Saturday, May 28, 2011

Phlomax Pics and Video

M1 year is over. And I'm at home for the Memorial Day Weekend, kayaking in the Magothy River, feasting on salmon with black beans, and visiting the new R.E.I. store in Columbia, MD--finally my favorite store has come to my hometown! On Monday I'm heading back to Ann Arbor to start on my first lab rotation, in which I will be developing a dendrimer. A dendrimer, as I learned this week, is a molecular dandelion seed.
It is a collection of functional groups radiating out from a simple chemical core. Dendrimers can be used as contrast agents in MRI, for studying cellular biology like signal transduction, and for drug delivery. I'm excited to report my project is TOP SECRET, so I cannot reveal any details.

And now for the video and pictures of Phlomax's Med Student Love.








Monday, May 16, 2011

Phlomax

Between this my last post, I completed the 5-week infectious disease sequence, which is generally regarded as the toughest sequence of M1 year. Tough because there were dozens of pathogens to memorize with associated microbiology, pathology, clinical presentation, and mechanism of transmission. Then there were just as many drugs with mechanism of action, side effects, and uses to memorize. It was still a mostly fun sequence though because it was very well taught and it was our first clinically oriented sequence. Now we're on embryology which is horribly taught but fortunately will be over soon. Last we have one week of human growth and development before summer vacation begins after Memorial Day. I'll be starting my first lab rotation with Dr. Jason Gestwicki on May 31.

A lot has happened in the last month and a half. For one, the weather has dramatically improved, which means I've been getting out for regular bike rides. Last week I did a complete tune-up of my road bike, installing a new cassette, front chain rings, and chain. I've also been training for the Dexter-Ann Arbor Half Marathon coming up on June 5. Yesterday I went out for a long run loop but drastically under-estimated the length of the loop and ended up walking 4 miles at the end.

In other news, I traveled to Kalamazoo, Michigan a few weeks ago for the Michigan State Medical Society annual meeting. "Kalamazoo" is the Indian word for a footrace in which you had to run to the river and back before a pot of water boiled. The town didn't really have anything else interesting going on. At the conference we presented a number of resolutions, including one on which I was an author stating that the MSMS should urge Michigan city governments to implement bicycle sharing programs. Such programs have been implemented all over Europe and in some U.S. cities like Washington, D.C. One program is just starting this month in Madison, Wisconsin, and since the demographics of Ann Arbor are similar to those of Madison we thought Ann Arbor would be a good spot for bicycle sharing. Even people that own bikes can use bike sharing programs because they're great for one-way trips, and the bikes are weather-proof if you don't want to get your own trusty steed dirty. There are bike kiosks situated throughout town and members can check out a bike whenever they want with the swipe of a card and return it to any other kiosk. The price is usually free for the first half hour and increases steeply thereafter, to encourage quick commuting trips and discourage long lazy day trips. Anyway, the MSMS loved the resolution and it passed easily. Next we're going to present the resolution at the AMA national meeting in June.

And the other big event was the Biorhythms Spring Show, which was Saturday. The show featured a Mance (Man Dance), African style dance, jump rope dance, bhangra, and other dances and musical performances. And there was a rap! We called ourselves Phlomax and the name of our act was Med Student Love. We used the beats to Tupac's California Love and Eminem's The Real Slim Shady to make a rap about med student life with a surprise twist at the end. We changed Slim Shady to Dean Petty, the Dean of Education for the med school who is leaving for Wisconsin this year. We had her walk on stage at the end of the performance, which the crowd loved. Unfortunately I don't have a video of the performance, but I will soon.

Sunday, April 3, 2011

DP Day

Yesterday I traveled to Detroit with five M1 colleagues to volunteer with the Detroit Partnership's DP Day. This is an annual day of community service in which Michigan students spend several hours drawing murals, cleaning up parks, clearing vacant lots, and working on gardening projects. Transportation and lunch are provided for free, making it an easy opportunity for students to learn more about Detroit and lend a helping hand. In the mid-20th century, Detroit was the fourth largest city in the United States, with a population over 1.5 million. In the last 10 years, Detroit's population decreased 25% to its current level of 750,000. My group was assigned to the Brightmoor neighborhood, which was once a beautiful, thriving community but is now full of abandoned homes and crumbling, vacant school buildings. There are no stores or groceries nearby, forcing residents to eat at McDonald's.

Upon arrival in Brightmoor, we ate lunch at St. Christine's Soup Kitchen, which serves hot meals every Tuesday and Saturday. There we met some children from the community and a couple of energetic community organizers. For lunch we had Shepherd's pie, salad, rolls, and an assortment of desserts. After eating we met Billie, a master gardener and community activist who had recently moved to Brightmoor with her husband to help revitalize the neighborhood. She showed us a park and community garden where they were growing fruits and vegetables for residents in this "food desert." Some things they could grow year-round in a greenhouse. Then she took us to an abandoned house that had not been lived in for a decade. We cleaned up trash in the lot, boarded up windows, raked up leaves, and leveled the front lawn, which had been disrupted by water flowing from a broken pipe. The neighbor to this abandoned house was very grateful and came out to help us. We went to two other vacant lots and cleared them of trash, of which there was plenty.

In the late afternoon we attended the DP Day Rally at Stoepel Park. This rally was unfortunately a waste of time, and I've told the DP Day organizers that it should not be part of future DP Days, or should at least be made optional. I learned a lot more while I was working than at the rally; the rally speakers were not inspiring or interesting (probably because we couldn't hear most of what they were saying). What's more, the students littered about as much trash at Stoepel Park as they cleaned up during the day--papers, pizza boxes, and Red Bull cans were all over the place, and some trash blew away into the community before it could be recovered. Our time would have been much rather spent with a couple more hours working than attending the rally.

Here are some photos:

Lunch at St. Christine's

The Team
Boarding up windows
Cleaning up trash

Friday, April 1, 2011

Tomorrow is Hash Bash Ann Arbor

I won't be attending, but was intrigued.

Here are some photos from my sister Liz's visit last weekend:
These were taken during a walk over the Argo dam and along the Huron River, on a very sunny Sunday afternoon. On Saturday Liz and I attended a conference in memory of Sujal Parikh, a fourth year Michigan medical student who was tragically killed in a traffic accident last year while doing research in Uganda. The conference was called "The Social (Justice) Network"and it featured talks by professors and students on efforts to bring health care to disadvantaged people around the globe. The keynote speaker was Peter Mugyenyi, founder and director of the Joint Clinical Research Center in Kampala, Uganda. He talked about how the recent economic recession has led PEPFAR and other aid agencies to drastically reduce funding of ARVs for the treatment of AIDS in the developing world. The conference organizers hope to make it an annual tradition.

Liz's visit coincided with the final exam for our Central Nervous System Sequence, which was mostly neuroanatomy. The anatomy practical exam was especially tough, but fortunately it was the last anatomy exam ever! Our next sequence, starting Monday, is infectious diseases. This past week we learned how to do the neurology, ear nose & throat, and oral physical exams. We also learned a little about the in-depth mental status exam that psychiatrists do, and we had several interesting lectures on the Tuskegee experiments, child abuse, and LGBTQQ patients. On Thursday, our interpretive projects for the Family Centered Experience curriculum were due. My partner Kellianne and I made a video based on the everyday sights and thoughts of patients with chronic illness (my patient has type I diabetes, Kellianne's has multiple sclerosis). Kellianne happened to have knee surgery to repair a torn ACL several weeks ago, so I accompanied her to surgery to get some hospital footage. You can watch our video here. Our video project will be presented along with many others at a special reception on April 20 for the FCE families.

I'm starting to become very busy with the heap of extracurriculars I've taken on for next year. I'm a student coordinator for the Delonis free medical clinic, co-coordinator of the Students Teaching AIDS to Students program (med students teaching local high schoolers about HIV/AIDS), an editor for the Hippo med student magazine, and one of the leaders of the MedRunners group. Most exciting of all, I'm leading a group of 8 student rappers on a performance at the spring Biorhythms show May 14!

Wednesday, March 16, 2011

Saturday, February 26, 2011

Buckminster Fuller and Avalanches

This is the most un-springy spring break--it's snowed pretty much every day this week. We still made it out on Thursday afternoon to the Henry Ford, a massive museum in Dearborn, MI that chronicles American politics, art, and culture. There are many fascinating exhibits at the museum, from the Rosa Parks bus to the rocking chair President Lincoln was sitting in when he was assassinated in Ford's Theater in Washington, D.C. One of my favorite exhibits was the Allegheny locomotive, a monstrous steam engine built in 1941 that pulled coal-carrying trains more than a mile long.
Another exhibit I enjoyed was the Dymaxion House designed by Buckminster Fuller in the 1920s. Buckminster Fuller was not the man who first synthesized buckminsterfullerene, or C60 (that distinction goes to nobel laureates Harold Kroto, Robert Curl, and Richard Smalley of Rice University), as I originally thought. No, Fuller is most famous for inventing the geodesic dome. He's also well-known for his Dymaxion House, a cheap, sustainable, and virtually indestructible home. The house looks kind of like a big bag of Jiffy-Pop right before you take it off the stove. It's made of cheap and light aluminum, giving it a very shiny futuristic appearance. The house is suspended by one central post, so the whole thing can swing back and forth in an earthquake or storm. The round shape of the Dymaxion House maximizes living space while minimizing building materials. There are also rotating shelves and closets operated electronically to maximize space. Sadly, the Dymaxion House never went into production, even though it seemed pretty livable and cost about as much as a high-end car--I don't think I would mind living in one, if it was a little spruced up.
Today I attended a Winter Wilderness Medicine Workshop at Kensington Metropark about 30 minutes north of Ann Arbor. The workshop was taught by some very knowledgeable instructors--including emergency medicine residents and attending physicians. Most of the docs had been on mountaineering expeditions and had some amazing stories to tell. I learned about the Gamow bag, a simple but ingenious and effective piece of equipment for treating patients with altitude sickness. Patients crawl inside the bag, the medic closes a super strong zipper, and then someone uses a foot pump to pressurize the bag. The pressure in the inflated bag can reach the pressure at an altitude over 5,000 feet lower than the actual altitude.

One of the instructors used to work in alpine search and rescue in Utah and had done extensive research on avalanches. He told us about all the factors that affect avalanche risk, such as slope steepness, the direction the slope is facing, the type of snow that has fallen, the temperature, the wind, tree cover, and more. We got to play with avalanche rescue beacons used to find people buried in the snow, and we also practiced a fine probe search, which must be done when the victim is not wearing a rescue beacon. In the probe search, a line of people each carrying a twenty foot probe walk step-by-step over the avalanche field, every step pushing the probe in the snow on their left, center, and right. If someone thinks they hit something under the snow, the probe is left in the snow and another line of rescuers with shovels is responsible for digging to the bottom of the probe. Behind the probe line, specially trained dogs sniff for human scents wafting up through the probe holes. It is a painfully slow process. In fact studies show that if avalanche victims are not rescued within 15 minutes, their chances of survival are very slim. So by the time the search and rescue time arrives, they're usually hunting for the dead body. However, a device called an Avalung can buy the victim time. Although there is usually plenty of air mixed in with the snow that is burying an avalanche victim, the victim typically asphyxiates because the warm air he/she breathes out melts the snow immediately surrounding their face, and then the snow refreezes, sealing their face in a tiny air-tight compartment. The Avalung is just a tube that channels expired air behind the victim's back so that the area around their face is not iced in. When the Avalung is used properly, the limiting factor in survival becomes hypothermia rather than asphyxiation.

Here is a video of an avalanche:

Saturday, February 19, 2011

Spring Break!

These snowy pictures were taken twelve days ago, but it's already spring break! (Fortunately it has gotten above freezing the past few days.)
The walkway over Argo dam that I take on 50% of my runs.
Looking at the downstream side of the dam. A dam was first built on this site in 1830 to provide power for a mill. That mill burned down and was replaced in 1914 with a power-generating dam. In 1959 power generation was ceased, but today the dam still backs up the Huron River to form Argo Pond, a small recreational lake used by over 600 rowers from Huron and Pioneer High Schools, the University of Michigan, and the Ann Arbor Rowing Club.
A diver descends into the icy water from the Argo Dam walkway to clear out a dam intake valve in early February (picture from the Ann Arbor newspaper).

Argo Pond, frozen solid.
This is Barton dam, the next dam upstream from Argo (Ann Arbor has 4 dams total on the Huron). It was originally built in 1912-13 and generates 4.2 million kWh of electricity per year for the city of Ann Arbor.

I wonder how much electricity it generates when it's frozen.
Ice climbing, anyone?
Ducks and swans apparently don't mind the cold.

In the last month and a half we completed the GI, endocrine, and immunology sequences, all of which were challenging due to the large amount of new material. But to be totally honest, medical school so far has not been tremendously intellectually stimulating. I'm thinking back to college math problem sets or biology journal clubs or even writing political science papers, where I actually felt like I was problem-solving and thinking logically, rather than blankly staring at my notes, trying to squeeze one more fact into my brain that I will likely forget ten minutes after I take the test. What's more, college assignments usually resulted in some kind of finished "product" I could call my own, whereas in medical school we just file into the library at the end of each week, log on to a computer, choose one of five options a couple dozen times, and hit "submit." Fortunately we have a "Clinical Foundations of Medicine" Week after spring break where we will learn some more physical exam skills, which I also enjoy. Then we have a three-week sequence on the central nervous system, which I know will be fun because the brain is an endless, fascinating frontier.

I'll be sticking around Ann Arbor for the one-week break, catching up on some reading for my summer lab rotation and writing a rap or two for the spring Biorhythms show in May. Meanwhile, the Smoker--the musical in which students lampoon the medical school faculty (it's been occurring annually for nearly 100 years!)--is coming up in two weeks. I have a small acting part and am in one short dance.

Michigan hockey won a 5-4 thriller in overtime tonight versus Western Michigan. Go Blue!