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Robert Farivar

Sep 2, 2026

1:16
And I'm interested to hear what they tell a surgeon because, of course, they're from your guys' societies.
1:23
Yeah, the guidelines for me reinforced the practice that I had been following for about four or five years.
1:33
One of the things that shows up as a repeated theme in biology is it's better to prevent something from happening than to treat it after it started.
1:48
So what do I mean by that? It's better to prevent what I'd call at the molecular level is transcriptional activation than to try to inhibit the translation of the protein after it starts.
2:02
And, you know, molecular biologists will show you that if you add something like a steroid like dexamethasone to a bunch of cells before they start producing inflammatory proteins, it does a fantastic job at downregulating them.
2:18
If you put it on after it starts, they don't do as good a job.
2:23
And this is kind of what's happening in the heart when people go into shock.

19 MINS LATER

21:41
in your guys' approach, is that 5-5 the choice and you use it to get as good as you can? And then can you just pull that back, do surgery, and then push it back in after the surgery's over? Or how do you manage that part?

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