Mark Mettauer

Early surgery in asymptomatic patients with very severe aortic stenosis led to a lower risk of a composite of operative mortality or death from cardiovascular causes at 10 years than conservative care. Full RECOVERY trial results: nejm.org/doi/full/10.10…

@NEJM @farkomd Duh!

@JordanBloomMD Have to perform a root enlargement. Cooley, et al greatly encouraged it

Taking my second 19mm mechanical valve of the week out today for severe patient prosthesis mismatch and panus. Patients always report being told that mechanical valves last forever...

Cardiac surgical societies should require all “experts” to turn in a case list before they can sit on a national meeting panel and lecture the audience about “how I do it” or “how I teach it”.

Dr. Rhonda Patrick drops a wild irony bomb on Diet Coke: You're ditching sugar to avoid insulin spikes and obesity... but aspartame (Diet Coke's main sweetener) reshapes your gut microbiome to favor bacteria that harvest glucose more efficiently — making you more prone to weight gain. Animal studies show causal links; human associative data backs it up. The very drink people use to "stay lean" can backfire by shifting gut bugs toward obesity-promoting patterns. One can occasionally? Probably fine. One (or more) a day? You're constantly nudging your microbiome in the wrong direction. The ultimate plot twist: Diet Coke might be sabotaging the exact goal it's marketed for. Ditch the aspartame or keep sipping? What's your take on artificial sweeteners?

@newstart_2024 Drink GIÓ!!! drinkgio.com

A former SpaceX engineer made an $80 plastic-free coffee maker Made in USA 🇺🇸

@farkomd 👀

Somedays are harder than others

@academicaorta @farkomd @MaherSabalbal Check this out also, please. onepointdialysis.com

@farkomd @MaherSabalbal As one my mentors used to say, ‘only the living can complain about dialysis’

For all Contrast induced enthusiasts. Have a read. Follow data, not dogma (quote from @farkomd )

@academicaorta @farkomd @MaherSabalbal May use that one?😃

@ldwijesinghe @farkomd @DentonCooley Absolutely! But Cooley would probably roll over in his grave, knowing that I use Castros now!

@MarkMettauer @farkomd @DentonCooley I would say use whatever technique works. Often I hear people say, 'I always do it like this,' or 'I never do it like that,' when in real life it pays to be adaptible to the vessel and disease in front of you at that time.

They get confused on the first three bites, and they feel it is blasphemous to go outside to inside on the artery ever, IMO

@thesurgerylife @farkomd @EvolveMedicus Thank you! I basically got tired of the Friday evening and weekend call for fistula disasters!

@MarkMettauer @farkomd @EvolveMedicus Good luck! rooting for you (as would any vascular surgeon and nephrologist)

@EvolveMedicus how are the flow rates?

@farkomd @theblanketdog Human testing not complete but confident these parameters will be met

@theblanketdog I believe they figured it out. But I’ve asked

CKD on the rise. Dialysis means ⬆️⬆️catheters, bleeding, & exhausted fistulas. Saw this single-puncture dialysis cannula. One access for inflow & outflow. Perhaps, less needle trauma, improved comfort, & better long-term access. Innovation for patients and sleep for surgeons

@thesurgerylife @farkomd @EvolveMedicus Human testing not complete but confident these parameters will be met

@farkomd @EvolveMedicus Would be game changer if its easy to use and good flow rates

@theblanketdog @farkomd Yes. Extensive development went into flow rates specifically

@farkomd We both know if the flow rate is reduced at all, nephro will never u$e it.

@farkomd @EvolveMedicus More than adequate. As we have not received final FDA approval and ongoing human testing is not complete, I cannot engage in specifics, but we are confident that the flow rates, recirculation percentages, and hemolysis are in line with contemporary two stick needle dialysis.

@EvolveMedicus brings you OnePoint! Check out single-stick for an improved outpatient dialysis experience. Soon to market pending final 510K approval by the FDA!! onepointdialysis.com

@EvolveMedicus onepointdialysis.com