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2/1/2018

1 hour and 5 minutes with Dr. Bloom

I met Dr. Bloom at University Medical Center and was able to speak to his medical students.

Speaking to the medical students I was able to learn how medical is and what they majored in. I

was also able to meet Dr. Moynahan who said it was possible for me to meet and shadow him at

the clinic. After the medical students left I was also able to find out how Dr. Bloom was able to

teach at the University and if he needed to take any additional classes.

The physical appearance of the hospital is fairly big. I learned that towards the back of the

hospital and certain floors of the building is where the medical school is held. I did not get lost

because Dr. Bloom met me and took me to the classes personally.


2/6/18

4 Hours and 30 minutes with Dr. Moynahan

I arrived at the clinic a bit early and was waiting for my mentor Dr. Moynahan. Although I have

met and seen the work of medical professionals in long term care facilities I was unsure of what

to expect since he was in internal medicine. Before the first patient arrived at 8:20 I questioned

him about the structure of medical school. The clinic at the time was facing technical difficulties

and was told to document on paper. Although the first patient did not want me in the room, I was

glad. I was able to speak to his assistant who spoke about her journey into becoming a medical

assistant. Speaking to her allowed me to open my options about school and work.

A majority of the patients I seen were elders and shared one similarity, high blood pressure. My

grandparents have high blood pressure and I believed that the causes were due to genetics and

stress. Watching my mentor speak to these patients taught me that high blood pressure could also

be caused by our salt intake levels. May of the patients stated that they do not add salt to their

food, but I learned that a majority of the salt we consume is from eating at restaurants and

processed food, and only a small portion comes from the salt shaker.

Typically when one gets older they have to work twice as hard to keep their immune system up

to par. Shingles are contracted by older people who have a weaker immune system so it is

important to keep track of their vaccinations. I learned through Dr. Moynahan that there is a new

vaccination for shingles that is 90% more effective while the previous vaccination was only
50%. This vaccination is a two series dose. To explain, a first shot is received and then within

2-6 months the second shot is given.

One patient I seen had a macular degeneration and with the help of my mentor I learned that it is

a condition that causes a loss of vision through due to old age. The macula is damaged, which is

responsible for central vision. I was also able to learn about hepatitis which is a disease that

causes an inflammation of the liver. Previously, I knew that this disease could be contracted

through body fluid and a physical sign is that the white part of the eye (sclera) is yellow. I was

able to further my knowledge by learning that this disease has a small chance of being caught

through sex and is mostly caught when one goes abroad.

A couple of the men had mentioned a colonoscopy and I knew that it was to look at the lining of

the colon, but I wasn’t sure what they are looking for. I asked Dr. Moynahan if they were

looking for anything specific or if it varied, but I was told that they were looking for polyps.

Watching my mentor has taught me new things about the human body.
2/6/18

2 Hours and 40 minutes with Dr. Cohen

I met Dr. Cohen after I shadowed Dr. Moynahan at the clinic. Originally she wanted to meet at

the science and engineering library, but this was going to be my first time on the University of

Arizona campus. Dr. Cohen was willing to meet me in front of the hospital and I was grateful.

From that point, she introduced me to other professors in the hallway and brought me to the

physiology department to meet my future advisor and other people in that department. I picked

my major with no trouble because I love everything about human anatomy. Meeting Dr.Cohen,

allowed me to learn everything about what the major has to offer and I am glad and proud that I

chose physiology as a pre-major.

Afterwards, we made our way to the science and engineering library so Dr. Cohen could teach a

cariology and I could watch. At first I was nervous meeting the students, but they were

welcoming and I didn’t feel out of place.

Attending the class taught me about SA (sinoatrial) nodes and AV (Atrioventricular) nodes.

What starts the impulses is from a group of myocytes or pacemaker cells. The SA is the primary

pacemaker that initiates the heart beats and controls heart rates. The class was mostly about the

mechanism of pacemaker potentials and action potential in cardiac contractile cells. Dr. Cohen’s

class was more interactive than the classes at the medical school because she stopped from time

to time to have the students discuss what they think about a particular question. Allowing the
student’s to do this increases the number of students showing up to class and improves the

student’s grades overall.


2/8/2018

4 hours and 15 minutes with Dr. Bloom

Today I attended a class at the medical school with Dr. Bloom. Dr. Bracamonte and Dr. Sussman

taught the class about Nephrology. During their class I learned the differences between

Nephrotic and Nephritic syndrome and what to look for in a renal biopsy.

Nephrotic syndrome causes proteinuria (or the excretion of too much protein in the urine), but

Nephritic syndrome involves a loss of a substantial amount of blood. Diseases that are associated

to Nephrotic syndrome (primary causes) is minimal change glomerulonephritis, focal segmental

glomerulosclerosis and membranous glomerulonephritis. Other diseases that are associated (

Secondary causes) are Hepatitis and diabetes mellitus. Nephritic syndrome involves an IgA

nephropathy and Goodpasture’s syndrome. To treat Nephritic syndrome there needs to be a strict

control in blood pressure as well as a low sodium and potassium diet.

After their class we were taught about diuretics by another teacher. This was interesting because

although I knew diuretics was a drug I did not know there were different forms. There are loop

diuretics that are used to treat pulmonary edema as well as hyperkalemia. An example of a loop

diuretic is Thiazide which is used for hypertension or diabetes insipidus.

After this lecture finished I learned that taking medical terminology was extremely beneficial

because even if I didn’t know what a certain word was I was able to break the word down and

get the very basics of the word.


2/8/2018

3 Hours and 25 minutes with Dr. Cohen

I was most excited about this lecture because we were going to learn how to read ECGs.

Learning about ECGs excited me because recently I had to visit a cardiologist because of

personal medical issue. An ECG is an electrical picture of the heart that is indirect because it’s

everything that can get to the surface without invasion. A 12 lead set up is the most common set

up because it allows a clear picture of the heart. It is possible to move the electrons but this setup

is the most used. Dr. Cohen was able to show what a normal ECG was compared to abnormal

ECGs.

What was most interesting was that you could tell what part of the heart is polarized or

depolarized by looking at the segments and intervals. For example, in the picture down below,

the class was able to discuss what each

interval measured.

After class, Dr. Cohen gave me a short

tour of the college and was able to give

me a little bit of historical background.


2/9/2018

3 Hours and 15 minutes with Dr. Bloom

This class was a continuation on the 8th by Dr. Bracamonte and Dr. Sussman. But the second

class was taught by a different professor and the most interesting thing was Liddle’s syndrome.

Liddle’s syndrome is a genetic disease that is autosomal dominant that causes a patient to have

hypertension. In addition to hypertension they could also have hyperkalemia.

Another is PKD or polysictic kidney disease. This disease is autosomal-recessive meaning that

both parents have to have the PKD1 mutation. A PKD1 is when there is an absence of

chromosome 16p, but PKD2 is chromosome; only 4-6% of ESRD (End stage renal disease) is

due to PDK and 33% of ESRD is due to diabetes. Symptoms of this disease is enlarged kidneys,

and cyst in the pancreas and liver, but liver cyst rarely cause a liver failure.

PKD affects the genders differently. To explain, it progresses faster in males and testosterone

affects the disease in a negative way, but females experience larger liver cyst.