, thought, felt, and remembered. One copy of something irreplaceable isn’t a strategy. It’s a bet that nothing goes wrong on an infinite timeline. That’s not optimism. That’s negligence. The silence isn’t a mystery to solve. It’s a message we’re refusing to read. Every dead civilization had this conversation. Their own skeptics. Their own voices saying there was no rush. That silence is what “no rush” sounds like a billion years later.

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Dorothy Bailey
Dorothy Bailey@TheBarracuda·
When Tesla’s stock reaches 900 per share, I am going to buy my first Tesla. Do you think I will live long enough? I am 82 yrs old.
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Justin Sacks MD MBA FACS
High above Cayuga's waters...beautiful
Saganism@Saganismm

“When my husband died, because he was so famous and known for not being a believer, many people would come up to me-it still sometimes happens-and ask me if Carl changed at the end and converted to a belief in an afterlife. They also frequently ask me if I think I will see him again. Carl faced his death with unflagging courage and never sought refuge in illusions. The tragedy was that we knew we would never see each other again. I don't ever expect to be reunited with Carl. But, the great thing is that when we were together, for nearly twenty years, we lived with a vivid appreciation of how brief and precious life is. We never trivialized the meaning of death by pretending it was anything other than a final parting. Every single moment that we were alive and we were together was miraculous, not miraculous in the sense of inexplicable or supernatural. We knew we were beneficiaries of chance. . . . That pure chance could be so generous and so kind. . . . That we could find each other, as Carl wrote so beautifully in Cosmos, you know, in the vastness of space and the immensity of time. . . . That we could be together for twenty years. That is something which sustains me and it’s much more meaningful. . . . The way he treated me and the way I treated him, the way we took care of each other and our family, while he lived. That is so much more important than the idea I will see him someday. I don't think I'll ever see Carl again. But I saw him. We saw each other. We found each other in the cosmos, and that was wonderful.” — Ann Druyan

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Mike P
Mike P@mikepat711·
TSLA destroyed my retirement goals but here’s their technology driving my car out of the airport parking garage with a cheap little computer chip and some iPad cameras or something.
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Gali
Gali@Gfilche·
We are so close to the first customer Cybercab ride⚡️🤯 Can't wait for this moment
Gali tweet media
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Whole Mars Catalog
Whole Mars Catalog@wholemars·
Tesla’s unsupervised Robotaxi fleet is 30% larger than yesterday
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Justin Sacks MD MBA FACS
Justin Sacks MD MBA FACS@JMSacks·
Had all Computers used DOS when it was new in a floppy disc, Used modems, Coded Basic on a TSR-80, Sony Walkman, VCR, fax, internet, computers, starlink, AI Bought my model S in 2015 - still drive same car Wife has model Y with full stack FSD (she lets me borrow it sometimes and it drives me everywhere better than a human). Some of us know a secret. That is okay. Thanks TSLA for the ride of a lifetime @elonmusk
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Bradford Ferguson
Bradford Ferguson@bradsferguson·
Curious what folks think about this
Crossroads@Dr_Crossroads

$TSLA I've sold the last of my Tesla position. Tesla has been in a weird place for me for a while. I love the product. I am enamored with how amazing FSD (in a HW4 stack) is, and how excellent the vehicle is. My wife and I aren't likely to buy any vehicle that isn't a Tesla, and I'm already thinking of that nice upgrade (3-4 years from now) for my '22 Model 3. I also would love to own an Optimus at some point. I love the vision, the vertical integration, and wouldn't bet against Elon. Yet the stock is not the company. Tesla has always traded at a premium, but that premium is increasing over time. That's fine if it's in anticipation of significant future acceleration, but it's questionable when that happens. On the call, they stated, “over time, we expect our hardware-related profits to be accompanied by an acceleration of AI, software and fleet-based profits,” but were effusive on the dates. That's probably for the best, as Elon timelines usually need to be extended. Gross margins have improved, and the P/FCF looks like it's improving, but with the CapEx they're needing to do, this ratio will soon be negative. I don't mind buying a stock with extreme multiples, but I see easier opportunities with clearer runways for acceleration elsewhere. Tesla hasn't been a meaningful position for me for over a year, but I'm out for now. I'll still be rooting for the company (and shareholders) even while hoping the stock comes down to more reasonable levels where the R/R fits my portfolio better.

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Justin Sacks MD MBA FACS
Justin Sacks MD MBA FACS@JMSacks·
@DanBTC916 Safety is paramount. However, while we are cautious exponential improvement rushes forward like a tsunami!
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Dan ⚡️
Dan ⚡️@DanBTC916·
Quick thoughts on $TSLA Q1 2026 Earnings: It was a very impressive earnings report showing increasing gross margins, increasing demand, strong order backlog, FSD subscriptions, while topping Wall Street estimates. While top and bottom line beats are great, what matters is management commentary and outlook. Musk’s hesitation on Robotaxi/CyberCab and Unsupervised FSD showed a bit of uncertainty in timing. That was enough to fade the rally, retracing the entire post earnings rally. Now it looks like Tesla needs the rest of 2026 to scale Robotaxi as they are focusing on safety as a top priority to avoid accidents. Shared with subscribers that we don’t expect a V shape recovery due to the lack of significant Robotaxi scale, market skepticism, and many macro related headwinds. So this will most likely lead to an extended Wyckoff Accumulation where TSLA chops in a very wide range with every shake out causing sentiment to flip extremely bearish. We remain long term bullish on TSLA and continue to hold 100% of our shares. Due to the lack of clarify on Robotaxi Unsupervised, we had to make significant adjustments for our options. We will only add calls and LEAPs if highly confluent support is tested, while continuing to run our TWAP buy for shares.
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Mike P
Mike P@mikepat711·
Tesla is a 1.5T dollar publicly traded company that is all-in on future technology, and they are building at a scale and pace that is unprecedented for a company of their size. No public company in history has ever had investors who are just down to let them do shit like what Tesla is doing. It seems insane because it is, and we have nothing to compare it to because it is unprecedented. No private company has done anything like this at this scale either. Last night’s earnings call was boring af and uninspired, but the more I think about it, the more I realize it’s because there just isn’t anything to really talk about with Tesla on 3-month timelines. They go into those calls to check the box because the SEC requires them to, but what they’re doing right now isn’t something that really warrants 3 month updates. They are making huge bets that run on longer time horizons. As retail investors, it can feel tiring to hear Elon give us some timeline on a call, and then just casually adjust it without seeming like he feels bad about saying something that was completely wrong the year prior. But Elon doesn’t have time to give af about trivial nonsense like a couple whiny retail investors who didn’t get tendies in 6 months. Love that or hate it, but it’s just true. Dude is only thinking about the eventual outcome, and focusing on actions that produce those outcomes without worrying about who has their feelings hurt along the way. It’s a slog, but if you’re in TSLA you pretty much just have to accept this or move on. The major key is to just focus on the technology, and monitor their progress with infrastructure etc. can’t really pay attention to what they say to wall st or what predictions they make about when they land at point B. Just gotta watch the trajectory and decide if you want to ride the Hail Mary or not.
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Justin Sacks MD MBA FACS
Justin Sacks MD MBA FACS@JMSacks·
@mattvanswol We lost our way a little. Born in 1971. Have lived thru this all with kids now of my own. Social media has its pros and cons. Read books, go out and play, enjoy the real world (turning off my phone now :))).
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Matt Van Swol
Matt Van Swol@mattvanswol·
This video breaks my heart. Kids used to walk home from school. Without fear. Without phones. Without trackers. They walked to the grocery store and carried groceries home. Rode bikes and played. They left in the morning and came home when the streetlights came on. Nobody called. Nobody texted. Nobody pinged a location. Mom knew they were alive because they walked in the door starving at 6PM. They built forts out of scrap wood in the woods behind the house. They dug holes. They climbed trees. They fell out of trees. They got stitches and learned something. They played baseball in the cul-de-sac until somebody broke a window. Then they ran. Then they came back and knocked on the door. Then they worked it off mowing the neighbor's lawn. They walked to the corner store with a dollar. Bought a Coke, a bag of chips, and a pack of baseball cards. They knew every neighbor on the block. The mean one. The nice one. The one who baked. The one whose porch you didn't cut across. They had paper routes at 10. They babysat at 12. They worked summers at 14. They bought their first car with their own money at 16. They read books. They wrote letters (in cursive!!!) They memorized phone numbers. They knew how to read a map. They were bored sometimes, maybe even bored a lot, actually. And out of that boredom came imagination, invention, mischief, and a whole life of knowing how to entertain themselves. They ate dinner at a table. With their family. At the same time. Every night. Phones weren't there because phones were on the wall. They watched 3 channels. They watched them TOGETHER. They argued about what to watch, and then they watched whatever Dad picked. They went to church on Sunday. They lost games and didn't get a trophy. They failed tests and didn't get a retake. They got cut from the team and went home and got better. They had chores. Mow the lawn. Take out the trash. Feed the dog. Not for an allowance. Because they lived there. They respected their teachers. They stood when an adult walked in the room. They said sir. They said ma'am. They meant it. They had one best friend and five good ones and a whole neighborhood of kids who could knock on the door. Not a thousand followers. Not a group chat. A door. They grew up. And somewhere along the way, we decided all of that was unsafe. So we took it away.
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CooperBaggs 💰🍞
CooperBaggs 💰🍞@edgaralandough·
so much of adult life is just grieving in secret. grieving exes you don’t talk about anymore, grieving dead friendships, grieving parents who are starting to look older every day. it’s grieving the person you thought you’d become by now, the cities you never got to live in, and the parts of yourself that just... didn't make it. i keep thinking about how many of us are carrying around this heavy-ass grief that literally nobody sees.
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Mike P
Mike P@mikepat711·
I wasn’t there, but after many years, and many thousands of hours of music listening across many genres and eras, I have come to the following conclusion: The 80s >
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Reads with Ravi
Reads with Ravi@readswithravi·
Who still loves reading physical books?
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