Thursday, June 6, 2013

WHERE DID I PUT THOSE KEYS???


4 June 2013 
            So I head over to Jaclyn’s apartment this morning to meet her before walking to the Sports Medicine building to being our first day of our internship. When I arrive, I politely knock on the glass sliding-door and am soon greeted by an obviously flustered Jaclyn. “Are you ready to go?” I asked, to hear her faint reply through the door, “I can't find my key!” Jaclyn had been given a key to lock the padlock on her sliding door, but had lost it within 48 hours. Now she was locked INSIDE her apartment and I couldn’t help but laugh, which I knew would make things so much better. For some reason Jaclyn didn’t find the situation as amusing. “Well… see you later,” is all I could say standing there helpless, although I reassured her that as soon as I reached a faculty person I would have them make a call and get help to her. I felt like Lassie trying to explain what had happened and where Jaclyn was in captivity, as a faculty person at the International office gave me a blank stare as she tried to comprehend the bizarre situation. In the end, Jaclyn had her key the whole time but it had managed to become hidden under a pair of shoes in her closet. We all had a big laugh; well Jaclyn didn’t until much later, and continued on with the first day of the internship, running only a few minutes behind schedule.
            Sanmari was our escort for the day, showing us to the Sport Medicine building, medical library, and Physiotherapy clinic. She was a wonderful person who was very knowledgeable about the campus and kept us laughing. It was also great to finally meet Dr. Louis Holtzhausen, who is the department head of Sports Medicine, served as the Springbok’s (National Rugby Team) team doctor, and was selected to serve as the doctor for the South African Olympic Team for the 2012 London Olympics. He gave us a brief overview of the next four weeks and assured us that customizing our experiences to our likings was no problem; all we needed to do was ask.
            Dr. Marlene, who also works in the Sports Medicine Department and is a joy to talk with, helped us to pick topics related to sports medicine, on which to conduct research over the course of the internship. I chose to research the causes behind exercise related cramping, which studies have shown is due to more than dehydration. Another topic of great interest was platelet rich plasma injections (PRP), which are used to promote natural healing and more long term solutions for injuries to tendons.
            With our research topics in mind, we headed over to the medical library where Mrs. Elma, the librarian, introduced us to using the library’s databases and gave us a quick tour of the building. Afterwards, we headed over to the physiotherapy clinic where were able to shadow Dr. Holtzhausen and experience a platelet rich plasma (PRP) injection on a patient with tennis elbow. First blood is drawn from the patient and is then centrifuged at low rpm for 8 minutes, so as to isolate the neutrophils, platelets, and plasma (containing inflammatory proteins). PRP is then injected into the site of the injured tendon, causing an acute inflammatory response at the site. This allows for loss of function, allowing the body to actually heal the tendon, rather than masking pain with cortisone shots and further deteriorating the tendon. By allowing the body to heal the tendon properly, the tendon will remain healthy longer.
            Later we went to the gymnasium and observed students our age who were biokineticists. Biokineticists differ from physiotherapists in that physiotherapists work to relieve pain from the patient and regain range of motion. When the patient reaches the biokineticist, they are pain free and work on regaining their strength to that which they had before the operation. One patient in particular was astonishing to meet. He was an Olympic runner and long jumper for South Africa, and he also coached the Springbok’s from 1985-1986. All his years of running and jumping had deteriorated the cartilage of his left knee, which was his planting foot for jumping, and he had undergone surgery to clean up his knee.  

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