Justin Sacks MD MBA FACS

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

[Justin Sacks MD MBA FACS @JMSacks]

"Except for hydrogen, all the atoms that make each of us up—the iron in our blood, the calcium in our bones, the carbon in our brains—were manufactured in red giant stars thousands of light-years away in space and billions of years ago in time. We are, as I like to say, starstuff." - Carl Sagan

[Justin Sacks MD MBA FACS @JMSacks]

@mikepat711 No FSD?! Cmon!

[Justin Sacks MD MBA FACS @JMSacks]

Technological convergence across multiple industries reflected in words from the 1800s. NFA, DYOR. @DanBTC916 @elonmusk

[Justin Sacks MD MBA FACS @JMSacks]

Exciting news in MedTech! I’m thrilled to share that our company Tissuelock has been selected for the MedTech Innovator 2026 Accelerator Cohort one of only 65 startups chosen from 1,835 global applicants (top ~4%).
Tissuelock was co-founded just one year ago in St. Louis by myself, Matthew Wood PhD, Xiaowei Li PhD, and Grihith Varaday. We emerged from our lab at WashU Medicine Washington University School of Medicine in St. Louis
in the Division of Plastic and Reconstructive Surgery/Department of Surgery WashU Medicine Department of Surgery. Special thanks to Washington University in St. Louis Office of Technology Management (Tech Transfer) Go OTM for helping us create an incredible biotech infrastructure at WashU and St. Louis.
We are developing a novel internal glue designed to eliminate surgical dead space, significantly reduce fluid collections, and potentially eliminate the need for surgical drains across a wide range of procedures in all parts of the body.
We’re honored to join this prestigious program, which offers elite mentorship, ecosystem access, and the chance to compete for $800K in funding. Thanks to American Society of Plastic Surgeons (ASPS) for all their support and guidance.
MedTech Innovator also launched the MTI Index a powerful new platform for discovering and tracking the most promising MedTech innovations.
Huge congratulations to all the selected companies! Looking forward to an incredible year of growth and impact. @WashU @washuplastics @washumedicine @ASPS_Members @ASPS_News @WashUOTM

https://t.co/EopRuCQgxE

[Justin Sacks MD MBA FACS @JMSacks]

@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!

[Justin Sacks MD MBA FACS @JMSacks]

@mikepat711 Bullseye

[Justin Sacks MD MBA FACS @JMSacks]

@teslayoda No fear

[Justin Sacks MD MBA FACS @JMSacks]

@CuriousPejjy You are chillin in the dip now :)

[Justin Sacks MD MBA FACS @JMSacks]

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.

[Justin Sacks MD MBA FACS @JMSacks]

@TheBarracuda @TicTocTick Lease one now then buy it when it hits 900 soon enough :)

[Justin Sacks MD MBA FACS @JMSacks]

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

[Justin Sacks MD MBA FACS @JMSacks]

@mikepat711 Ha!!!

[Justin Sacks MD MBA FACS @JMSacks]

@Gfilche @surfranchvibes You must be beyond excited and so well deserved!!

[Justin Sacks MD MBA FACS @JMSacks]

@wholemars @NevrEnoughX Bacterial growth :)

[Justin Sacks MD MBA FACS @JMSacks]

@farzyness 20. The whole stack.

[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

[Justin Sacks MD MBA FACS @JMSacks]

@bradsferguson Patience for the what the obvious technological future will be is not for everyone