“The Red Cell Highway: An Inside Look at Heart Surgery in America”

Editor’s Note: This book is halfway written, It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects relating to open heart surgery- from the perspective of a perfusionist. This book is a commentary not only on the intricacies of heart surgery, but openly […]

A Locum’s ScrapBook: TEAMING UP in Southern Indiana

Editor’s Note: To view the entire “Locum’s ScrapBook” series- click here My life is Family First and then Perfusion.  I switched from staff perfusionist to becoming a Locum’s traveler to make sure my kids and family would have a solid place to call home.  I travel because it puts me in charge of my life, it […]

Yahoo’s, Cowboy’s & Heart Surgeons: What are we made of?

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s & Heart Surgeons: A Pilot and a Heart-Lung Machine

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s & Heart Surgeons: “We Stop Your Heart to Keep You Alive”

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s & Heart Surgeons: Strange Encounters

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s, & Heart Surgeons: Epiphany

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

Yahoo’s, Cowboy’s & Heart Surgeons: “47906”

Editor’s Note: I am writing a book on an inside perspective on Heart Surgery in America.  I decided that I would release portions of this story as I am telling it- to see what you think.  We all have our stories about how we got here 🙂 It is in chronological order, so some of the […]

A Locum’s ScrapBook: New Hallways…

Editor’s Note: I’m doing some perfusion traveling as I am taking my show on the road.  As such, every once in awhile I will be dropping a few notes and pictures of places visited, and observations made.  In a sense, the beginning of a scrap book on Open Heart Surgery in America (and other places […]

2015 : A Perfusion Flash Mob

Editor’s Note: I have been doing this for 4 years now, and am astonished to see the outpouring of community spirit by perfusionists from all over the globe.  We used to not know each other :).  It reminded me a bit of a flash mob. A flash mob (or flashmob) is a group of people who […]

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 […]

PICU Nursing: Honing Your ECMO Skills

Editor’s Note: So I was @ Women’s & Children’s Hospital – here in West Texas, doing some platelet gel cases, when I decided to drop by the PICU to visit friends I hadn’t seen in awhile. The PICU staff was pretty thin- so I asked where everybody was- and found out they were conducting an ECMO wet […]

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 […]

The First Ever Artificial Heart Transplantation in Azerbaijan

Editor’s Note: A FB friend and colleague of mine, Cuneyt Imamoglu, from Baku, Azerbaijan, shared the story below of the ground breaking procedure performed for the first time in Azerbaijan. Cuneyt is very active on-line promoting perfusion dialogue and education. Thank you for sharing this Cuneyt 🙂 Frank   The first ever artificial heart transplantation […]

ICHF: Healing Hearts in Honduras

Click image to view this article. Editors Note: I have had the pleasure of getting to know Brian C. Forsberg MPH CCP, the team of ICHF, and interviewing Dr. Bill Novick over that past couple of years.  The “BabyHeart” blog is in my opinion, a very well written and insightful effort that brings us to […]

ICHF: Hope Renewed

Click image to view this article. Editors Note: I have had the pleasure of getting to know Brian C. Forsberg MPH CCP, the team of ICHF, and interviewing Dr. Bill Novick over that past couple of years.  The “BabyHeart” blog is in my opinion, a very well written and insightful effort that brings us to […]

Heart Surgery in America: Friday 10.0

Click HERE for the entire Series… Friday 10.0 A Day @ the Office:  Return to Sender… It takes a while to digest stuff- Yeah- did a heart today, and then another- first was an aortic valve replacement- second was a guy missing the last half of his right foot, who had lost his wife a […]

Heart Surgery in America: Thursday 9.0

Click HERE for the entire Series… Thursday 9.0 The Joshua Interview Question 1 Hello Joshua, this is Frank from Circuit Surfers. You contacted me via twitter regarding CircuitSurfers- and mentioned it was very innovative and that you liked it.  I saw your handle LVADone and assumed you to be a perfusionist, never actually considering to […]

Heart Surgery in America: Wednesday 8.0

Click HERE for the entire Series… Wednesday 8.0 We’re not “The Borg”… but we’re gettin’ there … The Borg are a collection of species that have been turned into cybernetic organisms functioning as drones of the Collective, or the hive. A pseudo-race, dwelling in the Star Trek universe, the Borg force other species into their […]

Heart Surgery in America: Tuesday 7.0

Click HERE for the entire Series… The Swine Flu: Day 1: In the middle of the dessert, sandwiched in the flat lands of West Texas, lies a small town that sits upon a giant aquifer. From the birds eye it is configured like a scrabble board of lights and streets perpendicular like a compass pointing […]

Heart Surgery in America: Monday 6.0

Click HERE for the entire Series… Monday 6.0 It Starts Here … Deconstructing the anatomy of an open heart  team is like reading the writing on a wall from some war memorial somewhere, remembering a lot of somebody’s, that were in a lot of battles somewhere, fighting for a lot of  something. Nothing stands out.  […]

Heart Surgery in America: Thursday 2.0

Click HERE for the entire Series… 24 Hours… of ECMO Past Midnight… Ghost Stories & What-Not 3:00 am Ghost stories So it’s 3 a.m. and the STS paper work has become a mountainous blur, our ECMO patient is on “cruise control”, the hive activity is down to almost nothing, and there is an empty room […]

Heart Surgery in America: Saturday 4.0

Click HERE for the entire Series… Saturday 4.0 The Aftermath The inevitable, as myocardial tissue that had been used to buttress the repair, itself became ischemic, necrosed and died. With it went the repair, and with that, the dam that had helped this man survive- failed and was now beyond the point of fixing.  We […]

Heart Surgery in America: Friday 3.2

Click HERE for the entire Series… Friday 3.2 Getting it Together You know how we all have our personal perfusion comfort zones? Cell saver in one spot, heater cooler with drug box on it, a nook for your clip board, drugs loaded a certain way?  It’s a way for us to condition ourselves in times […]

Heart Surgery in America: Friday 3.1

Click HERE for the entire Series… Friday 3.1 Not Quite Primed Some days in this field are a little gray.  Or is that grey?  not sure really, but as we have been told, perfusion is 99% boredom and 1% terror, or sheer tragedy… Well there is another part to that 1%- and it’s not terror, […]

Heart Surgery in America: Friday 3.0

Click HERE for the entire Series… Friday 3.0 Yahoos, Cowboys, & Heart Surgeons … 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 […]

Heart Surgery in America: Wednesday 1.4

Click HERE for the entire Series… 24 Hours… of ECMO Wednesday 1.3 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 to the forefront. What was […]

Heart Surgery in America: Wednesday 1.3

Click HERE for the entire Series… 24 Hours… of ECMO Wednesday 1.1 @ 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 for the long haul. Typical “nesting” behavior…  […]

Heart Surgery in America: Wednesday 1.2

Click HERE for the entire Series… Editor’s Note: This piece was written by Ms. Weng Puno-Baldeo, a perfusionist in the Philippines. Going to a battle unarmed, clueless and unprepared- Yes that’s me. I entered the world of perfusion by chance. Last 2011, I was offered a training in perfusion at the Philippine Heart Center while […]

Heart Surgery in America: Wednesday 1.1

Click HERE for the entire Series… 24 Hours… of ECMO 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 of the goal… If you are in […]

Heart Surgery in America: Wednesday 1.0

Click HERE for the entire Series… Day 1 Just one of those days.  Nothing scary on the horizon- and our desert world is getting watered 🙂 Loaded for Bear Torrential ?  Maybe not- but you never know when there will be some blood loss to be dealt with … One of those AAA cases with […]

Let’s Discuss… THE ZONE

Editor’s Note: As a followup to the prior post comparing Rock Climbing to Heart Surgery– I wanted to emphasize a certain aspect of a heightened degree of symmetry and awareness that happens when a heart team is completely in synch. It’s called “the Zone” and we have all been there at one time or another- […]

The Unique Similarities in Getting to the Finish & Surviving

Dr William Springer before the Presentation Open Heart Surgery IS RISKY- yet necessary for some people It saves lives But can take lives as well … It is a process that requires: Team Dedication Patient / Physician Trust Incredible Precision Professional & Personal Courage A Commitment to Overcome Challenges = = = = = = […]

Hybrid OR [3] Day 1 Debut

In Technicolor or Black & White ? Editor’s Note: Over the past year or so, a Hybrid room as been under construction, here in West Texas.  Being very close to one of the cardiac operating rooms- during this process, the sounds of drilling and hammering mix in with Pink Floyd, Annie Lennox, some “ya-done-me-wrong” Texas […]

Ventricular Hypertrophy & Perfusion

LVH :  Photo by:  Srinivas Rao @ Gruppo dei Perfusionisti!!! Ventricular Hypertrophy & Perfusion Subendocardial Q Determinants While subendocardial and sub-epicardial layers have the same determinants for blood flow, subendocardial layers are at greater risk from ischemia and infarction.  The deeper subendocardium is subjected to greater wall tension which then expresses as a metabolic requirement […]

It’s In The Eyes … What Perfusionists See

Hello Kittty … 🙂 Editor’s Note: Well in the OR it’s usually from the top of the head- to the mask that we focus on when communicating with our friends and peers.  A small space from forehead to the mask is usually all we see– sometimes the mask comes off- and then we see the […]

An Italian ECMO Transport

Click image to view source article Editor’s Note: I don’t know a lick of Italian, but the pictures were cool, the article was on an Italian perfusion FB group page, the concept is universal, and I wanted to put out an article in Italian to express the flexibility of this Circuit Surfers blog. It’s for […]

Circuit Surfers is 2 Years Old !

Why?  Cuz I think cool pictures are part of our lives … 2 Years … Wow !  Never really thought it would go this long- or that it went by so fast. First of all- Thanks all of you for joining and reading.  Slowly you guys started trusting or at least enjoying the site- and […]

There are 3 People that I would Like to Thank :)

The 1st is my wife- Kashmir Elizabeth Aprile– Who has supported my efforts- and reminded me of the bigger scale of what is happening here @ Circuit Surfers dot com. Her talks and support to me have been heroic- inspiring- and down to earth. She has reminded me of who I am – who we […]

Hybrid OR [1] The Genesis of

Meet Andrea…  One part of the beginning of the process- Editor’s Note: Over the past year or so, a Hybrid room as been under construction, here in West Texas.  Being very close to one of the cardiac operating rooms- during this process, the sounds of drilling and hammering mix in with Pink Floyd, Annie Lennox, […]

An Italian Peds Mission to Africa !

Editor’s Note: This is a very fun and unique video of the experiences of one Italian perfusionist on a pediatric heart mission to Africa. Dario Fichera has been a friend for quite sometime- and has been a constant source of encouragement and inspiration as the ‘Surfers blog grew up. The following is his video as […]

Slow Motion Calm: Stress During Open-Heart Surgery…

Cardiac Surgeon, William Springer-  running a half marathon. Editor’s Note: Have you ever noticed that when you are in a serious situation on bypass- or things start to go awfully wrong, that time seems to slow a bit, and you are actually accomplishing the tasks needed to fix the situation much faster than you perceive […]