{"id":9969,"date":"2017-03-29T14:15:19","date_gmt":"2017-03-29T20:15:19","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=9969"},"modified":"2024-07-18T15:35:56","modified_gmt":"2024-07-18T21:35:56","slug":"a-bucket-of-organs-leaves-lasting-impression","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/a-bucket-of-organs-leaves-lasting-impression\/","title":{"rendered":"A bucket of organs leaves lasting impression"},"content":{"rendered":"
<\/div>

 <\/p>\n

\"CU
CU School of Medicine Pathologist Carrie Marshall, MD, in the Organ Room of tissues used for training and outreach.<\/figcaption><\/figure>\n

Toni Schoenleber couldn\u2019t do her job as a stroke clinical coordinator at UCHealth University of Colorado Hospital (UCH) if she didn\u2019t have brains. In fact, it\u2019s because she has brains that she knew just where to go when she needed more brains.<\/p>\n

She called Alison Grice, who manages the Medical Teaching Lab at the University of Colorado School of Medicine. Schoenleber picked up six brains and, on March 15, gave two dozen Emergency Medical Services providers from across Colorado a chance to see what actual stroke-damaged brains look like.<\/p>\n

Conceptualizing a stroke isn\u2019t hard for those in her line of work. They\u2019ve all seen CT scans of them, too. But, Schoenleber says, \u201cBeing able to see what it actually looks like and holding it in your hands puts it in a different perspective.\u201d When the feedback forms roll in, she adds, \u201cIt\u2019s actually everybody\u2019s favorite part.\u201d<\/p>\n

That\u2019s exactly what Grice and CU School of Medicine Pathologist Carrie Marshall, MD<\/a>, hoped would come of a four-year effort to revamp, reorganize and grow the trove of educational organ specimens they manage. (Pathologists at UCHealth and elsewhere focus on diagnosing disease via lab testing and biopsy samples \u2013 a big, white Olympus microscope<\/a> lords over the desk in Marshall Anschutz Inpatient Pavilion office.)<\/p>\n

The organs \u2013 brains, livers, pancreases, stomachs, hearts, lungs, skin, bone, ovaries, intestines and others \u2013 have been a mainstay of medical school education since well before Marshall herself studied them as a CU medical student in the early 2000s. Now she\u2019s using them as a teacher, where she leads small group sessions of first- and second-year medical students who are getting to know the symptoms of and treatments for things like cancer. Marshall might describe a set of symptoms, say, hinting at lung<\/p>\n

\"The
The Organ Room’s specimens range in age from recent to decades old, as is the case with these brains.<\/figcaption><\/figure>\n

cancer. When the correct answer comes, she then removes from a bucket sloshing with cancerous organs a lung with enormous, fatal tumors for the students to observe and, if they like, hold.<\/p>\n

\u201cIt\u2019s an experience you don\u2019t forget,\u201d Marshall says.<\/p>\n

In the Organ Room<\/h3>\n

She says this in what she and Grice call the Organ Room. It\u2019s in CU\u2019s Research Complex 1 North building, a short walk across 17th avenue from UCH. Inside are tall metal racks. On their shelves are hundreds of yellow and white buckets and dozens of semi-translucent, Tupperware-like tubs. The buckets are taped with labels including ID numbers and descriptive labels such as inflammation & repair, Pulmonary, Renal, Heart, Placenta & Pregnancy, Lung, and Lower GI. They contain lungs with cystic fibrosis, ulcerated esophagi, ruptured spleens, diabetic kidneys, post-heart-attack hearts, brains with multiple sclerosis and Alzheimer\u2019s disease \u2013 as well as healthy organs for comparison.<\/p>\n

In clear-plastic sheaths hang \u201cbucket lists\u201d describing the contents of many of the buckets in more detail. Marshall pulls a white bucket associated with a 2017 CU medical school course called Disease and Defense. It\u2019s a bric-a-brac of neoplasia \u2013 tumors. She snaps on purple rubber gloves and, at a deep stainless-steel sink, begins a show-and tell of lung and liver cancers, a cancer of the larynx, a tumor-riddled liver, leukemia-engorged lymph nodes. There\u2019s a slice of liver, mottled and pale compared to the healthy burgundy of the reference sample in the same bucket. It\u2019s about four times the size of a healthy liver, Marshall says. There are no patient names \u2013 just notes such as \u201c55 year old woman with lung adenocarcinoma and widespread metastases.\u201d<\/p>\n

\"Alison
Alison Grice, the CU Anschutz Medical Teaching Lab manager, is working with Marshall to extend organ outreach.<\/figcaption><\/figure>\n

The samples\u2019 ages vary widely. This bucket includes ones harking back to 1984 and as recent as 2017. Part of the organizational effort was to inventory the buckets\u2019 contents and discard samples ruined with age or excessive handling.<\/p>\n

\u201cWe had to discard several hundred pounds of organs,\u201d Marshall says. \u201cThe Environmental Safety folks came by the lab and asked, \u2018Is everything OK?\u2019 It was my spring cleaning.\u201d<\/p>\n

Past meets future<\/h3>\n

Marshall has also made strides in enhancing and renewing the collection. Surgeries are one source; another is clinical autopsies of the sort Marshall regularly does. Patient and families have consented in all cases. Marshall herself performs clinical autopsies, whose purpose is to advance medical science<\/a> through a thorough understanding of the disease processes that led to the patient\u2019s death (not to be confused with the CSI-dramas forensic autopsies of looking for signs of foul play).<\/p>\n

\u201cOther than providing information to the family of the deceased person about their whole health picture, this is another benefit of consenting to an autopsy,\u201d Marshall says. \u201cIt really does benefit the whole next generation of health professionals.\u201d<\/p>\n

Others benefit too, adds Grice. In addition to targeted samples such as Schoenleber\u2019s six brains and those used for CU School of Medicine teaching, there are more diverse buckets for onsite workshops for middle school and high school groups arranged through CU\u2019s Office of Inclusion and Outreach. Grice and two graduate students, Sanjay Ranganathan and Jessie Geer, do the show-and-tell.<\/p>\n

Marshall has also created \u201cstudent buckets\u201d for loan to UCHealth nurses, medical school students and others. Among the samples in these buckets include sections from normal lungs and from those of a man with a long smoking history, blackened and with emphysema<\/a> and squamous cell carcinoma; a healthy liver and that of a man with alcohol-related cirrhosis, and a healthy heart and one that had stopped beating after a heart attack. The aim is, in part, to \u201cscare kids into practicing good habits,\u201d Marshall says.<\/p>\n

If a recent thank-you note from a fifth grader is any indication, it seems to be working. \u201cI learned that when you\u2019re unhealthy bad stuff happens to your body,\u201d the child wrote.<\/p>\n

\"The
The Organ Room specimens help teach medical students and many others.<\/figcaption><\/figure>\n

To borrow a bucket, one can can fill out an online form and, soon enough, show a son\u2019s football team what a brain with CTE looks like, Grice says. CU medical students Whitney Sumner and Alexander Schulick recently checked out three buckets and brought them to an annual event at Breakthrough Kent Denver<\/a>, a nonprofit program for underserved middle school students in Denver and Englewood. They put organs on trays to look at and even touch, Schulick says. Then, at an ultrasound station next to it, they could see images of those same organs in their own bodies. Schulick and Sumner pointed out diseases and answered questions.<\/p>\n

\u201cSome of them were super-psyched,\u201d Schulick says. \u201cAnd some were saying, \u2018I\u2019m not getting even close to that.\u2019\u201d<\/p>\n

Regardless, Schulick adds, they definitely made an impression.<\/p>\n","protected":false},"excerpt":{"rendered":"

  Toni Schoenleber couldn\u2019t do her job as a stroke clinical coordinator at UCHealth University of Colorado Hospital (UCH) if she didn\u2019t have brains. In fact, it\u2019s because she has brains that she knew just where to go when she needed more brains. She called Alison Grice, who manages the Medical Teaching Lab at the […]<\/p>\n","protected":false},"author":23,"featured_media":9973,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[39,1497],"class_list":["post-9969","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-transplant-services","tag-uchealth-university-of-colorado-hospital"],"acf":[],"yoast_head":"\nA bucket of organs leaves lasting impression - UCHealth Today<\/title>\n<meta name=\"description\" content=\"  Toni Schoenleber couldn\u2019t do her job as a stroke clinical coordinator at UCHealth University of Colorado Hospital (UCH) if she didn\u2019t have brains. 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