Hector Belarmino – Independent Project

Hector Belarmino – Independent Project

Class of 2017

Introduction to Topic

This year I decided to follow the field of neurology, which is the study of the nervous system, for my capstone project because being a neurologist is a future career that I am considering. I spent the time shadowing neurologist Dr. Hsiong Chen in Franklin Square Hospital for 70 hours where I observed him treating patients for mostly strokes and seizures, and he taught me multiple aspects about the field of neurology and medicine in general. This led me to create and conceptualize a medical search engine as my innovation to make navigating patient history easier for doctors to search for different files of patients as a result of my experiencing of learning about neurology and the hospital environment.

Project Description

  My project is the topic of neurology and how it has functioned within the hospital setting. This included my experience with Dr. Hsiong Chen, where I followed him examining his patients and him teaching me about the aspects of neurology that go along with treating his patients such as neurological examinations and looking over their patient files that include MRIs, CT scans, and EEG scans. Many of the conditions of the patients mostly dealt with seizures and strokes as they are the most common symptoms for neurological conditions in the emergency room.                   

The discussions that came about when shadowing him led to an understand of those previously said neurological conditions as well as discussions about how many of his patients are difficult to cure and that many times end of life care is discussed within the realm of palliative care. Also within the hospital setting is our discussion of patient information and the inefficiencies that go with it in which I came up with an innovation that involves easier patient navigation through the idea of a search engine that involves narrowing down patient files that look for specific symptoms.

Experience Description

I spent 70 hours following Dr. Hsiong Chen at Franklin Square Hospital in Rosedale, MD, in which I followed him from January 30 to February 12 learning about neurology in the context of a hospitalist setting. I was given an office when I first arrived and immediately felt the office environment in which I didn’t expect it. There was a more

 

relaxing aspect of the workplace because it felt like there wasn’t the stress of rapid checkups on patients. The first thing we do is go over patient files in which we look at MRIs, CTs, and EEGs, in which occasionally, the resident comes in to be taught by Dr. Chen as well. After that he has a list of patients he is asked to do checkups and follow-ups on throughout the day. Some of the time it can be a consultation by other doctors to see if there is a neurological problem with the patient based on other MRI and CT scans.                                                                                                                                  Much of what I observed of Dr. Chen and his examinations with his patients involved his neurological examinations where he would check for the cognitive abilities and their motor functions through various techniques such as asking questions about their whereabouts and tapping a hammer on their knees for reflexes. With every situation that happened to each patient he explained what was happening to them thoroughly to me, putting emphasis on the conditions of strokes and seizures and what they are and how they’re observed through scans. Many times, the conditions of the patient take a turn for the worst such as the time I saw a 90-year-old woman suffer a seizure right before my eyes and her condition was only worsening as we observed her in an EEG lab. This led to discussions about what to do with a patient when they’re dying and what palliative care entails in which it involves making a patient comfortable before they die.                                                                                                                                   Overall, this experience has made me even more interested in the field of neurology however, due to highly routine setting of treating patients, I found hospitalist

 

type treatment are boring due to the repetitive nature of the conditions patients face when it involves neurological symptoms. This makes me think that I might go into something either more clinical or research based so that there can be a bit more variety in the field that interests me.

Innovation Description

My innovation is a medical search engine for doctors in order for them to navigate patient history files easier by looking up their symptoms for each individual patient to narrow down the patient files. This idea arose after observing Dr. Chen using the patient information system to look at various files to figure out the situation involving the patient and I saw how there a lot of files he had to navigate through so he could find the information he wanted which meant a lot of tedious searching. I figured there could be a search engine type thing that would allow him to type up a symptom and it would narrow down the files he searched to the information he wanted, such as if he wanted to know if there was any history with heart disease in a patient to figure out if the stroke a patient had might have come from a condition in a heart.                                                                                First what I did was do research on how information is divided up and Dr. Chen explained to me that the files are given to him from hospitals over a database and they organized by all the scans and examinations and reports given from the doctors in the hospitals. However, he said that it was rather cluttered and that there wasn’t any mechanism that allowed for that information reduction. I then came up with a design with how the patient search would work in which I drew up the flow of information starting with looking up the patient the doctor was given, then it would go to all the files

 

from different hospitals that contained the patient history, and finally the files would end up condensing to a few files when looking up the symptom that pertained to that based on keyword searches in which the same principles of other search engines are used in this.                                                                                                                    

That was the design I came up with and I had to figure out how to turn the concept into something demonstrable and so I though a basic program could work to at least demonstrate my concept to which I consulted my friend Austin Pierce-Ptak who has experience with computers to teach me how to do that. After asking him, he agreed to teach me the process of the Python language in coding and we spent the next couple hours trying to figure out how to put it all together. He guided me through learning how to code and using taught me the language to at least do the basic processes that allowed me to make the program. I had to come up with realistic patient situations in order to demonstrate the program such as one patient I made up having a stroke and using the program to narrow down their symptoms to blood clots that were detected prior to the admission into the hospital. They were all written within the notepads within Austin’s computer. We also spent time trying to figure out the design of what the engine would look like and we decided on 90s-style early internet website template.                                                                                          After showing Mr. Clemmer my innovation, he points out that there is no nationwide server connecting patient information across hospitals so upon further research on the CRISP network that Dr. Chen told me about in which it is an expansive

 

patient information system that connects multiple hospital across the Chesapeake region including Virginia and West Virginia. Even though it is not used nationwide, the fact that there is a regional one that exists means there is a possibility that a server like that is possible nationwide. This also means that I could use this system to demonstrate the possibility of my innovation as it could pertain to bigger and better things involving patient information exchange and navigation.             

When looking at the hospitals that are involved in this program, most give an array of information such as various scans a doctor reports and so my program can take advantage of that to create better navigation with my search bar. I go back to refine the design to make the navigation a little better in which I made the wording clearer when it came to how the key word searches would provide the search engine quality of narrowing down the words to different files.                                             

After everything is finished we try to transfer the coding information from Austin’s computer to my computer to which there was a lot of difficulty to do so since the python program is outdated and convertors are unable to fix it so we ultimately conclude that I’m just going to use his computer to show the innovation directly.       

Project Topic

Introduction to Topic

This year I decided to follow the field of neurology, which is the study of the nervous system, for my capstone project because being a neurologist is a future career that I am considering. I spent the time shadowing neurologist Dr. Hsiong Chen in Franklin Square Hospital for 70 hours where I observed him treating patients for mostly strokes and seizures, and he taught me multiple aspects about the field of neurology and medicine in general. This led me to create and conceptualize a medical search engine as my innovation to make navigating patient history easier for doctors to search for different files of patients as a result of my experiencing of learning about neurology and the hospital environment.

Project Overview

Project Description

  My project is the topic of neurology and how it has functioned within the hospital setting. This included my experience with Dr. Hsiong Chen, where I followed him examining his patients and him teaching me about the aspects of neurology that go along with treating his patients such as neurological examinations and looking over their patient files that include MRIs, CT scans, and EEG scans. Many of the conditions of the patients mostly dealt with seizures and strokes as they are the most common symptoms for neurological conditions in the emergency room.                   

The discussions that came about when shadowing him led to an understand of those previously said neurological conditions as well as discussions about how many of his patients are difficult to cure and that many times end of life care is discussed within the realm of palliative care. Also within the hospital setting is our discussion of patient information and the inefficiencies that go with it in which I came up with an innovation that involves easier patient navigation through the idea of a search engine that involves narrowing down patient files that look for specific symptoms.

Experience

Experience Description

I spent 70 hours following Dr. Hsiong Chen at Franklin Square Hospital in Rosedale, MD, in which I followed him from January 30 to February 12 learning about neurology in the context of a hospitalist setting. I was given an office when I first arrived and immediately felt the office environment in which I didn’t expect it. There was a more

 

relaxing aspect of the workplace because it felt like there wasn’t the stress of rapid checkups on patients. The first thing we do is go over patient files in which we look at MRIs, CTs, and EEGs, in which occasionally, the resident comes in to be taught by Dr. Chen as well. After that he has a list of patients he is asked to do checkups and follow-ups on throughout the day. Some of the time it can be a consultation by other doctors to see if there is a neurological problem with the patient based on other MRI and CT scans.                                                                                                                                  Much of what I observed of Dr. Chen and his examinations with his patients involved his neurological examinations where he would check for the cognitive abilities and their motor functions through various techniques such as asking questions about their whereabouts and tapping a hammer on their knees for reflexes. With every situation that happened to each patient he explained what was happening to them thoroughly to me, putting emphasis on the conditions of strokes and seizures and what they are and how they’re observed through scans. Many times, the conditions of the patient take a turn for the worst such as the time I saw a 90-year-old woman suffer a seizure right before my eyes and her condition was only worsening as we observed her in an EEG lab. This led to discussions about what to do with a patient when they’re dying and what palliative care entails in which it involves making a patient comfortable before they die.                                                                                                                                   Overall, this experience has made me even more interested in the field of neurology however, due to highly routine setting of treating patients, I found hospitalist

 

type treatment are boring due to the repetitive nature of the conditions patients face when it involves neurological symptoms. This makes me think that I might go into something either more clinical or research based so that there can be a bit more variety in the field that interests me.

Innovation

Innovation Description

My innovation is a medical search engine for doctors in order for them to navigate patient history files easier by looking up their symptoms for each individual patient to narrow down the patient files. This idea arose after observing Dr. Chen using the patient information system to look at various files to figure out the situation involving the patient and I saw how there a lot of files he had to navigate through so he could find the information he wanted which meant a lot of tedious searching. I figured there could be a search engine type thing that would allow him to type up a symptom and it would narrow down the files he searched to the information he wanted, such as if he wanted to know if there was any history with heart disease in a patient to figure out if the stroke a patient had might have come from a condition in a heart.                                                                                First what I did was do research on how information is divided up and Dr. Chen explained to me that the files are given to him from hospitals over a database and they organized by all the scans and examinations and reports given from the doctors in the hospitals. However, he said that it was rather cluttered and that there wasn’t any mechanism that allowed for that information reduction. I then came up with a design with how the patient search would work in which I drew up the flow of information starting with looking up the patient the doctor was given, then it would go to all the files

 

from different hospitals that contained the patient history, and finally the files would end up condensing to a few files when looking up the symptom that pertained to that based on keyword searches in which the same principles of other search engines are used in this.                                                                                                                    

That was the design I came up with and I had to figure out how to turn the concept into something demonstrable and so I though a basic program could work to at least demonstrate my concept to which I consulted my friend Austin Pierce-Ptak who has experience with computers to teach me how to do that. After asking him, he agreed to teach me the process of the Python language in coding and we spent the next couple hours trying to figure out how to put it all together. He guided me through learning how to code and using taught me the language to at least do the basic processes that allowed me to make the program. I had to come up with realistic patient situations in order to demonstrate the program such as one patient I made up having a stroke and using the program to narrow down their symptoms to blood clots that were detected prior to the admission into the hospital. They were all written within the notepads within Austin’s computer. We also spent time trying to figure out the design of what the engine would look like and we decided on 90s-style early internet website template.                                                                                          After showing Mr. Clemmer my innovation, he points out that there is no nationwide server connecting patient information across hospitals so upon further research on the CRISP network that Dr. Chen told me about in which it is an expansive

 

patient information system that connects multiple hospital across the Chesapeake region including Virginia and West Virginia. Even though it is not used nationwide, the fact that there is a regional one that exists means there is a possibility that a server like that is possible nationwide. This also means that I could use this system to demonstrate the possibility of my innovation as it could pertain to bigger and better things involving patient information exchange and navigation.             

When looking at the hospitals that are involved in this program, most give an array of information such as various scans a doctor reports and so my program can take advantage of that to create better navigation with my search bar. I go back to refine the design to make the navigation a little better in which I made the wording clearer when it came to how the key word searches would provide the search engine quality of narrowing down the words to different files.                                             

After everything is finished we try to transfer the coding information from Austin’s computer to my computer to which there was a lot of difficulty to do so since the python program is outdated and convertors are unable to fix it so we ultimately conclude that I’m just going to use his computer to show the innovation directly.       

By | 2017-05-24T19:56:25+00:00 May 24th, 2017|Biomed Capstone Project 2017|0 Comments

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