Perfusionist: Center Stage

“Although Perfusion necessitates creative intervention, acting allows me to open an artsy creative side…” William Harris, CCP Editors Note: I think it’s pretty evident that perfusionists are innovative and passionate in their approach to life as well as work.  Most perfusionists are successful in other endeavors of their personal lives as well as their professional […]

Perfusion Life: Why We Do This

Editor’s Note: I do a lot of “why we do this” posts, not because it is rhetorical or thought provoking, but because we as a profession are pioneers as well.  In the past 40 years, the technological achievements in cardiac medicine defy belief at times, in that we have come so far- so very quickly. […]

HEROS! A Job Shadowing Experience

“I now understand even more why someone would want to go in this line of work; these men and women in the OR make a difference, together they do something incredible, literally life altering, they are nothing short of modern day hero’s.” Editor’s Note: This is a narrative from a future perfusion student who job-shadowed […]

My Perfusion Job Shadowing Experience: Day 1

Click HERE to view entire series 🙂 Editor’s Note: This is part 1 of what is going to be a 3-part series- the first two posts presented by a young, soon-to-be medical professional who job shadowed for two days with me.  The last will be a re-post of something I had written- that reflects the […]

My Perfusion Job Shadowing Experience: Day 3

Click HERE to view entire series 🙂 Editor’s Note: This is part 3 of what is a 3-part series- two posts are presented by a young, soon-to-be medical professional who job shadowed for two days with me.  This last post will be a re-post of something I had written- that was about this particular case- that reflects […]

Why I want to be a Perfusionist? I want to save lives.

Editor’s Note: I got this message in the comments section.  I don’t know exactly what the question is:  Looking to get into school- or just graduated and looking for a position? What is clear to me is that this was a very compelling narrative about our profession- So let’s help him / her out shall […]

Tunnel Vision

Causes Extreme fear or distress, most often in the context of a panic attack. During periods of high adrenaline production, such as an intense physical fight. Altitude sickness, hypoxia in passenger aircraft Exposure to oxygen at a partial pressure above 1.5-2 atmospheres, producing central nervous system oxygen toxicity, notably while diving.  Other symptoms can include […]

LVADers are all Test Pilots…

Editor’s Note: The title says it all.  Joshua is an on-line friend I met almost 2 years ago.  He has had a HeartMate II in for that entire duration plus I believe at least 1 or more years prior.  His story is amazing- and a year ago I did an interview with Josh.  I revisit […]

Salient Quips- From the Surgeon’s Lips

“Taken out of context- and without knowing the people in the discussion- the quotes themselves are intriguingly odd and non-sequitror.” Editor’s Note: Over the past few weeks I have been collecting a few odd catch phrases or comments being tossed around during the course of open-heart surgery. Taken out of context- and without knowing the […]

The Captain of the Ship Doctrine

He called me Che Guevara… Commonly known as “el Che” or simply “Che“. The implication was that I was too far to the left with liberal leanings, while working in the rarefied confines of one of the last bastions of entitled  blue blooded aristocracy- the open heart room. Homage here is not an option or […]

A Bridge to Transplant? How About a BRIDGE to Medicare?

1/2 a year shy of 65- MEDICARE hasn’t kicked in yet… STRANDED ON THE TARMAC Day:1 Day + Day + ACCESS… DENIED ! Day + Day + Day + Day + Day + Day + Epilog … RIP Click to Enlarge You Figure It Out …

Give Me One More Kiss… [Reprint]

Editor’s Note: Sometimes the smallest reveal- a brief second where you hear or see something- that pings back at you like a question mark for the future- Sometimes those moments are the hooks that we need to remind us of the life worth living … Give me one more Kiss & I will see you […]

9.11.2001

Photo by Paul Landsman, Clinical Coordinator at South Plains College School of Surgical Technology.  Lubbock, West Texas. Thanks Paul 🙂 911 is like a Genetic Memory It is burned into the context of our society. * It begs the question of when the number 911 was initially designated as the universal distress signal, if there […]

We Build OUR Castles …

Perfusion Nesting… I think so … Perfusion nesting. It is a science in-and-of-itself, and most of us do it. The Circuit has to be a certain way- One line over another- The exact number of pump clamps Hand towels a certain way Cardioplegia line wrapped and placed perfectly The mannifold food chain (my neo’s always […]

MicroCircuits & Rapping : [Reprint]

MicroCircuits & Rapping (Click Here if you want to skip to a list of posts) In the last 15 months, our institution decided to get aggressive about reducing our transfusion rate, and the numbers of patients that had postoperative bleeding issues. Originally our aim was to reduce the circuit size and use the integrated microcircuits […]

Heart Surgery for the Poor?

Got a Stent? Great… Can’t afford to pay for Plavix to keep it open? Welcome to your heart surgery. That pretty much sums up a surgeon’s feeling after a CABG on a 40-something year old. He sent me an email about a patient he read about, who got a stent to his RCA a while […]

Career Perfusionist: [4] What Makes a Perfusionist ?

If what you did yesterday seems big-  You haven’t done anything today…  – Lou Holtz “Becoming a perfusionist wasn’t a reflection of education as much as it was an investment in experience.” So this is a Perfusion Blog, and what does any of that have to do with us? Well to begin with- we weren’t […]

A Day In The Life… [3] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part III:  Getting Past Midnight :   ACT’s & Clots … 11:00 pm Somehow during the initial debriefing from the previous ECMO coordinator that I had taken over for, the question of reliability regarding our ACT  (Activated Clotting Time) came […]

A Day In The Life… [2] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part II:  The Setting … 9:00 pm Well it’s about that time.  The PICU is closed for business, onlookers, rubber-neckers, and pretty much any visitors not directly related to your patient, are ushered away- and the staff is settled in […]

A Day In The Life… [1] Reprint

24 Hours… of ECMO To view the entire “Day In The Life” series Click Here Part I:  Getting Started … 24 hours to the finish line, and all you can do is just hope you don’t trip and fall.  That pretty much sums up this ECMO run.  Just trust your feet, and don’t lose sight […]

The Joshua Story [2]

The Joshua Interview: (Click Image above to Visit Josh’s Website) Editors Note:  Josh is a HeartMate II recipient and is awaiting a heart transplant.  Please click here   if you are unfamiliar with his story and would like to see how we got to the point of doing this interview. On 06/09/2011 Hello Joshua, this is […]

When the Bullet Hits the Bone …

The title of this may seem odd, it is from a song back in the mid-80’s. It just popped into my head when thinking about writing this.  But today it seems an apt metaphor for this particular story.  It’s when reality hits,  the movie part is over, and life turns to get a bit more […]

Backing Up Nebraska …

  Satori Satori (悟り?) (Chinese: 悟; pinyin: wù; Korean 오; Vietnamese ngộ) is a Japanese Buddhist term for enlightenment that literally means “understanding”. In the Zen Buddhist tradition, satori refers to a flash of sudden awareness, or individual enlightenment, and is considered a “first step” or embarkation toward nirvana. Heart teams are in a constant […]

Perfusion Dreams

“The Knight’s Dream” painted by Antonio de Pereda Have you ever had a perfusion dream? You know, the kind where you are in it, working through a perfusion problem or cascades of problems? I have always wondered about dreams like that. Obviously never had any before getting into the field, but then every once in […]

Tunnel Vision

Causes Extreme fear or distress, most often in the context of a panic attack. During periods of high adrenaline production, such as an intense physical fight. Altitude sickness, hypoxia in passenger aircraft Exposure to oxygen at a partial pressure above 1.5-2 atmospheres, producing central nervous system oxygen toxicity, notably while diving.  Other symptoms can include […]

If What You Did Yesterday Seems Big…

IF WHAT YOU DID YESTERDAY SEEMS BIG, YOU HAVEN’T DONE ANYTHING TODAY.  – Lou Holtz So this is a Perfusion Blog, and what does any of that have to do with us? Well to begin with we weren’t always us. Most of your old-school perfusionists had probably worked in another healthcare related field for quite […]

Give Me One More Kiss…

Give me one more Kiss & I will see you later … For most of my perfusion career and the rest of various first-assisting O.R. positions I have held, I was always about the patient. I don’t suggest that there were any lapses- since I was always very proactive in reassuring patients if I noticed […]

Heart Surgery for the Poor?

Got a Stent?  Great Can’t afford to pay for Plavix to keep it open? Welcome to your heart surgery. That pretty much sums up my surgeon’s feeling after today’s CABG x 3 on a 47 year old. Our patient got a stent to his RCA a while ago, was put on Plavix, and basically couldn’t […]

The Joshua Story [2]

The Joshua Interview: (Click Image above to Visit Josh’s Website) Editors Note:  Josh is a HeartMate II recipient and is awaiting a heart transplant.  Please click here   if you are unfamiliar with his story and would like to see how we got to the point of doing this interview. On o6/09/2011, Teutonic 13 wrote: Hello […]

The Joshua Story [1]

A Bridge  to ? A while ago I got a tweet from someone I didn’t know at all… I don’t get a lot of major league support or endorsements from people that visit here, but certainly I have gotten plenty of encouragement. To get a comment like this, from out of the blue was a […]

Facebook, Twitter & CCP’s

The Online Perfusion Community Becoming a Community implies More than having the initials “CCP” in common… I encourage anyone that is interested- to consider Facebook as a personal option for staying in touch as a community.  It’s intriguing- the possibilities seemingly limited only by our imagination. It’s not like some heavy duty commitment or anything […]

Saturday Morning Brunch X

Peer Review Last Week of April, 2011 To see all the of the Saturday Morning Brunch series click here. Typically, Peer Review is associated with scientific publication and an established process for providing a baseline reference point by which to judge the legitimacy of research, the veracity of  a scientific point of view, and due […]

Yahoo’s, Cowboys, & Heart Surgeons

Sometimes … Ya Gotta Walk the Talk…. It isn’t that you really go from one place to another. It is more likely that the second your heart screeches to a sudden splat at 2:37 in the morning, the result of a storm you had no idea was brewing for the last few hours, it becomes […]

Saturday Morning Brunch IX

Perfusion Stress Easter Weekend, April, 2011 To see all the of the Saturday Morning Brunch series click here. I’ve been doing this awhile.  That means a lot of gearing up from 0-60 mph from a dead sleep, dealing with aggressive personalities, having your ego punished like a “Chuckie” rag doll thrown in a blender, merciless […]

Japan: Radiation and Bypass

How do you explain? An incredible sadness that is nameless until it happens to you? Clearly things in Japan are bad and getting worse.  I assume heart surgery hasn’t stopped.  But perhaps resources are getting stingy, and is there a need to be addressed? I certainly don’t know.  Any assist options?  Is it even needed?  […]

An I Phone for Every Pot?

The MidWeek Scramble… An I Phone for Every Pot? (Click Here if you want to skip to a list of posts) That is an interesting question reflective of the famous campaign promise of  “ A Chicken in Every Pot ”  made by  Herbert Hoover in 1928. It sounded good- but could it deliver? Of course […]

MicroCircuits & Rapping

MicroCircuits & Rapping (Click Here if you want to skip to a list of posts) In the last 5 months, our institution decided to get aggressive about reducing our transfusion rate, and the numbers of patients that had postoperative bleeding issues. Originally our aim was to reduce the circuit size and use the integrated microcircuits […]