 Good morning. My name is Debbie Adams, and I'd like to welcome you to the T. H. I perfusion conference 2020 Unfortunately, we can all meet together in person, but I trust that you will find the next few days enjoyable Some moments for education and learning others for fellowship Celebration and reflection. I thank you all for taking time to attend the conference And I hope that you all continue to stay safe a few weeks ago I was in Dr. Frasier's office discussing the history of the Texas Heart Institute they pulled a paper out from his pile of papers that he has on his desk and Handed it to me and said you need to read this dad It was a historical article from the 1950s that dr. Cooley had written in collaboration with dr. DeBakey and others that practiced at the Methodist Hospital St. Luke's and Baylor College of Medicine About the mechanical heart-lung machine for temporary cardiopulmonary bypass in the paper Dr. Cooley wrote about the research of Gibbon and the development of the pump oxygenator from the 1930s to the 50s The paper also discussed Lily High and the use of cross circulation for profusion and 32 patients But it wasn't really that successful Of course then in the 50s Kirkland develops the mechanical support and Wrote about the support for 30 patients, but dr. Frazier pointed out that without the the talent of a surgeon like dr. Cooley our profession might have not come to fruition Because dr. Cooley was fast and He could get patients on and off the heart-lung machine very quickly And so the combination of the development of the bubble oxygenator in Combination with the gifted surgeon like dr. Cooley Pump texts or profusion technologies came to being the paper talked about 95 patients that dr. Cooley and his associates had used cardiopulmonary bypass or pump cases in The slide you'll see the simple oxygenator the bubble oxygenator that was used showing the column of blood that bubbles through oxygen being bubbled in filtered out and then returned to the patient a simple circuit of cannulation in the right atrium with a cannula going back into the femoral artery and Cardioplasia being injected into the ascending aorta a few years later in 1962 dr. Denton Cooley founded the Texas Heart Institute a nonprofit organization dedicated to the Reducing the devastating toll of cardiovascular disease through innovative progressive programs in research education and improving patient care Some 10 years later dr. Cooley who was an advocate for profusion and knew that there needed to be a development of a profession recruited Charlie Reed from the Ohio State and Established the Texas Heart School of profusion The mission of the school at the Texas Heart Institute is in line with the mission of thi and Our mission is to promote excellence and profusion education by training knowledgeable skilled and professional clinical profusionist In 1977 dr. Cooley his surgical associates of Texas and the CV or team and the pump team performed 4,000 pump cases That is just mind-boggling to me that from the time 20 years prior they talked about 95 cases that now 4,000 pump cases have been performed at thi in 1990 75,000 cases and this is a picture of dr. Cooley with the profusionist that pumped the 75,000 case Salgretto and in or one with the team Amazing in 2001 thi had performed 100,000 pump cases today the number of pump cases Performed at ch i st. Luke's and the Texas Heart Institute is over 120,000 procedures as well over 1200 heart transplants and over a thousand elvads Most of which implanted by dr. Bud Frazier who's implanted more left ventricular assist devices than anyone else in the world and helped Develop and research all of them. We are all so fortunate that dr. Frazier is an advocate for our profusion education program and he also continues to inspire innovate and Research for the next first in transplantation and mechanical assist You don't want to miss his presentation, which is later today So the evolution of our profusion technology is a profession from pump tech to profusion technology We've come a long way. We have challenges for the journey ahead cardiac disease remains the number one cause of death globally and why the Texas Heart Institute continues the mission of its founder dr. Cooley to reduce the development and the toll of cardiovascular diseases on people everywhere So it's very fascinating that we've come from that bubble oxygenator that Traveling all bag and where they pump 4,000 cases to the technology that we have available today membrane oxygenators coated circuits filtration inline monitoring chartless monitors All of which to help improve patient care and patient safety As we continue our journey as profusion Technologists to be to strive to be the best that we can be we face challenges and the effect of the COVID-19 Pandemic on profusion education is another challenge. We face The impact for the May and June graduates requires clinical case requirements to sit for their boards and to graduate impacted those students Given the suspension of clinical rotations in March and April of this year University's closed programs all across the country and that included profusion education programs as well There was a mandatory social distancing which meant that profusions classes couldn't happen We couldn't have students all together in the classroom So this gave us some challenges that we had to face as program directors to continue profusion education in spite of COVID So the effect of COVID-19 pandemic on profusion education. I See it as a challenge created an opportunity for for us as educators I call it a CCP moment and as dr. Cooley taught us to modify simplify and apply So the C for our COVID-19 moment Is creating creative teaching methods Other programs already had distance learning tools available And thi had to quickly modify our program to incorporate online zoom classes and online testing into our teaching model We didn't have this prior to the COVID-19 pandemic And we had to quickly develop this As well We had to modify how we scheduled students instead of to respect the social distancing So we had to make sure that students flexed in on a and b days So they would alternate which days they would come to clinic We're very fortunate that our clinical affiliate Continue to allow our students to come to school and participate in their clinical Site rotations other programs didn't have that luxury And so those programs had to develop online simulation tools You can't simulate from home on a high fidelity simulator So other programs got very creative and are utilizing online models as well Unable to complete pediatric observations other programs had to use video sources in order to complete those requirements The other C in our COVID challenge that became opportunity was the collaboration and cooperation of the perfusion community The program directors share ideas for all Alternative teaching methods and those program directors that had those methods shared those with those that did not They other program directors offered assistance in how we can expand clinical affiliations how we can develop teaching models I I give it to the leadership of the ppdc For bringing the group together so that we were all collectively working towards one goal And that's to teach perfusion students to be knowledgeable skilled clinicians to take care of patients The other collaboration and cooperation from COVID Was the joint perfusion task force that was organized by our professional organizations profusion service groups professional organizations the academy the Amsec the american board european societies All came together to collaborate on developing best practices for perfusion to serve COVID-19 patients Those organizations Offered support for this thi conference with wide participation from everyone and for that i'm very grateful Our thi partners here at st. Luke's thi also have supported and have volunteered to participate In the conference This conference wouldn't have happened with our thi partners who support perfusion education I do want to thank my good friend and colleague and grucho because without her throwing that pebble in in the water to reach out to the President of the academy bill riley who then contacted the president elect of amsec cammy rosenthal About helping with this conference. I don't think we would have been able to bring the agenda and the program together so I thank you all for participating and supporting perfusion education and supporting this conference So I just want to say thank you to our profusion community partners All of you and thank you all for so quickly saying yes, i'm in Also, want to thank all of our sponsors who have added value to our program with giving teaching material about their Their innovative products as well as offering sponsorship to the program And of course, I need to acknowledge and thank the thi partners most especially kary sprung and her team David samora and grucho kathy kibler who have helped plan this this conference And I couldn't have done it without all of you the last part of our covet 19 Learning experience is the p and the p is for patients our own personal patients And our peace the covet 19 pandemic has has reinforced that we are stewards and we're servants to our patients When I talk to all the students about do you want to come back to the clinic that covet's not going away? Every single student said yes, miss dev. We want to be in the clinic We want to be perfusionist. We are committed to our profession We're willingly and selflessly wanting to serve our patients and we want to be there with our clinical instructors As well, some of them said, you know, miss deb I understand why you tell us to wash our hands We understand why proper PPE is protecting our patients and protecting yourself the other part of the p is patients for self It's a very stressful Time and it's not going away anytime soon So be patient be patient with yourself and be kind and be kind to each other A challenge I find for myself is finding moments of peace and all of this and in this storm Finding a moment where I can be peaceful and mindful And so I want to begin the conference with a mindful meditation so that we can all have a moment of peace And then we can have a moment for fun And for fellowship and for learning Thank you all for attending And I look forward to the next couple of days peace