Alara Aydin

SHADOWING PROJECT

With: Tunc Aydin (medical student)
Date: 9/14/13

1.Detailed Diary

8.30-8.45 am

I went to school and then I went to physiotherapy clinic for my first lecture. Our teacher started talking about fibromyalgia and myofascial pain syndrome.

8.45-9.00 am

"Fibromyalgia and myofascial pain syndromes are disorders of nonarticular rheumatism, which are common and cause significant negative impact on quality of life.”

9.00-9.15 am

“Fibromyalgia is characterized by chronic, diffuse musculoskeletal pain and low pain threshold at specific anatomical sites. Pain is intense at some points called “tender points”. These points are in the neck, shoulders, below the elbows, and the lower back, hips and legs. “ After that our teacher showed this “tender points” on one of our friend.
9.15-9.30 am

“In myofascial pain syndrome, pain is regional and typically referred from a trigger point in skeletal muscle. Research in recent years shows that central pain mechanisms play an important role in both of their pathogenesis. Myofascial pain syndrome typically occurs after a muscle has been contracted repetitively. This can be caused by repetitive motions used in jobs or hobbies or by stress-related muscle tension.”

9.30-10.00 am

Our teacher started talking about the difference between fibromyalgia and myofascial pain syndrome. “Fibromyalgia is a biochemical disorder. Myofascial Pain Syndrome is neuromuscular in origin. Repetitive motion, trauma, and illness can cause either MPS or FMS syndrome. Many female patients suffer more severe symptoms because they have both syndromes. Most pain clinics do not differentiate between the two syndromes. They just try to help the patient alleviate the pain and suffering. “

10.00-10.30 am

I went to my second lecture, which was about neck, knee, shoulder, elbow and hip movements about pathologies. After that teacher showed these movements and movement disorders, on one of our friend.

10.30-13.30 am “lunch break”

During the break I went home and ate my lunch.

13.30-13.45 am

I went to my third lecture, which was about acute injuries and injury repair a process. After he started talking about skin grafting.

“Skin grafting is a type of graft surgery involving the transplantation of skin. Skin grafting is the most common transplantation of all because it protects our body from damages (integumentary system). Surgery depends on how much skin is damaged. If injury is not so deep they only use the epidermis layer of the skin. If the damage is deep, then they use epidermis and dermis layers together.

13.45-14.00 am

“After they take the skin from the healthy area, they make it look like a web because it makes the surgery easier. And then they stamp the healthy skin to injured area. They but some weights on it so that it will be immovable. At first 48 hours patched skin feed it self with osmosis. At third and fourth day temporary vessels start existing and blood starts coming to patched skin, and the color of patched area starts changing. After 5 days after surgery the skin graft attached the healthy skin. It may not look like a normal skin but it works like it. After 3 weeks patched skin will be completely healed.”

14.00-14.15

“Most successful