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 […]

From: Circuit Surfers WITH Perfusion.com! Happy New Year!

To view all of the New Year’s FB messages on Perfusion.com’s FB- click image above 🙂 A Message from Bryan Lich, CCP I want to thank everyone who has supported Circuit Surfer’s over the last 4 years. This year will represent a new chapter for Circuit Surfer’s, as it is now part of the Perfusion.com family. I […]

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 […]

Perfusion in Nepal: Interview With Laxmi Shrestha

“Technologies today have made world nearer. The social networking sites(SNS) as you have mentioned have been a source to communicate at few time in every field and every area. Similary, We perfusionist have also got a good platform for sharing our views, information, techniques by these sites. And yes, it has definitely made us easy […]

Perfusion Art: “Timid”

“Timid”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Scrubbed in for 1 hour- and gloves are totally clean… Time & Place:   2014  West Texas About The Picture:  During-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

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 […]

Perfusion Art: “Self Portrait- Post XC- AVR”

“Self Portrait- Post XC- AVR”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:   A LIFE EXTENDED. Time & Place:   2014  West Texas About The Picture:  During-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “A Hard Day’s Night”

“A Hard Day’s Night”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Chelsea- regrouping after a long day and call… Time & Place:   2014  West Texas About The Picture:  Before-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: […]

About Circuit Surfers

The Editorial Staff of Circuit Surfers Click image to meet the Editorial Staff Why We Do This… ? Because We Can …  Established On :  2 / 20 / 2011 Owner & President:  Frank Aprile, BBA, LP, CCP Passing 392,000 + Visits… 188 countries and 450 + CV programs visit and contribute here. 942 Face […]

Perfusion Art: “A Moment”

“A Moment”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Inner reflections during surgery Time & Place:   2014  West Texas About The Picture:  On-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “It Begins…”

“It Begins…”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Getting organized … Time & Place:   2013  West Texas About The Picture:  Pre-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “Grain & Grit”

“Grain & Grit”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: A gritty grainy reflection from an overhead monitor Time & Place:   2014  West Texas About The Picture:  OpCab To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  […]

Perfusion Art: “Anticipation”

“Anticipation”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: Waiting for the moment … Time & Place:   2014  West Texas About The Picture:  Pre-Bypass To View The Entire Gallery- Click the Image Below To Submit A Picture: email:  EccLog@gmail.com

Perfusion Art: “FlatLined Pastels”

“FlatLined Pastels”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative: A reflection right before coming off bypass. Time & Place:   2014  West Texas About The Picture:  On Bypass Click to Donate Click here to View Gallery Any Donations are for the cost and […]

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 […]

Perfusion Art: “Growing Up”

“Growing Up”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:  Fresh out of School and Controlling his environment 🙂 Time & Place:   2014  West Texas About The Picture:  A Redo Op- Tough Case… Click to Donate Click here to View Gallery Any Donations […]

Perfusion Art: “Between Cases”

“Between Cases”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:  For inclusion in the 2015 Gallery: Time & Place:   2014  West Texas About The Picture:  Taking a break- hard day tough cases… Click to Donate Click here to View Gallery Any Donations are […]

Perfusion Art: “Najaf”

“Najaf”    ________Click image to enlarge Photographer:  Hussein Najim 7m Equipment:  Digital Editing:  Photoshop:  Hue & Contrast adjustments. Narrative:    “Amazing. .This picture by my camera. …Really Fantastic art” Time & Place:   2013  Najaf, Iraq About The Picture:  Donated by a FB perfusion group Click to Donate Click here to View Gallery Any Donations are for the […]

Perfusion Art: “Red Dawn”

“Red Dawn”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:  Evaluation of oxygenator integrity after z-buffing and drawing off a liter of volume while on bypass.  All is well Time & Place:   2013  West Texas About The Picture:  “Just Checking” while on CPB […]

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 […]

A Blast from the Past ! Perfusion 1995

Editor’s Note: In 1995: There was no ECECT meeting yet European Certificate in Cardiovascular Perfusion was a year away Standards of Practice in Clinical Perfusion in Australasia were two years away Perflist was just beginning under Sue Boetcher’s pioneering mantle- Perfusion dot com was becoming a reality (Bryan Lich was about to profoundly change perfusion […]

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 […]

HELP ! Looking for Medos Oxygenators

Editor’s Note: I received an email today regarding the Medos pediatric oxygenator: “Frank, browsing for a supply of pediatric oxy’s and found your post on the Medos oxygenator system. I used this once eons ago in Italy- worked superbly. I want to try to get some for a big project. Any contacts out there?” Jeffrey […]

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 = = = = = = […]

Perfusion Art: “Blood Prime”

“Blood Prime”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:  Blood being dropped in the prime for a low HCT patient- Note how it’s beginning to mix with the albumin…  It will be used to chase the rest of the crystalloid out- to […]

Perfusion Art: “Granite Reflections”

“Granite Reflections”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:  The colorful “reflection” of heart surgery… Time & Place:   2013  West Texas About The Picture:  Middle of an OpCab Click to Donate Click here to View Gallery Any Donations are for the cost […]

Perfusion Art: “The Art Gallery ProtoType”

“The Art Gallery ProtoType”    ________Click image to enlarge Photographer:  Frank Aprile, BBA, LP, CCP Equipment:  Digital Editing:  Photoshop:  Cropping: Hue & Contrast adjustments. Narrative:  The 1st production canvas- for the Feb 2014 CREF perfusion conference in San Diego, CA Time & Place:   2013  West Texas About The Picture:  Using my team mates to get a […]