Steve Driver

Father, Husband | Medical Director for Digital Health Strategy, Advocate Health | Interventional cardiologist | Presidential Leadership Scholar 2023

[Steve Driver @SteveDriver2032]

@CMichaelGibson It’s a problem. Clear advantages from more readily accessible information. But unintended consequences of being locked into screens & not focused on human beings in front of us. Having a scribe has materially changed this for me. The amount of extra eye contact is transformative.

[Steve Driver @SteveDriver2032]

What’s this? A wholly reasonable, levelheaded, and informative post on TAVR?!

Well said @drandrewsharp

[Andrew Sharp @drandrewsharp]

🧵There seems to be so much discussion on TAVR vs SAVR at the moment. Having implanted a lot of TAVI valves, but my job not being dependent on it (!) I hope I can post….moderately…. unbiased observations. /1

[Steve Driver @SteveDriver2032]

@elonmusk More Americans need safe affordable access to GLP1 agonists which will shift patients toward healthier food choices. At a critical mass, there would be spill over benefits to individuals not on GLP1s due to shifting consumer demands resulting in more healthy food availability.

[Steve Driver @SteveDriver2032]

@Jonathan_PaulMD @UChicagoMed @EliLillyandCo Love this

[Steve Driver @SteveDriver2032]

Just a couple of good boys 🐶 joining our team on #cardiology rounds @advocatehealth #PetTherapy #AdvocateHealth

[Steve Driver @SteveDriver2032]

Agree on the wiggle! Good guide support, long sheath if fem, guide liner, and a supportive wire - this is the way

[Jack Hall @aspergian1]

For IC FIT in July. RotaShock of RCA. 4.0 DES. Could not advance NC over Ironman wire. Re-introduced workhorse wire as "buddy wire". Pic shows NC on work horse. You can see the wire bias of the Ironman & understand why the 🎈 cath would not go.
Better solution is a Wiggle wire.

[Steve Driver @SteveDriver2032]

@Hragy I use it for length when I have a long lesion

[Steve Driver @SteveDriver2032]

Last day in cath lab w/ fantastic graduating fellow @PoojaMishraMD. In addition to learning more than you ever wanted about smoking cessation, you’re well on your way to being a terrific interventional cardiologist. Go get ‘em in your next adventure as an IC fellow @EndeavorHlth

[Steve Driver @SteveDriver2032]

Agree!

[Rasu Shrestha MD MBA @RasuShrestha]

Take a step back, so you can leap forward!

Perspective, is everything.

#lifehacks

[Rasu Shrestha MD MBA @RasuShrestha]

Take a step back, so you can leap forward!

Perspective, is everything.

#lifehacks

[Steve Driver @SteveDriver2032]

This is great and also the real story for every success. It’s all about the details

[Dan Hockenmaier @danhockenmaier]

The business school version of how Doordash gained market share so rapidly is through clever strategy: targeting the suburbs where others weren't operating, acquiring untapped supply.

That is not wrong, but it is also not all (or even most) of the real story.

The actual story is that the team executed relentlessly. They made deliveries just a little faster and more reliable every week. They scrutinized the quality of every one of their restaurants and dashers. They optimized cost out of the system and gave it back to customers in the form of Dashpass (which launched in 2018 at the start of this chart).

Over time, there was just better selection and faster, cheaper, more reliable delivery on Doordash, and consumers stuck.

Virtually every startup is like this. There is a neat version of the strategy that fits into a 5-minute case study. But get under the hood and you'll realize that a lot of success is just showing up with grit and attention to detail every day.

[Dan Hockenmaier @danhockenmaier]

The business school version of how Doordash gained market share so rapidly is through clever strategy: targeting the suburbs where others weren't operating, acquiring untapped supply.

That is not wrong, but it is also not all (or even most) of the real story.

The actual story is that the team executed relentlessly. They made deliveries just a little faster and more reliable every week. They scrutinized the quality of every one of their restaurants and dashers. They optimized cost out of the system and gave it back to customers in the form of Dashpass (which launched in 2018 at the start of this chart).

Over time, there was just better selection and faster, cheaper, more reliable delivery on Doordash, and consumers stuck.

Virtually every startup is like this. There is a neat version of the strategy that fits into a 5-minute case study. But get under the hood and you'll realize that a lot of success is just showing up with grit and attention to detail every day.

[Steve Driver @SteveDriver2032]

@hsuradi @RushMedical Have an 858 annulus in a Sievers 0 bicuspid. Older, high surgical risk. Considering 29 S3 + 4 cc. Concern for central AI in these cases if need to post dil further?

[Steve Driver @SteveDriver2032]

@Paddy_Barrett Stage I hypertension, defined in the 2017 ACC/AHA guidelines as >130/80 effects even more and those relatively small differences spread across very large populations make a big difference. Stage I HTN w/ low cardiovascular risk is perfect for lifestyle change

[Steve Driver @SteveDriver2032]

Why it’s called a snap dragon: video.

We grew these growing up in my family’s farm and greenhouse business. #flower #flowerphotography

[Steve Driver @SteveDriver2032]

@abdulaziz_radhi @tfj424 @Zayer_h @bandar2011_ @ABeneduceMD @sameergafoor @Mo_A_W @assiri99 @MogneeA @adnanalkhouli @FSQMD2 @pcr_online Post valve deployment, I don’t inject with the pigtail still jailed. Doubt this had anything to do with what happened here, but wondering if this is a usual practice at your institution or something different in this case.

[Steve Driver @SteveDriver2032]

@ShariqShamimMD @LuaySayed @ekgpdx @RajTayal2 @heartdoc45 @DrAmirKaki @chadialraies @BaoGTran @AKassier @dr_rothschild @raatassi @ramymandoMD My thought exactly. Any one individual could forget a step, but that’s why first operator, second operator, and rep all have to have eyes on the ball. It is a nice save though.

[Steve Driver @SteveDriver2032]

@djc795 @ShariqShamimMD @abadkhan2002 @Hragy @mirvatalasnag @DrRajeshG1 @DrRajeshVijay @mmamas1973 @Babar_Basir @nadig_cardio @serioustaurean @KPujdak @KardiologieHH @minhaskh @DrIHHashmi1 @Mitrovalvology Agree it’s elegant in its simplicity. I like the dumbbell shaped balloon & ability to sequentially add volume

Basing balloon size on height seems like something we could improve upon w/ CT & crossing w/ agilis & wire would feel more controlled. Wish I could use balloon by itself

[Steve Driver @SteveDriver2032]

@ShariqShamimMD @abadkhan2002 @Hragy @mirvatalasnag @DrRajeshG1 @DrRajeshVijay @mmamas1973 @Babar_Basir @nadig_cardio @serioustaurean @KPujdak @KardiologieHH @minhaskh @DrIHHashmi1 @Mitrovalvology Didn’t do many PBMV in fellowship either (just not much untreated strep infections as an underlying cause here). But have done a handful since. Seems like such odd technology in the age of TMVR, but here it is. Created this step by step cheat sheet for myself which may be helpful

[Steve Driver @SteveDriver2032]

! Look out for those simultaneous STEMIs. Plenty of radial access points though I guess. #CardioTwitter