Rise-and-Shine

05:00
Morning Workout

I always begin my day with a workout, which I do at a local gym. I do about 30 min of cardio followed by 45 min of strength training with a personal trainer. I have had the same trainer for about 2 years now so he knows how my body responds and likes to mix things up for me, which keeps it interesting! Physical fitness is so important for my day - it brings me energy and sets the stage for the stress of everyday life - especially in the O.R.! I made daily morning workouts part of my everyday life about 5 years ago and now, it is truly an addiction. After my workout, I will have a couple egg whites and fruit at the gym cafe.

Off-and-Running

06:45
Prepare and Drop Off Kids

After my workout, I will come home and shower and get ready for the day. My husband gets the kiddos up and helps me get them ready. I prepare their lunches and feed them breakfast and we all leave together around 06:45 to have them at school by 07:00AM. On Operating Room days, I will wear scrubs but on ‘office days’, I will usually wear something more ‘formal’ to the office. Today is an Operating Room day so I will be in scrubs, which makes things very easy.

Hospital Check-In

07:15
Meet with Surgeon

I usually get my cases for the week on Saturday (sometimes Sunday) so I know where I will be, what surgeons I will be assisting and what cases we have scheduled. Today, we have an open redo repair of a Type-III Thoracoabdominal Aortic Aneurysm on a 40 yM with Marfan Disease. We did the first repair a year ago, but his aortic disease has expanded, which is compromising his synthetic graft. He became symptomatic about 3 months ago. This is a big one and his deteriorating renal function means we have our work cut out for us. I always meet with the surgeon the morning-of to go through our operative plan and ensure we are synched up on our plan and anticipated complications - we estimate this case to take 360 min with 20 min of DHCA time.

Meet with Family (Pre-Op)

07:45
Informed Consent and Transport to O.R.

I always meet with the patient and family in the pre-op holding room to ensure we have Informed Consent, answer any last minute questions and ensure that transport to the O.R. is on-schedule for the first case of the day. I will then head up and meet with the scrub nurse(s), techs, anesthesia, perfusion and circulating nurse to go over any last minute questions from the team.

Preparing for the Case - The Rituals

08:15
Gearing-Up and Scrubbing-in

Surgery is very ritualistic to me. I always wear compression socks, knee-high booties, comfortable shoes, and will eat an energy bar before I scrub. I wear 3.5x Designs for Vision loupes, a pink scrub cap, put a piece of surgical tape over my nose bridge to prevent fogging and put my wedding ring on a necklace. I do my 5-min scrub and enter the room where I am immediately gloved-and-gowned by the scrub nurse:

  • XL AAMI L4 Cloth Surgical Gown (much more comfortable and breathable)

  • Double-gloves (Hep-C patient): 6.5 indicators with 6.0 reinforced non-latex over

Bleeding…and More Bleeding

Case Duration: 487 min.
Gearing-Up and Scrubbing-in

We required a longer DHCA time than anticipated (38 min), and can only hope that his young age can provide additional neuro protection. He bleeds throughout the case and we require an MTP, K-Centra and Factor-7. We use LHB and watch EEG sats throughout to monitor neuro function. The aortic tissue is absolutely horrendous and we require additional suture, biogel and other anchoring points to get new graft in place.

Scrubbing-Out and Hand-Off w/ CVICU De-Brief

16:22
Continuum-of-care

I help close and we are cautiously optimistic of a reasonable outcome. After scrubbing-out, I change into my Figs and we debrief with the team for 20 min. I help write up operative notes and meet with the CVICU team to discuss the case and issues they should be looking out for - this is a thorough 30 minute handoff. I get in my car and head home around 17:15.

An Amazing Hubby…

19:00
Dinner and Wine

On long case days, my hubby is so kind to pick up the kids, get them settled after school with our nanny and helps cook dinner for us. We enjoy a seafood pasta with a white wine - yum. We take a walk after dinner and get the kids in bed by 20:00.

Devotionals and Bed Time!

20:30
Faith and Sleep

I am exhausted but always read devotionals with my hubby - tonight is my choice for scripture choices. It is such a nice way to end a long day. Luckily tomorrow is an office day to review operative reports and prepare for the next one! Good night!

A Day in the Life.

Janelle Thorn is a Senior Partner at CCVSA and joined the practice in 2021. She was admitted to the partnership in July-2022. She obtained her Master’s in Physician Assistant Studies from the University of Alabama-Birmingham (UAB) where she found her calling for high-stakes cardiothoracic surgery cases during her clinical rotations.

After graduation, she was selected for a prestigious fellowship at the Debakey Heart and Vascular Institute in Houston where she honed her operative skills with some of the leading cardiovascular surgeons in the world. She credits the case volume of high-risk open aortic cases as instrumental to her development. In her words, “I was challenged both mentally and technically every day – excellence was the standard, not the aspiration. I learned to become a value-add member of a prestigious surgical team and moved my way up from barely being in the ‘field’ to first-assisting on complex cases such as aortic arch repairs, aortic dissections and thoracoabdominal aortic aneurysm repairs. 

After completion of her fellowship, she obtained a glowing letter of recommendation and obtained a position at the Cleveland Clinic as one of the Lead Operative Surgical PAs on the Aortic Surgery Service, first- and second-assisting on complex open aortic cases (often on DHCA with long CPB pump runs). She moved to Colorado in 2018 to accommodate her fiancé’s fellowship in plastic and reconstructive surgery – he now has a private practice in Denver. She is frequently requested by top Cardiothoracic Surgeons as their preferred First Assist for high-risk open aortic cases.