Hello, and welcome to the Gifted Life Podcast, where we have conversations about organ tissue and eye donation. I'm Laurie Steele. I'm Joey Boudreau. I'm Sally Church.
The Trio guys. Thanks for joining us here today on the Gifted Life. We have lots to get to. We are prepping for quite a month.
Okay? In April, donate life month. That's one. So we're always very busy increasing the donor registry, increasing donation awareness, but also prepping for an anniversary.
Big anniversary. Yeah, here for Loba. It is. It's going to be on April 1st is the 29th anniversary of Loba's existence.
29 years of making life happen. Wasn't always easy. We're going to take you down memory lane. Yeah, we're going to give you a bit of a history lesson.
We'll take you back to the beginnings of organ procurement and now to present day and see how technology, especially in computer software, has streamlined the process of organ procurement in the United States. And we can also tie that into how we now support our donor families through the technology. We can now really see what is going on for our families and how we can do a better follow-up of street coverage. And as always, we honor a hero that and much more on this episode of the Gifted Life Podcast.
We're so excited about it. We want you to help us spread the word. It's so easy to find us and it's so easy to share. You can absolutely find us on iTunes, Google Play or whatever your favorite podcast that might be.
Even I can do it. Pretty entertaining too. Check it out. All right, if you're on social media for work or for play on Facebook or donate life, Louisiana, a lot of what we talk about here, you can find there.
Put her Instagram at DonateLifeLA. Check us out today. And you can also give us a call and that number is 504-648-3477. We may even play your message on the podcast.
Joe, I think one episode. She might break out in song. The 504-648-3477. Yeah.
Oh, that stuck in your mind too. I hope you give us a call. We want it to be interactive. We want to make life happen, but we need you to do it.
You guys ready to get started today? Yes I am. Here we go. As we talked about at the top of the podcast, April 1st begins National Donate Life Month.
So we are prepping for quite a celebration of full month to celebrate the gift of life and encourage discussion and registration as an organ, eye and tissue donor. For this episode, we take you on a journey, if you will, guys. First back in time to the beginnings of organ procurement into present day to learn how computer software has streamlined the process of organ procurement in the U.S. And what we have learned, not always smooth sailing, huh, Joe?
It was not always smooth. Back in the day, as we like to say. Back in the day, Sal, you heard that. Back in the day, huh?
Back in the day, huh? So the first organ to be transplanted was actually the kidney, and that was in 1954. A lot of people think that it's been around for years and years and years. Yeah, yeah.
It's really relatively new, but it was done from a living donor. And one of the biggest challenges early on, there was rejection with the transplants. It wasn't until the late 60s before the liver, heart and pancreas transplants became successful. And one of the things that they realized was that they were more successful with identical twins, the most successful, and then of course sometimes with siblings.
So cyclosporin was developed in 1971, but it didn't really come to fruition in the transplant world until early 80s. And that was the big advancement that everyone was waiting for. That allowed transplants to take place from non-identical twin or non-very closely matched individuals. It was the original anti-rejection therapy.
So that's when everything started popping off in 1984, National Organ Transplant Act, also known as NODA established nationwide computer registry that was operated by UNOS United Network for Organ Sharing, which we've talked about in a few segments. And then it also authorized financial support for OPOs, organ procurement organizations such as LOPA. Now, of course, we're talking 1984 at that point. Now each state was different in timeframes on when the OPO in that particular state was initiated and how that would look.
It wasn't until 1988, April 1st, 1988 when LOPA was originally born. And so to help us kind of talk about the origins and the trials and tribulations that LOPA had to address throughout the times. We've got the director of clinical excellence with us, Michelle Duvernay. Whoo!
I was actually doing that. We needed to get a clap button. You know, for when you come in, you get these big guests in here, but we appreciate you coming. This is actually another appearance on the podcast, right?
This is my second. You must love us. I love everybody here. Winter third appearance.
We'll talk about that after you stop recording. So Michelle wasn't the first one to flip the light switch, but she was certainly here almost on the second day. And she's kind of a bi-local historian. A few days later.
A few days later. So what happened between 1984 and when NODA was established, our established OPOs, the LOPA was born, what kind of hurdles were in place there? I think you actually talked about the great point when you talked about the cycle sporing. After the development of cycle sporing, the world saw a huge reduction in the amount of organ rejections after transplant.
So at the same time, this actually was when across this country, we saw the most transplant centers being formed in every state. And that range, some states had won, some states you may have seen 6, 7 or 8 pop up during that timeframe. So that's when NODA really took notice of this and decided that the government kind of had to get in this transplant world to try and help control what was going on at the time. For instance, here in Louisiana, in the mid 80s, we actually had four transplant centers that performed abdominal transplants.
And that could be liver transplants, kidney transplants, and or pancreas transplants. And the way it worked back then, because there was no truly adopted national registry, each state just kind of worked on their own. And each center within that state worked on their own. And they would be offered organs from different hospitals across the state, mainly the hospitals that were not transplant centers.
So then the transplant surgeons would go and recover the organs, bring them back to their transplant center and transplant them. I can definitely see a disparity that can be created with this. Obviously, if you've got them calling certain transplant centers, how do you know maybe they had a sicker patient in a neighboring transplant center? So obviously this must have been a huge issue.
It was. And in addition to that, it also, I think one of the things that people started realizing was that we were not transplanting as many organs as we possibly could be transplanting. These gifts were not being maximized. So what did people have to do to make sure that we maximized these gifts?
So in Louisiana, the four transplant centers got together and started talking and they decided among themselves that it was time to make donation statewide. So everyone in the state who was waiting for a transplant had a much fairer shot of getting their transplant in the order that they should get it. That's when Loper was formed in 1988, April 1st, the doors were open. I'm thinking back to 1988 and I'm thinking about technology, not a lot of technology going on.
They don't think in pen and paper. For the most part, we did everything pen and paper. And if you want just a little funny story on my first day at Loper, I really didn't know what to do and I came from working in an OR. So computers to me were really foreign at the time.
So when I asked my boss, what do I do? She told me to sit down at the computer and play solitaire because it would help get me used to working on a computer. That's a good point. So for the first week, if we didn't have any cases, I sat at my desk and played solitaire.
You commented on 64? Okay. And we shared computers back then. So it might be one computer for every four or five people in the office.
So we would just take turns playing solitaire if we weren't doing cases. Well, it seems like it worked because you're a director of clinical excellence now. You know what I mean? So you started, like you said, you hadn't really had much engagement with computers at the time.
And of course, we did a lot on pen and paper. So tell the listeners out there a little bit more about Loper's communication back then and how you shared data and what you even used to collect and keep the data. Yes. I'm thinking, again, I'm going to hit you with this.
I'm thinking the 80s. I was around, but I was just a little t-thing like you. But, uh, fax machine, I'm thinking pagers. I don't know.
Pagers definitely absolutely we all lived by our pagers. It's funny looking back because now everybody thinks that in the 80s, everyone did everything by fax machine. When I first started, we were thrilled when somebody that we were working with on the transplant center and actually had a fax machine. That was few and far between.
Wow. So if a transplant center had three coordinators who took calls and offers for their patients, and we knew one of them had a fax machine, you pray that that person was on call that night with you. So you could fax a chart to them. And it was terrible for that one person.
Well, now you have a computer in your hand. Now you have it in your hand. But back in the day, as Joey said, it's one of our favorite phrases, which I know I probably tend to use more than a lot of people. We did the majority of our work with pen and paper.
We would actually just write everything on our hand printed charts. So you would just fill everything in. See problems with that. Well, we're going to get to that in a few minutes.
We're going to get to a couple of the really big problems. But luckily for us, at least during that time, there were fax machines at the hospital and there were fax machines at the local office. So when our coordinators on site would complete their handwritten chart, they would fax it into the local office. And the local employee who was working in the office on the case would then run the list through the UNO's computer to find who was up next, first, second, third for each of our organs.
And then we would call a phone number that was listed on the printout list. And we would actually make that entire offer to them verbal. Our charts were about 15 pages long of information. And just to give you an example, if the patient had been in the hospital for five, six days, and they maybe had nine to 10 sets of lab work that they had done throughout that, and each set of lab work consisted of maybe very different labs.
We had to read off every single one. We had to read off the date and the time, the result of every single lab. Go to the next one. Tick tock.
I'm thinking of time. A verbal offer could take 40 to 45 minutes to do one if it was a patient who had been in the hospital for a while. So we had a database. We've always had a database at LOPA that was strictly used for the purpose of housing data.
So after our cases were complete, the coordinators would come back and then they would input all the information from the paper charts into our database. That's actually when I started back 15 years ago, we had just started with our database that we're currently using. And that's what we would do. I would fill out the chart.
And of course, Michelle, I was the on-site coordinator. Michelle was a placement person here in the memory office. I've seen your writing though. Oh, yeah.
Well, I'm worried about this. I mean, of course, what she mentioned, you're writing too many pages of documentation and in all its facts that to her and then we communicate back and forth. So it was a challenge. And he was a cipher.
What he wrote from me was a challenge. A cipher from me was a challenge. It's a lot of patience. It's not from what he wrote.
I think I'm in this. So as Joey said, we were in the process and had just kind of developed our own database. And that's when we kind of really realized that technology could really be our friend and benefit us. And we made the decision to start letting the on-site coordinators actually just put the information directly into the database instead of having to hand-write the chart and send it in, then the placement coordinator in the office could just print straight from the database.
So the relief on Michelle and Brenda's face. Now, for me personally, that was the biggest advancement in transplantation to this day. Because we were protesting that if this didn't happen, some of us were going to stop doing placement because two of our coordinators and one of them who happens to be sitting right there after me, Mr. Joey Boudreau, because we could not read their hand writing.
It took us twice as long to do these cases. I had the title. Because every time they would send something into us, we had to find them on a phone first and then get them to tell us what they wrote so we could rewrite it. So we were rewriting every chart that they wrote and sent into us.
So technology was a gift. So technology in this area for us was a huge, huge gift. And I think that's when we first started seeing the cases kind of progress at a little faster pace and a little more, the progression was more synchronized. So then, you know, made advancements with unit and allowed us to upload and share data through unit, which wasn't an availability before, before it was just kind of, you know, have a list.
Yes. And that's when we took our system one step further and created what we call an upload. So now for us, the information is put directly into our database from the donor hospital and it is uploaded directly into the donor net system. And it also allowed us to make more offers at the same time in donor net.
We can put out five to 10 offers at the same time. And the transplant centers go directly to donor net and read the information for themselves. Wow. So obviously the amount of lives now that can be saved just because of those advancements, you know, over the past few years, we went from, as Michelle said, you know, in her early days where it was, you know, 45 minutes here, then you move on to the next 45 minutes.
Now we're making when you're talking about seven organs and five to 10 offers at a time. So you're talking about basically 30 to 50 offers that can be out there one time, essentially, versus one versus seven organs, five to 10 offers per organ and 45 minutes per offer. Right. And technology guys still evolving.
So we're going to talk about that in our next segment. Michelle, we appreciate you acting as Lopez historian. Great job. Anytime.
All right, we'll see you next week. I think I'm on PTM. If not, I'll be putting my request in. Thank you.
Thank you. Guys, we talked about technology still evolving. It's our friend and making life happen. Joey, I know you missed a couple of episodes because you were in some pretty intense training because of this new software that's coming in.
Yeah, Laura. As a matter of fact, I was doing some training for eye transplant, which is part of transplant connect. We've recently decided to make a change from our database to eye transplant. And this is Lopa.
Right. We as in Lopa in Louisiana. And with us today, we have Wade Liu. He is the vice president of product development for transplant connect.
Hey, Wade, how's it going? Hey, guys, fan of the podcast. Congratulations to you guys for our passing over the 50 episode mark. That's quite exciting.
Wade, you are good. Thank you for listening. We love love love our partners. Yeah, I'm a big guy.
We really, yeah, we really appreciate you guys helping us on this transition that we're going through. We want to talk about the technology really helping us in the transportation world to make life happen. And so you're helping to streamline that. So tell us about this eye transplant to make someone like me out the community understand.
Sure, no problem. And we're out here in Santa Monica, California. We're a certified public benefit company. And all we do, all we focus on, 100% of our energy is on providing modern and gone to where we are with technology, trans, et cetera.
Our founder, John Piano, who are very active CEO today, he started the organization after a long career in corporate. He was back in the early 2000s. He arrived at a point in his life where he wanted to pursue something perhaps more meaningful in his life. And that is by no means intended to insult any of the lawyers out there.
And coincidentally, right around that time, he had a few things happen in his personal life. Number one, he had two people in his personal life become in need of a life-saving transplant. And number two, he became personally acquainted with some folks in the transportation space, including conversions, et cetera, who really educated him on donation and transportation processes back then. And as many of you know, which at the time, those processes were very paper-based, a lot of fact is, a lot of phone calls, there are stories about something as critical as a blood type being written in people's handwriting.
And as we all know, that's very, you know, problem. And it's kind of susceptible to that era. It's funny you should mention that way. But it's funny we just talked about that in our last segment.
One of the reasons we went to our database, R cubed, at the time we did was, well, so what I've been told is because my handwriting was so poor, they were afraid we'd have that very mistake. You are a pioneer, Joey. Thank you for what you do. It wasn't just me is what I'm trying to say.
It was a nationwide issue. So this is the two of you over here. So wait, as we speak about handwriting and we talk about pagers and everything's over the phone. So clearly you guys created a huge database.
What exactly? You know, what exactly? No problem to our donation and transportation partners. They range in nature.
We have system interfaces. We have donor registry solutions to physical studies that drive improvement and we're in a thick building out a new traffic management system, actually, which is an honor solutions designed for traffic center to better track and provide care for the patient. Both of the folks that are waiting for a live-saving organ as well as some folks that have already received one and continued to get checking and care provided by the traffic center. But for sure, probably what we're most known for is the iTransplant Donor Management Platform that we're talking about.
the OPO to maximize the gift of donation, all the donor management, all the assessments, and of course then the recovery of the life-saving and healing gifts and disposition of those gifts. And it also enables some streamlined QA workloads to ensure the entire process at all the teas crossed, all the eyes dotted, as well as they hospital the dollar module that helps donation agencies foster their positive relationships with their partners, that refer donors to them, and play a critical role in that overall process. And finally, of course, I think we're going to be spending some time talking about our family services module that's focused on enabling a streamlining and streamlining de-attricated process for our donor families, which is of course so very important. So that's just kind of an overview of the system functionality.
It's been created through many years over the past decade of collaborating with our partners that have been using the system. We like to think that the software system is never finished product, it's always evolving, it's always subject to improvement, and that's a big part of what we do. We're constantly working to improve it, evolve it, enhance it, not only to keep up with new regulations, but also just to make the user experience more streamlined and the overall process much more efficient. Right, when we're talking about the history of transplantation, there was the pagers back then, those beepers who were in mid-80s or think about this and then they had the one fax machine that you would hope somebody would know how to work till all of these things were able to do and sometimes in the palm of your hand.
So available on all devices, this eye transplant software you were talking about? Yeah, absolutely, et cetera. That really makes the system work. But for the end user, all they need is an inner router, basically.
You just have to have the system via Google Chrome, that can be on your laptop, that can be on your tablet, that can be on your phone. We have a mobile optimized version of ITRAP app called ITS GO. So literally as coordinators are walking through, perhaps a hospital and running into some of the champions that they speak with, they can log interactions in the hospital development interaction module on the fly with the whole voice to text functionality and all that good stuff. So it is accessible wherever they are, especially in the day and age where everyone has a smartphone, right?
Yeah, and one of the things that we talked about was that it was hard to track down folks, like it would take so long to get in touch with someone like Joey who's in a unit, who didn't know where they were in that unit. And this just seems so fast, so fast-track in order to make that life happen. And wait, we talked a lot about how our database, how it ties into DonorNet or kind of the list unit and how it can be uploaded. And of course, eye transplant software allows for the same thing.
Now, the biggest upside of eye transplant or one of the biggest for us is instead of having to try to figure out a way over every hurdle or, you know, go around anytime we have issues, we've got over 40 partners, 40 other organ recovery agencies, so we can lean on our partners and have a best practice and have the best solution as opposed to trying to figure out what just works best for us. So, Wade, that's one of, you know, of course, that's one of you guys' biggest pluses there. Yeah, absolutely. One of our keys to success over the last decade, our partnership and our collaboration with our Transplant Connect partners.
So every year we host an annual user conference, and this year it's actually, gosh, it's just a month away, April 20th and 21st and Newport Beach. And literally what we do is we host the two-day conference and bring in people from around the world, the White Transplant, to come together to talk about nothing other than how we do meetings, for example, where people, maybe it could be a theatre in New York. They're all policies and they're all trying to do that, you know, of all that brainstorming. As opposed to, as you mentioned, Joy, perhaps, you know, having to feel like you're at it alone and all the time yourself.
And I think that's really been a key to our success. I want to hear, you know, they really do help you all feel like the system there to do that in a best practice fashion. So, thanks for your time. Wow, and I just hear forward progress and it makes me smile.
Like, always say, never know what tomorrow's gonna bring in the donation world and end. This is it today. Wave, I want to ask you to hang tight. I know that Sally has some questions for you as well about eye transplant and servicing our donor family.
So hang tight, Wade, more to come. Bringing Wade back on with Transplant Connect behind our eye transplant software, the new software that LOPA is moving into. And the whole goal about just keeping up with this technology is to make life happen. So we talked about that in the donation world, but Sally, you also want to talk to him about our donor families and how this software helps in that arena.
Yes, I do. You know, when I first came to work with LOPA 17 years ago, there was a database with limited information. And so as I began to put together the program, I started looking out to see, you know, what are other people doing? How are they doing this?
And over time, as technology has evolved, we are finding now that, you know, the input that we can get from the coordinators, from the family approach staff regarding dynamics of what's going on with the family. It gives us a lot better insight as to how we can best follow up when we make our phone calls out to the families. And so as this is evolving, how will eye transplant make this even better for us to follow up with families? And what's funny is we always come back to our home base at Translide Connect talking about those interactions and coming back very inspired.
Frankly, thankful that there are so many high EQ and good, hardy people like yourself, a amazing job of bereavement and aftercare, with tools that make the administrative and operational atmosphere simpler so that you can focus your attention on providing quality support for your supported donor families as much as possible, including having a database for all your key interactions and planning and coordinating a meeting at inspirational events. Rather than spend your time maybe pouring over a cell spreadsheet, you know, putting together a distribution list, figuring out who you need to call when. You know, we want you to be able to focus your time on doing the amazing things that you do. We want to be able to focus on the family services module and eye transplant to provide our partners a tool that gives them immediate visibility in terms of the aftercare correspondence that it's due, including alerts for any special care needed for the next weekend and the daughter families you work with, safeguards to ensure no correspondence, slips through the cracks, or perhaps any next weekend or family members that know where to want to receive correspondence from you.
And also, as you mentioned, that key aspect of making sure that all the information that was perhaps collected in the early part of the process is bereavement and aftercare coordinators. Let's all build this package along with the automation for letter correspondence for any outgoing letters that can then be personalized by the staff as needed before you put in place. Aftercare correspondences that you guys do. Remember that you last spoke to maybe a couple months ago, you can always find out a centralized repository to remember all of which we have reporting functionality in the module that will let them see how you're doing and also plan your forthcoming events for your daughter family ceremonies, et cetera.
How many different letters generated every year? And we certainly seen an uptick in activity in the DIT live on New York. There are another USOPO, a state-servicine study, and what they put in an abstract was that significant process efficiency is with the adoption of the eye transplant family services module, a lab care team, and this is pretty astounding to income of aftercare correspondences by over 400% and increasing their time-initness performance in terms of game load after care. Correspondences out by over 75% without any change for their staffing model.
Let's a big shout out for them and I'm really proud. Our primary objective is to follow that donor family and provide them with the best possible service. So that's really our goal and how we're looking at our program and it sounds like with this type of software that we might be able to do an even better job than we're already doing. Thank you.
Five stars here, man. Thank you to Waye. Thank you to a transplant connected and I transplant. We really appreciate you guys working with our LOPA staff to get us moving in the right direction.
It's going to be a great partnership and we look forward to seeing this progress. So thank you. We have a lot of transportation material for some of our new staff here at Transplant Connect. So I know that they're going to be listening here.
That's what not to do, Waye. That's a great job. Thank you. If you don't mind, I wanted to help us evolve the system with your great ideas and your inspiration and your genius.
I wanted to give a shout out to our amazing teammates back home here at Transplant Connect and Santa Monica. We do all of our operations in-house. So all of our product managers, our analysts, our architects, our software developers, our quality assurance experts, our coordinators, they could be working on online shopping carts, social media sites, video games, etc. which is obviously awesome.
But I want to give them a shout out because they focus their energies just like our partners do on this very important mission. Hi guys. Thanks so much for everything you guys do. And thank you guys for having us on the podcast.
And we say thank you as well. Good partners. Thank you so much. We appreciate the information.
It is that time here on the Get to Life podcast to honor a hero. What are our favorite segments? Yes. In this episode, the hero that will honor is Tina Brown.
And this comes to us from the family. Listen to this story. I'm writing this as a heartbroken baby sister, but also as the proudest sister one could ever be. My sister Tina was such an outstanding woman.
She always knew how to make someone smile when they needed it the most. She was constantly making jokes and being silly. After high school, she signed up with the US Army. She was a young mom shortly after pregnant.
At the age of 19, she became a mom. She loved her daughter more than can even be put into words. Being a young mom did not end her one bit. She worked at a restaurant and would use her tips to buy food for the homeless.
It's rare to see a single mom do such a thing. She was such a great woman. On August 10th, 1991, while on her way home, she met her fate. She lost control of her car and crashed into a light pole.
She was transported to a local hospital where she was pronounced clinically brain dead. Her numerous tests and prayers and wishes. My mom knew there was nothing else to be done. We'd lost her.
This is when the most important decision ever came. Tina always made it known that she wanted to be an organ donor, but the decision was still my mother's. She honored Tina's wishes, and with the loss of her daughter, was able to see the impact Tina could still make on others. That night, Tina saved several lives and improved even more.
That is what makes her a true hero. I love that. Want to see Tina's picture? Want to read more about her?
Visit our heroes page at lopa.org. And now let's pause to say thank you, Tina, for the gift of love. In our question and answer segment, this coming to us from info.org. You too can send us your questions there.
My loved one was a donor many years ago prior to when the internet and computers were mainstream. Can I still get assistance connecting with their recipients? Well, that's one for you, Miss Sal. That is.
And yes, you can. That's a very simple answer, I suppose. But we do have access to our databases. Even though it may have been a little bit limited in the past, we still have the databases that we can go back and we can do some researching and possibly be able to find this donor and where the recipients were transplanted.
And then we can contact the transplant centers and see how the individuals are doing. And we can kind of take it from there and give suggestions to the family about writing to them and kind of letting them know a little bit about their donor. Yeah, and we have some resources at lopa.org. And this is really good because I could be at a church or at a school and someone will come up and say it's been 13 years or it's been 15 years.
Can I still? Absolutely. So the answer is yes. Check us out today.
You can also give us a call 5046483477. We want this to be interactive. We want to hear your stories. Contact us today.
We have reached the final segment of this episode of the gifted life. And guys, it's going to be a busy month. National Donate Life Month. And here in Louisiana, we do a big.
Yeah, we do. You got your running shoes on? I do. And it's so much fun.
But I love everybody gets involved and I wish that it could grow outside of that month as well. And I think that's where we're going. The other thing I'm excited about is that Lopa's anniversary. How old did you say Lopa was?
29 years. Same age as me. Yeah. And me.
We're all the same age. Why are you looking at me? I'm like, like, you don't really believe me, huh? Yeah, so 29 years of making life happen at Lopa.
That's happening April 1st, which is incredible. And more great things to come. We had some great guests and great partners couldn't do without them. You hit the nail on the head, Lori.
We absolutely couldn't do it without them. We want to first, of course, thank our own Michelle DuVernay, Director of Clinical Excellence. We're coming in and give us that history lesson about not only Lopa, but organ procurement in general in Louisiana and the United States. We also thank Wade for sharing with us information about my transplant and how it's going to make all of our lives much better with this technology.
Hey, and Mark your calendar, save the day April 21st is blue and green day. Donate life month. So we hope that you wear those blues and greens. We hope that you post on your social media sites.
My nails painted. Got you nails painted. I love it. Some people spray paint the hair.
They do the dogs as well safely. You did the toenails. Yeah. I like that.
The wigs. They just bring everything to play. I love the creativity. I love this day.
But April 21st, we hope that all of social media is filled with blue and green. And you can help do that. How easy is it? You know, to do that April 21st.
Keep an eye out for that. And today, today, folks, we hope that you go out and do something that you don't normally do to help us make life happen. Have a great one. This is a production of the Louisiana Organ Procurement Agency, or LOPA.
The gifted life is hosted by Lori Steele, Joey Boudreau, and Sally Gentry. Our producers are Kirsten Hines and Shalom Caraway. We are recorded, engineered, and mixed in our metery Louisiana studio by Troy Perez.