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Archive for the ‘When Anatomy Goes Bad’ Category

I have an impression that there is a large disparity between how the public views museums and how scientists who use museums view them. Presumably there are survey data on public attitudes, but surely the common impression is that museums mainly exist to exhibit cool stuff and educate/entertain the public. Yet, furthermore, I bet that many members of the public don’t really understand the nature of museum collections (how and why they are curated and studied) or what those collections even look like. As a researcher who tends to do heavily specimen-oriented and often museum-based research, I thought I’d take the opportunity to describe my experience at one museum collection recently. This visit was fairly representative of what it’s like, as a scientist, to visit a museum with the purpose of using its collection for research, rather than mingling with the public to oggle the exhibits — although I did a little of that at the end of the day…

Stomach-Churning Rating: 4/10; mostly bones except a jar of preserved critters, but also some funky bone pathologies! Darwin hurls once, totally blowing chunks, but only in text.

Early camel is sitting down on the job at the NHMLA.

Early camel is sitting down on the job at the NHMLA.

About two weeks ago, I had the pleasure to spend a fast-paced day in the Ornithology collection of the Natural History Museum of Los Angeles County (NHMLA or LACM). I arranged the visit (you have to be a credible researcher to get access; luckily I seemed to be that!) via email, took an Uber car to the museum, and was quickly cut loose in the collection. I was hosted by the Collections Manager Kimball Garrett, who is an avid birder (adept at citizen science, too!) and a longtime LA native.

Amongst museum curators and collections managers (there can be a distinction between the two but here I’ll refer to them all as “curators”), there is a wide array of attitudes toward and practices with museum collections, regarding how the curators balance their varied duties of not only making the museum collection accessible to researchers (via behind-scenes studies) and the public (via exhibits and behind-scenes tours etc.), but also curation (maintaining a record of what they have in their collection, adding to it, and keeping the specimen in good condition), research, admin, teaching and other duties.

Most curators I’ve known, like Kimball, are passionate about all of these things, and very generous with their time to help scientists make the most of the collection during their visit, offering hospitality and cutting through the bureaucracy as much as possible to ensure that the science gets done. There are those few curators that aren’t great hosts because they’ve had a bad day or a bad attitude (e.g. obsession with paperwork and finding obstacles to accessing specimens for research; or just not responding to communication), but they are few and far between in my experience.

Regardless, the curator is the critical human being that keeps the wheels of specimen-based museum research rolling, and I am appreciative of how deeply dedicated and efficient most curators are. Indeed, I enjoy meeting and chatting with them because they tend not only to be fun people but also incredibly knowledgeable about their collection, museum, and area of expertise. Sadly, this trip was so time-constrained that I didn’t get much time at all for socializing. I had about five hours to get work done so I plunged on in!

Images, as always, can be clicked to emu-biggen them. Thanks to the NHMLA for access!

My initial look down the halls of the osteology storage. Rolling cabinets (on the right) are a typical sight.

My initial look down the halls of the osteology storage. Rolling cabinets (on the right) are a typical sight.

Freezers ahoy!

Freezers ahoy! With Batman watching over them.

A jar of bats? Why not? Batman approves.

A jar of bats? Why not? Batman approves.

The curator cleared a space on a table for me to set bones on. Then the anatomizing and photographing began!

The curator cleared a space on a table for me to set bones on. Then the anatomizing and photographing began!

On entering a museum collection, one quickly gets a sense of its “personality” and the culture of the museum itself, which emerges from the curator, the collection’s history, and the museum’s priorities. There are fun human touches like the ones in the photos below, interspersed between the stinking carcasses awaiting skeletonization, the crumbling bone specimens on tables that need repair or new ID tags, or the rows upon rows of coffee cups ready to fuel the staff’s labours.

Yet another reason why Darwin kicks ass.

Yet another reason why Darwin kicks ass. And fine curator-humour!

Ironic bird pic posted on the wall.

Ironic bird pic posted on the wall.

Below a typical wall-hanging of a bovid skull, an atypical display of a clutch of marshmallow peeps. Contest to see whether the mammalian or pseudo-avian specimens last longest?

Below a typical wall-hanging of a bovid skull, an atypical display of a clutch of marshmallow peeps. Contest to see whether the mammalian or pseudo-avian specimens last longest?

The NHMLA’s collection is a world-class one, which I why I chose it as the example for this post. When I entered the collection, I got that staggering sense of awe that I love feeling, to look down the halls of cabinets full of skeletonized specimens of birds and be overwhelmed by the vast scientific resource it represents, and the effort it has taken to create and maintain it. Imagine entering a library in which every book had the librarian’s hand in writing and printing it, and that those books’ contents were largely mysteries to humanity, only some of which you could investigate during your visit. Museum collections exist to fuel generations of scientific inquiry in this way. Their possibilities are endless. And that is why I love visiting them, because every trip is an adventure into the unknown– you do not know what you will find. Like these random encounters I had in the collection’s shelves:

Sectioned moa thigh bones, showing thick walls and spars of trabecular bone criss-crossing the marrow cavities.

Sectioned moa thigh bones, showing thick walls and spars of trabecular bone criss-crossing the marrow cavities.

My gut reaction was that this is a moa wishbone (furcula)- not often seen! It is definitely not a shoulder girdle (scapulocoracoid), which would be larger and more robust, and have a proper shoulder joint. It could, though, be a small odd rib, I suppose.

My gut reaction was that this is a moa wishbone (furcula)- not often seen! It is definitely not a shoulder girdle (scapulocoracoid), which would be larger and more robust, and have a proper shoulder joint. It could, though, be a small odd rib, I suppose. EDIT: Think again, John! See 1st comment below, and follow-ups. I seem to be totally wrong and the ID of scapulocoracoid is right.

A cigar box makes an excellent improvised container for moa toe bones- why not?

A cigar box makes an excellent improvised container for moa toe bones- why not?

Moa feet: all the moa to love!

Moa feet: all the moa to love!

May the skull of the magpie goose (Anseranas semipalmata) haunt your nightmares.

May the skull of the magpie goose (Anseranas semipalmata) haunt your nightmares.

Double-owie: headed shank (tibiotarsus) bone of a magpie goose (Anseranas semipalmata). No mystery why this guy died: vet staff at the zoo tried to fix a major bone fracture, and it had time to heal (frothy bone formation) but presumably succumbed to these injuries/infection.

Healed shank (tibiotarsus) bone of the same magpie goose as above. It had its own nightmares! No mystery why this guy died: vet staff at the zoo tried to fix a major bone fracture (bracing it with tubes and metal spars), and it had time to heal (see the frothy bone formation) but presumably succumbed to these injuries/infection.

Kiwi (Apteryx australis mantelli) hand, showing feather attachments and remnant of finger(s).

Kiwi (Apteryx australis mantelli) hand, showing feather attachments and remnant of finger(s).

Now that I’m in the collection shelves area, it brings me to this trip and my purpose for it! I wanted to look at some “basal birds” for our ongoing patella (kneecap) evolution project, to check which species (or individuals, such as juveniles/adults) have patellae. Every museum visit as a scientist is fundamentally about testing whether what you think you know about nature is correct or not. We’d published on how the patella evolved in birds, but mysteries remain about which species definitely had a patella or how it develops. Museum collections often have the depth and breath of individual variation and taxonomic coverage to be able to address such mysteries, and every museum collection has different strengths that can test those ideas in different, often surprising, ways. So I ventured off to see what the NHMLA would teach me.

Shelves full of boxes, begging to be opened- but unlike Pandora's box, they release joyous science!

Shelves full of boxes, begging to be opened- but unlike Pandora’s box, they release joyous science!

Boxes of kiwis, oh frabjous day! A nice sample size like this for a "rare" (to Northern hemispherites) bird is a pleasure to see.

Boxes of kiwis, oh frabjous day! A nice sample size like this for a “rare” (to Northern hemispherites) bird is a pleasure to see.

Well, in my blitz through this museum collection I didn’t see a single damn patella!

As that kneecap bone is infamously seldom preserved in nice clean museum specimens, this did not surprise me. So I took serendipity by the horns to check some of my ideas about how the limb joints in birds in general develop and evolve. One thing I’ve been educating myself about with my freezer specimens and with museum visits (plus the scientific literature) is how the ends (epiphyses) of the limb bones form in different species of land vertebrates (tetrapods). There are complex patterns linked with evolution, biomechanics and development that still need to be understood.

Left side view of the pelvis of a very mature, HUGE Casuarius casuarius (cassowary). The space between the ilium (upper flat bone) and ischium (elongate bone on middle right side) has begun to be closed by a mineralization of the membrane that spanned those bones in life. A side effect of maturity, most likely. But cool- I've never seen this in a ratite bird before, that I can recall.

Left side view of the pelvis of a very mature, HUGE Casuarius casuarius (cassowary). The space between the ilium (upper flat bone) and ischium (elongate bone on middle right side) has begun to be closed by a mineralization of the membrane that spanned those bones in life. A side effect of maturity, most likely. But cool- I’ve never seen this in a ratite bird before, that I can recall.

Hatchling ostrich thigh bones (femora), showing the un-ossified ends that in life would be occupied by thick cartilage.

Hatchling ostrich thigh bones (femora), showing the pitted, un-ossified ends that in life would be occupied by thick cartilage.

A more adult ostrich's femora, with more ossified ends and thinner cartilages.

A more adult ostrich’s femora, with more ossified ends and thinner cartilages.

Rhea pennata (Darwin's rhea) femora (thigh bones), left (top) one with major pathology on the knee end; overgrown bone. Owie!

Rhea pennata (Darwin’s rhea) femora; right (top) one with a major pathology on the knee end; overgrown bone (osteoarthritis?). Owie!

Also very-unfused knee joints of a Darwin's rhea. Cool Y-shape!

Also very-unfused knee joints of a Darwin’s rhea hatchling. Cool Y-shape!

In birds, most of the bones don’t have anything that truly could be called an epiphysis– the bone ends are capped with thick cartilage that only gradually becomes bone as the birds get older, and even old-ish birds can still have a lot of cartilage (see photos above)– no “secondary centre” (true epiphysis) of bone mineralization ever forms inside that cartilage. However, there are two curious apparent exceptions to this absence of true epiphyses in avian limbs:

(1) in the knee joint, something like an epiphysis forms on the upper end of the tibia (shank bone) and fuses during growth (shown below). Sometimes that unfused epiphysis is confused with a patella, as our recent paper discussed; in any case, where that “epiphysis” came from in avian evolution is unclear. But also:

(2) in the ankle joint, several bones on both sides (shank and foot) of the joint fuse to the long-bones of the limbs, acting like epiphyses. It is well documented by the fossil record of non-avian and avian dinosaurs that these were the tarsals: at least five different bones (astragalus, calcaneum and distal tarsals) were individual bones for millions of years in various dinosaurs, then these all fused to form the “epiphyses” of the shank and foot, eventually completing this gradual fusion within the bird lineage. Modern birds obliterate the boundaries between these five or more bones as they grow.

These are worthwhile questions to pursue because they show us (1) how odd, little-explored features of the avian skeleton came to be; and (2) potentially more generally why limb bones develop the many ways they do in vertebrates, and how they might develop incorrectly — or heal if damaged.

Images below from the NHMLA collections show how this is the case. Fortunately(?) for me, they supported how I thought the “epiphyses” of avian limbs develop/evolved; there were no big surprises. But I still learned neat details about how this happens in individual species or lineages, especially for the knee joint.

Juvenile kiwi's shank (tibiotarsus) bones viewed from the top (proximal) ends, showing the bubbly nubbins of bone (very bottom of each bone image) that are the "cranial tibial epiphyses" often mistaken for patellae.

Juvenile kiwi’s shank (tibiotarsus) bones viewed from the top (proximal) ends, showing the bubbly nubbins of bone (very bottom of each bone image; lighter region) that are the “cranial tibial epiphyses” often mistaken for patellae.

Subadult kiwi's tibiotarsi in same view as above, showing the epiphyses fusing onto the tibiae.

Subadult kiwi’s tibiotarsi in same view as above, showing the smooth triangular epiphyses fusing onto the tibiae.

Adult kiwi's tibiotarsi (sorry, blurry photo) in which all fusion is complete.

Adult kiwi’s tibiotarsi (sorry, blurry photo) in which all fusion is complete.

Looking down at the top/ankle end of the tarsometatarsal (sole) bones in a hatchling ostrich: the three bones are separate and hollow, where "cartilage cones" would have filled them in.

Looking down at the top/ankle end of the tarsometatarsal (sole) bones in a hatchling ostrich: the three bones are separate and hollow, where “cartilage cones” would have filled them in. The left and right bones have different amounts of ossification; not unusual in such a young bird.

Ossified tendons (little spurs of long, thin bone) on the soles of the feet (tarsometatarsal bones) of a brush-turkey (Alectura lathami)- seldom described in this unusual galliform bird or its close relatives, and thus nice to see. These would be parts of the toe-flexor tendons.

Ossified tendons (little spurs of long, thin bone) on the soles of the feet (tarsometatarsal bones) of a brush-turkey (Alectura lathami)- seldom described in this unusual galliform bird or its close relatives, and thus nice to see. These would be parts of the toe-flexor tendons. Another nice thing about these two tarsometatarsus specimens is that their fusion is basically complete- each is one single bone unit, as in normal adult birds, rather than five or more.

My visit to the NHMLA bird bone collection was a lot of fun, because I got to do what I love: opening box after box of bone specimens, with bated breath wondering what would be inside. In this case, familiarity was inside, but my knowledge of avian bone development and evolution still improved. I got to look at a lot of ostriches, rheas, cassowaries and kiwis, more than I’d seen in one museum before, and that broadened my sample of young, juvenile and adult animals that I’d seen for these species. Their knees and ankles all grew in grossly similar ways, supporting this assumption in my prior work and building my confidence in published ideas. It’s always good to check such things. Each box opened takes some careful observation and cross-checking against all the facts and ideas swirling around in your head. You take notes, scale photos, measurements, do comparisons between specimens, and just explore; letting your curiosity run unleashed as you assemble knowledge, Tetris-like, in your mind.

And I had a lot of fun because a museum collection visit is like swimming in anatomy. You’re surrounded by more specimens than you could ever fully comprehend. Sometimes you run across an odd specimen whose anatomy tells you something about its life, like pathologies such as the terrible fractured magpie goose leg shown above. Or you see some curatorial touch that makes you chuckle at an apparent inside joke or mutter respect for their careful organization in tending their charges. That feeling of pulling open a museum drawer or box lid and peering inside is like few others in science — there might be disappointment inside (e.g. “Crap, that specimen sucks!”), boredom (“Oh. Another one of these!?”) or the joy of discovery (“Holy *@$£, I’ve never seen that before!”). My first scientific publication (in 1998) came from rummaging through the UCMP museum collections as a grad student and spotting an obscure pelvic bone that turned out to be highly diagnostic for the equally obscure clade of bird-like dinosaurs called alvarezsaurids. I happened to open that drawer with the alvarezsaurid specimen at the right time, shortly after the first ever specimen of that dinosaur had been described in the literature (~1994). Before then, no one could have identified what that bone was!

There is time for hours of quiet introspection during museum collection studies, immersed in this wealth of anatomical resources and isolated in a silent, climate-controlled tomb-like hall. It is relaxing and overwhelming at the same time. Especially in my case with just five hours to survey numerous species, you have to budget your time and think efficiently. It’s a unique challenge to explore a museum collection as a researcher. If you don’t learn something — especially in a good museum collection — you’re doing it wrong. In this time of tight finances and trends to close museums or stow away precious collections, it is important to vocally celebrate what a vast treasure museum collections are, and how the people that maintain them are vital stewards of those treasures.

I set the cat amongst the pigeons by also visiting the Page Museum at the La Brea Tar Pits in LA, to study fossil cats-- like this American lion (Panthera atrox) code-named "Fluffy", that we CT scanned during my LA visit-- more about that later!

I set the cat amongst the pigeons by also visiting the Page Museum at the La Brea Tar Pits in LA, to study fossil cats– like this American lion (Panthera atrox), code-named “Fluffy”, that we CT scanned during my LA visit– more about that later!

EDIT: I hurried this post off during my free time today, and still feel I didn’t fully capture the deep, complex feelings I have regarding museum collections and the delight I get from studying them. Other freezerinos, please add your thoughts in the Comments below!

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I awoke on the floor in the aisle of my United Airlines flight to Los Angeles, with three unfamiliar men crouched around me, bearing serious expressions as they looked down on my prone body.

I was next to my seat. My daughter was crying inconsolably in her seat next to mine, and my wife was calling to me with an urgent tone from the next seat over.

Gradually, as my confusion faded and the men let go of me (I’d been cursing them out, in mangled words because I had bitten my tongue), I became aware that I was in intense pain, I could not move much, and my wife’s words became clearer:

I’d had a seizure. And so our relaxing family holiday, which had only just begun, ended. And so my waking nightmare began.

Stomach-Churning Rating: 5/10; lots of Anatomy Fail CT/x-ray images and gruesome descriptions, and a photo of some bruising.

I was helped back into my seat as I regained my senses, I noticed blood on me from my tongue, and I learned that we were 2 hours away from L.A. As I was acting more normal, and we were 5/6 of our journey along, there was no need to prematurely land the flight. I had fallen asleep while watching “22 Jump Street”, about 1.5 hrs in, and that’s when my seizure struck– much like the previous two seizures I’d had. Jonah Hill could be ruled out as a culprit, but going to sleep was an enabling factor. I got some over-the-counter painkillers and sat in a daze as time ticked by, we landed, and paramedics boarded the plane to whisk me off to the hospital with my family.

Two gruelling days and nights in a California hospital later, with my first night spent in a haze of clinical tests, begging for painkillers, yelling in pain every time I moved, and otherwise keeping my hospital roommate awake, the story became clearer: my seizure was so intense that I’d dislocated my right shoulder (unfortunately I’d not had much pain relief when the emergency room staff popped it back into my glenoid), probably dislocated my left shoulder too but then relocated it myself admist my thrashing, and done this (cue Anatomy Fail images):

Left shoulder, with the offending greater tubercle/tuberosity of the humerus showing fracture(s).

Left shoulder, with the offending greater tubercle/tuberosity of the humerus showing fracture(s).

Right shoulder x-ray, showing dislocation of the head of the humerus from the glenoid. Compare with above image- humerus has been shifted down. BUT no fractures, yay!

Right shoulder x-ray, showing dislocation of the head of the humerus from the glenoid. Compare with above image- humerus has been shifted down, the shoulder joint is facing you. BUT no fractures, yay!

CT scan axial slice showing my neck (on left), then scapula with fractured coracoid process ("bad") and displaced, fractured greater tubercle of humerus on right side.

CT scan axial slice showing my spine (on left), then scapula with fractured coracoid process (“Bad”) and displaced, fractured greater tubercle of humerus on right side (“V bad”).

So, that explains most of the pain I was in.

What’s amazing is that the fractures most likely occurred purely via my own uncontrolled muscle contractions. All the karate and weight-training I’d been doing certainly had made me stronger in my rotator cuff muscles, which attach to the greater tubercle of the humerus. And with inhibition of my motoneurons turned off during my seizure, and both agonist and antagonist muscles near-maximally turned on, rapid motions of my shoulders by my spasming muscles would have dislocated my shoulders and then wrenched apart some of the bony attachments of those same muscles. I’m glad I don’t remember this happening.

I had also complained of pain in my neck, so they did a CT scan and x-ray there too:

X-ray: No broken neck. This is good.

X-ray: No broken neck. This is good. Just muscle strain, which soon faded.

The left shoulder injuries created a hematoma, or mass of blood beneath my skin, and soon that surfaced and began draining down my arm (via the lymphatic system under gravity’s pull), creating fascinating patterns:

Bruises migrating; no pain associated with these, just superficial drainage of old blood.

Bruises migrating; no pain associated with these, just superficial drainage of old blood. This is tame, tame, tame compared to what my left ribcage looked like. I’ve spared you that.

But then more fundamentally there was the question of, why a seizure? With no clear warning? As I’ve explained before, I’d had a stroke ~12 yrs ago that caused a similar seizure but with no injuries to my postcranial body. So a series of MRI and CT scans ensued (the radiation I’ve had from the latter is good fodder for a superhero/villain origin tale? Marvel, I’ll await your call), and there was no clear damage or bleeding, and hence no stroke evident. Good news.

There are, however, at least two sizeable calcifications in my brain that are likely to be hardened scar tissue from my stroke. These may or may not have an identifiable affect on me or linkage with the seizure. Brain calcifications can happen for a variety of reasons, sometimes without clear ill effects.

Calcification in ?ventricle? of my cerebrum.

Calcification in parietal lobe of my cerebrum, from axial CT scan slice. But no bleeding (zone of altered density/contrast).

That is the state of the evidence. I’ve since had what semblance of a L.A. family holiday I could manage, benefitting from a touching surge of support from my family, friends and colleagues that has kept me from sinking entirely into despair and has brought quite a few smiles.

The plane flight home was tense. We were in the same seats again and one of the flight attendants recognized us and came to chat, eager to learn what had happened after we left the plane a week ago. He was very nice and the doctors had given me an “OK to fly” letter. But it was an evening flight. I needed to sleep, yet it was clear to me that sleep was no longer the fortress of regenerative sanctity that I was used to it being. Sleep had taken on a certain menace, because it was a state in which I’d now had three seizures. Warily, I drifted off to sleep after having some hearty chuckles at the ending to “22 Jump Street”. And while it was not very restful slumber, it was the friendly kind of slumber that held no convulsive violence within its embrace. We returned home safely.

In a rush, I cancelled my attendance at the Society of Vertebrate Paleontology conference this week, turning over the symposium I’d convened to honour one of my scientific heroes, biomechanist R. McNeill Alexander (who also could not attend due to ill health), to my co-convenors Eric Snively and Andreas Christian (by accounts I heard, all went well). I missed out on a lot of fun and the joy of watching 2 of my PhD students present posters on preliminary results of their research. Thanks to social media and email, however, I’ve been able to catch a lot of the highlights and excitement from that conference in Berlin.That has helped distract me somewhat from other goings-on.

Meanwhile, I’ve been resting, doing a minimal amount of catching up with work, having a lot of meetings with doctors to arrange treatment, and pondering my situation– a lot.

I know this much: I’ve had two violent seizures in a month (the previous one was milder but still bad, and not a story I need to tell here), and so I’m now an epileptic, technically. When and if I’ll have another seizure is totally uncertain, but to boost the odds in my favour I’m on anti-convulsant drugs for a long time now.

In about half of seizure cases, it’s never clear what caused the seizures. What caused my 2002 stroke is somewhat clear, but the mechanism behind that remains a mystery, and my other health problems likewise have a lot of question marks regarding their genesis and mutually causative relationships, if any. The outcome of this new development in my medical history is likely to be: “maybe your brain calcifications and scar tissue helped stimulate your new seizures, but we can’t be sure. The treatment is the same regardless: stay on anti-convulsants for a while, try going off them later, and see if seizures manifest themselves again or not.” Brains are freaking complicated; when they go haywire it can be perplexing why.

As a scientist, I thrill at finding uncertainty in my research topics because that always means there is work left to be done. But in my own life outside of science, stubborn, independent, strong-willed control freak that I can certainly be at times, I am not such a fan of uncertainty. In both cases the goal is to minimize that uncertainty by gathering more information, but in our lives we often encounter unscalable walls of uncertainty that persist because of lack of knowledge regarding a problem that vexes us, especially a medical problem. We then can feel in a helpless state, adrift on the horizon of science, waiting for explorers to push that horizon further and with it advance our treatment or at least our insight into ourselves.

When the subject of that uncertainty is not some detached, objective, unthreatening, exciting research topic but rather ourselves and our own future constitution and mortality, it thus becomes deeply personal and disconcerting. I’m grateful that I don’t have brain cancer or some other clear and present threat to my immediate vitality. Things could be a lot worse; I am here writing this blog after all. I’ll never forget now being in the ambulance and thinking “this may be the end of it all; I might not last much longer”, and choking out a farewell to my wife just in case things took a bad turn. I’m grateful for the amazing things that modern medicine and imaging techniques can do– these have saved my life so many times over, I cannot fathom how to quantify it. And I’m grateful for the people that have helped me through this so far. Fiercely independent as I may be, I can’t face everything alone.

I am reminded of words I read recently by Baruch Spinoza, “The highest activity a human being can attain is learning for understanding, because to understand is to be free.” To further paraphrase him, we love truth because it is knowledge that enables us to stay alive- without it, we are flying blind and soon will crash. With the freedom it brings, we know the landscape of our own life and where the frontiers of uncertainty lie (“here be dragons”).

here_be_dragons

The past two weeks have been horrendous for me. I’d been feeling healthy and stronger than ever in many ways, and my life as of my birthday a month ago felt pretty damn good. But now everything has come crashing down in disaster, and I have been suffering from the realization, once again, of how vulnerable I am and how little I can control, and the darkness that ushers in as the odds begin to stack up against our future lives. I am acutely aware now of where the “dragons” are.

I am taking one important step forward, though, in wresting life back onto the rails again- this week I undergo surgery to put my left shoulder back together. While that’s scary, to be sliced open and have my rotator cuff and bones carpentered back where they should be, I know I’m in good hands with a top UK shoulder surgeon and methods that are tried-and-true. The risks are small, although the recovery time will be long. There won’t be any hefting of big frozen elephant feet in my research soon, not for me, and so my enjoyable anatomy studies are going to have to change their track for coming months while I regain my strength and rely on others’ help.

(do you know the movie reference?)

(do you know the movie reference? I have a new empathy for Ash.)

Then we’re on to the frightening task of tackling the spasmodic-gorilla-in-the-room with neurologists. We’ll see where that journey leads.

One thing is certain: I’m still me and there’s still a lot of fight left in me, because I have a lot left to fight for, and people and knowledge to aid me in that fight. I can shoulder the burden of uncertainty in my life because I have all that. Off I go…

20 November UPDATE:

I’ve had surgery to put my greater tuberosity back where it belongs. Thanks to a skilled surgeon’s team, some sutures and nickel-titanium staples, I am back closer to my normal morphology and can begin recovering my (currently negligible) shoulder joint’s range of motion via some physiotherapy. Surgery went very well; I was just in hospital for ~30 hours; but the 9 days of recovery since have been brutally hard due to problems switching medications around. Today I got my stitches out and a beautiful x-ray showing plentiful healing; yay!

This is a slightly oblique anterior (front) view of my left shoulder/chest. Fracture callus means healing is working well!  Four surgical staples (bright white thingies on upper RH side of image): forever now a part of my anatomy.

This is a slightly oblique anterior (front) view of my left shoulder/chest. Fracture callus means healing is working well!
Four surgical staples (bright white thingies on upper RH side of image): forever now a part of my anatomy.

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Sick feet, pig feet, boo hoo, in pain you are
Not well heeled; fate sealed, oh no, inflamed they are
And when your trotter’s on the floor
You’re nearly a good boar
Almost a porker

(corrupted from Pink Floyd’s “Pigs (Three Different Ones)” track #3 from the Animals concept album (1977). A song with quite a history- check out some more about it.)

It could happen...

It could happen…

Concept albums often weave back and forth between themes in a non-linear story, returning to refrains and leitmotifs to create their narrative weft and warp. This Freezermas, I’ve already woven in two legs and four legs, cats and other beasts, x-rays and more. Today, I tie in another thread, which extends throughout the blog, but especially into yesterday’s post. This post is about feet and health again. But it is also solely about pigs, which are cool animals whose biomechanics are surprisingly little studied.

It’s a shorter post (in contrast to the 11-17 minute Pink Floyd cousin song); a drum solo if you will; with just three images representing three big pigs and their funky feats of footedness, and the three days left in Freezermas. One image is about ongoing research; the other two about bizarre cases that kinda freak me out (enough to want to know more about them).

Stomach-Churning Rating: 4/10, not for gore but for surreality; things that should not be. Especially the 2nd picture.

pig gif

Above: X-ray GIF (may take a while to load) from our 3D XROMM analyses of foot biomechanics, here showing a pig studied by Dr. Olga Panagiotopoulou (also RVC Fellow Jeff Rankin; and Prof. Steve Gatesy at Brown University). With data like these, we not only can measure how the tiny bones move, but also get better estimates of the loads on the soft tissues within those feet. Those loads should relate to the risks of musculoskeletal injury or disease. This GIF is just a teaser for some fantastic 3D images we’re producing. The pig’s feet were normal. The odd little spheres on them are skin-adhered markers that let us compare how external estimates of skeletal motion compare to actual motion; normally this is a big source of error.

I know little about this case, posted on Reddit (link here), except that the overgrown, grossly deformed toes/hooves of this pig are like nothing I've seen before! This almost gave me nightmares. Poor chicken-footed pig!

I know little about this case (seems to trace back to an original Brazilian news story), posted on Reddit (link here), except that the overgrown, grossly deformed toes/hooves of this pig are like nothing I’ve seen before! This almost gave me nightmares. Poor chicken-footed pig. Foot deformities of this kind in pigs don’t seem to be as much of a problem as in cattle or horses; from the limited literature I’ve seen on this, they seem to have more problems with the soft tissues of their feet, such as  abscesses or inflammation of the digital cushion (padding) of the trotter.

Another crazy case; but this one I was able to track down more about after reading the Reddit post here. The Getty images page says: This photo dated November 24, 2011 shows a Chinese farmer showing off his prize swine, which he named 'Strong Pig', as the disabled animal keeps its 30kgs of body suspended in midair, in Mengcheng, east China's Anhui province. The pig has become an internet sensation around China due to its ability to walk around balancing on its two front legs. TOPSHOTS CHINA OUT AFP PHOTO (Photo credit should read STR/AFP/Getty Images)

Another crazy case; but this one I was able to track down more about after reading the Reddit post here. This news image page says:
“This photo dated November 24, 2011 shows a Chinese farmer showing off his prize swine, which he named ‘Strong Pig’, as the disabled animal keeps its 30kgs of body suspended in midair, in Mengcheng, east China’s Anhui province. The pig has become an internet sensation around China due to its ability to walk around balancing on its two front legs. TOPSHOTS CHINA OUT AFP PHOTO (Photo credit should read STR/AFP/Getty Images)”

Bipedal pigs– two legs good again? I guess so. Well done, Strong Pig. Well done.

Bipedal ability in injured/deformed/spooked quadrupeds is not so unusual- in addition to trained macaques and rats that have been scientifically studied, there are plenty of examples out there on the internet of videos/GIFs of bipedal cats, dogs, and so on… Post your favourites below. Hooray for the marvelous plasticity of the locomotor system! As Pink Floyd famously wrote, “Any fool knows a dog needs a home, a shelter from bipedal pigs.” (or something like that)

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Why should you care
If you have to trim my hooves?
I’ve got to move with good feet
Or be put down fast.
I know I should trot
But my old vet she cares a lot.
And I’m still living on stone
Even though these feet won’t last.

(mutated from The Who, “Cut My Hair“, Quadrophenia… from the heyday of concept albums and grandiose rock!)

Talkin' bout my osteitis?

Talkin’ bout my osteitis

Day Four of Freezermas. Four posts to go. I can see through time… Hence the silly title for today’s concept album track. Quadrupedophilia did not have a good ring to it, anyway.

Stomach-Churning Rating: 4/10. Reasonably tame; bones and hooves. Some pathologies of those, but not gory.

If Quadrophenia was the story of a man with four personalities (metaphor for the four band members), then quadrupedopheniaphilia is the story of how diverse forms of four-legged animals have lots of problems because of our exploitation of them, which leaves a crisis to resolve: Who are we? Are we caring enough to fix a bad situation we’ve created for our four-legged ungulate comrades?

Four legs good, two legs bad? Not really. I featured ostriches earlier this week and two legs are indeed pretty good. Four-legged cats are great, too. But four-footed big beasties with deformed hooves: those are bad all around. That leads to today’s topic…

But hey, happy 205th funkin’ birthday Charles freakin’ Robert Darwin!

Charles Darwin on his horse “Tommy” in 1868- from the Darwin Correspondence Project, https://www.darwinproject.ac.uk/darwins-photographic-portraits

Today’s post concerns a phenomenon that (Western) civilization has wrought with large hoofed mammals, and evolution is a big part of it (as well as biomechanics and anatomy) . Cynical perspective, with some truth to it: We’ve evolved larger and heavier animals to either do harder and harder work on tough surfaces like concrete floors and tarmac roads, or to stand around while we gawk at them or wait for them to get fat and tasty. Either way, the outcome should come as no surprise: their feet, the interface of that hard ground and their body, eventually start falling apart.

I’ve posted about this several times with respect to rhinos and elephants (here and here and here and here and here), but this post hits closer to home: what goes wrong with the humble hoof of our friend the horse, cow, sheep or other ungulate. It’s where the rubberkeratin hits the road. Ungulates have not evolved to live on dirty, wet concrete floors; to be obese and inactive; or to have hooves that don’t get worn down. So they suffer when they do encounter those modern conditions.

“No foot no horse,” they say, and it’s so true- once the feet start to go (due to hoof overgrowth or cracks, abscesses or other trouble), it’s hard to reverse the pathologies that ensue (arthritis, osteomyelitis, infections, fractures, etc.) and the animals start going lame, then other limbs (supporting greater loads than the affected limb) start to go, too, sometimes.

Jerry the obese, untrimmed-hoof-bearing horse.

Jerry the obese, untrimmed-hoof-bearing horse. “Turkish slippers” is an apt description. DM has more here.

We can do plenty about these problems, and the title track above explains one of them: trimming hooves. Hooves often get overgrown, and if animals are tame enough (requires training!) or are sedated (risky!), hoof care experts (farriers) can rasp/file/saw them down to a more acceptable conformation. If we don’t, and the animals don’t do the trimming themselves by digging or walking around or living on varied surfaces, then the feet can suffer. But there’s still not much evidence for most common species kept in captivity by humans that indicates what the best methods are for avoiding or fixing foot problems.

What we’ve been trying to do at the RVC is use our expertise in evolution, anatomy and biomechanics to find new ways to prevent, detect, monitor or reverse these foot problems. We had BBSRC grant funding from 2009-2012 to do this, and the work continues, as it behooves us to do… Past posts have described some of this research, which spun off into other benefits like re-discovering/illuminating the false sixth toes of elephants. We’re working with several zoos in the UK to apply some of the lessons we’re learning to their animals and management practices.

Above: Thunderous hoof impacts with nasty vibrations, and large forces concentrated on small areas, seem to contribute to foot problems in hoofed mammals. From our recent work published in PLOS ONE.

Foot health check on a white rhino at a UK zoo. Photo by Ann & Steve Toon, http://www.toonphoto.com/

Foot health check on a white rhino at a UK zoo; one of the animals we’ve worked with. Photo by Ann & Steve Toon, http://www.toonphoto.com/

If it works, it’s the most satisfying outcome my research will have ever had, and it will prevent my freezers from filling up with foot-influenced mortality victims.

Again, I’ll tell this tale mainly in photos. First, by showing some cool variations evolved in the feet of hoofed mammals (artiodactyls and perissodactyls; mostly even/odd-toed ungulates of the cow/sheep and horse lineages, respectively). Second, by showing some pretty amazing and shocking images of how “normal” hooves go all wonky.

Two ways to evolve a splayed hoof for crossing soft ground: 2 toes that are flexible and linked to big pads (camel), and 2 main toes that allow some extra support from 2 side toes when needed (elk). At Univ. Mus. Zoology- Cambridge.

Two ways to evolve a splayed hoof for crossing soft ground: 2 toes that are flexible and linked to big pads (camel), and 2 main toes that allow some extra support from 2 side toes when needed (elk). At Univ. Mus. Zoology- Cambridge.

Diversity of camelid foot forms: big clunky, soft Old World camel feet and dainty, sharp highland New World camelids.

Diversity of camelid foot forms: big clunky, soft Old World camel feet and dainty, sharp highland New World camelids. [Image source uncertain]

Moschus, Siberian musk deer with remarkable splayed hooves/claws; aiding it in crossing snowy or swampy ground. At Univ. Mus. Zoology- Cambridge.

Moschus, Siberian musk deer with remarkable splayed hooves/claws; aiding it in crossing snowy or swampy ground. At Univ. Mus. Zoology- Cambridge.

Tragulus, or mouse-deer, with freaky long "splint bones" (evolutionarily reduced sole bones or metatarsals) and dainty hooved feet. At Univ. Mus. Zoology- Cambridge.

Tragulus, or mouse-deer, with freaky long “splint bones” (evolutionarily reduced sole bones or metatarsals) and dainty hooved feet. At Univ. Mus. Zoology- Cambridge.

Overgrown giraffe hooves. An all-too-common problem, and one we're tacking with gusto lately, thanks to PhD student Chris Basu's NERC-funded giraffe project!

Overgrown giraffe hooves. An all-too-common problem, and one we’re tacking with gusto lately, thanks to PhD student Chris Basu’s NERC-funded giraffe project!

Wayyyyyyyyy overgrown hooves of a ?sheep, from the RVC's pathology collection.

Wayyyyyyyyy overgrown hooves of a ?sheep, from the RVC’s pathology collection.

Craaaaaaazy overgrown ?cow hooves, from the RVC's pathology collection.

Craaaaaaazy overgrown ?sheep hooves, from the RVC’s pathology collection.

If we understand how foot form, function and pathology relate in diverse living hoofed mammals, we can start to piece together how extinct ones lived and evolved- like this giant rhinoceros! At IVPP museum in Beijing.

If we understand how foot form, function and pathology relate in diverse living hoofed mammals, we can start to piece together how extinct ones lived and evolved- like this giant rhinoceros! At IVPP museum in Beijing.

So, what do we do now? If we love our diverse hoofed quadrupeds, we need to exert that quadrupedopheniaphilia and take better care of them. Finding out how to do that is where science comes in. I’d call that a bargain. The best hooves ever had?

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Hey, a short post here to say go check this new blog out! I love it. The first main post-introductory post is a dissection of a snow leopard, documenting a real vet case attempting to figure out why it died. The “Veterinary Forensics blog” is going cool places, and it is a kindred spirit to this blog. You might, as I do sometimes when walking into a veterinary pathology/postmortem facility, see surprising and rare stuff– like in this photo of urban foxes:

troop of foxes

 

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Today, to help thaw you poor Americans out of that Arctic Vortex, we have a guest post bringing the heat, by my PhD student Sophie Regnault! This relates to some old posts about rhinos, which are a mainstay here at the WIJF blog- I’ve posted a lot about the rhino extinction crisisfeet, skin, big and bigger bones, and more, but this is our first rhinoceros-focused, actual published scientific paper! Take it away, Sophie! (We’re planning a few more “guest” blog posts from my team, so enjoy it, folks!)

Almost a year ago to the day, I submitted my first paper written with John Hutchinson and Renate Weller at the RVC and it has (finally!) just been published. To celebrate, I have been allowed to temporarily hijack ‘What’s in John’s Freezer?’ for my first foray into the world of blogging. I started the paper back as an undergraduate veterinary student. It was my first experience of proper research, and so enjoyable that I’m now doing a PhD, studying sesamoid bones like the patella!

We wanted to discover more about the types of bony disease rhinos get in their feet, of which there isn’t much known. Rhinos, of course, are big, potentially dangerous animals – difficult enough to examine and doubly difficult to x-ray clearly because of their thick skin. Unlike diseases which are fairly easy to spot (like abscesses or splitting of the nails and footpad), there is hardly anything out there in the scientific literature on bony diseases in rhino feet. It’s no small issue, either. When your feet each need to support over 900kg (typical for a large white rhino), even a relatively minor problem can be a major pain. Progressing unseen under their tough hide, lesions in the bone can eventually become so serious than the only solution is euthanasia, but even mild conditions can have negative consequences. For example, foot problems in other animals are known to have knock-on effects on fertility, which would be a big deal for programs trying to breed these species in captivity.

Hidden treasures abound!

Hidden treasures abound! (Photos can be clicked to embiggen)

Data gathering was a blast. I got to travel to Cambridge, Oxford, and London during one of England’s better summers, and these beautiful old museums were letting me snoop around their skeleton collections. I’d been there often as a visitor, but it was anatomy-nerd-heaven to go behind the scenes at the Natural History Museum, and to be left alone with drawers and drawers of fantastic old bones. Some of the specimens hadn’t been touched for decades – at Cambridge University Museum of Zoology, we opened an old biscuit tin filled with the smallest rhinoceros foot bones, only to realise they were wrapped in perfectly preserved 1940’s wartime Britain newspaper.

rhino-feet (2)

rhino-feet (4)

rhino-feet (3)

Osteomyelitis… (3 clickable pics above) the toe’s probably not meant to come off like that!

In addition to my museum studies, I had another fun opportunity to do hands-on research.  John (of course!) had freezers full of rhino legs (looking disconcertingly like doner kebabs, but maybe that’s just me!), which we CT scanned to see the bones. Although it is a pretty standard imaging technique, at this point I had only just started my clinical studies at the vet hospital, and being able to flick through CT scans felt super badass. Most vet students just get to see some horse feet or dog/cat scans, at best.

Another osteomyelitis fracture, visible in a CT scan.

Another osteomyelitis fracture, visible in a CT scan reconstruction.

We expected to find diseases like osteoarthritis (a degenerative joint disease) and osteomyelitis (bone infection and inflammation). Both had previously been reported in rhinoceroses, although it was interesting that we saw three cases of osteomyelitis in only 27 rhinos, perhaps making it a fairly common complication. It’s an ugly-looking disease, and in two of the cases led to the fat, fluffy bones fracturing apart.

We also had several unexpected findings, like flakes of fractured bone, mild dislocations, tons of enthesiophytes (bone depositions at tendon/ligament attachments) and lots of holes in the bones (usually small, occasionally massive). For me, writing up some of these findings was cool and freaky paranoid in equal measures. They hadn’t been much described before, and we were unsure of their significance. Was it normal, or pathological? Were we interpreting it correctly? Discussions with John and Renate (often involving cake) were reassuring, as was the realisation that in science (unlike vet school at the time, where every question seemed to have a concrete answer) you can never be 100% sure of things. Our study has a few important limitations, but has addressed a gap in the field and found some neat new things. Six months into my PhD, I’m enjoying research more than ever, and hoping that this paper will be the first of many (though I promise I won’t keep nicking John’s blog for my own shameless self-promotion if that happens!  EDIT BY JOHN: Please do!).

Nasty osteoarthritis wearing away the bone at the joint surface. Most cases occurred in the most distal joint.

Nasty osteoarthritis wearing away the bone at the joint surface. Most cases occurred in the most distal joint.

Deep holes in some of the bones: infection, injury?

Deep holes in some of the bones: infection, injury?

The paper:
Sophie Regnault, Robert Hermes, Thomas Hildebrandt, John Hutchinson, and Renate Weller (2013) OSTEOPATHOLOGY IN THE FEET OF RHINOCEROSES: LESION TYPE AND DISTRIBUTION. Journal of Zoo and Wildlife Medicine: December 2013, Vol. 44, No. 4, pp. 918-927.

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Greetings, freezerinos! WIJF has been on hiatus this summer because my life has been freaking insane! ICVM conference with 3 talks (See earlier post), then grant deadlines, camping trip, packing and moving house, hiring new staff and inducting them into my team, breathing, and other activities (ranging from essential to trivial and/or infuriating) in addition to Actually Doing Some Science have been to blame. But WIJF is coming back like a bad rash! It cannot be defeated by bureaucracy, by my current lack of home internet connection, or even by the end of the universe! I have grand plans, muhahaha… This is just a teaser to give me some blog-writing momentum so I can finish some of those bigger posts sooner or later.

Stomach-Churning Rating: 3/10 — unless you are the goldfish in question, whose stomach has already been duly churned.

So I mentioned house-moving above, and we’ve finished that over the previous week. I had two ponds at my old home, full of >200 fish and (during breeding season; tweeted under #FrogCount) >200 frogs and toads, among other critters, documented on occasion in my Flickr photostream/set. Our new abode just has one pond, but a decent one at that, and we inherited some new fish that I am getting to know. Here is a peculiar goldfish, whose unusual anatomy inspired me to catch it, take a photo, and blog about it. Consider this:

The fish in question.

The fish in question. Not your standard sleek, hydrodynamic specimen of Carassius auratus auratus!

I’ve done some Googling and confirmed my suspicions that this is not a pregnant goldfish but is some other condition that we could loosely term as pathological. It has been feeding reasonably well and seems not too perturbed– as much as a fish’s degree of perturbation can be read from its behaviour– by its rotund morphology. It has some problems controlling its inertia in rolling and pitching, which makes for some amusing viewing as well as easy capture.

But what’s up with this fish? It does not have dropsy, a nasty condition fish get that leaves the scales in a “pinecone” sort of extruded orientation. It may have a gut infection or other air sac problem. I’m certainly not a vet and don’t know and fishy vets. But I wanted to share the photo to stimulate discussion of fishy fish physiognomy. What’s your diagnosis, doctor internet?

Also, if this fish takes a turn for the worse, it very well may end up in my freezer and thence into an internal anatomy WIJF post (“What’s In John’s Goldfish?”). We shall see. But I’ve grown fond of this unnamed fish (soliciting suggestions for names below in the Comments), so I’ll see how long I can keep it out of that situation.

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