Circuit Surfers

The Currents, Eddys & Riptides- of Open-Heart Surgery

The Lobster Tank

The COVID Wars: The Lobster Tanks… Inside Looking Out

Editor’s Note: It was that kind of day, here on the other side of the Savannah river.  When I came down here to assist at the first apex of the COVID-19 crisis, everything was shut down, and fear was palpable in the air.  More ubiquitous than the virus itself, was an apprehension of the organism’s…

Access DENIED

Perfusion Art: “Access DENIED !”

Perfusion Art: “Access DENIED !” – Photographer: Frank Aprile, BBA, LP, CCP Equipment: Iphone 8+ Editing: Photoshop Narrative:   And….   The Cryptic Reality of COVID-19-   This is our Chief Cardiac Anesthesiologist- Truly a gatekeeper to ALL things deleterious to our outcomes.  My sincerest respect 🙂 Time & Place:  South of the Savanna River, 2020 About The…

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Del Nido Microplegia Compared to Standard 1:4 Crystalloid Del Nido for Myocardial Protection

Editor’s Note: We had a fun discussion with a couple of our surgeons today regarding the use of Del Nido cardioplegia.  At this institution we have been deploying the microplegia version of Del Nido, and subsequently substituting Blood as the crystalloid component, delivering the primary dose in 1,200 ml aliquots, and then redosing at 60…

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The COVID Wars: Fighting An Apex Predator…

Editor’s Note:   I thought I would highlight the last week we have experienced here down South of the Mason-Dixon Line- in pictures with annotations that are just a brief glimpse of the furious pace that we are engaged in, in terms of trying to circumvent a culling of our species, by an opportunistic Apex…

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The COVID Wars: We Have Become Ostriches…

Editor’s Note: The only thing that Perfusion and Politics have in common is the letter “P”.  Nothing else and nothing more. I respect medicine, have given my life to it, and never thought I would see the day when the clarity of clinical reasoning would become muddled and muddied into an opaque morass of ambiguous…

Social Distancing

Excerpts from: Heart Surgery in America: Perfusion Dreams

Editor’s Note: This book is NOW over 99% written and moving into the Editing Phase! The title of the book is “The Tips of Spears- An Inside Look At Heart Surgery in America” It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects…

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Excerpts from: Heart Surgery in America: Forged by Fire

Editor’s Note: This book is NOW over 99% written and moving into the Editing Phase! The title of the book is “The Tips of Spears- An Inside Look At Heart Surgery in America” It is a rendering of the reality, sometimes sad and at times funny, emotional, and clinical vignettes of the many different aspects…

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The COVID Wars: Frontline Perfusion

Editor’s Note: I guess the question becomes- It was named COVID 19 for the year it emerged.  As it mutates to 2021- will that strain mitigate all of our current and previous efforts to defeat it? There is no real answer to that question, but as frontline responders, Perfusionists are taking more than their share…

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Perfusion Art: “The G-Man Cometh…”

  Perfusion Art: “The G-Man Cometh…” Photographer: Frank Aprile, BBA, LP, CCP Equipment: Iphone 8+ Editing: Photoshop Narrative: And….   It’s AngioVac Day! Time & Place: South of the Ohio River, 2020 About The Artist:  Perfusionist Commentary:  The 3rd of 3 consecutive A-Vac Cases–  G-Man brings it!!

Impella Man

Perfusion Art: “IMPELLA MAN…”

Perfusion Art: “IMPELLA MAN…” Photographer: Frank Aprile, BBA, LP, CCP Equipment: Iphone 8+ Editing: Photoshop Narrative: A long Operation where Attention to the Mitral Valve and Grafts Overcome a Low EF- With a Little bit of Help 🙂 Time & Place: South of the Ohio River, 2020 About The Artist:  Perfusionist Commentary:  A new and…

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Perfusion Art: “Crimson Misfits…”

Perfusion Art: “Crimson Misfits…” Photographer: Frank Aprile, BBA, LP, CCP Equipment: Iphone 8+ Editing: Photoshop Narrative: Errant Blood splatter during removal of an Aortic Root Cardioplegia Needle Time & Place: South of the Ohio River, 2020 About The Artist:  Perfusionist Commentary:  The blood droplets look like glossy ladybugs on a translucent sheet to Plastic 🙂

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A Locum’s ScrapBook: Sister’s of the Heart

Editorial Tagline:  “Our Cultural Challenge is whatever you want it to be:  I see it as hope-“ Addendum:  The above quote is from the perspective of white privilege.  It’s enunciated more clearly here: “This  quote doesn’t grasp the movement and it’s not a cultural challenge we’re facing. Everyone can have our culture but not everyone…

The COVID WARS: Is it Covid 19 “ISH” ? We Need a GamePlan!

The COVID WARS: Is it Covid 19 “ISH” ? We Need a GamePlan!

  YES… They are US! Editor’s Note:   I’ve been down South for a couple of months now.  I was standing on the side lines for 10 weeks- which in all honesty is a far sicker place to be than confronting this elusive snake- COVID 19 ISH. The reason that “ISH” is even in the…

Plato's Tree 2

Perfusion Art: “The Learning Tree”

Perfusion Art: “The Learning Tree” Photographer: Frank Aprile, CCP Equipment: IPhone-8 Editing: Photoshop Narrative: A step by step narrative and demonstration of the Floating of a Swann-Ganz PA Catheter… Time & Place: August 2020, South of the Ohio River About The Artist:  Perfusionist Commentary:  The art of teaching renders back from the mythological tree under…

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The COVID Wars: A Novel Concept- MMR Vaccine May Mitigate Inflammatory Process?

Editor’s Note: Two cases canceled today because our ICU’s are filled to capacity and overflowing.  Last night another VV Covid ECMO– so patients are now being paired up in rooms in order to reduce the possibility of cross contamination from patient to staff to other staff to other patients to visitors and so on and…

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The Perfect “10”

Editor’s Note: “It’s uniquely exhilarating doing something so few can do.  That pretty much describes my life as a perfusionist, putting people on cardiopulmonary bypass for open-heart surgery.  I think we are reminded of our human fallibility (the potential to err is in all of us) each day we put someone on a heart-lung machine…

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ECMID (Covid ECMO): Who do You Pick?

Editor’s Note: In this frenetic clinical environment we now live in- we are challenged by uncertain circumstances- with little to no virtual experience from which to draw upon.  All of us are at some point close to- if not in direct contact with a COVID-19 positive patient.  I’m sure we have all game played exposure…

Masks

Is it Covid- Or just a Summer Cold? Summer Cold :)

Editor’s Note: Because of where we are, where we work, and what we do, most working perfusionists right now will encounter a moment where you have to reconcile that what you are doing may constitute a significant health risk to us, and God forbid- our families.  This isn’t all about altruism and a call-of-duty, sometimes…

Lungs 3

News Media Describes ECMO as… “Brutal”

Editor’s Note: I’m not used to turning on the TV and watching a news report discuss anything at all related to perfusion.  But these are the beginnings of NEW TIMES- where we all confront the hellish reality of a paradigm shift in our culture as a new and budding clarity settles in and we have…

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A Locum’s ScrapBook: Hospital 55:  Level I Trauma Baybeee!

Editor’s Note: As a new and growing perfusion team, (when I say new I mean new to this particular program) we are slowly growing together, our diversity is culturally mixed (Indian, Middle Eastern, Chinese, Caucasian) and significantly as well- in terms of experience, age, and practice expertise. – This is not only a level I…

CCTHIb

Perfusion Art: “In the Zone…”

View Post Perfusion Art: “In the Zone…” Photographer: Annonymous Equipment: Canon AE1 ? Editing: Photoshop Narrative: Shiley S070 1980 Time & Place: THI  1980 About The Artist:  Perfusionist Commentary:  I have the honor of working with this Perfusionist- A real Pioneer- and UNMATCHED Dedication!!! The Original:

JJ & Falcon

Perfusion Art: “Where Only Falcon’s DARE…”

Perfusion Art: “Where Only Falcon’s DARE…” Photographer: Unknown Equipment: IPhone Something? Editing: Just a tiny bit of Photoshop Narrative: That’s ALOT of MUTUAL TRUST going on there 🙂 Time & Place:   2020: The Kingdom of Saudi Arabia About The Artist:  The best of the best is all I can say 🙂 Commentary:  I rarely put…

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Perfusion Art Gallery Reprint Order Section

Thank you for your interest in ordering art from CircuitSurfers.com.  All art is Original and International All art is presented on 24 x 36 Canvas or 20 x 30 metallic Finish 7 countries are represented by 11 Perfusionists/Artists = USA India Italy Macedonia Hungary Ecuador Ukraine Click on Images to Enlarge  (Click on Titles to…

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Perfusion Life: Confronting FEAR

Editor’ Note: It’s a late Friday night and I’m listening to my dogs bark outside at God knows what – just because we live on a house on a hill, somewhere deep in northern Michigan. I’m sure the barking is due to critters roaming our woods, and its something I usually don’t get to experience…