Wednesday, September 30, 2009

Anatomy class: Connective tissue and bones of the skull



Last night in anatomy lab, we reviewed connective tissue, including bones in general, and specifically, the bones of the skull. We were able to get a real skull, rather than a plastic replica, but the real ones are so fragile that some of the more delicate bones (like the sphenoid) have been broken out. Still, it's a good review for the upcoming quiz; you just cannot study anatomy in 2D in the same way.

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Monday, June 01, 2009

They call me Mr. Tibia*

(* shamelessly stolen from my friend George, whose lightning wit and linguistic facility I've always admired and envied.)

Or rather, I'm very, very grateful that they *don't*.

To back up a bit and explain, I'm currently teaching anatomy, physiology, and pathology at a massage school in Tacoma. Thursday a week ago, I had introduced the skeletal system, and since I've always preferred hands-on, experiential learning to just lecturing at the students, Mr thalarctos and I combined our efforts.

The night before class, he bought a whole chicken, and prepared it in his trademark way, but before cooking it, he surgically removed an entire leg, taking care to keep the joint and ligaments intact. He then removed the meat from the bones, leaving the periosteum for the students to see. It still flexed and extended in a perfectly functional way, if not under its own power.

I took it in the next day to class, and had everyone observe the bone, the hyaline cartilage, the joint, the ligaments, the periosteum. Then, once everyone had had a chance to see how it operated intact, I gave it a third-degree sprain so that we could all have a look inside.

So after we had finished observing, and after explaining how anatomy classes in medical schools often had ceremonies to show appreciation for those who donated their bodies so that others could learn [1-6], and how some native Americans thanked their prey before the hunt for the sacrifice it would make for their benefit, we expressed gratitude for the chicken whose death had provided not only a delicious meal, but also had helped the students gain knowledge, and then we gave the bones a "burial" in the garbage can. I moved on to prepare the notes for the next week's lesson on skeletal system pathologies.

When we met again next week, one of my students handed me a baggie with a dry, dusty bone in it. Smiling, she said she had brought it so I could do a little better than chicken bones for teaching---she had taken it away from her dog, who had dug it up in the woods near her home.

I was touched by her kindness, but as I took the baggie and looked at the bone, I started to feel just the least bit uneasy---it was clearly a tibia, and although it was a little thicker than I would expect, with a groove running down the front that I didn't remember from any tibia I had ever seen, I couldn't say with certainty that it wasn't human.



So what *is* the proper etiquette when you think you may have inadvertently received human remains as a gift from a well-meaning student? Never having considered that question before, I dropped by the police station on the way home to find out their thoughts on the matter.

At the small suburban police station I stopped at, there was an older male civilian volunteer at the information desk. He greeted me in a friendly way, but his interest really ramped up when he saw what I was carrying, and he went into the back to get an officer.

Officer McIvor was very reassuring and professional, and assured me--despite my concerns that maybe I just watched way too much Law & Order, that bringing it in was the right thing to do, even though it probably was not human---like me, he was not the person to do the rule-out, but their bone guy could help. He asked me if I wanted it back, which I did, as long as it wasn't evidence or something, so he took it and gave me his card. In passing, he observed that it had been quite chewed up by something or other.





He called early the next morning, and left a message---a doc at Overlake Hospital had verified that it was, indeed, a tibia, and it was not a human one, so my bone would be waiting for me to pick it up at City Hall. They don't have a comparative osteologist on staff---once it's ruled out as human, they lose interest in it---so I don't have a species, just a rule-out as a non-human mammalian tibia. Maybe the staff at the Burke Museum has someone who can get a little closer; right now, I'm guessing "bear", but it's just an uninformed guess.

It was a relief that someone's loved ones weren't about to undergo a horror, and that I had not dragged my student into a murder investigation (and she had not dragged me into one!) just because of a spontaneous gift. And now I have a tibia to pass around for future anatomy lectures on the skeletal system.

My friend Brian, an anthropologist specializing in human osteology by training, observes that it's almost never human (and he's got tons of stories, like how people call in to report the discovery of a child's hand, only to have it turn out to be a raccoon). But I had to check.

[1] Eze O, Horgan F, Nguyen K, Sadeghpour M, Smith AL. The 2008 anatomy ceremony: voices, letter, poems. Yale J Biol Med. 2009 Mar;82(1):41-6.

[2] Elansary M, Goldberg B, Qian T, Rizzolo LJ. The 2008 anatomy ceremony: essays. Yale J Biol Med. 2009 Mar;82(1):37-40.

[3] Yale University School of Medicine Students. The 2007 anatomy ceremony: a service of gratitude: I: collected experiences. Yale J Biol Med. 2007 Jun;80(2):83-90.

[4] Kim Y, Sandoval A. The 2005 Anatomy Ceremony: a Service of Gratitude. Yale J Biol Med. 2005 Jan;78(1):83-9. No abstract available.

[5] Morris K, Turell MB, Ahmed S, Ghazi A, Vora S, Lane M, Entigar LD. The 2003 anatomy ceremony: a service of gratitude. Yale J Biol Med. 2002 Sep-Dec;75(5-6):323-9.

[6] Weeks SE, Harris EE, Kinzey WG. Human gross anatomy: a crucial time to encourage respect and compassion in students. Clin Anat. 1995;8(1):69-79.

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Monday, March 16, 2009

Candle in the wind



Image source: http://www.johnhendow.com/wp-content/uploads/2009/02/lucy.jpg

From the blog post here.

The New York Times is reporting that the Lucy exhibition was a bust.

I'm sorry that is true. Among other factors, the days of snowfall that brought a large part of the region to a halt, and the expense--almost $21.00 for an adult ticket--at a time when the economy was crashing are two things that are blamed. There may be other things as well; I don't know.

It is a shame, though. It was absolutely amazing; I had tears streaming down my face as I saw her bones, and I'm not normally a particularly sentimental person. The concept of our shared humanity reaching across almost 3.5 million years was much more moving than I had intellectually expected it to be.

I did have an idea for encouraging people in the local massage community to go see her in the final weeks. Having worked with Ethiopian clients at the Refugee Clinic years ago, I developed a continuing education class--I prepared a couple of massage case reports, and supplemented them with information on Ethiopian medicinal plants, comparative anatomy and its import for conditions such as low back pain, foot pain, and sciatica in modern humans.

I agreed to waive the CE class fee if participants could show their ticket stubs from Lucy, and we met at a local Ethiopian restaurant near Seattle University, Kokeb. We had a delicious dinner, the owner was extremely attentive and shared facts about Ethiopian culture with us, and all in all, it was a very nice time. We had the doro tibs (chicken sauteed with homemade awaze [spice paste, including peppers, garlic, ginger], peppers, and onions), bueg alecha (mild lamb stew), timatim firfir (injera [Ethiopian flatbread, very soft, light, and spongy] chopped with tomato and onions), and yetekemem ergo (yogurt), and lots of injera on the side. We ate Ethiopian-style, scooping up the food onto the injera with our fingers, although logistically, that made taking notes just a little bit harder.

I would whole-heartedly recommend Kokeb to anyone in the Seattle area looking for tasty Ethiopian food. We had a very nice time, we learned from each other, and four more people saw Lucy while she was here.

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Monday, October 20, 2008

Saturday

A drama in 3 acts.

Act I: making applesauce with friends.























Act II: an unexpected discovery at the bead store.

I stopped in to look for a mountain climber charm to top off a clock Dale made commemorating my friend and colleage Damian; what they had instead was a fossil shark tooth!



Act III: Fuck.

Opened my email for the first time today. An old friend, who I thought was making a good recovery in hospital, just entered hospice.

Fuck fuck fuck fuck fuck.

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