Aprrrrril Extraaaaa Blogggggg

Time sure does fly and a lot of interesting things have happened both over the year and in this month.

I was born on the 18th of this month and I am finally 18 years old (on the 18th of April cool enough).

I was able to finish up my independent component #2 thank God. I thought I was not going to be able to finish since I only had 5 hours in the beginning of this month ahaha XD. I was able to watch more procedures and volunteer in the Cath Lab which was nice. On the 23rd, that was my last day at Cath Lab, so I gave my goodbyes to everyone. They were all really nice people. I had fun volunteering here because I had more work to do than the other departments I have volunteered in. And they let me watch procedures too which was great.

I changed my Essential Question as well. It was originally, "What is the most effective way for a cardiologist to treat cardiovascular disease?". It is now: "What steps can be taken to ensure the health and well-being of a cardiac patient?"

The reason I changed it to this EQ is because it is somewhat more specific but yet at the same time more open. By "what steps can be taken", this doesn't limit it to only what steps the cardiologist can do like in my previous EQ; these steps can be taken by the patient, nurses, and cardiologist all at the same time. Since in reality, all of them do have to take action to heal the patient, including the patient himself taking action to cure himself.

Well, my big senior presentation is coming up on Tuesday, May 26th in 1st block with Mrs. La Russa as my teacher grading me. I look forward to planning, preparing, and practicing for my presentation. It seems like it will both a fun and valuable experience. I have never given a 1 hr and 30 minute presentation, so this is going to be interesting.

As for the seniors I will be watching, it will be:

Date/Block	Presenter	Topic	Location
05/20-1	Gutierrez, Alan	Psychology	SS-11
05/20-2	Chatapal, Givanti	Criminal Law	Math-12
05/20-3	Ponce, Cesar	Imagineering	Math-11
05/21-1	Paz, Benedict	Airplane Museums	SS-11
05/21-2	Le, Brandon	Film Editing	Eng-12
05/21-3	Mejia, Gretel	Business	SS-11
05/22-1	Amano, Aubree	Dog Training	Sci-12
05/26-1	Khan, Hasan	Cardiology	Sci-12
05/26-2	Martinez, Aaron	Clinical Psychology	Math-11
05/27-1	Yzaguirre, Liliana	Medicine	Math-12
05/27-2	Andronescu, Alexander	Fashion Design	Math-12
05/27-3	Chandrahasan, Danny	Astrophysics	Sci-12
05/28-1	Guevara, Nathan	Negligence Law	Eng-11
05/28-2	Wu, Jason	Computer Programming	Math-12
05/28-3	Luna, Diego	Store Management	Sci-12
05/29-1	Ramos, Aaron	Entertainment Law	Math-12

I am thankful because all of these are the people and presentations I wanted to see, well except for a few; I unfortunately had to choose one person over another because I couldn't choose both of my friends :/

Today, the last day of April, was really fun as well. We had a game night at I-Poly, so I played a little bit of COD, watched a little bit of LOL, and also saw a little bit of Super Smash Brothers. I also went to the MPR to watch the MGP (Multi-Genre Paper) presentations being done by the freshmen. There were a lot of good presentations that I liked. For lunch, me, Kade, Dahdouh, and Eliora all went to Carl's Jr. just nearby I-Poly. Kade was such a nice guy today; he bought be french fries out of the goodness of his heart. Dahdouh also shared his fries with me as well. May God bless them and grant them more money. Kade also drove me to the movies tonight which was nice of him as well. What a blessing to have such great friends!

(For those of you that don't know, if you want to sit in the shotgun seat in Kade's car, the rule is that you have to call it once you see his car in sight. Whoever calls it first gets to sit in it. So thank God I found out and was able to sit there on my ride to the movies XD)

And the best part of today was that I got to hang out with my friends by watching 'Avengers 2: Age of Ultron' on opening night at Chino Hills Harkins Theatre 18! This was my first time to watch a movie on the first night at the first show, so that was pretty cool. I rarely go out to the movies and I am glad I went with my friends because I had such a great time with them. I got a lot of bonding time with all of them. Where I was sitting in the movie theatre, the people that sat with me were all from last year's West House with Mr. Navaroli, so that was cool. The movie was great. I loved the action and the plot. A good lesson from it as well: It is scary what human hands can wrought and bring unto themselves.

Here is the picture with me and my homies:

Blog #19: Independent Component #2

Title:  Independent Component 2
Label:  Independent Component
Due Date:  Monday, 4/27 by 8AM

Content:

LITERAL
(a) Include this statement: “I, Hasan Mansoor Khan, affirm that I completed my independent component which represents 30 hours and 40 minutes of work.”

(b) Cite your source regarding who or what article or book helped you complete the independent component.

1. My mentor helped me with this because I observed him conduct multiple procedures and this wouldn't be possible if he didn't permit to do so.

2. This article about Cardiac Catherizations helped me because majority of the procedures I saw this time in my independent component were Cardiac Catherizations on the heart:

http://www.nhlbi.nih.gov/health/health-topics/topics/cath/


3. My independent component is only possible because the Cath Lab staff, the Cardiologists, and the Cath Lab Techs allowed me such opportunities.


(c) Update your Independent Component 2 Log (which should be under your Senior Project Hours link)

https://docs.google.com/spreadsheets/d/17UrqbvmrEWqsVZPP8MGbf8QYH5DbxQVxr4cmhzTF0ak/edit#gid=0


(d) Explain what you completed.  

1. Watch procedures in the Catherization Lab.

2. Volunteer in the Catherization Lab.



INTERPRETIVE 
Defend your work and explain the component's significance and how it demonstrates 30 hours of work.   Provide evidence (photos, transcript, art work, videos, etc) of the 30 hours of work.

Independent Component #2 has once again helped me with my senior project on Cardiology by giving me a good foundation in certain aspects of it. It has once again allowed me to make new connections and strengthen previous ones. It has granted me new exposure and experiences which will play a crucial role in helping my pursuit of medicine.

[Pictures at the end of this blog]


APPLIED
How did the component help you answer your EQ? Please include specific examples to illustrate how it helped.

Essential Question: What steps can be taken to ensure the health and well-being of a cardiac patient?

Answer 1: A patient should opt to undergo a cardiac surgery.

My independent component #2 helped me answer this because I was able to observe multiple procedures, the ones that patients in my answer would undergo, and by doing so, I was able to see how it is done and what happens throughout the process.


Answer 2: A cardiologist should practice excellent bedside manner.

My independent component #2 helped me answer this because I was able to see how Dr. Muthiah treated his patients and the family members of the patient through excellent character which was beneficial for the patient. I was also able to see a certain nurse, Jason Larson, conduct excellent bedside manner with his patients as well which helped me answer my EQ even though he isn't a cardiologist. I wouldn't have been able to observe Jason had I not volunteered in the Cath Lab.

I will now change my Answer #2 to: 'Both the nurses and cardiologist should practice excellent bedside manner'. I am changing it to this now because after witnessing Jason treat his fellow patients with such good care and respect and how as a result, the patient experienced happiness which caused increased recovery speed. This reminded me how responsible the nurses is as well in the treatment of a patient.


Answer 3: A patient should opt to attend regular cardiac rehab sessions.

My independent component #2 helped me answer this because I was able to see what causes the need for patients to actually have to join cardiac rehab. In two of the procedures I watched, both patients needed open-heart surgery, specifically Coronary Artery Bypass Graft Surgery, which would cause strain on their body. To relieve this strain, the patient would then need to attend Cardiac Rehab to recover and regain their original and natural bodily strength.


Grading Criteria
Log on a digital spreadsheet under Senior Project Hours
Evidence of 30 hours of work
LIA submitted to blog

Me at the PVHMC Junior Volunteer Banquet at Kellogg West in Cal Poly Pomona University. I came from independent component in the morning to my college class to this banquet on Friday, April 10. (From left) Hunter Mittelstaedt, Conor O'Brien, Me, Phillip Chung, and John. 

Me checking the expiration dates in Cath Lab

Me answering the phone in Cath Lab

Me posing after a procedure

I was the pizza guy right here. I had to deliver about 10 boxes of Round Table pizza to Tele Station 1 using the Cath Lab cart

Picture of me and Cath Lab nurses. (From left) Alma, Jason Larson, Me, and Robert. 

Me and Sebrina Jones at PACU

Me and my good volunteer friend Sujay Dayal at PACU

Me at Cath Lab

Cath Lab when it is empty. Procedure rooms are not in here. 

March Extra Blog: Human Embryo Editing

I am very sorry that I posted this blog extremely late especially considering it is almost May.

I found this article about Human Embryo Editing which is quite intriguing. China has found a way (though not that successful) which has made it possible to change the genome sequence of an embryo. This study was published on April 18 (my birthday ^-^) in the 'Protein & Cell' journal. 

Scientists told us they used a technique called 'CRISPR' (no clue what that is) "to cut out a faulty gene and replace it with a healthy one in human embryos." 

Though, the technique only has a slight success rate which deems this research far too risky and dangerous. Many scientists have come across the conclusion that there should be a halt to such research because of the negative potential it carries. 

Here is the link to the article which talks in more breadth about this subject:

http://www.msn.com/en-us/health/medical/human-embryo-editing-is-incredibly-risky-experts-say/ar-BBiF5Jv

Blog #18: Fourth Interview Preparation

Content: Post 20 open-ended questions you want to ask an expert in the field concerning your senior project. The focus of your questions should be on your answer to your EQ.

If you have already interviewed someone two times, you aren't allowed to interview that same person without House teacher approval.

The interview itself is not due until Friday, April 17th to turnitin.com. However, we want to give you as much time as possible, so we are asking you to complete the blog now. Remember that in addition to turning in the interview, you also need to turn in the verification sheet to your House teacher.

Possible people to interview:

Dr. Keyser (An open-heart surgeon at PVHMC)

Dr. Muthiah (My mentor at Chaparral Medical Group)

My Essential Question: 

What is the best way for a cardiologist to treat a patient during and after heart surgery?

My 3 Answers:

1. Cardiac Rehab

2. Bedside Manners

3. Surgery/Decision Aids

20 Questions:

1. What steps can be taken to ensure the health and well-being of a patient?
2. What steps can be taken to ensure the health and well-being of a cardiac patient?
3. What differences do normal patients and cardiac patients have?
4. How important is attending cardiac rehab for a patient?
5. Why do patients have to attend cardiac rehab?
6. What are the benefits of going through cardiac rehab?
7. When treating a patient, does it matter how you deal with them as long as you cure them?
8. What qualities should a doctor strive for?
9. Why is surgery important?
10. Is it important to convince a patient to undergo surgery?
11. Which is more effective: minimally invasive cardiac surgeries or open-heart surgeries?
12. Is it still important to convince a patient to undergo surgery if the success rate is below 50% and why/why not?
13. How important is working together during a procedure?
14. Is it possible to do a procedure alone?
15. Which procedures are effective and why?
16. How important is it for a doctor to be upfront with a patient and why?
17. Should doctors be using decision aids with their patient?
18. Why is a decision aid important to use?
19. Is there a distinct difference in patient satisfaction with the use of a decision aid maker?
20. Does using a decision aid maker increase the health of the patient?
21. Who is usually involved in a minimally invasive surgery>
22. Who is usually involved in an open-heart surgery and what are their roles?

Blog 17: Answer 3

1.  What is your EQ?

How can a cardiologist effectively treat a patient during and after heart surgery?


2.  What is your first answer? (In complete thesis statement format)

The most effective way of helping a patient recover is by having them continuously attend Cardiac Rehab.


3.  What is your second answer? (In complete thesis statement format)

Cardiologists that synthesize and integrate the use of excellent bedside manners alongside medical treatment can lead to better and more effective patient care. 


4. What is your third answer? (In complete thesis statement format)

A doctor that performs heart surgery in a proper manner will help the patient significantly.



5.  List three reasons your answer is true with a real-world application for each.

• If you do surgery properly, you save the patient's life
• You alter the patient's life, but it is for the better
• You have completely changed the patient's fate

6.  What printed source best supports your answer?

http://www.legalmatch.com/law-library/article/failure-to-perform-surgery-properly.html


7.  What other source supports your answer?

http://www.surgeryencyclopedia.com/St-Wr/Telesurgery.html

http://www.cardiacspecialists.com/pacemaker_defibrillators.htm

http://www.heart.org/HEARTORG/Conditions/Arrhythmia/SymptomsDiagnosisMonitoringofArrhythmia/Electrophysiology-Studies-EPS_UCM_447319_Article.jsp



8.  Tie this together with a  concluding thought.

Surgery is an important aspect of Cardiology because this can change peoples' lives for the better.

Me watching Dr. Discepolo's procedure

February Extra Blog

In this month, I didn't really do much for my senior project because I was busy with other things including my International Relations class. But I was able to do 32 hours for my Independent Component #1 which was pretty cool. I also got to interview my dad for my Interview #3 which was helpful for my second answer to the essential question.

I have been thinking about my 3 answers to my essential question and for sure I know it will revolve around Surgery, Bedside Manners, and Cardiac Rehab. With Cardiac Rehab, I already talked about that in my Lesson #2. For bedside manners, I have been observing my mentor, Dr. Muthiah, and I have noticed that he has really good bedside manners which does make a significant difference in patient care. And with surgery, I don't know yet how I am going to word this, but I want to talk about the importance of surgery and how it can change lives for the better. So I want to talk about why surgery is important and why it is important for the cardiologist to do a proper and successful surgery as well.

Blog 16: Answer #2

1.  What is your EQ?

What is the best way for a cardiologist to treat a patient during and after heart surgery?


2.  What is your first answer? (In complete thesis statement format)

The most effective way of helping a patient recover is by having them continuously attend Cardiac Rehab.

3.  What is your second answer? (In complete thesis statement format)

Cardiologists that synthesize and integrate the use of excellent bedside manners alongside medical treatment can lead to better and more effective patient care. 


4.  List three reasons your answer is true with a real-world application for each.

Mentorship:

• Patient is more prone to be open about him/herself
• Patient feels comfortable around doctor
• Patient is more happy and satisfied
• Patient has more confidence in the doctor's decisions 
• Patient loves, respects, and praises the doctor rather than fear him
• Patient is more willing to follow directions

I have witnessed all this happen at my mentorship where I shadow Dr. Muthiah. His bedside manners do make a significant impact for the patient.


5.  What printed source best supports your answer?

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3246857/


6.  What other source supports your answer?

http://www.aaos.org/news/aaosnow/jan13/clinical4.asp

http://www.kevinmd.com/blog/2014/04/developing-bedside-manner-understanding-patient.html

http://www.advisory.com/daily-briefing/2014/04/14/study-physicians-bedside-manner-affects-patients-health


7.  Tie this together with a  concluding thought.

Explanation:

Bedside Manners is considered to be an "art of medical science" because it involves the doctor to physically express this concept. Bedside Manners is now considered to be on the verge of going away because clinics are becoming more and more business-like. Research shows that effectuating excellent bedside manners does indeed increase patient care. Bedside Manners has been important throughout all of medical history, even all the way back up to the Greeks. One important historical and medical figure who wrote about bedside manners is Sir William Osler.

Concluding Thought:

My 2nd answer is going to revolve around what I observe at my mentorship because I have seen how important bedside manners is after seeing Dr. Muthiah properly do it which has made him a role model. 

Sir William Osler at the bedside of his patient [*Courtesy of  National Center for Biotechnology Information and U.S. National Library of Medicine]