Reaching the summit: climbing with the burden of pain

My fellow science geeks, sadly, this will be my last World of Work blog post.  However, rather than focusing on the fleeting nature of summers, I wish to walk you through my achievements, insights, and trials and tribulations of working in a biomedical research lab with a severe chronic pain condition.  Since the age of twelve, I have endured an excruciating nerve pain syndrome known as Complex Regional Pain Syndrome (CRPS)[i].  Here, I will briefly mention how CRPS affects me, with the hopes of encouraging students living with disabilities and adversity to pursue their career passions and dreams.

One of the most common questions I am asked regarding my pain is “how?”: “how do you attend college?”  “How do you participate in a research lab?”  “How do you live with the pain?”  My response remains steadfast; human beings (and life in general) possess a remarkable ability for adaptation, even in the bleakest of circumstances.  I believe in challenging the notion that extreme adversity cannot be triumphed in some form.  As you read this blog post, I hope you will view my experiences as evidence for why your hardships should never preclude you from actualizing your dreams.

Shapiro Science Center (SSC) of Brandeis University. The SSC is the annual location of SciFest, an undergraduate poster session [ii].

A few weeks ago, I presented a poster of my summer research findings at Brandeis University’s SciFest VII [iii].  SciFest is an annual poster session showcasing undergraduate student research hosted in my favorite building on campus, the Shapiro Science Center.  In this very building, I learned a cursory understanding of journal style science writing in Dr. Kosinski Collins’s (Dr. K-C) Biology Laboratory course (thank you Dr. K-C!).  I only had a taste of journal diction, yet I relished the opportunity to learn the art behind science writing.  Generating a poster presentation of original research presented my next learning opportunity.  Thankfully, the post-doctoral fellow (“post-doc”) I worked alongside and my principal investigator (PI) were ecstatic to hear about Brandeis SciFest, and strongly encouraged me to create a poster of my summer research.  Thus, I began crafting selected “mini” sections of a journal style paper, beginning with an abstract, followed by a curtailed introduction and figure descriptions of my experimental evidence.  I was fortunate to receive invaluable advice from my co-workers; I passed my writing along to my supervising post-doc, asking her to tear my writing apart.  I wanted her to know “I mean business” when it comes to learning.  I circulated my writing amongst lab members, also gathering my PI’s sage advice.  This gave me a small taste of the manuscript writing process, an essential component of every research laboratory.  This process culminated in a poster, which, upon entering this summer, I knew little about.  My poster explored the role of cysteine restriction in energy homeostasis, focusing on a key metabolic pathway known as the trans-sulfuration pathway.

Pictured above is the intersection of the methionine cycle (from methionine to homocysteine), the folate cycle (far left), and the trans-sulfuration pathway (bolded in red). I focused on the enzyme CGL, or cystathionine-gamma-lyase. This figure was created with assistance of Yang et al. 2016  [iv].
I am immensely proud of my poster and presentation, given that my success represents triumph both over internal and external doubts regarding my capacity for achievement in the face of debilitating pain.  Given that my physical disability effects my left hand and arm, I was concerned regarding my ability to efficiently learn new experimental techniques.  However, with patience, I successfully completed methodologies such as Western Blotting [v], including the pain-inducing sonication step [vi].  Sonication involves “shooting” high energy sound waves into a sample containing proteins and nucleic acids.  The sound waves shear DNA into small chunks, thus liberating nuclear (nucleus-bound) transcription factors (proteins) for proteomic investigation.  I may have taken a few extra minutes to complete this step, but I obtained pure proteins, which I was able to immunoblot for [Western Blotting] analysis.  Another technique I am proud of learning is mouse dissection.  Although simpler than the microscopic Drosophila (fruit fly) dissections I have attempted at Brandeis, mouse dissection still requires significant dexterity and focus.  I was concerned I would lose control over my left hand, or that the pain would inhibit my precision.  However, I excelled, even learning how to excise “speck-like” structures such as the pituitary glands in the brain and the thyroid gland in the neck.  I also improved upon techniques such as RNA tissue extraction, reverse transcriptase quantitative polymerase chain reaction (RT-qPCR) [vii], study design, statistical analyses, and more.

Altogether, I am quite proud of my tireless work this summer, both experimentally and regarding my pain condition.  I see my work as another step towards achieving my career goals in medicine.  There is an expanding pile of evidence that my pain will not write my story; I will.  I wish to convey this simple fact to other students living with disabilities and adversity; you can achieve your greatest dreams and more.  Although I have yet to accomplish my goal of becoming a physician scientist, I know I will get there.  You will reach your goal too.

 

-Josh Lepson

 

References

[i] American RSDHope. 2017. CRPS OVERVIEW/DESCRIPTION. Accessed on August 17.

http://www.rsdhope.org/what-is-crps1.html

[ii]  Brandeis University. Integrated Media – CAMPUS BUILDINGS. Accessed on August 17.

https://www.brandeis.edu/communications/media/mediaresources/buildings.html

[iii] SciFest. 2017. SciFest VII Abstracts. Accessed on August 17.

https://kb.brandeis.edu/display/SCI/SciFest+VII+Abstracts

[iv] Yang, M., Vousden, K.H. 2016. Serine and one-carbon metabolism in cancer. Nat. Rev. Cancer. 16(10): 650-662.

[v] ThermoFisher Scientific. Overview of Western Blotting. Accessed on August 17.

https://www.thermofisher.com/us/en/home/life-science/protein-biology/protein-biology-learning-center/protein-biology-resource-library/pierce-protein-methods/overview-western-blotting.html

[vi] New England Biolabs. DNA Fragmentation – Application Overview. Accessed on August 16.

https://www.neb.com/applications/library-preparation-for-next-generation-sequencing/dna-fragmentation

[vii] ThermoFisher Scientific. Basic Principles of RT-qPCR: Introduction to RT-qPCR. Accessed on August 17.

https://www.thermofisher.com/us/en/home/brands/thermo-scientific/molecular-biology/molecular-biology-learning-center/molecular-biology-resource-library/basic-principles-rt-qpcr.html

Two months in at the Ostional National Wildlife Refuge!

I’ve now been working at Ostional National Wildlife Refuge for more than two months and things have been going great!  I’m really starting to get into the flow of things here and feel that I’ve already learned a great deal.

One of the new experiences I’ve had in the past few weeks was the opportunity to see Olive Ridley sea turtle hatchlings during the day.  Sea turtles generally hatch at night when fewer predators are on the beach and without the hot sun that can hurt the sensitive hatchlings.  Sometimes, however, the hatchlings also emerge around sunrise and I was able to snap the picture below.  Seeing how small (fits in the palm of your hand!) and vulnerable the hatchlings are makes me think about how incredible it is that any of these little guys survive long enough to grow to 45 kg. (100 lb.) as adults.  For more information about sea turtles, including nesting and hatchling behavior, see this website.

A Olive Ridley sea turtle hatching making its way to sea at sunrise while people scare away dogs and vultures.

Although I’ve always thought I would enjoy studying biology in the field, this internship has reaffirmed my desire to pursue some sort of biological fieldwork in the future.  I am looking forward to applying some of these skills to my work in the Environmental Field Semester JBS program this fall.  My other goals for this internship are to learn about the local community and to improve my Spanish vocabulary. I have been able to make a great deal of progress towards these goals in a short period of time.

I am most proud of how well I’ve come to know the beach here at Ostional.  Before coming here, I didn’t think much about factors such as the tides, sand texture, vultures and feral animals or beach debris.  However, after being here for a few months, I have become increasingly aware of the many facets of the environment here.  Much of my work here entails leading groups of volunteers on nightly beach patrols in search of turtles.  In my first few weeks as a patrol leader, I struggled to orient myself on the beach at night.  Now that I’ve gained some experience, I can recognize many landmarks on the beach, even at night, and know where I am on the beach without having to check with a light.

On July 25th, the province of Guanacaste celebrated the Anniversary of Annexation into Costa Rica.  This region of Costa Rica  was part of Nicaragua until 1824, when it was annexed by Costa Rica.  This event is celebrated every year in the province with a huge festival including traditional dances and a rodeo.  I took this photo from the side of a bull ring in the city of Nicoya.  For more information about the Annexation of Guanacaste, visit this website.

Every July 25th the Anniversary of Guanacaste is celebrated with a rodeo.

Even though my future may or may not include sea turtles, the skills I’m building in my work here are definitely applicable to my future.  Most importantly, I’ve begun to understand what it takes to undertake science in a field setting.  When compared to a laboratory, there are simply so many factors which are beyond scientists’ control, including weather, feral animals, and interference by people.  Although work in the field has many challenges, I am excited to continue my internship at Ostional National Wildlife Refuge as I consider engaging in my own field investigations one day.

 

– Sarah Steele ’13