Perfusion Discussions, Vetting, & Polls.


I put a poll out the other day to get a genuine idea of what people are looking for in Perfusion sites.

The results were very promising for all of us, and some of the details will lead to some interesting discussions.  Perflist reflects very well in the opinions of many.

I plan to publish the results when I get to 150 or so responses.

Now what surprised me was the visceral anger by a couple of the respondents, who are annonymous, because that is the nature of the poll.

It was a comment like this…

“The Internet is a vast space- there is no need for you to keep seeking Perflist/ sponsorship- it won’t happen! 

Do your thing but stay off the main road!!!

And I think it exemplifies the poorest manner of dialogue that so many readers have been exposed to when asserting their position when involved in a discussion on this forum, as well as others.

It was the anger here that surprised me.  It did validate why I do this.  But it surprised me.

Circuit Surfers is NOT in a competition to the well recognized icons of perfusion dialogue that are out there Perfllist,

Both have been immeasurably beneficial to the Perfusion community as a whole.

Circuit Surfers is it’s own entity as are the above mentioned sites.  It’s on the same highway as well.  The Information Highway.

If it makes you feel better- it’s just a stupid little blog-  that has some cool graphics.  A perfusion comic book if you want to see it as such.

The person that wrote this doesn’t hate me- or at least I hope they don’t.

I believe they hate change, and anything new that enters in the periphery of their perspective.

To me that is a fatal flaw, a perfusionist afraid of change.

But– it is an excellent entry point for discussions that I would like to get into.

  • The entire process of vetting information available on the internet.
  • When are citations legitimate
  • Is Wikipedia a citable source?
  • For that matter is Google really something you trust?
  • Is any of the stuff you get worthy of trust- or do you need to see a hard copy of the actual article before it merits referencing?
  • How do you really ever know?

You guys answered a lot of those questions in the surveys, and they did open my eyes a bit.

I’ll get into it when I publish the results… It was definitely a worthwhile survey.

I still need more responses- am at 85 now.  So if you would, please click the link below to take the Poll?

Thanks a bunch 🙂

Please Take this International Poll and we’ll see where we stand.

Click Image to Take Poll

0 thoughts on “Perfusion Discussions, Vetting, & Polls.

  1. Inspired by today’s e-mail:

    Paul Friday, a man I love to quote, says ‘change is the most difficult thing a person can do’. Yet you are quite right that a perfusionist needs to be open to it, even if it means dragging one’s psyche along by the scruff if its crazy neck.

    Personally, right now I am more excited than I have been in years. I am looking retirement in the face after 41 years of call and check lists (which gives me a chance to plug Atul Gawande’s “Checklist Manifesto”—belongs in every perfusion library) but am also looking at Maquet’s compact ECMO gimmick. That caused our Director of Surgery to go apoplectic until I explained that I have been trying for almost 40 years to get someone interested in ECMO using stuff we have laying around.

    We put a Centrihead pump in an old Datascope balloon base, bolted a mast to it, hung a Quadrox off the mast and we can pop a CDI unit on it and we are ready. We use a left heart bypass pack and make a very minor modification. The goal is insert, stabilize and ship; but still, new and neat. We have an Impella we are aching to use; we’ve been through a trial run of the AngioVac down in IR, and baby sat a couple of ablations. Now we just show up with a cell salvage device rather than a whole primed CPB system like the first time, but it was something new.

    Oh, and we have almost abandoned the concept of using a cell salvage device for the endo-AAAs. The only really onerous thing is we have is a new guy who wants vacuum assist available for every case. I still maintain a hard shell is ten times as dangerous as a collapsing bag. If I had been using hard shells for the past 31 as I did for the first 10, I’d probably have pulled the plug long ago. This is something I believe.

    Which leads me to the idea of ‘vetting’ information on the internet. First, there is a wonderful talk which may still be on by the co-founder of Google concerning correcting bad information. My personal example is Ullyses S Grant. Try looking up his middle name and see what a historical mess is.

    Second, Michael Shermer just published a book called ‘The Believing Brain’. In it he proposes that brains are born to believe; that many are predisposed to believe certain things; that we can ‘change’ our minds; and that science needs to be done properly in order for it to be valid. Recommended to those who insisted on believing anything, in spite of the evidence. Full of great experiments, like the invisible gorilla.

    Neuroscience is where heart surgey was fifty years ago, only without the cowboys, which is not to say that some of the proponents lecturing and writting out there are not pretty colorfull in their own way.
    Just a few random thoughts.

    Keep up the good work.

    1. Wow. I wish I could have worked with you once or twice. You are very prolific, AND so very committed.

      Thank you for your consistent support. Perfusion has to be a passion, or people should just leave it.

      Thank you sir 🙂

  2. “The Comic Book Blog”

    Hi Frank,
    I too am shocked that “our colleagues” could be so venomous.

    I want you to know that I value your efforts. There is definitely a place for Circuit Surfers on the main road.

    I don’t always have time to read everything but I do enjoy what I read.

    Thanks for your hard work and please keep it up.

    Take care,


  3. Likely that they feel threatened. Folks would rather read your blog-which is NOT stupid.

    Folks would rather see variety, be entertained at the same time as being educated and enjoy a sense of camaraderie as opposed to being made to feel bored.

    You just get on that “main road” and perhaps others will find their “main road” turns out to be a dead end and your new format takes over.

    Hope so. That is what they are afraid of. As well ,how much do they make from advertisers?

    1. Probably enough to merit a challenge in ethics. THAT question has come up a couple of times now.

      Now is a bad time to be greedy.

      Look at Greece and Wall Street.

      That’s only getting worse. When you have bankers drinking champagne from the balconies- while demonstrators below are fighting for a chance to survive- you have a recipe similar to “let them eat cake”.

      That is obviously not what is happening here. It’s just a stupid pissing contest.

  4. Kind words; thank you.

    PS, I did take the poll.

    I would note that the first step in the burn out process is Enthusiasm; therefore if one builds one’s life around some particular thing, such as a job, e.g. perfusion, one needs to ration one’s involvement and enthusiasm.

    Else wise the passion for the perfusion turns into a passion for harvesting scalps: perfusionist, chief perfusionist, MS in perfusion, PhD, Program Director, Board Member—-and so on.

    Yet nothing satisfies because the original fire has gone out. The rest is just gathering ashes.

    Again, random thoughts.


  5. Frank,

    I don’t necessarily see why your blog would be a negative for perfusionists. I remember when Perflist started and a couple of older perfusionists felt negatively about it much like they did about computers or the internet.

    What disturbed me more was seeing posters who made several comments positive and negative but showed no signature thus throwing a question about the credibility of their statements.

    From the beginning Perflist was a window of communication that allowed many newer CCPs such as myself to glean lessons, evidence and data from many experienced others in the field, much like an adjunct to reading literature from Perfusion or the Amsect Journal. Good luck on this venture.

Leave a Reply