In
my January 2011 article for the Molecular Biology Newsletter, titled
"Operating Far Behind the Frontiers of Science". I recounted my two
years of experience doing science in Ghana. The months and weeks following this
moment of deep soul searching brought me to the point where I had two clear
choices, to stay or to leave Ghana in pursuit of my scientific career. I
decided to make the most of my stay in Ghana and use my training in Göttingen
to prove to myself that I got something to contribute, something that is worth
going the long haul.
The first set of positive developments started to trickle in by the middle of 2011, two short-term postdoctoral fellowships by the EMBO and SNSF allowed me to study mass spectrometry-based proteomics at the ETH-Zurich. After the six-month research stay in Zurich, I had the impetus to apply for many research grants, while at the same time consolidate my new research area. I envisioned for myself a research goal of working towards a world without drug resistant infections. This means I will combine concepts of Infection Biology, Microbiology, Mycology, Natural Product Chemistry, Proteomics and Protein Biochemistry and Cell Biology/Imaging to discover new chemical entities with uncommon structures and mechanisms of action.
In 2012, all but one of the many research grant applications succeeded. DAAD provided an equipment grant, which meant that I could expand my ongoing work of screening fungal metabolites for antimicrobial activities even without any other research funding. Based on the interesting preliminary data generated, I continued to apply for many diverse research grants and fellowships. My idea is to set up a research laboratory, which is well equipped enough to conduct the kind of research that will ensure that we achieved our goals in the end. I also feel compelled by the excellent training I received in Göttingen to dare and persist more in an environment where everything has got to be done by me. My major motivation has also been the many excellent scientists I interacted with in Göttingen, who have done well for science and humanity. I wish to also benchmark my own achievements by the levels of achievement obtained by my mates in Göttingen, eventhough they may be working in an environment unlike mine.
In 2013, I have won a number grants and fellowships, the most exciting one is from the Grand Challenges Canada. This year 2013 also brought me exciting honours such as a selection to attend the Lindau Nobel Laureate Meeting and the World Economic Forum meeting in Dalian, China. To cap an awesome 2013, our team at Department of Biochemistry, Cell and Molecular Biology at the University of Ghana won a World Bank grant to set up an African Center of Excellence in Cell Biology of Infectious Pathogens. This means we now have the opportunity to move towards the frontiers of science and to make a unique contribution to fighting infectious diseases in Africa and the world. Join us in this pursuit.
The first set of positive developments started to trickle in by the middle of 2011, two short-term postdoctoral fellowships by the EMBO and SNSF allowed me to study mass spectrometry-based proteomics at the ETH-Zurich. After the six-month research stay in Zurich, I had the impetus to apply for many research grants, while at the same time consolidate my new research area. I envisioned for myself a research goal of working towards a world without drug resistant infections. This means I will combine concepts of Infection Biology, Microbiology, Mycology, Natural Product Chemistry, Proteomics and Protein Biochemistry and Cell Biology/Imaging to discover new chemical entities with uncommon structures and mechanisms of action.
In 2012, all but one of the many research grant applications succeeded. DAAD provided an equipment grant, which meant that I could expand my ongoing work of screening fungal metabolites for antimicrobial activities even without any other research funding. Based on the interesting preliminary data generated, I continued to apply for many diverse research grants and fellowships. My idea is to set up a research laboratory, which is well equipped enough to conduct the kind of research that will ensure that we achieved our goals in the end. I also feel compelled by the excellent training I received in Göttingen to dare and persist more in an environment where everything has got to be done by me. My major motivation has also been the many excellent scientists I interacted with in Göttingen, who have done well for science and humanity. I wish to also benchmark my own achievements by the levels of achievement obtained by my mates in Göttingen, eventhough they may be working in an environment unlike mine.
In 2013, I have won a number grants and fellowships, the most exciting one is from the Grand Challenges Canada. This year 2013 also brought me exciting honours such as a selection to attend the Lindau Nobel Laureate Meeting and the World Economic Forum meeting in Dalian, China. To cap an awesome 2013, our team at Department of Biochemistry, Cell and Molecular Biology at the University of Ghana won a World Bank grant to set up an African Center of Excellence in Cell Biology of Infectious Pathogens. This means we now have the opportunity to move towards the frontiers of science and to make a unique contribution to fighting infectious diseases in Africa and the world. Join us in this pursuit.
Life is precious and is about quality not quantity.
I hope you are not a doctor, Chris.
I am ready for the next adventure!
Your article moved me. It is a much more elegant explanation than I could have provided regarding my own beliefs about end-of-life and/or futile care. As a primary care physician who has witnesses the tragic loss of dignity in dying over and over again, we seem to be on the exact same wavelength on this issue. Thanks for sharing.
http://www.newshoggers.com/blog/2011/12/hcr-how-doctors-die.html
Some religious faiths refuse to allow blood transfusions and (except for minors) that objection is honored without legal consequences.
What would be the consequences of a physician (or any other medical professional) allowing life to come to a natural end, without heroic interventions, citing personal religious beliefs? I’m thinking of your example above.
Passively allowing nature to take its course is surely not the same as assisted suicide or manslaughter. Or are doctors held to a different standard from other professionals?
All my life I was taught to respect doctors. But about seven years ago, while spending every day with my mother in the hospital, my eyes were opened. The system, the attitudes, the lack of awareness, the money, the pressures, etc., I believe, have made the health care system much less than it was intended to be.
At the same time I learned about the value of Nutritional Supplements, diet, and exercise as a way to turn things around in my own case, and take control of my own health. I also learned of the risks in blindly following what doctors and hospitals tell us. I will listen, but I will question every little thing. I will read every label and decide for myself. My medical care is 100% my responsibility. Its my body. If I can learn I will. But I am very sensitive to anything a doctor or nurse tells me.
I believe it is time for a major revolution in the way we train doctors and educate people about how to take care of themselves. The Doctor patient relationship should be more like a partnership, that a parent-child, or master-servant relationship. Patients have every right to question doctors. They should never be forced to stay in a hospital. When the risks of negligence and adverse drug side effects are worse than the symptoms…. beware. Patients must become more proactive, and doctors need to be models of good health. Doctors should not be allowed to become obese or smoke. If they do, they should be put on suspension or retrained. And the medical training itself should change. It makes a ridiculous statement about their ability to care for another, if doctors abuse their own bodies. Doctors should spend 80% of their time on prevention and educating their patient. They should be paid more to keep the patient healthy, than to try and cure him when he becomes ill. The whole system should be turned around. Maybe then doctors will be healthier and live longer and they can be models for us all to live healthier lives. That’s the ideal mission for a doctor…. a role model and a health counselor.
Thanks for your contribution and I will use it for my school research that I am doing for this website.
If there are clear directives then it becomes easy to counsel. But if it is vague..few people have the courage to firmly say that futile care should not be provided or continued. Everyone should clearly state their wishes for end of life care as they age. No one needs to die in misery if they don’t have to.
respectingchoices.org
http://www.eperc.mcw.edu/EPERC
I also wonder, if so many doctors feel this way, why are things as they are? Doctors may hope for themselves to go gently into that good night, but I’m skeptical that it is always what they want for their patients. It would be very difficult for an oncologist, I would think, to go to work each day with the mindset that they were going to just diagnose and send most of their patients home to die. They want to treat their patients. They want to find cures. We all want to hope that people will recover even when the odds are not great. And if patients die, does that not on at least some level feel like a personal failure? I think most physicians are motivated to try their hardest to cure their patients rather than just let them die. Nurses have always had a focus on quality of life and death issues, so it seems inappropriate to leave them out of the discussion entirely.
Great article!
We are Canadian and were completely overcome at the high quality of care he received in the US. Thank goodness for insurance.
Wonderful article.
just
a
high school teacher
Adrien Melikian, MD
Thank you for putting on paper what most Long term Care Nurses want to say to family members. I cannot begin to tell you how many times I have witnessed residents being kept alive by family members, only to watch the resident suffer. I really wish there was a way to explain to family members what exactly they are putting their loved one through. Sometimes I find the family members are not ready to let go of their loved one and that they are keeping their loved one alive for themself. As an RN with almost 20 years experience in Long Term Care (LTC) I feel as though, since I cannot educate a Alzheimer/Dementia/ MR or unconscious resident; our society leave these decision up to the resident’s family members that determine when to say enough is enough. Unfortunately even when LTC residents have advanced directives and Living wills; many times facilities and MD’s will err on the side of the families’ wishes; especially with a confused resident; as the world ever so progresses into a sue happy society, MD’s, medical practioners and nurses are forced to err on the side of caution. Great article, now if only we could get long term care (TLC) residents and family members to read it and get them some education perhaps the Medicare System would not be in the dire straights it is now. I know that sounds harsh, but I am a firm believer in advocating for my residents and following their advanced directives/ living wills and honoring their wishes. It is So, So hard to sit back and watch as some families make poor choices for their loved ones and feel helpless (Nurses get sued too) because we have to be very cautious on how much and what we say. CPR is another story, as one gentleman stated above, it does save a few lives, this is why medical professionals are trained and perform it. However, a 63 year old man verses a 95 year old with co-morbidities and no quality of life is another story. I see it daily, it is heart breaking. I learned early on in my profession, especially working with the elderly, that these LTC residents know when they are tired of living and know when they are ready to reconnect with their loved ones in Heaven. They have told me, many times: “Deb I’ve lived my life, I am tired, I am tired of not feeling well and I am tired of living”, and these are not Depression patients). I only wish they would tell their families this, they WON’T. Why:. because they fight to stay alive, not for themself,but for ther iloved ones…..
Thank you once again for this article, unfortunately I don’t believe the information will get to the people that really need this education; the patients (residents) and the family members.
Sincerely, D. Mesick, RN, BSN