Thursday, January 8, 2015

Planes, Trains, and Automobiles (Part 1): Clinical MRI course sponsored by Harvard Medical School and Beth Israel Deaconess.

SAR member Koenraad Mortele (BID) runs a few excellent CME courses throughout the year held in Boston at the Marriott Long Wharf. I was fortunate to have spoken at the December Clinical MRI course on the topics of MRI artifacts and MR angiography. As a rule, I try to never turn down an invitation from Koenraad, as I know the experience will be as fun as it is educational. Never wanting to squander anyone’s money, I was able to find a one-way air fare to Boston from Charlotte for only $67! From there I took a train to NYC, but I’ll cover that trip in the next post.

The Harvard/BID MRI course director, Koenraad Mortele


On the fun side, I enjoyed night-time Boston all decked out in festive lights for the holidays and had an authentic Italian meal in the North End with Koenraad, Jorge Soto (BU), Steve Winn (see Maine Medical Center/Portland, ME post) and Koenraad’s current fellow and Steve’s former resident, Elena Resnick. 
Koenraad, Steve, me, and Jorge at Trattoria il panino in the North End

On the educational side, we learned that not everyone over the age of 35 knows what the word “detumescence” means. This point likely needs some clarification, only a little of which I can provide, as the wine at dinner was as good that evening as the food and the company. I’m not sure how we got on the topic, but I think there was a legitimate ultrasound imaging segue, and I do remember Steve (a former large animal veterinarian) telling us about how studs (of the horse variety) have to be restrained prior to performing their duties lest they overly enthusiastically engage the mare and suffer a penile fracture and subsequent detumescence. At some point in the discussion, Elena claimed that the word “detumescence” was actually an age discriminator and that she could tell with reasonable certainty if someone was over or under the age of 35 based on their familiarity with the term (i.e. people under the age of 35 don’t know what it means). 

Elena is the one next to Steve

Of course, we subsequently did what all good scientists would do… we put the hypothesis to the test by asking a random sample of subjects (couple at the next table) if they knew what the term meant. The null hypothesis was supported when they claimed to be both over the age of 35 (although they didn’t look it) and unfamiliar with the term. 

This nice couple was having a quiet dinner before we came along. They claimed to be over the age of 35 but were unfamiliar with the term "detumescence". This supported the null hypothesis (n=2, p > 0.05). 

None of us was willing to provide our subjects with the definition of detumescence, so they had to look it up on their smart phones. Not to be outdone, however, they countered by asking if we knew what the word “borborygmi” meant (while I admit that much of the material in these posts is completely fabricated, I can assure you this story was not). Fortunately, we had been SGR members, so this challenge was easily addressed.

We also learned at lunch that lobsters caught in the winter taste the same as lobsters caught in the summer (apparently, this question had been dogging Koenraad for some time, so he had been avoiding winter lobsters all these years). We were fortunate that one member of our group had done a presentation in school many years ago on lobsters and could give us an impromptu tutorial.


As expected, the MRI course was great, but an unexpected highlight was when a gentleman named Jeffrey Sprague came out during a coffee break and led the audience in rejuvenation exercises. 

The audience does rejuvenation exercises during a break. My dejuvenating lecture on MRA followed. 

Sadly, he got better course evaluations than I did. 

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