Saturday, July 23, 2016

Immersion Week 7: Finally! Well not quite...

Summary: I’ve continued my quest to find more seminars this week. I also spent time in the OR and ED. Access to patient PACS! Still not able to analyze data. 

The first seminar of the week was the Neurology Grand Rounds and this talk focused on the importance of EEG and how it can “explain” physical signs when imaging alone cannot, especially the presence of micro seizures that aren’t present in other imaging modalities. The reason being is that during deep seizures there is a spike in brain metabolism that causes a decrease in brain oxygen, which of course can cause irreparable damage.  The second talk focused on actomyosin in the C. Elegans. Specifically, it was about the spermatheca, which is a contractile organelle that combines sperm and egg. Its contractile time line is important in proper zygote formation. Disruption of this timeline can cause irregularities in 50% of zygotes. The group found the FBAR domain with a Rho-GAP domain mediates mechanotransduction. They identified PLST-1, which is enriched in contractile actomyosin and crosslinking by PLST-1 is needed for cortical contractions to be coordinated. I had a question that asked if inhibition of PLST-1 could limit migration in cancer cells. Speaker mentioned that PLST-1 is similar to FBRL-1 in humans and this is an active area of research.

In the OR, I observed a couple of Dr. Spector’s cases. Also, observed Dr. Talmor perform a double mastectomy with skin flap. The most interesting part of the procedure was when the patient was turned to prone from supine and had a portion of her middle back tissue removed and passed to the chest region while remaining attached. So the surgeons created a pocket between the chest and back cavities and passed the vascular tissue to the chest region and then rolled the patient back over and then closed the pocket. The patient had previous radiation treatment that caused her skin to be thin and stiff, so the surgeon had to choose to use tissue expanders instead of permanent implants.


Currently still dealing with the IRB issue and not being able to access patient data. Finally, had a break through and was able to log into the PACS system, but still can’t actually analyze patient data. Maybe Monday this issue will be resolved and I can analyze a couple patients before we take off. 

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