Hey guys! It’s been a minute.
This week by far has been the most intense since returning. The week started with two tests, a physiology MCQ followed by a human molecular biology test (more IT based test on genomic data and how to use the genome browser overall. Here’s the site we used: https://genome.ucsc.edu/). With a slight interlude, I had to prep for a PBL session by researching objectives that correlated with the patient case study provided. We’ll then have to write a 2,000 word essay on the study. The case study is of a patient X. X has a ‘supposed ovarian cancer’ as blood tests showed high levels of CA-125 levels (protein/tumour maker produced particularly by ovarian cancerous cells). As CA-125 is produced and released into the blood, a CA-125 test can be administered. High levels of CA-125 is usually an indication of the cancer, however the test is non-specific as other conditions of the genital system: fibroids, endometriosis, pelvic inflammatory disease, and pregnancy can result in an increase in CA-125 levels in the blood. Other tests that can be carried out to solidify the diagnosis include; an MRI scan, CT scan, Ultrasound, chest X-ray, laparoscopy, and an abdominal fluid aspiration – where a very thin needle is inserted into the abdomen and a fluid sample is taken. The fluid sample obtained is then tested for the presence of cancerous cells.
Ovarian adenocarcinoma: cancer that arises at the ovary or ovaries causing the production of cancerous cells able to spread and invade other organs.
Treatment proposed for patient X included; Bilateral salpingo-oophorectomy, Total abdominal hysterectomy, and Omentectomy.
Bilateral salpingo-oophorectomy – removal of ovary and fallopian tube. This can be unilateral (one ovary and tube) or bilateral (both ovaries and both tubes).
Total abdominal hysterectomy – removal of the uterus (womb) via an incision made in the lower abdomen. A partial hysterectomy can also be performed. This is where only the uterus is removed, but the cervix is kept intact. Total abdominal hysterectomy removes both uterus and cervix.
Omentectomy – removal of part of the omentum or all of the omentum. The omentum is the fold of peritoneum that connects the stomach to all other abdominal organs. It is a large fatty ‘sheet’ that overlies the abdominal organs, and functions to nourish the organs.
A mass from Patient’s X ovary is taken and sent to histopathology’s. The pathology report revealed the mass to be a malignant tumour and the above surgeries mentioned were to be carried out. After the surgery the patient is referred to the oncology department and placed under chemotherapy treatment.
The objectives given required us to explain treatments associated with ovarian cancer, prognosis of the patient, the genetic basis of cancer and so forth. I find this ‘Case Approach’ module to be simply intriguing. In fact, It’s sort of a step up to the conventional analyse results and tell me why your results are so in terms of the biological aspects but to look forward to how cases may be approached in medical school. Our particular course does have in mind that many of the undergraduates aspire to go on to medical school, thus, the modules are tailored just for that – to build a foundation. During the PBL session we discussed points we should address in the essay and answered the objectives briefly. At the end of the tutorial, I had to rush of to volunteer – can’t go into much details here but I ended up returning home around 7pm and just crashed – watched a bit of The Apprentice of course. Next day, I had to complete a lab report in basically a night because of all the prior assignments set for completion at the beginning of the week. Stress. I managed to finish the report and handed it in just in time before the deadline. God is faithful. It’s been a busy week – and It’s not ended yet, It’s Friday and I’ve got a 3 hour lab session + 4 hours of lectures. All in all, I’ve already conquered this week.
I remember telling you of my position in the Biomedic’s Society – Academic Officer. So I’m required to plan and execute academic events that support the ethos of the society. An idea of mine was to have a panel of doctors to inform us about what their sub-speciality entails- what a day in the hospital really looks like and subject areas most grad-entry medicine students would love to know about: their career path, their current views on the NHS , interview and application tips, why medicine? etc. By God’s grace, I’ve managed to get consultants in the following fields: Neurosurgery, Cardiothoracic surgery, General surgery, Ophthalmology, Paediatric Gastroenterology, Gynaecology and Oncology, and Plastic surgery. Neat right? I’m seriously dead excited to meet these consultants and bottom line gain invaluable knowledge about their subspecialties.
Here’s what our flyer looks like:
I have removed the names of the doctors for confidentiality reasons
We are hoping for a great turn out. Thus far, our promotion hasn’t really been on point but I’m hoping to kick start it and just go ham on it. It’s because most of the society committee members being 2nd and 3rd years, they’ve had a busy week with tests and in course assessments, so it couldn’t really be helped. We’ve got a few weeks to make a change. At the moment, I’m trying to push for the event to be free just so more people would be encouraged to come. Hopefully I’ll be able to pitch a good case at the meeting on Monday.
My Cell Biology & Developmental Genetics module lectures take place on Fridays. We had an hour lecture in the morning, followed by an afternoon lecture. Thankfully, we’ve moved on from the developmental aspects of the module into lectures that focuses in on the cell biology aspects. Interestingly, the lecturer said that although the lecture isn’t based on cancer she’ll linking biology of cells to cancer- how things go wrong in the cells that result in cancer development. This is what I found to be most intriguing. The first lecture addressed the definition of a growth factor, modes of communication, and signalling pathways within the cell and many other subtopics.
It’s a new week. I have an essay to plan and write, I have 2 lab reports to finish, society work, and a full day of volunteering.
The joy of the Lord is my strength! I can do anything through Christ who strengthens me.
How has your week been?
Psalm 28:7 ‘The Lord is my strength and my shield; My heart trusted in Him, and I am helped. Therefore my heart greatly rejoices, And with my song I will praise Him.’
Philippians 4:13 ‘I can do all things through Christ who strengths me.’
Nehemiah 8:10 ‘Then he said to them, “Go your way, eat the fat, drink the sweet, and send portions to those for whom nothing is prepared; for this day is holy to our Lord. Do not sorrow, for the joy of the Lord is your strength.”