Grace Cooney – Independent Project

Grace Cooney – Independent Project

Class of 2017

Introduction to Topic

Over the course of my Independent Project, I have participated in a shadowing experience at Upper Chesapeake Medical Center. I would shadow Dr. Jay Lang, D.O. and Lynn Wojtysiak, P.A.-C in the cardiac wing of the hospital where I was able to experience the diagnosis and treatment for different cardiac conditions. I noticed that a lot of the critical patients were suffering from complications of DVT (Deep Vein Thrombosis), which lead to me to center my project on possible prevention of pulmonary embolisms.

Project Description

After MedTronic came out with the app for the ICD, and Samsung came out with an inductively charging pacemaker, I had to get thinking… fast.  So I finally decided that I would create a device that would line the outside of the pulmonary artery that would automatically release Thrombolytics when a large enough clot was detected by the ring. Thus, it would prevent a pulmonary embolism. Pulmonary embolism kills an estimated amount of 60,000-100,000 people every year (CDC). People with DVT (Deep Vein Thrombosis) will experience this more than once in their life time; that is if they survive it. The ring as well as the rest of the device itself will be made of titanium or a titanium alloy, similar to what pacemakers are made from, proving that it will function correctly in the body, more specifically, the chest cavity. If it weren’t for my experience, I would not have been able to know material to use that would work inside of the body effectively for my project to be successful.

Then, in order to amplify the product itself, I will create a company in which I will market my product with logos, brochures, a website, a social media account, packing design, business cards, and even a video advertisement.

Experience Description

I spent approximately 60 hours shadowing at Upper Chesapeake Medical Center. I shadowed both Dr. Jay Lang, D.O. and Lynn Wojtysiak P.A.-C in both their office practice as well as the cardiac wing of the hospital. In his office, I would watch Dr. Lang as he filled out patient reports and analyzed patient medical history before we would visit every patient. He make a list of possible diagnoses based on the tests and information he is given. So when he brought me into the exam room, he would listen to the patient’s heart beat with the stethoscope, take pulse of the coronary arteries, and listen to their exact symptoms, for it can be very difficult for the patient to explain exactly what they are feeling on paper. And with everything he is given, most of the time he is able to diagnose a patient as well as set up a treatment plan while in the room with the patient. Just being in the room and watching him use deductive reasoning to find the correct diagnosis left me in awe. And when Dr. Lang had rounds, I would follow him throughout the cardiac ICU where I would see patients in critical condition and watch him analyze test results to further the individual’s treatment.

I remember a certain situation where a patient who experienced a major Pulmonary Embolism. Thus, due to the lack of oxygen, the cardiac muscle tissue began to die, rendering him unconscious. Dr. Lang ordered an echocardiogram to see if any more of the tissue was dying, and we saw that nearly the entire apex of the heart, as well as a large portion of the left ventricle, was entirely composed of dead tissue. I stood outside of the room while he went in there to update the family on their loved one’s condition and I saw them immediately put their face in their hands, for the family knows that they will not regain consciousness and that they will soon not be able to breathe on their own. This memory will last with more forever, for it was the first time I saw, first hand, a physician delivering bad news to the family. This experienced lead me to want to learn more about the condition as well as possible treatments and prevention techniques to see if there was any way that this individual could have been saved and saved the family from such grief.

When shadowing with Lynn Wojtysiak, P.A. –C, I would, more often than not, spend most of the day in the cardiac testing wing of the hospital. I watched as she conducted multiple stress tests. If the individual was in good physical condition, then they would go onto the walking treadmill and they would be hooked up with multiple wires to helps record pulse (EKG). Every three minutes, the treadmill will increase in incline to help increate heart rate, and then she would take the patient’s blood pressure manually and record it into the computer that it simultaneously printing the EKG’s. For those patients who are in not in the best condition to complete the walking test, they were injected with Lexiscan, which is a medication that induces the same feeling as well as bodily reaction of actual running, but all they are doing is sitting on the edge of a bed and swinging their feet back and forth. Some patients were very compliant with the test and although the Lexiscan can cause lightheadedness and nausea, some remained very cheerful and tried to be very optimistic throughout the test. Yet, there were many patients who were not compliant with the orders and in some cases, patients would even curse at the physician. I understand that some individuals have a lot of things going on in their lives and the last thing they want to do is be in a hospital being injected with medication that makes them feel awful, but I eventually became a little frustrated with the way they reacted because they only have to spend maybe 15-20 minutes being tested.

Innovation Description

While I was shadowing in the Upper Chesapeake Medical Center Cardiac ICU, I had a very emotional experience where Dr. Lang had to tell a family that their loved one, who experienced a pulmonary embolism, was not going to wake up. At that moment, I knew that I wanted to make something to prevent this from happening to any other family. Thus, I began by researching the different causes of pulmonary embolism as well as the treatment for it. Dr. Lang explained to me that a pulmonary embolism occurs when a clot is formed somewhere in the body and travels through the vessels and eventually to the pulmonary artery, where it blocks blood flow and can cause death. So when I was researching, I found that people who have conditions such as DVT are very prone to creating blood clots, thus are more prone to pulmonary embolisms. So then I began to do even further research in to DVT and different medications to treat it. I found that doctors prescribe anticoagulants in order to thin the blood and prevent the formation of clots. However, I did even further investigation and I asked Dr. Lang what happens if a patients missed a dosage of the anticoagulant, and he told me that only one missed dose could cause the formation of a blood clot, and only one clot is needed to cause a pulmonary embolism. Then I found that in emergency situations, doctors administer Thrombolytics or even tissue plasminogen activator (tPA) to dissolve the clot (WebMD). So then I decided to make my device obtain and release Thrombolytics to the site of embolization (pulmonary artery) and destroy the clot before the condition worsens.

Even more research lead me to find that the size of a normal pulmonary artery is about 3.22 cm. So I decided to make a ring on the device that would outline the perimeter of the artery for prime placement, for that is where the embolism originates. Then, I needed to find a way that triggered the device to release the Thrombolytics, for it could not be a simple motion sensor because blood is constantly circulating through the artery. So, after extensive research, I found that there has been some experimentation of sensors, where scientists were able to fuse together two different sensors to create a sensor with the function of being able to measure obstacle detection as well as object size. In the study, they fused together both a camera sensor and an ultrasonic sensor to create the new sensor (International Journal of Computer Applications). I decided that the ring, although has holes present to release the medication, will have these obstruction sensors surrounding the ring. So when a large object is detected by the sensors, it would send electrical signals to the sack containing either tPA or Thrombolytics and it would evenly distribute throughout the pulmonary artery to cause the destruction of the clot.

Then I faced the issue of what material should be used. For I understood that I needed a type of material that would be able to emit electrical impulses without disrupting the other, normally operating, bodily functions. It, then, dawned on me that there are already implantable cardiac devices that emit such electrical signals; pacemakers and ICDs. I looked into what kind of materials they are made from, and saw that a good, bio-compatible metal that is used in the construction of pacemakers is titanium or a titanium alloy. So in my physical design, I made sure to have the outside represent that of titanium.

Finally, when both the research as well as the physical innovation were complete, I continued with the marketing of my project to compensate for any lost hours. I decided to create a fake company, “CardioCo”, and have them publish and sell my innovation/product the “EmboRing”. I made logos for both the company as well as the product. And with those logos, I was able to create a social media, twitter, account that showed the release of my fictional product, as well as re-tweet other credible sources such as the New England Journal of Medicine, to show the activeness of the profile. Then I decided to move on to creating a website that explains what the company is about, the product(s) that they sell, as well as having some testimonials from fictional physicians. I uploaded pictures and customized the website to be able to obtain different forms of communication such as having links to the twitter account, as well as having a “Contact Us” page where people who were interested in the company or even had a comment of question could be able to input their information and have their questions or comments answered and posted. Going through my website, I noticed that there was a lack of pizzazz that would really draw the customer in to reading the rest of the site, so I figured that if I could make a video advertisement where a high-ranking, fictional physician could give praise to the company as well as explain what the product is it would add something a little extra. So I created a script for the video that I would also direct and edit. Now I know why it takes forever for movies to come out! It took multiple days to edit the 2 minute video and when it was finally finished I attempted to put it on my site, when all of a sudden the website I used to create mine said that videos could only be posted on the site when you upgrade the account to premium and pay a monthly fee. I then posted the video on YouTube, which gave me an embed URL. I researched and taught myself how to write code, which allowed to me embed the video into the website code and now under the “About Us” tab, you can view the video. I decided to continue with the marketing of the actual product as well as the company, so I created a 6-panel brochure that explained the company’s mission statement and the new product, which in this case, is the “EmboRing”. And finally, to the theme of the brochure, I created business cards that would have been used as if I actually gave a product introduction presentation.

+ Project Topic

Introduction to Topic

Over the course of my Independent Project, I have participated in a shadowing experience at Upper Chesapeake Medical Center. I would shadow Dr. Jay Lang, D.O. and Lynn Wojtysiak, P.A.-C in the cardiac wing of the hospital where I was able to experience the diagnosis and treatment for different cardiac conditions. I noticed that a lot of the critical patients were suffering from complications of DVT (Deep Vein Thrombosis), which lead to me to center my project on possible prevention of pulmonary embolisms.

+ Project Overview

Project Description

After MedTronic came out with the app for the ICD, and Samsung came out with an inductively charging pacemaker, I had to get thinking… fast.  So I finally decided that I would create a device that would line the outside of the pulmonary artery that would automatically release Thrombolytics when a large enough clot was detected by the ring. Thus, it would prevent a pulmonary embolism. Pulmonary embolism kills an estimated amount of 60,000-100,000 people every year (CDC). People with DVT (Deep Vein Thrombosis) will experience this more than once in their life time; that is if they survive it. The ring as well as the rest of the device itself will be made of titanium or a titanium alloy, similar to what pacemakers are made from, proving that it will function correctly in the body, more specifically, the chest cavity. If it weren’t for my experience, I would not have been able to know material to use that would work inside of the body effectively for my project to be successful.

Then, in order to amplify the product itself, I will create a company in which I will market my product with logos, brochures, a website, a social media account, packing design, business cards, and even a video advertisement.

+ Experience

Experience Description

I spent approximately 60 hours shadowing at Upper Chesapeake Medical Center. I shadowed both Dr. Jay Lang, D.O. and Lynn Wojtysiak P.A.-C in both their office practice as well as the cardiac wing of the hospital. In his office, I would watch Dr. Lang as he filled out patient reports and analyzed patient medical history before we would visit every patient. He make a list of possible diagnoses based on the tests and information he is given. So when he brought me into the exam room, he would listen to the patient’s heart beat with the stethoscope, take pulse of the coronary arteries, and listen to their exact symptoms, for it can be very difficult for the patient to explain exactly what they are feeling on paper. And with everything he is given, most of the time he is able to diagnose a patient as well as set up a treatment plan while in the room with the patient. Just being in the room and watching him use deductive reasoning to find the correct diagnosis left me in awe. And when Dr. Lang had rounds, I would follow him throughout the cardiac ICU where I would see patients in critical condition and watch him analyze test results to further the individual’s treatment.

I remember a certain situation where a patient who experienced a major Pulmonary Embolism. Thus, due to the lack of oxygen, the cardiac muscle tissue began to die, rendering him unconscious. Dr. Lang ordered an echocardiogram to see if any more of the tissue was dying, and we saw that nearly the entire apex of the heart, as well as a large portion of the left ventricle, was entirely composed of dead tissue. I stood outside of the room while he went in there to update the family on their loved one’s condition and I saw them immediately put their face in their hands, for the family knows that they will not regain consciousness and that they will soon not be able to breathe on their own. This memory will last with more forever, for it was the first time I saw, first hand, a physician delivering bad news to the family. This experienced lead me to want to learn more about the condition as well as possible treatments and prevention techniques to see if there was any way that this individual could have been saved and saved the family from such grief.

When shadowing with Lynn Wojtysiak, P.A. –C, I would, more often than not, spend most of the day in the cardiac testing wing of the hospital. I watched as she conducted multiple stress tests. If the individual was in good physical condition, then they would go onto the walking treadmill and they would be hooked up with multiple wires to helps record pulse (EKG). Every three minutes, the treadmill will increase in incline to help increate heart rate, and then she would take the patient’s blood pressure manually and record it into the computer that it simultaneously printing the EKG’s. For those patients who are in not in the best condition to complete the walking test, they were injected with Lexiscan, which is a medication that induces the same feeling as well as bodily reaction of actual running, but all they are doing is sitting on the edge of a bed and swinging their feet back and forth. Some patients were very compliant with the test and although the Lexiscan can cause lightheadedness and nausea, some remained very cheerful and tried to be very optimistic throughout the test. Yet, there were many patients who were not compliant with the orders and in some cases, patients would even curse at the physician. I understand that some individuals have a lot of things going on in their lives and the last thing they want to do is be in a hospital being injected with medication that makes them feel awful, but I eventually became a little frustrated with the way they reacted because they only have to spend maybe 15-20 minutes being tested.

+ Innovation

Innovation Description

While I was shadowing in the Upper Chesapeake Medical Center Cardiac ICU, I had a very emotional experience where Dr. Lang had to tell a family that their loved one, who experienced a pulmonary embolism, was not going to wake up. At that moment, I knew that I wanted to make something to prevent this from happening to any other family. Thus, I began by researching the different causes of pulmonary embolism as well as the treatment for it. Dr. Lang explained to me that a pulmonary embolism occurs when a clot is formed somewhere in the body and travels through the vessels and eventually to the pulmonary artery, where it blocks blood flow and can cause death. So when I was researching, I found that people who have conditions such as DVT are very prone to creating blood clots, thus are more prone to pulmonary embolisms. So then I began to do even further research in to DVT and different medications to treat it. I found that doctors prescribe anticoagulants in order to thin the blood and prevent the formation of clots. However, I did even further investigation and I asked Dr. Lang what happens if a patients missed a dosage of the anticoagulant, and he told me that only one missed dose could cause the formation of a blood clot, and only one clot is needed to cause a pulmonary embolism. Then I found that in emergency situations, doctors administer Thrombolytics or even tissue plasminogen activator (tPA) to dissolve the clot (WebMD). So then I decided to make my device obtain and release Thrombolytics to the site of embolization (pulmonary artery) and destroy the clot before the condition worsens.

Even more research lead me to find that the size of a normal pulmonary artery is about 3.22 cm. So I decided to make a ring on the device that would outline the perimeter of the artery for prime placement, for that is where the embolism originates. Then, I needed to find a way that triggered the device to release the Thrombolytics, for it could not be a simple motion sensor because blood is constantly circulating through the artery. So, after extensive research, I found that there has been some experimentation of sensors, where scientists were able to fuse together two different sensors to create a sensor with the function of being able to measure obstacle detection as well as object size. In the study, they fused together both a camera sensor and an ultrasonic sensor to create the new sensor (International Journal of Computer Applications). I decided that the ring, although has holes present to release the medication, will have these obstruction sensors surrounding the ring. So when a large object is detected by the sensors, it would send electrical signals to the sack containing either tPA or Thrombolytics and it would evenly distribute throughout the pulmonary artery to cause the destruction of the clot.

Then I faced the issue of what material should be used. For I understood that I needed a type of material that would be able to emit electrical impulses without disrupting the other, normally operating, bodily functions. It, then, dawned on me that there are already implantable cardiac devices that emit such electrical signals; pacemakers and ICDs. I looked into what kind of materials they are made from, and saw that a good, bio-compatible metal that is used in the construction of pacemakers is titanium or a titanium alloy. So in my physical design, I made sure to have the outside represent that of titanium.

Finally, when both the research as well as the physical innovation were complete, I continued with the marketing of my project to compensate for any lost hours. I decided to create a fake company, “CardioCo”, and have them publish and sell my innovation/product the “EmboRing”. I made logos for both the company as well as the product. And with those logos, I was able to create a social media, twitter, account that showed the release of my fictional product, as well as re-tweet other credible sources such as the New England Journal of Medicine, to show the activeness of the profile. Then I decided to move on to creating a website that explains what the company is about, the product(s) that they sell, as well as having some testimonials from fictional physicians. I uploaded pictures and customized the website to be able to obtain different forms of communication such as having links to the twitter account, as well as having a “Contact Us” page where people who were interested in the company or even had a comment of question could be able to input their information and have their questions or comments answered and posted. Going through my website, I noticed that there was a lack of pizzazz that would really draw the customer in to reading the rest of the site, so I figured that if I could make a video advertisement where a high-ranking, fictional physician could give praise to the company as well as explain what the product is it would add something a little extra. So I created a script for the video that I would also direct and edit. Now I know why it takes forever for movies to come out! It took multiple days to edit the 2 minute video and when it was finally finished I attempted to put it on my site, when all of a sudden the website I used to create mine said that videos could only be posted on the site when you upgrade the account to premium and pay a monthly fee. I then posted the video on YouTube, which gave me an embed URL. I researched and taught myself how to write code, which allowed to me embed the video into the website code and now under the “About Us” tab, you can view the video. I decided to continue with the marketing of the actual product as well as the company, so I created a 6-panel brochure that explained the company’s mission statement and the new product, which in this case, is the “EmboRing”. And finally, to the theme of the brochure, I created business cards that would have been used as if I actually gave a product introduction presentation.

By | 2017-05-15T14:57:00+00:00 May 15th, 2017|Biomed Capstone Project 2017|0 Comments

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