We've all heard stories about someone who went in for surgery and came out...different. A grandmother who struggled with names after hip replacement, or an uncle who seemed foggy for months following cardiac bypass. But why does this happen to some people while others bounce right back?

This week, we explore this question with Dr. Martin Angst, a professor of anesthesiology at Stanford who's studying the biological factors that determine cognitive outcomes after surgery. With support from the Knight Initiative for Brain Resilience, Martin and his team are following hundreds of cardiac surgery patients, tracking everything from blood biomarkers to cognitive performance both before and after their procedures.

Their findings are revealing fascinating insights about what makes some brains more resilient than others when faced with the significant stress of major surgery - insights that could help physicians better advise patients and potentially lead to interventions that enhance resilience.

Read More

• Under the Lights: What Surgery Reveals About Brain Resilience (Knight Initiative for Brain Resilience, 2025)
• Infusion of young donor plasma components in older patients modifies the immune and inflammatory response to surgical tissue injury: a randomized clinical trial (Journal of Translational Medicine, 2025)
• Blood test predicts recovery after hip-replacement surgery, study finds (Stanford Medicine, 2021)
• Can major surgery increase risk for Alzheimer's disease? (Stanford Medicine, 2021)
• Plasma Biomarkers of Tau and Neurodegeneration During Major Cardiac and Noncardiac Surgery (JAMA Neurology, 2021)

Episode Credits

This episode was produced by Michael Osborne at 14th Street Studios, with sound design by Morgan Honaker. Our logo is by Aimee Garza. The show is hosted by Nicholas Weiler at Stanford's Wu Tsai Neurosciences Institute and supported in part by the Knight Iniative for Brain Resilience.

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