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Matthew L. Nathan

From Wikipedia, the free encyclopedia

Matthew L. Nathan
Allegiance United States
Service/branch
United States Navy
Rank
Vice Admiral
UnitMedical Corps

Vice Admiral Matthew L. Nathan served as the 37th Surgeon General of the United States Navy.

YouTube Encyclopedic

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  • How spontaneous brain activity keeps you alive - Nathan S. Jacobs
  • 2012 Keynote Speaker: Vice Admiral Matthew I. Nathan, Surgeon General of the Navy
  • 2013 HOSA WLA - Vice Admiral Matthew Nathan

Transcription

You probably don't need to be told how important your brain is. After all, every single thing you experience, your thoughts and your actions, your perceptions and your memories are processed here in your body's control center. But if this already seems like a lot for a single organ to handle, it's actually only a small part of what the brain does. Most of its activities are ones you'd never be aware of, unless they suddenly stopped. The brain is made up of billions of neurons, and trillions of connections. Neurons can be activated by specific stimuli or thoughts, but they are also often spontaneously active. Some fire cyclically in a set pattern. Others fire rapidly in short bursts before switching off, or remain quiet for long periods until thousands of inputs from other neurons line up in just the right way. On a large scale, this results in elaborate rhythms of internally generated brain activity, humming quietly in the background whether we're awake, asleep, or trying not to think about anything at all. And these spontaneously occurring brain functions form the foundation upon which all other brain functions rely. The most crucial of these automatically occurring activities are the ones that keep us alive. For example, while you've been paying attention to this video spontaneous activity in your brain has been maintaining your breathing at 12 to 16 breaths a minute, making sure that you don't suffocate. Without any conscious effort, signals from parts of your brainstem are sent through the spinal cord to the muscles that inflate your lungs, making them expand and contract, whether or not you're paying attention. The neuronal circuits underlying such rhythmic spontaneous activity are called central pattern generators, and control many simple repetitive behaviors, like breathing, walking, and swallowing. Ongoing neural activity also underlies our sensory perception. It may seem that the neurons in your retina that translate light into neural signals would remain quiet in the dark, but in fact, the retinal ganglion cells that communicate with the brain are always active. And the signals they send are increases and decreases in the rate of activity, rather than separate bursts. So at every level, our nervous system is teeming with spontaneous activity that helps it interpret and respond to any signals it might receive. And our brain's autopilot isn't just limited to our basic biological functions. Have you ever been on the way home, started thinking about what's for dinner, and then realized you don't remember walking for the past five minutes? While we don't understand all the details, we do know that the ongoing activity in multiple parts of your brain is somehow able to coordinate what is actually a complex task involving both cognitive and motor functions, guiding you down the right path and moving your legs while you're getting dinner figured out. But perhaps the most interesting thing about spontaneous brain function is its involvement in one of the most mysterious and poorly understood phenomena of our bodies: sleep. You may shut down and become inactive at night, but your brain doesn't. While you sleep, ongoing spontaneous activity gradually becomes more and more synchronized, eventually developing into large, rhythmic neural oscillations that envelop your brain. This transition to the more organized rhythms of sleep starts with small clusters of neurons tucked in the hypothalamus. Despite their small number, these neurons have a huge effect in turning off brainstem regions that normally keep you awake and alert, letting other parts, like the cortex and thalamus, slowly slip into their own default rhythms. The deeper we fall into sleep, the slower and more synchronized this rhythm becomes, with the deepest stages dominated by large amplitude, low frequency delta waves. But surprisingly, in the middle of this slow wave sleep, the brain's synchronized spontaneous activity repeatedly transitions into the sort of varied bursts that occur when we're wide awake. This is the sleep stage known as REM sleep, where our eyes move rapidly back and forth as we dream. Neuroscientists are still trying to answer many fundamental questions about sleep, such as its role in rejuvenating cognitive capacity, cellular homeostasis, and strengthening memory. And more broadly, they are exploring how it is that brain can accomplish such important and complex tasks, such as driving, or even breathing, without our awareness. But for now, until we are better able to understand the inner workings of their spontaneous functioning, we need to give our brains credit for being much smarter than we ourselves are.

Education

Nathan received his Bachelor of Science from Georgia Tech and his M.D. from the Medical College of Georgia in 1981. He completed Internal Medicine specialty training in 1984 at the University of South Florida.

Career

Nathan then served as the Internal Medicine Dept Head at Naval Hospital Guantanamo Bay, Cuba. In 1985 Nathan transferred to Naval Hospital, Groton, Connecticut as leader of the Medical Mobilization Amphibious Surgical Support Team. In 1987, Nathan transferred to Naval Medical Center San Diego as Head, Division of Internal Medicine with additional duty to the Marine Corps, 1st Marine Division.

In 1990 he served as a Department Head, Naval Hospital Beaufort, South Carolina before reporting to Naval Clinics Command, London, U.K. where he participated in military-to-military engagements with post-Soviet Eastern European countries. In 1995, he was assigned as specialist assignment officer at the Bureau of Naval Personnel, providing guidance to over 1,500 U.S. Navy Medical Corps officers. In 1998 he accepted a seat at the Joint Industrial College of the Armed Forces located in Washington, D.C., graduating in 1999 with a Masters in “Resourcing the National Strategy.” Nathan went on to serve as the Fleet Surgeon, Forward Deployed Naval Forces, Commander, U.S. 7th Fleet, aboard the flagship USS Blue Ridge (LCC 19), out of Yokosuka, Japan. In 2001, he transferred as Deputy Commander, Navy Medical Center Portsmouth, Va.

In 2004 Nathan assumed command of Naval Hospital Pensacola with additional oversight of 12 clinics in 4 states where he oversaw Navy medical relief efforts following hurricanes Ivan, Dennis, and Katrina. Despite all facilities receiving crippling blows; his command still garnered the TRICARE/DOD award for "highest patient satisfaction in a medium sized facility". In June 2006, he transferred as the Fleet Surgeon to the commander, U.S. Fleet Forces Command, instrumental in organizing the Fleet Health Domain integration with the Fleet Readiness Enterprise while providing medical global force management. In 2007, Nathan was assigned as Commander, Naval Medical Center Portsmouth and Navy Medicine Region East with command of over 18,000 personnel and an operating budget exceeding $1.2 billion.

Nathan also served as Commander, Walter Reed National Military Medical Center and Navy Medicine, National Capital Area where he was the Navy component commander to the largest military medical integration and construction project in DOD history.

Memberships and awards

Nathan is board certified and holds Fellow status in the American College of Physicians and the American College of Healthcare Executives. He also holds an appointment as Clinical Professor of Medicine at the Uniformed Services University of the Health Sciences. He is a recipient of the American Hospital Association “Excellence in Leadership” award for the Federal Sector.

Nathan’s personal awards include the Navy Distinguished Service Medal (1); Legion of Merit (5); Meritorious Service Medal (2); Navy Commendation Medal, and Navy Achievement Medal (2).[1]

References

  1. ^ "Vice Admiral Matthew L. Nathan". US Navy. 2016-02-08. Archived from the original on 2019-02-16. Retrieved 2019-02-15.

Public Domain This article incorporates public domain material from Vice Admiral Matthew L. Nathan. United States Navy. Retrieved 2019-02-15.

External links

Media related to Matthew L. Nathan at Wikimedia Commons

This page was last edited on 12 October 2023, at 20:18
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