Friday 27 December 2013

Pathologists: hidden heroes

Everyone thinks it's the doctors who save the lives, but what people don't realise is that the doctors would be stuck without their multi disciplinary team. The MDT consists of several other important members but pathologists certainly play a massively important role. People often see pathologists as these glamorous people who wander around their shiny labs until a brutal crime takes place which they are then expected to solve to save the rest of the city before the evil villain is able to do any more damage. Hate to shatter this illusion but no, most pathologists do not lead a life like these people...
In fact, there are branches of pathology which people are not even aware exist. Most people only know about forensic pathology and are convinced that pathologists are either off CSI or are crazy scientists who like to chop up dead people. Of course this is not the case. Pathologists work mostly on people who are still alive, in a branches of pathology which are massively important in hospitals. Two of these branches are called histopathology and haematology. 
Histopathology: the study of tissue sample in order to diagnose disease. 
Haematology: the study of the blood in order to diagnose disease. 
Obviously both of these studies are extremely important in hospitals in order for the doctors who are seeing patients to gain a more detailed insight into their condition. When people are admitted to hospital or are sent to get blood tests from their GP, the majority of them will not realise that behind the scenes are the pathologists carrying out all of the tests and research on their samples and that without them there is no way that they could be diagnosed as accurately or efficiently. 
So what do they do? Well pathologists supervise labs, interpret results, carry out patient consultations, do ward rounds, teach other doctors and carry out research among other things. It is clear that the hospitals could not run without these people, even though they are never mentioned as the heroes in all of the stories we hear. 
I recently read two really interesting stories on pathological cases dating back hundreds of years, which I personally found really fascinating;
  • Pathologists can find themselves investigating all sorts of cases, such as how famous people died, hundreds of years in the past. For example, pathologists recently investigated the death of Beethoven, and found that in fact his own doctor may have killed him. We knew that Beethoven had suffered from lead poisoning but this pathologist found that he was in fact poisoned accidentally by his doctor, who punctured his abdomen to relieve him of an edema and used lead-laced poultice to seal the wounds. This resulted in Beethoven's liver absorbing the lead and causing him to suffer from cirrhosis. The most interesting part of this story, however, is the way in which the pathologists discovered this. He used samples of Beethoven's hair which fans had cut off on his deathbed. He formed a time line of his decline and discovered that the spikes in lead in his body were only on days which his doctor had visited. This pathologist clearly used his own depth of knowledge and problem solving to come to this conclusion. 
  • Scientists want to exhume the body of Galileo to determine whether or not an eye problem caused some of his findings to be inaccurate. It is thought that Galileo suffered a bout of childhood illness which caused him to have eye problems later in life. This means that a lot of his work could be deemed inaccurate. Pathologists hope that if they are able to exhume his body, they may be able to use DNA tests to find out which condition he was suffering from and therefore simulate the things he was seeing through his telescope. They think that this condition is the reason he was seeing Saturn as an oblong shape, because his poor sight prevented his from seeing Saturn and her rings as separate.






Saturday 21 December 2013

Technology- Staying focused

http://www.newscientist.com/article/mg22029484.500-mindreading-light-helps-you-stay-in-the-zone.html?utm_source=NSNS&utm_medium=SOC&utm_campaign=hoot&cmpid=SOC%7CNSNS%7C2013-GLOBAL-hoot#.UrW3ORaYcb0


The link above will direct you to an article that I recently read in the New Scientist magazine and found particularly interesting. I'm always baffled by the crazy technology we have access to nowadays and I must admit that the majority of the time I have no idea about any of the science behind it. However, with this particular innovation, I can understand the simple concepts which have been built upon in order to produce a rather fascinating idea. 
The basic concept is that we can use light shone into the eyes to monitor the level of activity in the brain. Of course this is extremely simple as a concept and in fact we have been using light through the eyes as a portal to the brain in many ways for years already. For example, in your GP, I'm sure you've had a torch shone into your eyes to check for various things and not even thought about it. With head injuries, in more serious cases in hospitals, a torch is used to check the responsiveness of the pupils, with certain irregular reactions relating directly to neurological conditions. For example, when the patient's pupils fail to react or there are changes in the size or shape of their pupils, this can often be linked to raised intracranial pressure and pressure on the optic nerve. This is mostly due to a rise in cerebrospinal fluid or a mass on the brain such as a tumour or a bleed, which can be caused by things such as head injuries, encephalitis or meningitis. 
So, the idea of using light to understand what is happening in the brain is not a new concept at all. The complicated part is the way in which the light is recorded and interpreted. This whole idea is brought together using various different scientific domains and will no doubt be extremely useful in the future. The ability to tell whether or not someone is using their full capacity of concentration could be used in numerous ways. For example, as mentioned in the passage, to work with air traffic controllers and ensure they are able to handle their stressful workload. This could further be extended to professions such as long distance lorry drivers, where this technology could be used to gauge when the drivers need a break. 
This technology could pioneer new advances in testing systems. If we imagine a new form of driving test which uses this system. When someone is a very capable driver, they are able to drive without too much thought and their brain is calm and is not overworked. This would show up on the monitor, and would act as proof that this candidate is competent enough to be allowed to drive without supervision. However, if someone is finding it difficult to drive properly or is having to overly focus and is becoming stressed by driving, this would be evident. If this information could be passed on to instructors, it could be used to determine whether or not the pupil is allowed to pass their test. This method could be used in all other types of skills based assessments. 


Thursday 19 December 2013

#heartsave

On Medlink, I was told about an amazing campaign which has just been started on Instagram called #heartsave and I want to encourage as many people as possible to get involved. 
There are thousands of portable defibrillators located around the world which could save someone's life is they were to go into cardiac arrest. All you have to do to get involved, is to take a photo of these defibrillators when you see them and post it to Instagram, with the hashtag 'heartsave'. Instagram geotags all of its photos and the plan is that, if enough people get involved, we will be able to create an app based on these posts, which will show the location of the defibrillators, meaning that if someone were to have a heart attack, people nearby would be able to quickly use their smartphone to locate the nearest defibrillator. The probability of survival after a cardiac arrest can decrease by as much as 10% for every minute of delay after collapse without treatment. If a bystander could locate an AED more quickly than the emergency services are able to arrive and begin treatment, this could hugely increase the chances of survival for this person. This campaign has the potential to save lives if enough people will get involved. It's easy and takes no time at all, please get involved if you can. #HEARTSAVE

Medlink 2013 




MEDLINK 2013

When people ask what you want to be when you're older, you often get responses such as a fireman or a princess, but for me my answer has always been different; a doctor. Despite the fact that I've been told that I would make a very good lawyer, because of my ability to argue well, there's never been any doubt in my mind that my chosen career should be medicine. I've always been hugely interested in science but also in people so it's obvious to me that medicine is the perfect combination of the two. On my blog, I'm going to post cool stories which I think will be of interest to people who are like me and are keen on pursuing a career in medicine. So, how did I get the idea to blog?
At the beginning of my holidays, I went on the Medlink conference held at Nottingham University which was held for students looking into a career in medicine. It consisted of a series of lectures intended to guide us all on our path to med school. I must admit, a lot of my friends laughed at me for going on this 'nerd conference' and frankly, I was concerned that it could turn out to be just that; 5 days surrounded by crazy geniuses whom I had no chance of even attempting to socialise with! However, when I arrived early on the Saturday morning, I was pleasantly surprised. Everyone was really normal. It was so easy to make friends because everyone had one massive thing in common! We all did the same subjects, we all loved working with people, we all wanted to be doctors. After meeting some nice people and getting lost on the huge university campus, the lectures started. I won't bother writing about all of the amazing things we learnt in the lectures because I would be here all day but I will make a post with some of my notes from them in and some good resources we were given. We had five hectic days, 7am-midnight, jampacked with amazing lectures, inspirational speakers and loads of laughs. Even in the nonstop, intense lectures, the speakers had the whole room captivated from beginning to end. It was such an unbelievable experience to be in a room full of such amazing people and to be able to listen to some really incredible lecturers who had taken their time to tell us their stories.
 I would like to recommend Medlink to anyone considering studying medicine; it is an eye-opening conference and it will educate you beyond belief. If you're not sure if you want to be a doctor, Medlink can help you decide and if you are sure, Medlink helps you get there. You'll have a great time, meet some fab people and it will make you so so excited to make your application to medical school.