1. Change is the Fabric of Life Evolution of INTERMACS & MCSD
INTERMACS 10TH Annual Meeting
James B, Young, M.D.
Study Chair
March 12, 2016

2. The Challenge of MCSD Surgery

3. MED-LVAD years ago
Follow up

4. ADVANCED HEART FAILURE

5. MCSD Evolution

8. PARADIGM SHIFT PARADIGM: example or pattern
Thomas Kuhn The Structure of Scientific Revolutions (1962)
Paradigm shift = “extraordinary” or “revolutionary” science
“…once a paradigm shift is complete, a scientist cannot, for example, posit the possibility that a miasma causes disease or that ether carries light.”
Science vs the humanities – how do you look at things?

10. Pope Julius II/Raphael – “School of Athens” 1510
Democratus
Heraclitus
Pope Julius II/Raphael – “School of Athens” 1510
JBY

11. CHANGE IS THE FABRIC OF LIFE
“To improve is to change; to be perfect is to change often”
Winston Churchill
“Even if you are on the right track, you'll get run over if you just sit there”
Will Rogers
Heraclitus – “…universal doctrine of change.”
Raphael – “School of Athens” 1510

12. Bye Bye Borders (RIP; 1971-2011)
Bob Dylan
“…you’d better start swimming or you’ll sink like a stone…for the times they are a-changin!”
(1964)
2006
Bye Bye Borders (RIP; )

13. Bob Dylan
“…you’d better start swimming or you’ll sink like a stone…for the times they are a-changin!”
(1964)
2006

14. Not the LEAD DOG? The view won’t CHANGE…