During my cardiology fellowship, I found myself deeply involved in the care of a 58 year old gentleman who was admitted with a very late presentation of a STEMI. The patient was found to have an ejection fraction of 20 % and he developed multiple episodes of ventricular tachycardia and fibrillation for which he was defibrillated and started on amiodarone and lidocaine. Confident of what current medicine had to offer, we tried everything but the patient became progressively worse. His condition however rapidly deteriorated over the next few days to the point where he had to be defibrillated every few minutes. He was finally transferred to another facility for an LVAD but unfortunately he died before the surgery could be performed. This and similar experiences have helped influence my growing passion to pursue electrophysiology as a subspecialty. …show more content…
There are still a lot of areas that needs to be researched, disease processes that need a better understanding. I want to bring a change but I realize that it takes much more than just hard work to be successful in the true sense. I desire to be around people who inspire, stimulate and provide an atmosphere that equips me with the best of knowledge and training that enables me to face such medical challenges. While the cardiology fellowship has been very fulfilling, I recognize that my interest lies in the field of electrophysiology particularly.
I want to pursue electrophysiology and be able to know and understand it completely. I would like to explore all the facets of electrophysiology from the surface EKGs to the underlying intracardiac aspects of electrophysiology. Electrophysiology has it all: the thrill of a patient in rapid ventricular rhythm, the calm and patience required for an ablation, persistence needed for research and above all being an advocate for my
The records have been reviewed. The member is an adult male with a birth date of 02/09/1959. He has a diagnosis of ischemic cardiomyopathy. His treating provider, Maria Costanzo, MD, recommended the Zoll LifeVest (wearable cardioverter defibrillator) for the following dates of service 09/02/2015, 10/02/2015, 12/02/2015, 01/02/2016-02/02/2016 (totaling 4 units).
Writing essays was never my forte, it just never came easy to me like it would to others. Since other subjects came easy to me and I had to focus more than others on writing, I had a negative attitude toward the process as a whole. During this summer semester, I was able to grow as a writer, and gain a more positive attitude toward how I write and a better feel for writing in college. Writing a paper is a process in which there are many different stages. In high school I would never write outlines or any sort of pre planning work. Other struggles I encountered in my writing were my theses, and framing quotes.
What I wanted to talk about today is this life save device called a automated external defibrillator. It has become the number one way to resuscitate a person who has had a cardiac arrest unwitnessed by emergency medical services and who is still in persistent ventricular fibrillation or ventricular tachycardia. Many people have played a big role in creating this device to become more efficient, smaller and easier to use for the general public. Here are just to name a few that played a part in the creation for this device: Claude Beck, James Rand, Paul Zoll, and Frank Pantridge. The first use of a defibrillator on a patient was in 1947 on a 14 year old boy. Claude Beck was performing a open-chest surgery when the boy went into fibrillation. Beck manually massaged his heart for 45 minutes until the arrival of the defibrillator. The defibrillator he used during surgery was made by James Rand and had silver paddles the size of large teaspoons. In 1956, Paul Zoll performed the first successful external defibrillation with a more powerful defibrillator. A major breakthrough in emergency medicine occur in 1965. At the time a majority of coronary deaths occurred outside of the hospital setting since defibrillator required a main power source and were only available in hospitals it made them pretty much useless in saving lives outside of a hospital setting. Frank Pantridge often referred to as the Father of Emergency Medicine, made the first portable defibrillator in 1965. This device was power by a car battery and weighted approximately 70 kg (155 lbs). By 1968 he was able to create a defibrillator that was safer to use and only weighted 3 kg (6-7 lbs). It was argued that their was a possibility of misuse of the device if given to a unt...
In closing, I hope I've painted a good picture of myself and my interest in anesthesiology. I would be honored to get a chance to further my education with a anesthesia rotation at your esteemed institute. Thank you for your time and
I shadowed a cardiologist named Arnulfo Granado. He uses echocardiograms to get an imaging of the heart. He receive patients with arrhythmia, atrophibulation, risk of heart attack, and any other heart threatening conditions. According to Mr. Granado, his job is fairly easy—he mostly have to know how to use TTE and TEE echocardiograms to take a good pictures of the patients’ hearts and measure the size of the valve, right atrium, etc. His work was very interesting to hear since looking at all kinds of heart with different conditions is very amusing to observe.
...forming bench research at Barry University and Weill Cornell Medical College in the Traveler’s Research Fellowship, I have been exposed to the side of medicine where scientists work every day to find cures for diseases and save lives. Experiencing different aspects of medicine has made me a more competent individual to thrive in this field and has deepened my interest and passion to pursue medicine as a career.I believe that those who fight with so little against so much truly need others to help them in their struggle. Being a physician is not only becoming a successful professional. I will work hard to bring about necessary changes to end social disparities, so that more groups in society receive the best healthcare. By making a difference in their lives, I will receive rewarding experiences that are worth all the hard work and sacrifice my chosen career requires.
My current area of interest is in the engineering and the biomedical field. After experiencing the rigorous AP Chemistry course, I was able to find my passion in the field of medicine. Furthermore, I had already developed an interest in engineering from my previous engineering courses and clubs, so a deeper understanding of what I wanted to do was discovered in a chemistry lab. Being involved with the Technology Student Association at our institution, I learned several different skills in a variety of technical fields. This led to my conclusion that I wanted to become a biomedical engineering. This field of engineering incorporates both the medical aspect and technical aspect of what I want to become in the future.
...ts, electrocardiogram, sonogram and cardiac rehabilitation. As a clinical observer, I found an opportunity to create a solid foundation on patient diagnosis and treatment, and not to mention, long hours with charting and recording patients’ information.
I am awed by the variety of research opportunities that Penn offers to it's undergraduates through CURF Upon extensive research, I found projects that completely fit my discipline. They are conducted by Ms. Yuchi Han and Dr. Carlo Bartoli. Both professors are directing research related to the body's cardiovascular system; where one works with problems pertaining to LVAD patients developing gastrointestinal angiogenesis, the other pertains to diagnosing cardiac conditions like atrial fibrillation, nonischemic cardiomyopathy, and pulmonary arterial hypertension through echocardiograms and MRIs. I immigrated to the United States after I finished my eighth grade and so, I had a lot of time there to do research. My first hands on experience with research was in the laboratories of Agha Khan University Hospita...
I went into my educational experience with a wealth of background knowledge about a wide range of topics related to academics, relationships, athletics, and religion. I grew up in a small South Carolina town on a block where there were 48 children who played between the backyards and the park across the street. During the summer, we did not come inside until the street lights came on, and we played kickball, basketball, and baseball regularly. We also spent hours exploring a creek a few blocks away, catching tadpoles or frogs and, if we were really lucky, even snakes. Many of the mothers did not work outside the home and included us as they cooked meals or baked. I was in the first class in our school system to go through completely integrated schools from kindergarten through graduation and witnessed the joy and difficulties associated with changing attitudes concerning “separate but equal.” Most of the families on our block were Lebanese Catholic, and even though we were not, we learned about religion from them as we walked with to and from the church almost weekly for their religious education classes. Both sets of grandparents lived on the block next to us. We often ate dinners there where we were taught formal table manners, table settings, and basic etiquette. My mother worked part time at an historic
Initial Reflective Essay When I first thought of what I wanted to do with my life after college, the first thing I thought of was helping people. The next step in deciding what I wanted to do with my life was to examine how I could accomplish this goal. I started pondering and I was thinking about how much I love to take care of my body. Health care and personal hygiene has always been an important factor in my life. So I decided to major in Health Sciences.
Despite my undergraduate classes highlighting research, I was always drawn to the physician’s path; nonetheless, when making a decision this momentous, it would be reckless not to gather experience before deciding. Due to this, I applied for and was awarded a fellowship in a new lab focusing on neurodegenerative diseases—a subject which has
I enjoyed the idea of writing my nonfiction essay, but I found actually writing it to be boring. Writing the nonfiction essay allowed me to have a better understanding of why my younger self reacted the way I did. I don’t usually go out of my comfort zone, so telling a group of a people a personal story of mine was an interesting experience.
More specifically, I wanted to increase my understanding concerning the role knowledge and experience have on nursing and the way in which nursing affects the community around it. For example, a day as a nurse is ever changing, from the patient supply to the randomness of patient situations and the choice of choosing how to approach those unfamiliar predicaments. Nursing would challenge me to think on my feet in a moment’s notice and thrive in diverse or educational opportunities, always adapting to new environments. Furthermore, nursing is one of those jobs appreciated by those too weak, defenseless, or sick to help themselves, where personable treatment and human interaction is needed. It takes one thing to be knowledgeable and experienced, but another thing entirely to apply emotions and feelings to treatment, such as intimate contact with others, or attentiveness and sensitivity to their needs. I want to be able to channel both my knowledge and experience on a daily basis and apply it to my career of not only helping others, but also advancing the community in which patients experience medical
The nonfiction genre allows the reader and writer to learn about a topic they particularly enjoy or one that they know nothing about. I learned that the nonfiction genre can become an enjoyable, hands-on experience. Our classroom environment opened my eyes to various ways to have a writer make nonfiction writing their own. Writer’s have the ability to find a topic they want to learn more about and it gives them an outlet to teach others. Student are able to use prior knowledge to develop an idea about a certain topic and create a piece with factual information. I learned that factual information can easily sound like it comes straight out of a textbook, but after learning about the different ways it relates