BOSTON — Hoppy, a young lesser panda, was the primary tolerant
the day carried — and anesthetized — into the exam room so he could get a physical.
Then Mildred, a 24-year-old barnacle, wobbled painfully across
the ground as veterinarians analyzed her gait. They couldn’t see any
improvement 10 days after an earlier exam.
Replacement of the degenerating joints isn’t an option for a
goose. Maybe acupuncture could help?
Next up was Sofina, an 8-year-old diabetic lemur that had done
well on insulin shots for six years, but displayed troubling new symptoms.
She kept her right clenched, though she could use it when
necessary — like a person's diabetes patient coping with neuropathy.
This was a typical morning for 3 veterinarians at the Franklin
Park Zoo. But it had been a fairly unusual one for the Harvard school of medicine students
alongside them.
Although medical students usually stick with the human species,
Harvard med students have been signing up for rotations at the zoo during their final
months of coaching.
The clinical elective offered for the last three years, is
additionally intended to strengthen the thought that animals and other people
share an equivalent environment.
Outbreaks of infectious diseases like Ebola and Lyme disease are
stark reminders of how vulnerable people are to a dysfunctional ecosystem said, Dr. Eric
Baitchman, vice president of animal health and conservation at Zoo New England
, which operates the Franklin Park Zoo in central Boston, and therefore the
smaller Stone Zoo in nearby Stoneham, Mass.
“Most medical students don’t get that side of the image,” Dr.
Baitchman said, noting that it is often human logging, bushmeat consumption, and other man-made
habitat changes that trigger such crises.
“Human activities can have direct
influences on our own health,” he said.
Dr. Sharon Deem, director of the Institute for Conservation
Medicine at the St Louis Zoo, said zoos and medical specialists have worked together for many
years, but there have only been modest collaborations between zoos and medical
schools.
What Harvard school of medicine and Zoo New England do is more
formal and longstanding than the other program she’s conscious of.
“Eric and his team are at the forefront of what's hopefully
getting to be a standard thing, but it’s not immediately,” she said, speaking
of Dr. Baitchman.
“I desire the wick is lit now and it’s got enough momentum that
it'll light the candle at the top.
”People even have a profound need for
animals and nature, Dr. Deem said, citing things like therapy dogs and therefore the restorative power of an enter
the woods.
“These have positive physical and psychological impacts that we
shouldn’t overlook,” she said.
Several students who completed the rotation said they were
surprised by what proportion they learned during a month at the zoo.
One tested a gorilla for a heart condition, another treated a bat
who had broken a wing during a fight, and another spent a part of his first day
struggling to stay an African tortoise from ambling out of an X-ray machine
while he tried to see it for bladder stones.
“Seeing him being shy helped me begin of my shell,” said Dr. Gilad
Evrony, the first Harvard medico to try to do a rotation. Dr. Evrony, now a
pediatrics resident at Mt.
Sinai Hospital in NY wrote about his zoo experience in 2016
within the Journal of the American Medical Association.
"I would never have predicted that I might spend my final the month of the school of medicine performing fetal ultrasounds on a pregnant gorilla,
phlebotomizing a 500-pound tapir with hemochromatosis, caring for a meerkat in coronary failure,
and investigating medical mysteries across the Animalia,” he wrote within the article.
He also observed: “For nearly every disease I saw at the zoo, the
straightforward question of why certain species, human or nonhuman, are
vulnerable to it, while others aren't, raised immediate possibilities for research.
Nearly a day at the zoo, the veterinarians and that I would make fascinating, unexpected connections
between human and veterinary medicine.”
In an interview, he said the stint at the zoo inspired new respect
for the complexity of veterinary medicine.
“I really had to beat some bias that I feel pervades much of
medicine, that human physiology and disease is exclusive which medicine does not have much to show us,” Dr. Evrony
said.
He and other students within the elective said they were
repeatedly struck by what proportion they learned from treating species aside
from their own.
Dr. Travis Zack, now a resident in general medicine at the
University of California, San Francisco said he gained new insights into a rare sort of human
chronic lymphocytic leukemia by treating the zoo’s 13-year-old Cygnus atratus, Merlot,
for an equivalent disease.
The swan seemed to be responding well to a person's leukemia drug.
“We consider these as human diseases, but they’re really diseases
that occur across the animal kingdom,” said Dr. Zack, who also features a doctorate in
biophysics, and works at the Broad Institute, a genetics research institute
affiliated with Harvard and MIT.
Of course, Drs. Zack, Evrony, and their peers aren't the primaries to
understand that there are tons to learn from the Animalia.
The vaccine for smallpox, as an example, was developed after
Jenner at the turn of the 19th century recognized that milkmaids were protected
against smallpox because they’d already been infected with a related disease from
cows.
Flies, worms, fish, and mice have long been lab staples.
But many of those animals don’t naturally develop an equivalent
diseases as humans, therefore the ailments have to be created through genetic
manipulation or other means, a number of which raise ethical concerns.
Dr. Elisa Walsh, another student who did the rotation, said she
was impressed by the range of evolutionary changes among animal life, solving problems
in several ways.
“It’s just incredible what proportion diversity there's,” she
said.
She collaborated on a project with a close-by hospital that's
using ultrasounds to check gorillas for a heart condition — aimed toward learning
more about the disease in humans and other great apes.
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