A Locum’s ScrapBook: The 3 Amigos..

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 is challenging, and I enjoy learning new techniques, other ways of doing things, as well as getting exposure to alternate approaches and paradigms.

So I took 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 if possible).”

Enjoy 🙂


Gotta build a new nest- to settle in while I’m down here 🙂


A Locums ScrapBook: The 3 Amigos

Another perfusion adventure as I drive south- further down the throat of the Midwest- to nestle myself into a tri-state border area and settle into the 3 Amigos- or more aptly described:  as 3 new clinical sites each with its own set of nuanced circuits, and somewhat animated surgeons.

Of course, gotta do the lab work certifications and training 🙂


It’s a pick your poison rotation of centrifugals at one site, rollers at the next one- and various paradigm shifts in terms of approaches to myocardial protection.  You just have to know when and when NOT to clamp your arterial line.

A grab bag so to speak of Custodial, Del Nido, Plegisol with a potassium chaser, and some Buckburg solution laying around here and there.

The Staff here are seasoned, kind, and helpful- grateful for an ounce of daylight in the form of sane experienced perfusion help- which I ostensibly (and hopefully) represent?).


The idea is to help- not hinder, and at the same time get up to speed as fast as possible while navigating personalities WITHOUT becoming a personality myself during the process.

A shout out here to 3 very decent perfusionists at one of the clinical sites:  JE LQ and MB(you know who you are behind those mysterious letters lol).  Thanks for the help, the perfusion tips (flowing 400 cc’s through your shunts, with the arterial line clamped on a rollerhead pump- to deliver just the right amount Q when rolling up to connect your arterial line to the aortic cannula).  Now THAT is just SWEET!

Siphoning a drop of blood for the Hemacue cuvette- from the ISTAT cartridge is also an elegant flourish that’s adds some fluid grace when running labs.  Thanks JE.

And a little further South East we have another facility right across the border with MK running that ship.  Now this is a guy I ran across a very long time ago.  We share many friends and perfusion colleagues that we have encountered during our itinerant career paths, and pretty much have a common mindset in terms of adhering to specific clinical perfusion practices.

We’ve laughed pretty hard since I’ve been down here, and it’s only the second day.

The beast below, is a DaVinci Robot advancing slowly to the surgical field to mate with its operating appendages.  State of the Future- and a blast from the past…Robotic heart surgery.  Arnold Swartzeneggar has nothing on this surgical MEGATRON.

Meanwhile, a patient goes on emergent bypass in the OR next door.  Today. I’m Just an insurance policy- tomorrow it’s back North West to pump a couple cases for another new (to me) surgeon?.

Sent from my iPhone