The Best Shoes for Medical Professionals [Review]

One of the unique things about my school is that clinical experience is interwoven into the entire program. My clinical rotation started the second week of the first semester, rather than being introduced later into the program. We started out with two eight-hour days in the radiology department and three inside the classroom. That lasted for two semesters. Now that I’m in my third, we’ve upgraded to three clinical days and only two classroom days. While that means a lot more experience for me, it also means that I’m on my feet a lot more.

There isn’t a lot of down time when you’re juggling outpatients, inpatients, ER patients, and fluoroscopy exams. At the end of the day my feet were less than pleased—specifically my heels. But it wasn’t until my two-week surgery rotation that I realized the shoes I was wearing weren’t cut out for the demands I was putting on them. The pain from my feet started radiated up to my knees and lower back. In surgery, radiographic technologists usually stand in the operating room until the surgeon needs an x-ray. There isn’t always a place to sit, and as a student I usually let the lead tech enjoy that luxury if it’s available.

There were times when I wanted to excuse myself from the OR just to go stretch or sit for a moment, but I didn’t want to miss out on anything important or seem unprofessional. Seriously, if a nurse or a surgeon can stand for the operation, so can I. But they had better shoes! As a student, we have to wear white leather shoes, which really limits our choices when out shopping. Trust me, I would much rather wear my running shoes. So at the end of my surgical rotation I set out to find a new pair of clinical-appropriate shoes.

timberland pro renova shoes

I had bookmarked these Timberland PRO Women’s Renova Professional Slip-on shoes a while back. The price tag just didn’t meet my student-friendly budget. But I was desperate. I talked with friends and classmates and they all told me that splurging on shoes, especially since I’m on my feet so often, is totally worth it. So I did. And I wish I had done it sooner.

The breaking in process was a little annoying. While my heels didn’t hurt as much after a full day at the hospital, my ankles were sore from the sides of the shoes rubbing against them. This has subsided a lot after a few weeks of wear, but it’s something to consider. I recommend breaking them in at home before taking them out for a full shift. They do squeak a little when I walk, but it’s a small price to pay for comfort. Other than that, I’ve been very happy with my purchase. They’re non-slip, breathable, and easy to clean.

If you’re a healthcare professional in need of a change, I definitely recommend Timberland PROs. Yes, spending $120 on work shoes might seem like a lot of money, but it’s well worth it. Foot health is important, and if you’re a student, you’ve got a lot more long days ahead of you! Be kind to your feet.

Side note: The company didn’t ask me to review the shoes, so all opinions are my own.

How The Beatles Helped Fund the CT Scan

Computerized Tomography (CT) is one of the most important developments in diagnostic imaging over the past 50 years. It creates virtual slices that allow doctors to see inside the human body without having to make an incision. Unlike x-ray, CT is able to visualize soft tissues—more importantly, bleeding within those soft tissues. This is critical in trauma cases because CT scans can provide an incredible amount of diagnostic information in an extremely short amount of time. Every second counts when someone’s life is on the line.

But enough with the radiology lesson! Today in my Imaging class I learned a really interesting fact about the history of CT machines: The Beatles actually contributed to its creation. Now The Beatles weren’t actually moonlighting as physicists or engineers, but their crazy success allowed Godfrey Hounsfield to invent the CT scanner.

Fun fact!

Hounsfield was a researcher at Electrical and Musical Industries (EMI). You might remember EMI as the record label that signed The Beatles, but in the 1950’s it was actually an industrial research company. Long story short, when the band was signed to the label in 1962, Hounsfield was given permission to conduct independent research with the funding from The Beatles’ insane success. With that funding, he was able to invent the CT scanner, which EMI released in 1972.

The Beatles CT Scan

What’s even cooler is that Lurie Children’s Hospital here in Chicago has a “Yellow Submarine” themed CT scanner in honor of The Beatles’ contribution. It’s just one of the many fun-themed rooms at the hospital, but it’s certainly a memorable one!

So there you have it. Feel free to share this fun fact with the Beatles fans in your life!

My NASA Social: OSIRIS-REx & Bennu the Asteroid

I feel terrible that I haven’t been writing here because I’ve been involved in some really cool things that deserve to be mentioned. School and work have kept my brain so busy that I just haven’t had the energy to write for me. But I’m hoping to change that!

During my spring break, I attended a NASA Social to learn about the first-ever NASA mission to travel to an asteroid, retrieve a sample, and bring the sample back to Earth.

During the one-day event, I got to see the OSIRIS-REx spacecraft at Lockheed Martin. In addition to that, I got to speak with engineers about the inspiration behind and challenges facing OSIRIS-REx, took a tour of the mission operations center, and got an up close look at Lockheed’s massive asteroid wall.

Why is this mission such a big deal?

Asteroids are composed of leftover debris from the solar system formation. This can teach us about the history of our planets, as well as answer the question: Where did we come from?

OSIRIS-REx will launch in 2016, meet the asteroid in 2018, depart the asteroid in 2021, and return home with samples in 2023. What makes this such an incredible mission is that the spacecraft will only make contact with the asteroid for about five seconds while it gets its samples!

What is OSIRIS-REx?

OSIRIS-REx, or Origins-Spectral Interpretation-Resource Identification-Security-Regolith Explorer, is the first NASA mission to bring samples from an asteroid back to Earth.

It will launch this Fall, and orbit the sun for a year until finally using Earth’s gravitational field to move it long its path to Bennu. It will spend another year mapping potential sample sites on the asteroid.

OSIRIS-REx TAGSAM

A picture of the sample capsule and TAGSAM.

A sampling arm, called TAGSAM, will release a burst of nitrogen gas which will cause rocks and soil to be stirred up and captured by the samples head. After this brief encounter with Bennu’s surface, the sample capsule will separate from the OSIRIS-REx spacecraft and return to Earth. NASA hopes to collect between 60 and 2000 grams of asteroid material.

Where is OSIRIS-REx going?

Meet Bennu.

Bennu asteroid facts

The OSIRIS-REx spacecraft will travel to the asteroid Bennu. Scientists chose Bennu because of its composition, size, and proximity to our planet. It’s considered a rare or “primitive” asteroid, meaning that it hasn’t changed significantly since it formed nearly 4.5 billion years ago. Because of this, scientists hope to find organic molecules on Bennu like those that led to the origin of life on Earth.

Admittedly I knew nothing about OSIRIS-REx when I applied for the NASA Social. After attending the Orbital ATK rocket launch (which was sadly scrubbed) in December, I jumped at the chance to attend another event during my break from school. I would have gone to any one of them, but I’m so glad this was the one I ended up at. Learning about this mission and touring Lockheed Martin was such an incredible experience.

And the other attendees made this social one to remember. Everyone was so interesting and I loved hearing about what got them interested in science and space exploration. I really hope to see some of them at the OSIRIS-REx launch in September!

OSIRIS-REx Scale

If you’re interested in attending an event like this, check out the list of upcoming NASA Socials and apply.

How Radiography Students Decorate for Christmas

radiography christmas tree

Our school participated in a Christmas tree decorating contest earlier this month.

A classmate had a brilliant idea for our tree’s theme: bones! We took bones from a skeleton and turned them into ornaments. One of our clinical instructors cut out x-rays, which are a bit difficult to see in this picture, but trust me they’re awesome. And who needs a star when you have a skull?

Needless to say, we won the contest 🙂

Fluorescent Wound Dressing Could Reduce Post-Op Infections

Right now we’re learning about infection control at school. Since I spent 40 hours in a hospital each week, I’m trying to absorb every bit of information possible. It’s actually quite fascinating, and I regret never taking microbiology because I think I’d love it.

Anyway, it was perfect timing that an article about early infection detection popped up in my Facebook News Feed today. It appears that scientists have created a prototype wound dressing that’s able to detect the presence of bacteria at a much earlier stage of infection.

wound dressing Photo credit: Intelligent hydrogel wound dressing by University of Bath, via American Chemical Society

The dressing is triggered by a biofilm, a substance created by colonizing bacteria. It’s made up of DNA, proteins, and complex sugars. If detected, the dressing will react with it and turn a bright fluorescent color.

Infection is the most likely reason people wind up back in the hospital following surgery. A wound dressing like this one could certainly help to reduce the number of post-op infections. In testing, the dressing was able to detect the presence of bacteria within four hours from the initial invasion.

You can read more about the wound dressing on IFL Science, or dive into the research in ACS Applied Materials & Interfaces.

Space, School, and Swallow Tests

Whoa. It’s been a while, huh? I thought that I’d have more time to write over the summer, but I ended up playing video games and making a third trip back to the Kennedy Space Center. Remind me to start writing more about space. Maybe this blog will have a dual focus: anatomy AND cosmology!

School is currently underway, and it’s more intense than I anticipated, but that’s okay because I appreciate a good challenge. We’re only three weeks in and I feel like I’ve already learned a lot. I’ve even seen some really cool procedures during my clinical days—right now I spend three days in the classroom and two days in the radiology department.

On my first day of clinicals, I watched a swallow test. It was a fluoroscopy exam, which means that the x-ray was taken in real-time so I could see what the structures of the mouth and throat looked like in real-time. Not a bad way to start off the semester! I found this video of a swallow test on YouTube in case you’re curious.

Since then I’ve had the privilege of observing radiation therapy, CT, and a special procedures case in which a balloon was inserted into the vein of a patient’s arm. All of this is in addition to general radiography (x-rays). By mid-October I should be taking my first chest ray! Also, I’m really looking forward to checking out MRI and my eventual rotation through surgery.

As for classes, I’m really digging radiation protection because it’s very science based. It lightly touches on the physics behind it all, and I can’t wait until we dive in completely in our upcoming physics class. I wish that I were enjoying my anatomy class more. This semester, we’re devoting an entire class to the skeletal system and its anatomy/physiology. It’s off to a slow start, so hopefully I’ll reignite my interest in the coming weeks.

The only downside is that I’m having a difficult time managing my time. It’s hard to balance my school workload with that of my job. Sometimes I feel like I’m barely keeping my head above water. I need a better system, but I’m working on it. Speaking of, I should probably get back to studying!

The Museum of Death, Los Angeles, CA

This post originally appeared on my old blog, Bottle Up the Crazy, in 2011.

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museum of death

“Death is very likely the single best invention of life.” – Steve Jobs

Would it be strange to say that one of my favorite places in Los Angeles is the Museum of Death in Hollywood? Probably. Its location makes it seem like a tourist destination, much like a wax museum or a “house of freaks,” but I can assure you that it is anything but a novelty venue. Instead of focusing on shock value, co-founders Cathee Shultz and James Healy aim to educate visitors about the history and reality of death.

I still remember the small poster that hung on the wall at my first cadaver lab: “Mortui Vivos Docent,” or “Let the dead teach the living.”  While I would argue that I have an inquisitive mind when it comes to mortality, others would say that it is more of a morbid curiosity. Since I was young I have always had a fascination with death. It is not so much the removal of a person from this world that intrigues me, but rather what their body can teach us.

I’ll dive into my fondness for anatomy and physiology another time, however. The Museum of Death provides a unique experience (don’t let the giant skull outside fool you). Yes, the pictures are graphic, but if you can sit through all 30 Saw movies, you will have no problem making it through the museum.

You start in the serial killer room, which features newspaper clippings, art, and letters from various famed killers. Most of it is tacked up on the wall because the owners are constantly adding and changing the display as new items come in. The most interesting part was learning that both founders have reached out to various serial killers, including John Wayne Gacy and Charles Manson. If you have ever read the book “The Last Victim” by Jason Moss, you will understand why this is such a big deal.

The next rooms walk you through the history of the death penalty and the funeral process. The museum has a collection of matchbooks and fans from various funeral homes, including those with the most unfortunate names – Butcher Family Funeral Home, really? If you can stomach it, there is a video playing that describes the embalming process. It looks like one of those awful educational movies you would watch in grade school. From there you can look at a small collection of caskets, or you can go to what I guess to be the most popular room, the Tate-LaBianca room – or better known as the Charles Manson room.

Having just finished reading “Helter Skelter,” this room was the most interesting to me. It was also the most disturbing. It features photos from the crime scene and a tape of documentaries about the murders. The disturbing part was not the graphic images; however, it was my lack of a reaction to seeing them. I have done a remarkable job (and I don’t mean this in a pat-me-on-the-back kind of way) of detaching myself from death. Working in cadaver labs has helped me to develop a thick skin, but I also think that I have been desensitized thanks to movies and the news.

There are a few other really interesting rooms, but I’ll let you discover those for yourself. On my way out I stopped to talk with Cathee for a little while. I was curious about what motivated her to create the museum. We geeked out a bit over our shared love of anatomy and mortality and I wish that I had discovered this place sooner. After walking through the entire museum, I thought it was really cool that she reminded visitors to go live life as they left. The museum doesn’t exist to mock or make light of such a heavy topic, but rather it acts as a reminder to respect, appreciate, and enjoy life.

So next time someone cuts you off in traffic or gets your order wrong at Starbucks, add some perspective and let it go. And if that doesn’t work, re-read that Steve Jobs quote up there. If he can make you buy the same thing over and over again by slapping an “i” on it, then surely he can convince you to expand your horizons*.

* Don’t huff and puff; I am guilty of buying everything with an “i” on it, too.

Before A&P: Anatomical Directions, Planes, Cavities & Membranes

Anatomy and Physiology is different from the other science classes you’ve taken, and there’s a lot of memorization. But despite the complexity of the subject matter, you’re not destined to fail. There’s a lot of information that’ll be thrown at you, most of which you’ll be hearing for the first time. In order to do well, don’t let yourself fall behind.

There’s still a lot of time before the Fall semester begins. Throughout the summer, I’ll be introducing some basic anatomy and physiology concepts. These are things that you’ll learn about at the start of your class, but going in with a foundation will help you keep your head above water. Feel free to leave questions or requests for certain concepts in the comments.

In this post, I will focus on directional terms, planes, body cavities, and membranes.

Anatomical Position

This is one of the most fundamental lessons you’ll learn anatomy, and you’ll refer to it often. It’ll help you to better understand directional terms and tell the difference between your right and your cadaver’s right.

This is the anatomical position:

Anatomical Position Real

I recommend that you stand up and mimic this pose, as it’ll come in handy throughout the semester.

Directional Terms

Superior vs Inferior: toward or away from the head
Cephalic vs Caudal: toward the head, toward the feet
Medial vs Lateral: relative to the midline
Proximal vs Distal: used for limb structures; closer or further from the torso
Superficial vs Deep: relative to the surface of the body
Anterior (Ventral) vs Posterior (Dorsal): forward or toward the back

Anatomical Position

Note: Always regard directions from the perspective of the cadaver

Examples:

  • The head is superior to the stomach
  • The spinal cord is dorsal to the sternum
  • The toes are ventral to the heel
  • The hand is distal to the shoulder
  • The wrist is proximal to the index finger
  • The nose is medial to the eyes
  • The ears are lateral to the lips
  • Skin is superficial to muscle
  • Lungs are deep to ribs

Abdominal Regions

The abdomen is divided up into different quadrants and regions, which act as reference points for locating underlying organs.

Abdominal Regions

It might seem like a lot to remember, but here’s where being familiar with basic medical terminology can help. For example,

Chondro/o means cartilage and hypo- means below, so hypochondriac refers to the area of the upper abdomen just below the cartilage of the ribs.

Gastric means stomach and epi- means above, so epigastric refers to the area of the abdomen just above the stomach. And since we already know what hypo- means, hypogastric refers to the area of the abdomen just below the stomach.

Umbilical should be easy to remember—left over from the umbilical cord is the belly button!

Lumbar refers to the lower part of the back, so these regions should be easy to remember. Right lower back and left lower back.

Ilium is the largest of the three hip bones. The iliac crest is the curved superior border of the ilium. You can actually feel this if you put your hands on your waist and push down. So the iliac region is near the pelvis.

Anatomical Planes

Sagittal plane: runs vertically through body, separating right and left
Midsagittal plane: sagittal cut through the middle of the body, creating equal right and left halves
Transverse (horizontal) plane: runs parallel to the ground, separating superior and inferior portions
Frontal (coronal) plane: separates body into dorsal and ventral portions

Planes

Body Cavities

A body cavity is a fluid-filled space whose primary purpose is to prevent friction. The body is divided up into four main cavities:

  1. Dorsal cavity: contains the brain and spinal cord
  2. Ventral cavity: (aka the thoracic cavity) superior to diaphragm, contains heart and lungs
  3. Abdominal cavity: inferior to diaphragm, contains stomach, intestines, and kidneys
  4. Pelvic cavity: contains urinary bladder and internal reproductive organs

The abdominal and pelvic cavities are often combined, forming the abdominopelvic cavity.

Body-cavities

There are smaller serous cavities within the larger cavities for specific organs that also serve to reduce friction. They’re composed of:

  • The visceral serous membrane: cells lining the organ itself
  • Serous fluid: produced by membrane; functions as a buffer
  • The parietal serous membrane: located more superficially from the organ

membranes

A great way to remember this is to think of a baseball glove. The part that touches your hand is the visceral membrane and the outside of the glove is the parietal membrane. The space inside surrounding your hand is the serous fluid.

The Health Museum, Houston, TX

I visited the Health Museum during a recent trip to Houston. The Health Museum is an interactive science learning center located in the heart of the city’s Museum District. According to its website, the Health Museum’s mission is to “foster wonder and curiosity about health, medical science and the human body.”

The Health Museum Houston

As part of the Texas Medical Center, I had high hopes going in, but was ultimately left disappointed by how watered down the exhibits were. The Health Museum is a great place for kids to learn about the human body, but there was nothing there that hadn’t already been discussed, in depth, in my anatomy and physiology classes.

That said, I still had a lot of fun exploring the hands-on walkthrough of the human body. It’s not every day that a room is turned into a rib cage.

The Health Museum Houston Rib Cage

In addition to the rib cage, the museum housed larger-than-life replicas of the human brain, ear, and eye. A closed exhibit led me to believe that a human heart would soon be added to the collection. Each one had interactive animation and audio connected. It’s nothing new if you’ve already completed A&P, but it’s a fun refresher nonetheless. The downside was that many of the interactive components weren’t working properly or didn’t work at all — a risk you take with so many children pounding on buttons.

As someone who loves bones, I really enjoyed a leisurely bike ride with this guy:

The Health Museum Houston

As you pedal, so does the skeleton. After studying kinesiology, you know how your bones and joints work to perform specific movements, but it’s awesome to see it in real-time. It’s a really simple activity, but easily one of the most enjoyable for this anatomy-lover.

Admission is only $9 for non-member adults, and $7 for children and seniors. I visited on a Sunday morning, and it wasn’t crowded at all so I didn’t feel like I had to rush through any of the exhibits. If you’re bringing children, plan to spend a few hours, as there are a lot of interactive stations for them to explore. As adults, we probably spent two hours there and felt like we had seen everything we wanted to.

4 Must-Read Anatomy Books

I spend a lot of time reading a variety of books, but some of my all-time favorites are those dealing with anatomy, cadavers, pathology, and medical history. I’ve divided some of my favorites into different sections — anatomy, pathology/forensics, general medical, and mortuary — and I plan to highlight the best of the best (in my opinion) here. Today, I’m starting with anatomy.

It’s really difficult to pick favorites, so I chose four books that I’ve read more than once. In fact, I even own multiple copies of some of them. Here’s a bit about each one. If you decide to buy or borrow, I hope you enjoy them as much as I did!

must read anatomy books

The Anatomist: A True Story of Gray’s Anatomy – Bill Hayes

The author, Bill Hayes, tells the story of the two men who created the most famous medical text of all time — Gray’s Anatomy. Part biography, part guided tour of the human body, The Anatomist explores the lives of these two men while balancing chapters with the author’s own experience inside an anatomy classroom dissecting cadavers. And if you don’t already own a copy of Gray’s Anatomy, you’ll probably place an order on Amazon after reading this.

Gulp: Adventures on the Alimentary Canal – Mary Roach

Mary Roach is one of the funniest science writers today, and one of my all-time favorite authors. In Gulp, Roach explores the bizarrely fascinating digestive system, answering questions like: Why is crunchy food so appealing? Why doesn’t the stomach digest itself? How much can you eat before your stomach bursts? And so on.

As you’d expect with Roach, this isn’t a methodical top-to-bottom tour. It’s more delightful and memorable than that. She’s a gorgeous writer, a master of sly asides, puns, and the bizarre but ultimately relevant story, sounding at times like an absurdly well-informed comedian (her footnotes are must-reads). – Mari Malcolm, Amazon reviewer

Stiff: The Curious Life of Human Cadavers – Mary Roach

See? I told you I love Mary Roach. Stiff was the very first book I read by this author, and the very first book I read about cadavers. In this book, Roach explores the role cadavers have played in some of science’s “boldest strides and weirdest undertakings.” From medical school classrooms to ballistics labs and car crash tests, Stiff takes a unique approach to issues surrounding death. This is a must read for anyone considering donating their body to science.

Body of Work: Meditations on Mortality from the Human Anatomy Lab – Christine Montross

This is another fantastic read for body donors and medical students. The author, Christine Montross, details her semester-long dissection of a human cadaver. She uses brilliant and beautiful imagery to describe the intricacies of the human body, it’s almost poetic — a stark difference from Roach’s humorous and airy take.

The story of Montross and Eve [the cadaver] is a tender and surprising examination of the mysteries of the human body, and a remarkable look at our relationship with both the living and the dead. – The New York Times

Stay tuned for more book recommendations. Up next: pathology and forensics!