After nearly 24 hours of traveling that consisted of countless security checks,
restless sleep on the planes, and an aching back from carrying my luggage, I must
admit that my mood upon entering Norway was not as "chirpy" as I had anticipated.
That all soon changed as I was greeted by my BRAVO! mentor, Dr. Anne Grete
Bechensteen from the University of Oslo, and a few of my relatives who reside in
Norway. The excitement of living in an entirely different country, experiencing
a new culture, meeting new people, and working in a research lab thousands of
miles away from home (all of this for three months!) was definitely kicking back
into gear.
I arrived in Norway the day before Constitutional Day (May 17), a national
holiday commemorating Norway's independence. The day was filled with Norwegians
wearing traditional clothes, parades comprised of students, teachers, bands, a
police unit, and delicious hot dogs wrapped with lompa (a potato tortilla). I
even got to pay my respects to the royal family and learned things about Norway,
that I could never have picked up from books.
For example, one of
the most important traditions of May 17 is to be a Reuss -- high school seniors
dress in red overalls and have only one mission for the entire week before the
17th and that is to get completely drunk and wild as possible!!! Becoming one is
such a memorable experience that my mentor and the other doctors I worked with
still remember their wild days as a Reuss.
Another amazing sight was the hospital where I worked, Ulleval Sykehus. It is
considered to be the largest hospital in Norway, which is no surprise when you
see the hospital's map consisting of over ten buildings. I worked in the
pediatric building, a structure that was recently built in 1999. I did have the
opportunity to follow several clinical rotations and was rewarded with seeing the
latest technology and machinery offered by the medical world. Despite the size
of the hospital, it is uncommon for a physician/researcher to have a designated
lab to work in. Therefore, I had to constantly switch from one building or floor
to the next, depending on what I needed for my experiment.
My project involved examining the effects of altered iron in the diet of pregnant
and lactating mice, and to determine its effect on erythropoiesis (red blood cell
production) and iron status in their suckling offspring. Our mice model was
organized into four groups: normal/normal (nono), iron deficient/iron deficient
(idid), normal/iron deficient (noid), and iron deficient/normal (idno). Two
groups (nono and idid) were placed on a high iron diet (which is considered
normal) and a low iron diet, with each being able to keep their original litter.
The other two groups participated in a crossover study where the entire litter
was switched to the other mother with a different diet (e.g. from one high iron
mice to a low iron mice). Studies have shown that early anemia in some mammals
can be reversed by parental iron treatment, and we wanted to test whether this
was true. The litters from these four groups were sacrificed at four different
ages (0, 8, 14, and 20 days), and their blood and organ samples were collected
and analyzed for results. A centrifuge was used to spin down the capillary tubes
for the hematocrtit (Hct), hematology by Advia 120 Flow Cytometry to analyze
blood cells (specifically Hb, Hct, retic%, and MCH), and atomic absorption flame
spectroscopy and furnace spectroscopy to measure iron content in the liver and
stomach.
Unfortunately, not all of our results were collected and analyzed while I was
there. There were breeding problems with the mice during the first two months of
my stay. We ran into complications the female mice failed to become pregnant
and/or they would eat all their pups before the sacrificing day. However,
breeding began to pick up, and we did manage to salvage some results during my
last month (hooray!). So far with the results that we have, we are able to see a
trend for Hct and reticulocyte%. For Hct, noid is a first similar to nono, but
its values begin to decrease from 0-8 days, and continues to do so until it
eventually shares similar values with group idid at 20 days. On the other hand,
idno did a dramatic increase from 0-8 days, and leveled off the same with nono
for the remaining ages. Reticulocyte% was also compared, and its trend indicated
that idno had a huge increase in reticulocytes during its first 8 days of life.
These trends, although incomplete, do seem to suggest our hypothesis that iron in
the diet of pregnant and lactating mice does have an effect on their pups. This
is seen during the first 8 days of life. Currently Dr. Bechensteen is collecting
the remaining results needed, and we will stay in contact with the hope of
completing this study.
Living in a foreign country allowed me to learn, see and appreciate things that I
never even thought about before. I learned to leave work early on days that are
nice and sunny, otherwise, you will regret it when it rains for the next two
weeks straight. I saw the beautiful fjords of Norway, full of lush vegetation
and huge waterfalls. And finally, I grew to appreciate the deep and rich culture
that Norway and other countries offered me.
I have so many people to thank for this awesome experience. All of this would
not have been possible without Carol Bender, director of BRAVO!; Genevieve
Kenney, her assistant; Dr. Pamela Kling, my UBRP research mentor in pediatrics,
(who helped me with the entire process of applying to BRAVO!); and Dr. Anne Grete
Bechensteen, my BRAVO! research mentor and friend. Thank you so much for
everything that you have done for me!
My advice to you: take advantage of this opportunity (BRAVO!). Be bold and
adventurous, you definitely will not regret it!
Lisa Ngo, UBRPer from Dr. Pamela Kling's lab, Pediatrics