WARNING surgery photos

[airfrogusmc]

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0179.jpg

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0269.jpg

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0278.jpg

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0269.jpg

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0293.jpg

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0306.jpg

http://i4.photobucket.com/albums/y118/airfrogusmc/_MG_0355.jpg

CC always welcome

[blonde]

incredible!!! the details are fantastic and it really shows just how amazingly complicated these surgeries are.

[airfrogusmc]

Blonde I've been doing this kind of thing for years and I still am in awe of the talent that these surgical teams have. Nurses, anesthesiologist, surgeons and everyone on the team are for the most part just incredible.

This patient had surgery on Thursday. They repaired an aneurysm and replaces a damaged valve. Patient went home on Sunday and is doing great. This surgery saved his life and was found kinda by accident. Them finding it was very lucky for the patient. Had that aneurysm burst he would have not had a very high survival chance.

[chauncey]

air..., you've got the technical aspect of the images down pat and I can identify what's going on.
But is not your audience kinda limited?

Still I like the images.

[airfrogusmc]

Yeah I don't get called to do allot of this kind of thing. Only if its a special case or they need really good images for a grand rounds or something for a lecture etc. I work mostly in the advertising end of health care. Annual reports, brochures, events etc kind of things.

[condyk]

Looks like a scene from Alien :-)

Is that all fat around his heart?

Great clarity. Very nice work of its type.

[JRB]

What gear did you use for this shoot? I'm sure it would need to be sterizled and how do you do this?

[airfrogusmc]

I had to gown and scrub in but its airborne germs that are the problem. Ya can't bring in umbrellas and softboxes but the cameras and lenses are OK.

2 5Ds and a 35 1.L on one and the 85 1.2L on the other.

Yeah that yellow stuff is all fat. Thanks condyk. Allot of the surgeons have their own digital cameras now so I don't get called unless its a special case.

[chauncey]

Some things don't change, those blue towels bave been used forever.

[400Dboy]

Very nice pictures....was this the aortic valve? In one picture, the tissues resemble atrial tissue so it looked like the valve was upside down but the next picture showed portion of the dacron graft as part of the rebuild of the aortic arch. I guess the aorta was dilated from the aneurysm?

[Chandler.]

Awesome stuff. Last Christmas I got a Cow's heart from a friend for a gift, and with the guidance of a surgeon, we did a valve replacement surgery on it. It was great fun, and allowed me to appreciate how critical each step is in this type of surgery, especially with a live human. :)

[Tee Why]

I think they look very good and technical, which is what these images are meant to be.
The first and the third image seems a touch underexposed to me.

[TheHoff]

Wow. I can't believe they can sew all that back up and have it work again when I have trouble trussing a chicken. Thanks for sharing.

[airfrogusmc]

I think they look very good and technical, which is what these images are meant to be.
The first and the third image seems a touch underexposed to me.

Tee Why heres a perfect example of why spot metering is so important in tricky lighting and contrast situations. If you notice on #1 on the fat the highlight are gone but the important thing here is the nice detail in the heart which also has a hot spot. pushing the exposure up any would have resulted in even more loss in those areas.

On #3 the important area is the replacement and the white on that is almost off the scale. Detail in those areas is more important than the shadows so in those situations I will always let the area that not important go.

[tonylong]

Airfrog,

These are pretty powerful shots from such a unique perspective! That is, it's hard to imagine that being a human being laid open like that!

My grandson is a heart patient, having undergone a couple of open heart surgeries, and I can appreciate the amount of skill and dedication that is required here!

[RandyMN]

Never saw surgery like that!

Did you have to sterilize your camera or was it a special camera meant for that purpose?

[RandyMN]

Sorry, I see my question was already answered.

[jra]

Wonderful pics....thanks for sharing :)

[LBaldwin]

Excellent work!! The very 1st photographer I had ever met was a Navy Medical photographer at Portsmouth Navy Hospital. He came and talked to our class - I was in the 4th grade.

Anyway, cool shots, excellent color and very crisp in the details.

[garbidz]

I see a #25 bioprosthesis being inserted to the aortic position. Looks as if there is a clamped vein graft there in the last photo's lower right corner. Not sure about that, but IF you do the dacron you have to do some grafting as well...

Cannot quite figure out the pump setup, though...it looks as if they were running atriofemoral perfusion...there is a plegia/vent cannula in the aorta but also there seems to be the aortic line passing under the venous cannulae..? Cannot tell as the proportions are not easy to see...In the last shots there is no flow in the arterial lines.
Is the patient on arrest or are they running arterial to the groin?

Never realized it could be this complicated to figure out the setup from a picture.
You should have thrown in a book of matches for reference.
(the way to become a legend!)

[jdizzle]

Very nice series Allan! In my career, I would go in and set up Nitric Oxide on heart transplant patients. I never got the opportunities like you have but, I did get to observe since I knew most of the surgeons. =) The smell of burnt flesh! =)

[airfrogusmc]

Thanks JD ya its a very unique order.

[garbidz]

Very nice series Allan! In my career, I would go in and set up Nitric Oxide on heart transplant patients. I never got the opportunities like you have but, I did get to observe since I knew most of the surgeons. =) The smell of burnt flesh! =)


Nowadays, they give Viagra to the guys who can't be weaned off NO...originally, it was developed to dilate the blood vessels which it does, even in the lungs.

[DrFil]

those are some amazing pictures, you should try to get some of some more surgeries;)

[loony33]

Tee Why heres a perfect example of why spot metering is so important in tricky lighting and contrast situations. If you notice on #1 on the fat the highlight are gone but the important thing here is the nice detail in the heart which also has a hot spot. pushing the exposure up any would have resulted in even more loss in those areas.

On #3 the important area is the replacement and the white on that is almost off the scale. Detail in those areas is more important than the shadows so in those situations I will always let the area that not important go.

Absolutely!

You can almost smell the procedure.

[scottycam]

wow.. Those are amazing. So, how does it work? How do you take a picture and not be in everyone's way? Do they stop so you can snap a few pics?

The details are crazy.