Saturday, October 17, 2009

Tensegrity Info/I Might Be More Popular Now

Since my blog appears to be "googleable", a word that needs to be inducted by the dictionary people, I had a few comments from people that are incalculably smarter than most people. If you are wanting to learn more about tensegrity and its biological applications go to www.biotensegrity.com. Dr. Stephen M Levin is not only my favorite kind of surgeon (cause they get to use stainless steel hammers) but is, essentially, the leading scientist behind tensegrity applications to our anatomy and physiology. He also may be a new fan of my blog (I wish) since he left a comment.

So, to correct some of the things I mentioned in my previous post, the "Harvard boys" that I mentioned, should more appropriately be referred to as the research of Dr. Donald E. Ingber, M.D., Ph.D., professor of bioengineering at Harvard. You can find info on his research by clicking here. It was also incorrect for me to say the "Harvard boys" came up with the tensegrity idea too, an example of my combination of ignorance to the subject and inability to stay fully conscious during a lecture in a warm room with dim lights.

Other very awesome links are in the comments to my post, "Remotivate, Relax, Relapse."

Thanks for commenting everyone, scientists and non-scientist people alike!

Friday, October 16, 2009

Remotivate, Relax, Relapse

It has been way too long since I posted, and for that, I sincerely apologize! My lack of posting is only a sign of my increased workload in school and not a disinterest in posting. I am running on residual testing-fuel (caffeine) and thought I would give an update.
By the way, I changed the comment setting so COMMENT if you tried before and couldn't!
Since the last post, the Secret Society of Study Stuff has contributed a biochemistry test packet, an anatomy test packet, and a histology test packet. We have had overwhelmingly positive feedback on the packets and major compliments to everyone that contributed. We also learned that we have a ton to work on in order to make the "packet assembly" more effecient and less stressful. By the time we sent out the third (histology) packet, we were feeling pretty good about efficiency and stress levels were low. Consequently, stress levels were so good, at least for me, that I got my very first 100% on a test! Now that may sound like bragging, so let me explain the significance.
I have NEVER received a 100% on any significant test in medical school OR undergrad! I always figure out a way to miss one or, on average, two. I thought I was cursed. But the evil curse was lifted and I dominated the Histology test! I had a Biochem test this morning, arguably the most complex/clinically applicable/time consuming test that I have had yet. I felt great, but the 100% is 100% not possible on this one. But at least I know the curse can't be permanent!
I have been very distracted lately. Not in the "I wish I could play video games with my brother and friends" but in the "what am I going to specialize in?" and "what am I going to do now to better my chances at the best residencies for that specialty?" I borrowed a book from a classmate of mine that helps med students self-analyze and assess their own personalities in comparison to the personalities/job-descriptions of almost every specialty out there. It is an awesome book that made me excited and made me scared half to death! I have no idea what I want to do!
I am immediately drawn to surgery. Mostly, because it is very outcome oriented (fast results) and not a whole lot of long-term patient relationship stuff. I won't be caring for people from cradle to grave, which doesn't sound interesting enough, but rather I will be meeting new people all the time and I won't have to keep up with them over a long period of time. I read some specialty descriptions and most were not surprising, i.e. Orthopedic Surgery, ENT Surgical, and Plastic Surgery were all obviously attractive to me. The scariest one, the one that is keeping me up at night, is Neurosurgery.
I always joked that if I really didn't want to have a family, I would go into Neurosurgery. The frightening reality is that when I read the Neurosurgery description (about 8 pages of stuff) I felt like I was reading a letter sent just to me. Even now, I feel awkward writing that Neurosurgery might end up being my specialty. Neurosurgery is for geniuses ("It's not Rocket Science/Brain Surgery"). I am absolutely NOT a genius. I'm an average med student with a super goofy personality with an outrageous imagination that can take over from time to time. But there have been few times in my life where I felt like something (someone) was speaking to me from within my soul.
I can't get it out of my head now. There is a lot to be experienced before Neurosurgery becomes a valid option, i.e. neuroscience I, II, III, IV, but I have to make it a priority to find out if that particular specialty is right for me. It's a tough one to match into for residency so my preparation has to start NOW to give me any sort of a decent CV.
Besides that, I have finally reached a rest phase from tests! I only have an "easy" test on Monday and only two quizzes this week! I won't have another test until next Monday! Which sounds like it is not a break but a Friday without a test is going to make Thursday feel like Christmas Eve!
I have also been struggling with the osteopathic side of my medical education. I went into school with a ton of enthusiasm and faith in osteopathic theory and practices. The theory and principles are easy for me to love, the practices were proving difficult to LIKE. That all changed yesterday during a Founder's Day lecture (founder = AT Still, the founder of Osteopathy, founder of my school). Ever heard of tensegrity? Well, i hadn't either. But you want to know who has heard about tensegrity? Some of the boys at Harvard (they came up with it), top of their fields mechanical engineers, and everyone that sees the tensegrity example on the mall of Washington DC (needle tower).
To shorten the hour long lecture in a few sentences, tensegrity, applied to biology by an MD, PhD Pathophysiologist at Harvard Medical School, is the physics, biology, and chemistry behind some things that A.T. Still tried to describe around 100 years ago. Before yesterday, I was still under the impression that the only way to think about our skeleton is that it is a frame for muscles and helps us do things in response to gravity. Now, the spine and everything attached to it becomes a beautiful, intricate balance of tensile forces that essentially defies gravity rather than just simple adapting to it. One of the most important principles of osteopathy is that the human body is a unit that constantly works to maintain homeostasis or balance. Any part of that system that takes a beating, the whole unit will react, and adapt to the change. A key osteopathic practice is the treatment of somatic (body wall or musculoskeletal) dysfunction can directly prevent disease and dysfunction of the body's organs and tissues. It all seemed pretty hokey to think that realigning someone's back or working out the knots of muscles could help lower risks of cancer, diabetes and other diseases. But the Harvard crew has an extremely detailed and convincing hypothesis as to how our genes might even be activated to change things in the body simply by moving things around everywhere else in the body, i.e. realigning the spine. SO AMAZING!
To think that it would be an MD, PhD from Harvard that might be doing the scientific research that proves that D.O.'s receive training that every doctor needs to have to be most effective.
So longest post ever! Sorry. I'll be done now. Caffeine is pretty much metabolized and I'm getting tired!

Thursday, October 1, 2009

Overwhelmed Yet?

It's go time! This week has been awesome and crazy. I could say that it was crazy awesome. The next two weeks will be a test of my mind, body, and spirit (Osteopathic Principle).


The SSSS (Secret Society of Study Stuff) has a new ally, Mr. Tim Tucker, who is the student resource guru and a heralded couselor to students who needed help learning how to study in med school. He and I met on Tuesday and then he attended our first SSSS meeting that evening. It was awesome to have him there. If we can stick with this and implement our ideas, we could have a model that can be applied to every medical school. It will simulaneously help people to learn more effectively and build a team mentality among the students, reinforcing the principle of collaboration that is becoming more essential in medicine.


We have a biochemistry test tomorrow morning for which the SSSS has supplied its first study packet! It is clear that we will be working out painful kinks in the process for a while. I was so stressed out as I studied for our Osteopathic Theory and Methods tests and for Biochem and tried to get a bunch of study material out to the rest of the class. It will be invaluable to get some structure implemented so I can effectively delagate the various tasks so my brain doesn't melt.

OTM is a strange part of the D.O. road. Compare everything to M.D. training and we are nice and equal. Then you add OTM and it gets a little annoying. It is scary to know that I can fail my boards or not graduate from medical school if I don't score well on the OTM stuff. The problem lies in the fact that we have yet to apply what we are learning. It is more hocus pocus than a real diagnostic tool at this early stage. I know that it will become more fun and applicable, but I'm just recording my feelings on this whole adventure as I go.

I am also increasingly grateful to have been elected. It will be an amazing experience to be involved in the student government aspects of school. I'm planning on staying involved every year if I can. I find that medical school is bringing out some surprising sides of myself. I get excited thinking about serving in a more political position as a physician. I love to be outspoken and get things moving with structure, protocol, curriculum, etc. Administrative aspects of medicine are very appealing these days. I also love the educational side of medicine, i.e. visualizing concepts, thinking of new ways to approach the same old material, figuring out better ways to present information, etc. I love brainstorming! Brainstorming is like my own personal sporting event. Consequently, I always win when I play by myself.

I have to start studying again. It is pretty relentless. I overheard some students talking about how often the think about how nice it would be to drop out. It occurred to me that the very elements that make med school so difficult are the very same that make me love it. I am constantly pushed and challenged. How many careers can give you that feeling of constant opportunity for progression? Not many. Yeah, it is overwhelming at times. Yes, certain classes feel like mosquitos rather than warm blankets of science. However, embracing the intensity can only make medical school awesome. I am still loving it, although it takes my sleepy time away.


Thanks for reading, folks! I leave you with a diagram I made to help remember eukaryotic DNA polymerases. Enjoy!