Why We Do This: LVAD_one 2009 Days +

“So yes, we engage hope and strive to do our best, but our vision for this patient’s future is sometimes less than vibrant- for the reasons stated above.  Many of us have become LVAD pessimists.” 2009 days x 24 hours x 60 minutes = 2,892,960 minutes of life support… Editor’s Note: I think there is a tendency […]

A Locum’s ScrapBook: A Paradigm Shift- The Venous Reservoir Bag

A Venous Reservoir Bag System 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 […]

A Locum’s ScrapBook: How to Survive the Mayan Calander

Nadia Azuero, B.S., CCP, LP Editor’s Note: About The Author:     Nadia  has been a perfusionist for quite some time, and is a very active contributor here at Circuit Surfers. She is very talented, precise, and obviously committed to delivering extraordinary care to her patients. Nadia is currently practicing as a Solo Perfusion Contractor. To […]

A Locum’s ScrapBook: “I’ve Got The Lung!”

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 […]

Perfusion Iraq: Night Lights

Editor’s Note: Found this enlightening (no pun) innovation on the perfusion.com FB page. Submitted by:  Ahmed G. Sarfan Local machine light When we loss the support, we should go on.. Local HLM light designed by local Nasiriyah Heart Center team. Very nice 🙂

Perfusion IRAQ: Hussein Najim

“For the situation in my country made me a man in every sense and I was able to achieve what you dreamed it despite the difficult circumstances in which we live. I wish to live in peace.” Click to enlarge.  An amazing photo 🙂 Editors ‘Note: I have followed Hussein Najim’s FB page for a […]

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 […]

Why We Do This: [ 9 ] Diving With Dolphins

Editor’s Note: This is a a video of people that choose to live and interact. One of the many reasons that we as perfusionists do what we do- preserve and commit to lives we may not be familiar with- but lives that are to be cherished. Thanks for all you do 🙂 My best friend’s daughter- […]

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 2

Click HERE to view entire series 🙂 Editor’s Note: This is part 2 of what is a 3-part series- these first two posts presented by a young, soon-to-be medical professional who job shadowed for two days with me.   He is soon to graduate from a very prestigious university here in Texas, and has more than established […]

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 […]

We Look for Flat Lines ___________

Well, it was one of those days… Unspoken Silence: When everyone worries…  We Look to get past this morning’s -double-or-triple-valve-something, one step at a time. And they were hard steps. The double-valve-something reemerged as it had been canceled a couple of days prior. The unspoken,  shared concern- was that this was a case that had the […]

Heart Surgery in the PI: My Pump Support Drama

The Republic of the Philippines. Heart Surgery in the PI: The Republic of the Philippines Click image to view Weng’s FB page… My Pump Support Drama By Weng Puno-Baldeo = it was just a regular day in the o.r. after a vsd case the team dismantled the hlm, charged all the supplies used and preparing a […]

Diary of a Perfusion Slave: The Internship

Giorgiarobertandrea Isidoro COMING SOON Editors Note: Giorgiarobertandrea Isidoro is a student I met on FB a couple of years ago.  She has completed her perfusion training in Italy, and is going to do a perfusion internship in Rome.  She will pe submitting a picture diary of her life as a Roman perfusion intern, and all […]

Heart Surgery in India: “I Tied My Turban Myself”

Editor’s Note: This is a story written by an Indian cv surgeon I have written to on FB. It has a “Lawrence of Arabia” feel to it, and I enjoyed reading it very much- Thank you sir for the time and effort to share this tale 🙂 Dr. Harinder Singh Bedi  MCh,FIACS (Gold Medallist) Head […]

And Then Comes Sunday …

24 Hours… of ECMO New Beginnings   (To view the entire “Day In The Life” series Click Here) Jesse Shipman struggles to do a stretch during a therapy session with occupational therapist Megan Taylor at TrustPoint Hospital in Lubbock, Texas Tuesday, June 12, 2011. (Miranda Grubbs/ Lubbock Avalanche-Journal) To view the entire “Day In The […]

Mission Pictures from Cambodia: A Photo Essay by an Australian Perfusionist

Induction Editors Note: I received a series of wonderful pictures from a perfusionist in Australia.  They were stunning really- so I asked if there was a story behind them, as I wanted to put them in the Art Gallery- but was too intrigued by the photos themselves. So I got a response, and a very […]

Heart Surgery in Pakistan: An Interview with Abdul Qadeer Khan

Pakistan. Editor’s Note: This is part 1 of an introduction from Abdul Qadeer Khan, and his experiences as a perfusionist in Pakistan.  It is a very nice, well written letter and I want to thank you personally Mr. Khan, for you kindness and the time you took to share this with the rest of us […]

Perfusion Turkey: A Collage from Kosuyolu Hospital, Istanbul.

A Perfusion Conference, Turkey Editor’s Note: I was on FB and got a message from Mehmet Çetintaş, a Turkish perfusionist that I have seen online for quite awhile.  He asked me to post some pictures he took of his life as a perfusionist in Istanbul Turkey. By his count they perform (or have performed) : 142 […]

Perfusion Life: Our Similarities in Malaysia …

Click on image above to visit Malaysian Pefrusion Group FB page… Editor’s Note: I was surfing some Perfusion FB groups, and I came upon the pictures below and a post from a Malaysian perfusionist. The FB perfusion group is named Malaysian Perfusionist, and it has 95 members. It is another example of how similar our […]

An International Perfusion CQI Registry: American, Asian, European, ALL Countries are Invited.

To Join the International Perfusion CQI Registry-  cick image above Editors Note: This is a new platform for Quality Improvement. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB.  We are inviting perfusionists, groups, and institutional participation to develop a universal platform for identifying areas of concern […]

Chillin’ With Your Team

This is what the patients see when they’re looking up from the OR bed. 🙂 Editor’s Note: Not all things “Heart Team” involve an operating room environment.  To be effective you kinda have to actually like each other.  That to me is one of the the strongest pillars of team work and clinical excellence. You […]

Perfusion Glitches: Deprimed Cardioplegia Line

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note: This is a new Section. We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

From Saigon to Facebook: An Interview With a Veteran Perfusionist & a Veteran of Foreign Wars

“Be willing to work many hours, often times in a very stressful situation where the human life; both adult and infant are at stake.“ Click images to enlarge … Editors Note: There is a guy I work with down here in West Texas, who helps us out with ABG’s, art lines, monitoring, Swanns, IABP’s, and […]

Perfusion Life: Why We Do This [ 7 ] The Pets…

Editor’s Note: I’s Sunday morning!  And if you are tying it all back to a perfusion related topic- if you please- revisit the title:  “Why We Do This“.  Enough physics, physiology, selfless dedication, profound concepts, and what not-  today it’s back to basics, and a reminder of what drives us to become better at what […]

Perfusion Life: Why We Do This [ 6 ]

An Inspiring Duet 🙂 Editor’s Note: Chilling out on a Saturday evening.  And if you are tying it all back to a perfusion related topic- if you please- revisit the title:  “Why We Do This“.  Enough physics, physiology, selfless dedication, profound concepts, and what not-  today it’s back to basics, and a reminder of what […]

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 = = = = = = […]

Around the (Distant) Pump Room by Martin Gill, CCP.

An AMAZING Perfusion Publication ! (Contact Martin on how to Subscribe) Media Journalism by… Martin Gill: Perfusionist Editor (former), ANCZP Gazette email for subscription: martin.gill@health.nsw.gov.au (Children’s Hospital at Westmead, Sydney Australia) Editor’s Note: Martin Gill is a gifted writer and supporter of perfusion international relations and improving perfusion practice- wherever it may be. He has […]

Street_ECMO

Click images to enlarge Editors Note: I got an email from my overseas friend, Dario Fichera, an Italian perfusionist that is very involved in the international perfusion community. (Dario has been involved in perfusion mission work to Africa .) Below are some pictures of a mobile ECMO (Street ECMO) emergency aid station that the Italians […]

Circuit Surfers LIVE… On SiriusXM : Life Happens …

My Daughter … Hey guys- Am gonna be on a radio talk show tomorrow ! (Saturday the 30th) morning @ 10:00 am Lubbock time (11:00 am EST) Channel 107  SiriusXM Stars The Judith Regon Show 10 am – 12pm http://www.siriusxm.com/stars Editor’s Note: This is a story of a perfusionist who hit some hard times and […]

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 […]

Mentors & CPB

We ALL have our stories … Colleen There was a moment when I heard the words “a Zero pressure- and v-fib is INCOMPATIBLE WITH LIFE !” And she was right.  She meant it.  She meant it every single moment that you were dedicated to a pump run.  I would see her at the end of […]

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 […]

Heart Surgeon Reluctant to Leave Sudan for Oscars

Click images to enlarge Editors Note: I got an email from my overseas friend, Dario Fichera, an Italian perfusionist that is very involved in the international perfusion community. (Dario has been involved in perfusion mission work to Africa himself.) Below is the story he submitted- and I felt was compelling and very heart warming (no […]

Perfusion Techniques: Parallel Oxygenators

Perfusion Techniques: Parallel Oxygenators  _____Click image to enlarge Perfusionist:  Randy Ransom, CCP Equipment:  FX25 Terumo Oxygenators x 2 / Tubing and “Y” connectors Issues:  None Narrative:  Large Patient:  Preoperative adjustment: Bumped up the ECC capacity  to 2 oxygenators setup as a parallel circuit. Time & Place:   2013 About The Perfusionist:  CCP Click to Donate Click […]

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, […]

Perfusion Glitches: Loss of Vacuum VAVD : Request for Your Opinions

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note:  This is a new Section.  We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

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 […]

When Being Crazy- Means You Have a Great Team !

a dAY @ tHE oFFICE  It was one of those cases… Tales of doom and woe preceded it, there was small talk, whispers, and banter that it might be canceled just because it was a to-follow case- and it would probably be a late start- Not-So-Secretly… We all hoped it would just go away for […]

Perfusion Life: Why We Do This [ 5 ]

It’s Just a Box Right ? Editor’s Note: Well, after a disturbing weekend I find myself in the groove again.  Knocked out a quick AVR with friends Dianne, Jack, Collin, Nikki, & Kristina- and two really talented heart surgeons (they are kinda friends as well). So I get home, and of course it IS getting […]

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 […]

A Pediatric Heart Mission: The Dominican Republic [3]

Editor’s Note: I want to thank Alfredo Lomeli, CST, an open heart surgical scrub technician from Lubbock, Texas,  and  volunteered his time to work on a pediatric mission to the Dominican Republic.  The following is his photographic journal and narrative of the events and the great story that transpired. Alfredo Alfredo in the D R (Dominican […]

A Pediatric Heart Mission: The Dominican Republic [2]

(Click Image to View Entire Dominican Series) Editor’s Note: I want to thank Alfredo Lomeli, CST, an open heart surgical scrub technician from Lubbock, Texas,  and  volunteered his time to work on a pediatric mission to the Dominican Republic.  The following is his photographic journal and narrative of the events and the great story that transpired. […]

A Pediatric Heart Mission: The Dominican Republic [1]

(Click Image to View Entire Dominican Series) Editor’s Note: I want to thank Alfredo Lomeli, CST, an open heart surgical scrub technician from Lubbock, Texas,  and  volunteered his time to work on a pediatric mission to the Dominican Republic.  The following is his photographic journal and narrative of the events and the great story that transpired. […]

Heart Surgery in the PI: The Republic of the Philippines

The Republic of the Philippines. Editor’s Note: This is an interview with Weng Puno-Baldeo, perfusionist in the PI (Philippine Islands).  A lush land of very generous, kind, and caring people. Heart Surgery in the PI: The Republic of the Philippines Click image to view Weng’s FB page… Hi Weng.  First of all, thank you for doing […]

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 …

Perfusion Life: Why We Do This [ 4 ]

My best friend’s kids…  They are an amazing expression. Editor’s Note: Everybody has a best friend.  Someone we care about now, or was that person as you learned how to ride a bike with (or at least how to kinduv  fall off from one), chased careless cloud dreams with, walked all the away across town […]

Perfusion Life: Why We do This [ 3 ]

Editor’s Note: I think it’s important to recognize one of the things we try to preserve the most when placing patients on bypass:  Cognition. Not just a coherent thought process- rather to retain within the individual- that what makes them so unique- the ability to think creatively, and enunciate to the world- their own UNIQUE […]

Perfusion Life: Why We do This [ 2 ]

Editor’s Note: Just another one of those moments when I step back and think of the majesty that is life- and why we struggle and work so hard to preserve it.   Remember the fact that you play such a vital role in the continuation of another soul’s journey. Enjoy this!  And ENJOY your life… 🙂 […]

Surviving Heart Surgery as a Perfusionist : And Dealing With It …

To Save Lives.. You must Love LIFE…  And the People in yours … Editor’s Note: Heart surgery is a scary thing.  As Perfusionists we are at a higher risk, just because of the nature of the beast (profession related stress). So here is a dialogue of one of our own, who underwent emergent Bypass, survived, […]

What Doesn’t Kill You- Makes You Stronger

Click to View…  It’s DEFINITELY Inspiring. This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man she is the greatest !  She linked the YouTube video above. Awesome Murals and Colors […]

A Day in the Life : A Hot Rainy Summer Day

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 a socked-in retro-peritoneum.. Too much time on my […]

The Month of “The Aorta”

Click on this pic- It is awesome ! It’s been the month of “The Aorta”.  That is for sure.  A few surprises CABG’s shape-shifting to unplanned  AVR’s, or impromptu aortic resections. The aneurism, slips in like a hungry python.  Just shows up and there it is!  Puffed up in all it’s glory. So we deal […]

Best of Circuit Surfers : 2012

Editor’s Note: Here is a compilation of some of the best posts for the first half of 2012.  All of the posts are either informative, a glimpse into a different culture of perfusion, a preview of technology to come, or a story we can all relate to. Thank you ALL– for reading and visiting 🙂 […]

Veteran Diaries

By :  Anonymous Veteran Diaries Well Frank, I am happy that our conversation stimulated a new discussion topic. But Methuselah? Really?? Just kidding. I am actually not that sensitive about my age. I worked very hard to get to this point in life’s stages. A few thoughts about older perfusionists: My favorite instructors when I […]

A Day in the Life : 2 Arches & 2 Hearts

It’s either FEAST or famine in this world of ours, and the last 2 1/2 days have been on the left side of that equation. fait accompli Torrential ?  Maybe not- but there was some blood to be dealt with … In English, (and in French) fait accompli means a course of events that has […]

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 […]

A Son’s Sacrifice: On Father’s Day

Submitted by: Bijender Singh Bali Editor’s Note: This post is a reflection about Father’s Day- but the event described did not occur on that day… Bijender Singh Bali is an perfusionist from India that I have been in contact with for the last 8 months or so. It is through Circuit Surfer’s that we met, […]

Perfusion Glitches: Waking Patient

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note:  This is a new Section.  We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

What Doesn’t Kill You- Makes You Stronger

= Click to View…  It’s DEFINITELY Inspiring. This was a link that one of our PICU nurses left on her Facebook page. It totally reminded me of our PICU and the great ECMO nurses we have working there! Ash …  Man she is the greatest !  She linked the YouTube video above. Awesome Murals and […]

Perfusion Glitches: Kink in Cardioplegia Line

Click Image Above to Add a “Glitch” to the Perfusion Database … Editors Note:  This is a new Section.  We are trying to develop a database of common or not-so-common problems encountered by perfusionists during CPB. Please join us by clicking the Link Above if you have had any sort of unusual event you would […]

A Global Foum ? Yeah ! We Can Do It !

A Picture of the Sun… I would like a Global Forum. It is necessary and far past due. My hope is that eventually, this blog will be considered a resource for all of us. I need help. I need writers and opinions from all over the globe. So please tell your friends if they are […]