Tom Rayburn

Cardiovascular surgery

[Tom Rayburn @RayburnTom]

@Allison_Dupont @georgetolisjr The data do NOT support that at all. The risk of SAVR after TAVI is improving but profound. SAVR first. Then TAVI. Sadly this paradigm is well circulated but adherence is really poor

[Tom Rayburn @RayburnTom]

@tristonsmithmd @benhibbertMDPhD That’s an admirable approach but you are in a small and rapidly shrinking minority

[Tom Rayburn @RayburnTom]

@georgetolisjr Did the heart team ever exist? Seems like a unicorn

[Tom Rayburn @RayburnTom]

@PLooserMD @PurumittalDr There is none

[David Blackett @idbusa]

There are people in my life who sometimes worry about me when I go off into the fields and streams, not realizing that the country is a calm, gracious, forgiving place and that the real dangers are found in the civilization you have to pass through to get there.
- John Gierach

[Tom Rayburn @RayburnTom]

@cpgale3 Power of placebo is mighty!

[Clint Hurdle @ClintHurdle13]

My son came home from karate with a white belt.

I asked what it meant. He said: "You know nothing. You have an opportunity to learn everything."

That stopped me cold. I was an MLB manager at the time.

Most leaders confuse experience with wisdom.

They've "seen it all" so they stop listening, stop asking, stop being curious.

But the leaders who last longest never stop being students. They have the White Belt Mentality.

Here are 3 principles of the White Belt Mentality.

Principle 1: Approach every room like you have something to learn.

The moment you walk in thinking you already have the answers, you've lost.

• Ask more questions than you give answers
• Seek out people who challenge your thinking
• Be the first to say "I don't know but let's figure it out together"

The leaders who stay curious outlast the ones who think they've arrived.

Principle 2: Your team will teach you.

When I was managing the Pirates, my best ideas didn't come from strategy sessions.

They came from conversations with players, coaches, and support staff who were closest to the problem.

I had to listen, not just wait to talk. Actually listen.

People tell you exactly what they need, if you're willing to hear it.

Principle 3: Build habits that force you to keep growing.

Staying a white belt isn't an attitude, it's a daily practice.

• Carry a journal and write down what you learn, not just what you do
• Spend a few months learning from one voice, book, or mentor, and then follow the seeds to the next
• Seek out people who tell you what you need to hear, not what you want to hear

The best leaders in any room aren't the ones with the most experience.

They're the ones still acting like they have the most to learn.

[Tom Rayburn @RayburnTom]

@melefante6 Tax

[Tom Rayburn @RayburnTom]

@VLSorrellImages @difersan2 @CASEfromASE @ASE360 How odd. How that migrated is a head scratcher given the operation.

[Tom Rayburn @RayburnTom]

@drjohnm Do I remember correctly that there was a CPT code before FDA approval ??

[Front Office Sports @FOS]

Over just a few weeks, Lane Kiffin nuked his carefully rebuilt image.

The Lane Kiffin soap opera is a black eye on college football—and it has exposed several hypocrites along the way.

Column by @MMcCarthyREV ⬇️

[Tom Rayburn @RayburnTom]

@BarstoolOleMiss The correct one. Should dock that coach

[Jaynit @jaynitx]

4. The Persona: Your mask is not your identity

The Persona is the social face you wear to survive, the curated self that wins approval and avoids rejection.

But the longer you live as your persona, the further you drift from the Self.

The danger: you succeed in the eyes of the world, but forget who you are.

Jung warned: the greatest psychological suffering is being alienated from your true self.

[Clint Hurdle @ClintHurdle13]

Humility is one of the best traits a successful person can have.

[Tom Rayburn @RayburnTom]

@LuisCastroMD You didn’t even have to infold the Sapien. That’s impressive! Medtronic valves where I see root issues but small sample size

[Tom Rayburn @RayburnTom]

@LuisCastroMD I see too much calcium extending from annulus onto AML to get all out in one piece. Nice photo.

[Dr. Gilbert Tang @GilbertTangMD]

Important finding on CT and fluoro showing 2nd TAV in Redo #TAVR were 100% underexpanded despite procedural optimization with pre and post dilatation. Time to rethink lifetime management strategy and consider #TAVR explant in low risk pts to avoid redo TAVR PPM ? @JACCJournals #JACCINT

[Tom Rayburn @RayburnTom]

@pomyers @JoChikweMD @MMarinCuartas @VictorDayan1 @mmamas1973 @STS_CTsurgery @annalsthorsurg @modine_thomas @DVervoort94 @dr_benoy_n_shah @MadalinaGarbi Truly frightening #indicationcreep