Tuesday 30 September 2014

S2W12: Physio Politics

One week until the end of year exam period begins!
Daylight savings has begun... spring those clocks forward an hour!


Voting for 2015 Physiotherapy Student Association (PSA) president and executive positions were open (for Otago physio students to vote). There have been some great campaign videos - watch out 2015 second years; that physio camp, wine & cheese and pub crawl will probably be a bit more epic than the last. The candidates left a political campaigning legacy in physiotherapy history. Teej (one of the candidates and now president for 2015) scripted and produced a superb campaign video - it's worth viewing, two thumbs up, mighty good. Enjoy!


After speeches from 2015 candidates running to be a part of the exec and those running for presidency, the current president asked grilling questions to each candidate such as "you are organising the physio camp and forget to book the marquee, what would you do?", "what is your favourite song? - sing it", "what is your secret to getting completely ripped?"... and there were the not so blog friendly questions which gave the audience a good laugh. Good luck to the exec in 2015!! And many thanks to the current exec for looking after us so very very well.

PHTY254 lecture on Monday was on reactive and degenerative tendinopathy. Apparently there is a communication mechanism (RNA, proteins, Ca2+ and other environmental factors) allowing cells of the tendon to communicate. As physios, we are able to explain tendinopathy to patients like this, "some cells in your tendon have became angry that you decided to hike that mountain after many months of a sedentary lifestyle. Consequently those angry cells have swollen. You should consider resting and icing them. If you don't settle them down they will only get angrier and you will feel symptoms worsen and these cells will die off. Although they cannot regenerate once they die, we can help to reduce the pain and restore function". Both reactive and generative tendinopathy can co-exist in the same tendon which makes treatment important - each requires different management... physios are here to help!

Anatomy continued with muscles of the forearm and bones of the hand this week...
The way to remember the carpal bones of the hand is via this phrase: "Some Lovers Try Positions That They Cannot Handle" or "She left the party, he took the tram". I.e. Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate. It's certainly cleaner than the phrase to remember the cranial nerves! Below is a handy way to learn some of the flexor tendons that arise from the medial epicondyle of the humerus... we can count the muscles with our fingers! You can imagine how entertaining it is going to be for exam supervisors watching us students as we act out our myotomes, dermatomes, cutaneous nerve supply and now muscles of the anterior forearm!
 
It's revision time for me again, and so for the next few weeks I'm going to highlight some more interesting bits from my semester two papers.
  • Your friendly physio's tip for surviving your next daunting dental procedure: after the dentist has injected your gum with lignocaine (a local analgesic) to drill into your teeth or pull that now eroded tooth covered in sugar enamel (like a toffee apple) out  from of your mouth - remember to bite down of something and activate the gum region which has just been injected/infiltrated. Don't bite on the dentists fingers - they won't forgive you for that. But biting on something is important for the uptake the lignocaine into the nerve axon - after so, your sodium channels (which are needed to propagate pain signals) will be blocked. Thankfully you won't feel much more than a pressure during the procedure. However, lignocaine moves through the axon membrane randomly in a non-ionized state (when injected, most molecules become ionized and cannot serve much benefit until they are, at random, uncoupled with H+ ions) and so to improve your chances of a successful pain block we recommend adopting better oral hygiene practices as to not need the dental procedure in the first place!
  • The common cold virus (rhinovirus) is so small that 500 million can fit on the tip of a dressmakers pin.
  • We had a lecture on mental health versus mental illness for PHTY255. One fun fact (although I'm not entirely convinced that it's a rigorous study) is that blue light (from tvs, mobile phones etc) generally cause individuals to have a poorer night sleep than if it were a red light in the room. How's that for random?!

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