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T. Sloane Guy, MD, MBA Profile
T. Sloane Guy, MD, MBA

@sloaneguy

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Robotic cardiac surgeon 🤖🫀. Mitral valve repair & more. Patient & Team Advocate. Iraq & Afghanistan Veteran. @GaHeart_NGHS @myNGHS #GeorgiaHeartInstitute

Gainesville, GA
Joined March 2011
Don't wanna be here? Send us removal request.
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@sloaneguy
T. Sloane Guy, MD, MBA
4 years
Our team currently performs the world’s smallest incisions for mitral valve repair surgery using an endoscopic robotic approach with all percutaneous cannulation. Largest incision in the entire body is the 8mm working port (approx. the diameter of a pen)
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T. Sloane Guy, MD, MBA
4 years
This a patient one week after robotic assisted TECAB (totally endoscopic coronary artery bypass) @TJUHospital @JEFFsurgery by my truly great robotic OR team. Discharged the day after surgery. Not easy for surgeons to evolve but evolve we must to meet the needs of our patients!
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T. Sloane Guy, MD, MBA
3 years
Incredible story about a forgotten hero of civil rights, Claudette Colvin. Thank you @CNN for bringing this to light.
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T. Sloane Guy, MD, MBA
2 years
Amazing case @TJUHospital - robotic endoscopic removal of prior Mitraclip X 2 followed by Mitral valve repair with neochords and band, cryo MAZE, tricuspid valve repair, PFO and LAA closures. 8 mm working port and all percutaneous cannulation, extubation in the OR. @JEFFsurgery
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T. Sloane Guy, MD, MBA
1 year
Robotic mitral valve repair patient done yesterday discharged home today! Likely the first postoperative day 1 discharge after surgical mitral repair in the southern US and in Georgia! @GaHeart_NGHS @myNGHS @ACC_Georgia @GeorgiaAHA
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T. Sloane Guy, MD, MBA
3 years
John Pryor from @pennsurgery killed in Mosul, Iraq at FOB Diamondback. I was trained by him in trauma & replaced him in Mosul. Will never forget seeing the hole made by the mortar that first night - it was my 3rd tour but war was not real until that moment. RIP.
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T. Sloane Guy, MD, MBA
3 years
At Philadelphia airport doing medical triage of the first Afghanis arriving. Extremely happy to see this happening having been there years ago and given all that is happening there today. @PHLAirport @TJUHospital @JEFFsurgery
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T. Sloane Guy, MD, MBA
4 years
This is the spot where Dr. John Pryor lost his life when a mortar round in Mosul, Iraq struck. Shortly after, I replaced Dr. Pryor, my friend who had trained me. I felt guilt that his family would never step foot on this hallowed ground. Remember the fallen this Memorial Day.
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T. Sloane Guy, MD, MBA
2 years
Totally endoscopic robotic mitral valve repair with all percutaneous cannulation and 8 mm Airseal working port for endocarditis with A2/A3 anterior leaflet involvement. Pericardial patch repair with neochords and ring placed with v-lock sutures. @JEFFsurgery @TJUHospital
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T. Sloane Guy, MD, MBA
4 years
@SpeakerPelosi Speaker Pelosi I remember meeting you in San Francisco. I know your heart is in the right place. But we really need you and leaders on both sides of the aisle to stop blaming each other and playing politics and fix problems.
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T. Sloane Guy, MD, MBA
4 years
Sad to hear of passing of Dr. William “Bill” Norwood, mentor & pioneer in congenital heart surgery made famous for the the “Norwood Procedure” for hypoplastic left ventricle. He taught me so much. A genius who was under-appreciated as so many pioneers are. I miss him greatly.
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T. Sloane Guy, MD, MBA
1 year
Patient 5 days (yes days) after robotic mitral valve repair at the Georgia Heart Institute playing golf in Florida! Wow 🏌️‍♂️⛳️ This has been my dream to make this possible for patients.🤖 @myNGHS @GaHeart_NGHS @GaHeart_NGHS @ACC_Georgia @GeorgiaAHA
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T. Sloane Guy, MD, MBA
2 years
On this Memorial Day I want to thank my friend and colleague from @pennsurgery and @ArmyMedicine for his and his family making the ultimate sacrifice for our country. He died at FOB Diamondback in Mosul Iraq. He is not forgotten. Replacing him was the greatest honor of my life.
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T. Sloane Guy, MD, MBA
2 years
Happy to announce that I have accepted a position at the Georgia Heart Institute in Gainesville! Have greatly enjoyed working with many excellent colleagues at @TJUHospital and @JEFFsurgery and looking forward to this new chapter! @habib_samady @myNGHS
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T. Sloane Guy, MD, MBA
4 years
Our incredible team @TJUHospital @JEFFsurgery did a robotic mitral valve repair with 8mm AirSeal® port @CONMEDCorp & percutaneous cannulation. Largest incision in body 8mm (24 F). By far the smallest incision heart surgery ever performed in the world. Patient extubated in the OR.
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T. Sloane Guy, MD, MBA
5 years
Important to not discount the pressure placed on surgeons by referrings to operate. Unfortunately those applying the pressure often the same ones to judge when outcomes predictably not so good. And there is no specialty under greater public scrutiny!
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T. Sloane Guy, MD, MBA
7 months
It’s time for noncompetes to be eliminated. They are totally anti-free market and remove the only real power physicians have left - to leave without having to move. “The 'exploitative practice' of noncompetes: 5 key statistics”
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@sloaneguy
T. Sloane Guy, MD, MBA
3 years
This wonderful man underwent one of our country’s first totally endoscopic robotic aortic valve replacement and complex mitral valve repair by my team @TJUHospital ! 3 cm incision and all percutaneous cannulation! He is the real pioneer who bravely followed me to a new frontier!
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@sloaneguy
T. Sloane Guy, MD, MBA
3 years
Fantastic to be back doing heart transplants working with my awesome partner and outstanding surgeon, Dr. Howard Massey!
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T. Sloane Guy, MD, MBA
3 years
The @TJUHospital robotic cardiac surgery team had a great performance this week: 3 robotic endoscopic mitral repairs all discharged home on postoperative day #1 (day after surgery)! @JEFFsurgery #roboticcardiac
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T. Sloane Guy, MD, MBA
1 year
Happy to announce the launch of our robotic mitral valve program at the Georgia Heart Institute at the Northeast Georgia Medical Center! 1st patient discharged 2 days after surgery, seen here in clinic 6 days after surgery. With patient permission. @myNGHS @GaHeart_NGHS
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T. Sloane Guy, MD, MBA
3 years
Our robotic team @TJUHospital and this wonderful patient recorded his endoscopic robotic mitral repair today for the @AATSHQ meeting Master Class with @EdwardsLifesci : 8 mm working port, percutaneous cannulation, endoballoon, extubated in the OR! Posted with patient permission.
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T. Sloane Guy, MD, MBA
1 year
“…study suggests that patients operated as second cases are exposed to an increased morbidity and mortality probably due to fatigue, loss of attention and hurriedness in the operating room, and decreased human resources in the intensive care unit.”
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T. Sloane Guy, MD, MBA
4 years
I’m so proud of my son who is headed to @Bucknell_FB on scholarship. And now being recognized as one of the top athletes in New Jersey. And he has had incredible academic performance with a >4.0 GPA while taking AP and honor classes @DBP_Football
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T. Sloane Guy, MD, MBA
3 years
Happy Veterans Day to all my fellow veterans!
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T. Sloane Guy, MD, MBA
4 years
Another dream come true. With over 35 robotic cardiac surgeons worldwide we put together the most comprehensive online learning curriculum on the subject ever made. Fully available now including discussion sessions @STS_CTsurgery . Sign up and learn at
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T. Sloane Guy, MD, MBA
5 years
“Open-heart surgery was a postwar American invention, as miraculous as space travel and as bloody as the Battle of the Bulge.” Blue Babies, Big Egos, and the Wild World of Early Open Heart Surgery | Literary Hub
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T. Sloane Guy, MD, MBA
2 years
Pig heart transplant patient doing well weeks after procedure—he even watched the Super Bowl
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T. Sloane Guy, MD, MBA
5 years
Totally endoscopic robotic mitral repair, all percutaneous cannulation, 12mm working port and four 8mm robotic ports. Another happy patient who came from Pittsburgh to @TJUHospital @JEFFsurgery Posted with permission of patient.
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T. Sloane Guy, MD, MBA
1 year
The world of cardiac surgery is changing! This is our endoscopic robotic mitral valve repair patient we did live for the @GaHeart_NGHS CV symposium. He was discharged on day 1 and now day 3 for a checkup in clinic prior to heading home to NC!
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T. Sloane Guy, MD, MBA
2 years
Was truly wonderful to spend time with Virginia Campbell, my high school English teacher. In 9th grade every teacher except her told me I was not going to college. Would be nothing if she had not believed in me!
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@sloaneguy
T. Sloane Guy, MD, MBA
2 years
Really interesting article diving into the true financial value of house staff. On one neurosurgery service when the residency was closed 3 APP’s replaced each resident with each APP at over double the salary of each resident.
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T. Sloane Guy, MD, MBA
10 months
Excellent talk by Dr. Michael Acker from ⁦ @pennsurgery ⁩ on the evolution of cardiothoracic surgery training. Arguably one of our finest educators if not the best in our specialty, great to hear his thoughts ⁦ @ECTSS_CTsurg #ECTSS2023
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T. Sloane Guy, MD, MBA
2 years
These are the ports for my “no working port” robotic mitral valve repairs. The least invasive method of surgical repair ever performed. Still not sure if leaving out the 8 mm working port valuable or not but incredible we have been able to do this.
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T. Sloane Guy, MD, MBA
4 years
T2 I don’t think that graduating medical students early is such a great idea. Very few medical students are able to provide independent medical care upon graduation . #TSSMN #COVID19
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T. Sloane Guy, MD, MBA
5 years
Let me assure the public - if complications, especially unavoidable, become criminalized in the US, you will find yourself on your own when you get sick! Would definitely be the last straw. “Doctors avoiding risky operations due to prosecution threat”
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T. Sloane Guy, MD, MBA
5 years
ISCHEMIA simplified
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T. Sloane Guy, MD, MBA
3 years
I am very proud of my son @_Jake_Guy a freshman at @Bucknell_FB . He earned a scholarship and then a starting position at center. Despite a tough year for the Bison they learned much and a great future lies ahead for this young player and team!
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T. Sloane Guy, MD, MBA
1 year
Important for hospital administrators everywhere to read this & understand how physicians feel about the way we are spoken to and treated. It is time for administrators to get some coaching and start truly respecting us for doing what most of them could never handle.
@georgetolisjr
George Tolis
1 year
I did 22 pump cases in the last two weeks, but it is the stern email that my presence attestation statement in one of my op notes was delinquent and had to be done ASAP that really threw me off. Hard work is NOT the reason why physicians are burning out at alarming rates.
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@sloaneguy
T. Sloane Guy, MD, MBA
1 year
Robotic Cardiac Surgery Team 2023 at the Georgia Heart Institute! The era of the “rock star 🎸surgeon” is over and that of the “rock star team” is here! @GaHeart_NGHS @myNGHS
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@sloaneguy
T. Sloane Guy, MD, MBA
4 years
Totally robotic sutured coronary artery bypass grafting: How we do it
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@sloaneguy
T. Sloane Guy, MD, MBA
5 years
Back in Philly and shaking things up again! Routinely doing all mitral valve repairs with a totally endoscopic robotic technique including a 12 mm (yes, mm!) working port as largest incision and all percutaneous cannulation using ultrasound, TEE, and fluoroscopy for safety!
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T. Sloane Guy, MD, MBA
2 years
Wonderful to have such a fantastic fellow Dr. Daisuke Kaneyuki working with me in robotics and cardiac transplantation @JEFFsurgery @TJUHospital
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@sloaneguy
T. Sloane Guy, MD, MBA
5 years
@DavidLBrownMD By slowing repolarization, diltiazen slows the HR through the AV node. Do trainees still learn this classification system? It is quite helpful in understanding the differences in anti-arrhythmia drugs.
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T. Sloane Guy, MD, MBA
3 years
Wonderful honor today to immerse my mentor & former teacher @BavariaMd past president @STS_CTsurgery from @pennsurgery into the world of advanced robotic endoscopic mitral repair! Our @TJUHospital team did a phenomenal job! @JEFFsurgery
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T. Sloane Guy, MD, MBA
5 years
The uphill, hard-fought effort to grow endoscopic robotic cardiac surgery in the US has definitely been the road less traveled, but well worth it for countless patients who avoided large incisions for their surgery.
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T. Sloane Guy, MD, MBA
1 year
Spain Has Performed The First Lung Transplant With A Robot, Without Opening The Chest #roboticheartsurgery @IntuitiveSurg
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T. Sloane Guy, MD, MBA
2 years
Last official day employed by Jefferson is today. Will miss my team and many great friends and patients! On to the next exciting chapter in Georgia starting tomorrow!
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T. Sloane Guy, MD, MBA
3 years
Wonderful to see a patient who recently underwent endoscopic robotic mitral repair living his best life!
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T. Sloane Guy, MD, MBA
4 years
This is potentially a big deal - first one implanted in a person. “New Polymer Heart Valve Implanted in First Patient” |
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T. Sloane Guy, MD, MBA
2 years
Very excited for this years @STS_CTsurgery Robotic Cardiac Surgery Workshop @IntuitiveSurg training facility in Atlanta. Amazing speakers and hands on lab for all including mitral valve repair and coronary artery bypass!
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T. Sloane Guy, MD, MBA
4 years
Incredible advance in robotic cardiac OR teamwork @TJUHospital @JEFFsurgery with use of @quaildigital professional wireless headset system for the whole team. Creates a calm quiet environment and clear communication. We are just like Seal Team 6 now! Thank you @drbypass @drjeffk
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T. Sloane Guy, MD, MBA
3 years
Insightful - Interesting to speculate where the profession of cardiovascular surgery is. My opinion: The reason we slid left in recent times has been a relative lack of innovation. Advances in TAVR, TMVR, TEVAR, MCS, & robotics pushing us back to the middle! @AlanLumsdenMD
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T. Sloane Guy, MD, MBA
4 months
Amazing case where we removed a recurrent left ventricular myxoma after prior sternotomy and atrial myxoma resection and partial resection of the LV myxoma! All percutaneous cannulation, 8 mm ports only. Discharged day 3 and driving Memphis day 6!
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T. Sloane Guy, MD, MBA
5 years
Cardiac surgery requires a multidisciplinary team. The idea that only the surgeon impacts clinical outcomes is absurd, particularly today when the surgeon has little to no formal authority over team members. It's time for team outcome assessment & accountability! #Cardiology
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@sloaneguy
T. Sloane Guy, MD, MBA
4 years
Our @JEFFsurgery team first in world to use newly released @EdwardsLifesci IntraClude after voluntary Class I recall a year ago. It worked perfectly and we are thrilled to have this important and improved tool for robotic mitral valve surgery back for our patients! @TJUHospital
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T. Sloane Guy, MD, MBA
5 years
Another successful robotic TECAB @TJUHospital , LIMA-LAD, robotically sewn, three 7mm ports & two 12mm ports, beating heart, @Medtronic TE coronary stabilizer found on @eBay & held with @zimmerbiomet Walter holder, @IntuitiveSurg Xi robotic system. @JEFFsurgery
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T. Sloane Guy, MD, MBA
4 years
Here are the ports that I currently use for robotic mitral valve repair. All 8 mm ports only. All percutaneous cannulation. It’s the smallest incision open heart surgery being done in the world today.
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T. Sloane Guy, MD, MBA
4 months
Over 60 cardiac surgery cases completed with the Mantra robotic system from India!
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T. Sloane Guy, MD, MBA
4 years
Very cool
@thefuturisthq
The Futurist
4 years
Remote procedure by a London-based surgeon on a Californian banana! 🍌👨‍⚕️ #IoT #5G #MedicalTechnology #future #AI #ML #VR #AR #innovation #SmartCity
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T. Sloane Guy, MD, MBA
5 years
Early in my career, I witnessed a female pregnant surgeon colleague threatened with termination weeks after she announced. I stood up for her and was immediately attacked myself. I hope such stories become a thing of the past.
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T. Sloane Guy, MD, MBA
2 years
What a wonderful gift today from an amazing patient - endoscopic robotic mitral valve repair, 8 mm working port, all percutaneous cannulation, discharged the day after open heart surgery from @TJUHospital @JEFFsurgery . This is what keeps me going!
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T. Sloane Guy, MD, MBA
3 years
The tradition continues - medical student @mikcy326 @TJUHospital learning about heart transplantation just as I learned many years ago from Dr @bfrist !
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T. Sloane Guy, MD, MBA
1 year
Epic day! Postop day 1 robotic mitral valve repair patient going home today and speaking live about his experience to @GaHeart_NGHS CV Symposium attendees who watched his surgery live yesterday! @myNGHS @ACC_Georgia @GeorgiaAHA #CardioTwitter #GHVS22
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@sloaneguy
T. Sloane Guy, MD, MBA
5 years
Stanford Type A aortic dissection. Successfully repaired with percutaneous femoral artery cannulation (proglides x 2) and antegrade cerebral perfusion via 14F cannula in innominate artery with separate circuit with circulatory arrest. Head cooled to 21 C and body to 30 C.
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T. Sloane Guy, MD, MBA
3 years
A sad day for Philadelphia and @JEFFsurgery . We have lost yet another great Rosato surgeon and man.
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T. Sloane Guy, MD, MBA
3 years
“The key to good patient care is to care about the patient!” - Dr. Tyrone David 2021 #STS2021 @STS_CTsurgery
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T. Sloane Guy, MD, MBA
4 years
Pleased to announce the first ever @STS_CTsurgery Robotic Cardiac Surgery Online Course! Don’t miss this opportunity to learn about how to build a program!
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T. Sloane Guy, MD, MBA
5 months
“TAVI was associated with a 2.5-fold increased risk of death at 5 years when compared with surgery” TAVI, SAVR Almost Equally Performed in California Patients Under 60 |
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T. Sloane Guy, MD, MBA
3 years
One of the biggest problems in hospitals today is that physicians are held increasingly accountable yet have decreasing (if any) ability to hold any other members of the team accountable. The public needs to know.
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T. Sloane Guy, MD, MBA
4 years
COVID-19 will be tipping point for Telehealth. Time to fix ridiculous state laws that restrict telemedicine across state lines. ⁦You can phone a patient but no video in many states if no license in that state - how archaic! ⁦⁦ @JuddHollander
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T. Sloane Guy, MD, MBA
4 years
Yet another advantage of robotic surgery! 🤪 Disclaimer - occasional laughter a very important part of getting through tough times!
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T. Sloane Guy, MD, MBA
3 years
This wonderful man successfully underwent one of the country’s first totally endoscopic robotic aortic valve replacements plus complex mitral valve repair by my team @TJUHospital ! All percutaneous cannulation, 3 cm incision. @JEFFsurgery Posted with patient permission.
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@sloaneguy
T. Sloane Guy, MD, MBA
4 years
SOCIETY FOR VASCULAR SURGERY CLINICAL PRACTICE GUIDELINES FOR THORACIC ENDOVASCULAR ANEURYSM REPAIR (TEVAR)
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T. Sloane Guy, MD, MBA
1 year
Not sure why this is not getting more attention - “The researchers found that taking selective serotonin reuptake inhibitors (SSRIs) … associated with severe mitral regurgitation,” due to valve thickening.
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T. Sloane Guy, MD, MBA
1 year
So many hospital administrators these days. It’s an administrative “arms race”. I wonder what the ratio of bedside clinicians versus administrators is these days? 🧐
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T. Sloane Guy, MD, MBA
1 year
Great work by our team reporting the least invasive surgical mitral valve repair ever performed! “A New Frontier: No Working Port for Robotic Mitral Valve Repair” @Innovationsjour
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T. Sloane Guy, MD, MBA
2 years
Wonderful time exchanging knowledge with colleagues here in Latin America! @STS_CTsurgery @EACTS #LatAmCardiac2022
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T. Sloane Guy, MD, MBA
3 years
Cardiac Surgery and the Future - American College of Cardiology
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T. Sloane Guy, MD, MBA
10 months
Interested in adding robotic cardiac surgery to your practice? Consider applying for the Thoracic Surgery Foundation Advanced Robotic Cardiac Surgery Fellowship! https:// roboticcardiacfellowship @STS_CTsurgery @ThoracicSurgFnd
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T. Sloane Guy, MD, MBA
4 years
“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena,...”
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T. Sloane Guy, MD, MBA
4 years
Historic day - vaccinated for COVID-19! We are fighting back! Unbelievable a vaccine produced so quickly by @pfizer ! @TJUHospital @JEFFsurgery
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T. Sloane Guy, MD, MBA
1 year
@georgetolisjr It’s actually worse than that. If you look broadly at our profession and perhaps our society now, style is far more valued than substance. So many “big shots” are known to not be good surgeons but instead great talkers.
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T. Sloane Guy, MD, MBA
3 months
Was looking through my photos from my tours in Afghanistan today and ran across this picture of this amazing Afghan girl I operated on for scrapnel injuries. I wonder where she is today. I hope she is ok. I worry so much about all my patients.
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T. Sloane Guy, MD, MBA
4 years
What do you want to be during COVID-19?
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T. Sloane Guy, MD, MBA
4 years
To add to this historic case, the patient was the first ever patient discharged from @TJUHospital on post-operative day #1 after open heart surgery! Zero pain in part due to @AtriCure cryoablation technique we have been using.
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T. Sloane Guy, MD, MBA
1 year
Amazingly inspiring talk by the Reverend @MaxLucado on remembering our calling as cardiothoracic surgeons #sts2023
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T. Sloane Guy, MD, MBA
1 year
Speaking at the Houston Aortic Symposium on my favorite topic today! @memorialhermann @myNGHS @GaHeart_NGHS
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@sloaneguy
T. Sloane Guy, MD, MBA
4 years
Very proud of my son
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T. Sloane Guy, MD, MBA
1 year
Had the opportunity to meet Paula Miller, who was operated on by Dr. C. Walt Lillehei in 1961 for Tetralogy of Fallot at the South Atlantic Cardiovascular Society & Adult Congenital Heart Association meeting! Amazing to hear her perspectives. @ACHA_Heart @sacsconference
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T. Sloane Guy, MD, MBA
3 years
No question I would have enjoyed being a cardiac surgeon in this era of unbridled innovation!
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