Please Take This Perfusion Poll

Knowing When to Drop In …

I decided it was only fair after almost 8 months, to see what impact this blog has had on visiting perfusionists / healthcare professionals.

I certainly don’t pretend to be an icon for perfusion publication, literature, or for that fact, the sharpest knife in the drawer.  What I do know is that when it comes to perfusion, and my patient, I take that VERY seriously.

I do 120 or so hearts a year, so I consider myself pretty active in that department and am certainly not coaching from the sidelines.

I would like to let you know that I have been published in one medical text book and a few journals, so this isn’t a Midnight Cowboy yahoo kind of thing.  I get the scientific process.

Anything new is controversial.  And anything new is a first generation idea that will have countless iterations as it evolves and morphs to something better.

I know I have pushed a bit, and I’m sure some people don’t like this effort because of that fact, but sometimes you have to put yourself out there to start to make a difference.

I am asking for your help and suggestions for improvement.  To make us all better.

As well- I cannot stress enough that this is a group effort. 

  • I need your articles- 
  • I need your stories– 
  • I need your perspective.

It is your contribution that will have the greatest impact.  A site that represents the opinions of many, certainly has greater substance and credibility than one person’s individual effort.

Vetting is a process of time and peer review.  I can’t effect the former, but you represent the latter.

I’d like to see what you all have to say.  I know there is a reservoir of passion behind a lot of those screens, so share if you can.

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

Click Image to Take Poll

Thanks to All of You  🙂

0 thoughts on “Please Take This Perfusion Poll

  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 TED.com 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.
    Dan

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