Circuit Surfers

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


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…


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…


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…


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…


A Locum’s ScrapBook: Stasis is NOT Paralysis!

  Editor’s Note: Well it has been about five weeks now since I pumped my last case down somewhere in Kentucky. One of the things that you have to consider where your locum’s perfusionist is that when companies are forced to downsize due to staffing issues or reductions, chances are your contracts won’t hold up…

PDC Covid

Joint Perfusion COVID-19 Task Force!

Editor’s Note: Fighting Back! has joined with representatives from AmSECT, the American Board of Cardiovascular Perfusion, the American Academy of Cardiovascular Perfusion, Australian and New Zealand College of Perfusionists, Comprehensive Care Services, the Michigan Society of Thoracic and Cardiovascular Surgeons, and SpecialtyCare to form the Joint Perfusion COVID-19 Task Force to monitor the recent…

Fighting Back!  A Michigan 2-Room Elementary School- Lives up to it’s Name:  BIG JACKSON!!!

Fighting Back! A Michigan 2-Room Elementary School- Lives up to it’s Name: BIG JACKSON!!!

Editor’s Note: Not sure I need to justify the relationship of this post to our Perfusion community- but I suppose the impact of Covid 19 becomes more evident as we deal with the uncertainty of exposure and subsequent isolation, and quarantine AWAY from our families as we dive into an   oncoming wave of possible ECMO…


Fighting Back! Setup Your Own Dept Covid Symptoms Database

Editor’s Note: These days when someone sneezes or coughs- EVERYBODY turns and looks.  Herd mentality for sure. The main symptoms of COVID-19 Include a cough, shortness of breath and a fever. Additionally, you might have digestive problems ― like nausea or diarrhea ― a headache and a sore throat. At the onset of the illness,…


Perfusion Art: “This Is Our Life NOW…”

Perfusion Art: “This Is Our Life NOW…” Photographer: Frank Aprile, CCP Equipment: iphone 8 plus Editing: None Narrative: Time & Place: 2020: Daniel Boone Country- Ohio River About The Artist:  Perfusionist Commentary:  Putting another Mask to bed for the night with his new Brother- after a late emergency heart.  TWINNING!


Cloth Surgical Masks- with Disposable Inserts are an Excellent Work Around!

Editor’s Note: The mask I am wearing is one of four cloth masks that were custom made for me by Caitlyn Bondank, owner of a custom sewing business called SewingSolutions.ME. Email: Click on Image Above to view Website –   I had approached her about making and designing these masks in lieu of our…


From ZERO- to HERO! The Lowly and Taken For-Granted… Surgical Mask…

Editor’s Note: I have put people on bypass at 54 hospitals. I have worked as a surgical first assistant in another 10 hospitals – and in the operating room theater of at least five military hospitals. I won’t even begin to try to count the days, hours, or the number of operations that this implies,…

Social Distancing

Perfusion Art: “Social Distancing- Our New Normal”

Perfusion Art: “Social Distancing- Our New Normal” Photographer: Frank Aprile, CCP Equipment: iphone 8 plus Editing: None Narrative:  A look at what going out to dinner looks like now :). Time & Place: 2020: Daniel Boone Country- Ohio River About The Artist:  Perfusionist Commentary:  Working on Social Distancine


CDC Recommendations for Respiratory Protection During COVID-19

Editor’s Note: Due Diligence:  Plz Visit CoronaVirus.Gov–  Just want to get it out there- God Bless Frank Click Image Above to View CoronaVirus.Gov


Week 2: Our Warriors: Meet Angelica…

Editor’s Note: Say HELLO to Angelica. She stands tall and should make us all proud. More about that later… This is week two of the coronavirus wave, and I have to admit that last week was like getting a bucket of cold water splashed in your face to wake you up from your sleep. Not…


Week 2: Our Warriors: Meet our Hispanic Brothers- Jaime & Jesus

Editor’s Note: Say HELLO to Jaime & Jesus.  They work at Los Bravos Mexican Restaurant.  They came to America- found opportunity- and cook great food. Now they repay us- and they are giving us our opportunity to at least get take out food, and they are very brave and exemplary in doing it. Jesus- on…