Secondar Lobule and a Love Story

A Grapes of Exchange –

A Romantic Story with a Twist of Anatomical Fate

The Grapes of Exchange is a story of romance, unspoken promises, wrath, passion and a ditched lover that happens with a single inspiration. In the end, a mission is accomplished for the good of all.

This is a photograph of me, the bronchiole in teal blue next to my friend the arteriole. It was taken at the airport before we embarked on our inspiring trip.
Story and illustrations by: Ashley Davidoff, M.D.. Ashley Davidoff MD TheCommonVein.net 42440b05

From the minute I saw him I loved him and I knew that no matter what evolved, we would spend our lives together… little did I know what the working relationship would be.

Here follows a true story about me, the bronchiole, and my lifelong buddy the pulmonary arteriole.

He and I were on a mission. I had my origins in the atmosphere and he from the heart. We came from very different backgrounds and had come a long way on this trip on the highways and byways of the airways and circulation. My mission was to take products from the air in the atmosphere and deliver them to the grapes of exchange and his was to deliver blue blood to the same grapes. In this communication we will speak mostly of the journey to the grapes in the house of the pulmonary lobule. The grapes of exchange in my imagination had something to do with bonding and marriage – perhaps the exchange of vows. The story turns out quite differently. We had great travels together and took a lot of pictures!!

I think by this time you know what we had already been through. He had started out as a large elastic vessel off the right heart called the main pulmonary artery (nickname “MPA”) and I had started out as the trachea. (nickname “trach”). We met at the doorway of the lung called the hilum, and took a fancy to each other right away and so we decided to travel together. We had traveled a long way by the time our story begins both experiencing many divisions and were right in the middle of an inspiration. We both looked quite different at this point having given birth to many offspring. In the new language – we had both “morphed” quite a bit but this was a necessary part of the mission. Of course we were much smaller than we had been. He had lost some of his elasticity and developed a bit of muscle. I had lost my entire cartilaginous skeleton and had developed some muscle as well. We were told that from now on we were both going to lose muscle and I in particular was going to change drastically. I could not wait! I secretly hoped that this change would make me more attractive and bring me closer to a happy union since I was promised a happy union in the end. My name at this stage was “terminal bronchiole”. A foreboding and deathly chill rattled down my muscularis as I said the word “terminal” knowing that I was going to lose the small amount of muscle that I had.

We reached the doorway surrounding the secondary lobule and faced the polyhedral entrance. It was quite beautiful I thought in my teal blue outfit.

At this time we were already up in the air and on our journey. This is a picture of me, the terminal bronchiole in teal blue in the center and my buddy the pulmonary arteriole in royal blue at the doorway of the polyhedral secondary lobule. We were told by our guide to prepare ourselves for a “centrilobular” entrance since our entry point was to be through the center of this doorway. 42448b03 code lung pulmonary secondary lobule pulmonary lobule polyhedral septa interstitium normal anatomy histology
Ashley Davidoff MD TheCommonVein.net

 

Secondary lobule
Here is a picture of the outside of the polyhedral pulmonary lobule from the side.  It looked quite futuristic.  Through the transparent side window  we saw a couple similar to ourselves.  From this vantage point the morphing did not look too different from what we had already been through – division after division – leaner and meaner. Ashley Davidoff MD. The Common Vein.net  42449b02
The Secondary Lobule
The arteriole and bronchiole lie in the center of the lobule.
Pulmonary venules (red) and lymphatics (yellow). lie in the periphery of the lobule
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Davidoff Art Courtesy Ashley Davidoff MD
Secondary lobule
This picture shows us on the left with a white ring around us (we were the tallest) and the other couples who looked so much like us (also ringed). We called our tribe the “bronchovascular bundle” with the one part of the bundle being the progeny of the bronchus and the other the progeny of the pulmonary artery.  In the distance at the periphery we could see the pairs from the other friendly tribe – the red pulmonary vein with its smaller yellow buddy the lymphatic.  Behind them we could see the transparent window membrane through which we had peaked earlier. Oh my goodness!!!  Look what has happened to my body!!!!!!!……  Ashley Davidoff MD. The Common Vein.net 42447b03b01

 

Secondary lobule
This picture was taken just before the real drama started.  The image gives a sense of what was to come.  You can see here in the house of the lobule that we were all dividing into smaller parts and were getting smaller and the picture was quite colorful and rosy.  I fully expected to have intimate contact with the arteriole… but it did not happen as I expected…… Ashley Davidoff MD. The Common Vein.net 42447b05b02