As the top journal in the medical field, every issue of The Lancet attracts the attention of all doctors around the world.
Sometimes some of the clinical methods shared above may be able to help a certain operation in a certain hospital proceed smoothly.
Now, "The Lancet" has published a special issue alone, which naturally attracts more attention from the academic community.
What content is it that actually allows The Lancet to publish a separate issue of this journal?
Then, when the doctors and medical scientists who subscribed to this issue of the journal received the journal, they opened it and looked at the table of contents and were stunned.
There is only one paper in a special issue with hundreds of pages?
Although there are many tables of contents, they are just sections within this paper.
Then, just as these doctors turned to the first page with doubts and started reading, they were immediately obsessed with it just like the editors of The Lancet.
After they came to their senses, all that was left in their hearts was shock.
The contents of this paper made all of them feel incredible.
They seem to have seen this paper and entered the core content of diagnostics.
Diagnostics is a subject that any clinical practitioner must master!
At this time, they will recall the author of this paper.
Li Mu!
…
Premed 101, an internationally renowned medical student forum, is roughly equivalent to the Lilac Garden in China, allowing medical students and doctors to discuss.
At this time, there was a post on this website, which caused a lot of discussion.
[The Lancet's latest special issue paper, "On the role of fluid dynamics analysis in judging vascular diseases", has anyone read it? I am a graduate student in medical school. Do I need to study hard for this paper? 】
The poster posted a question.
There have been hundreds of replies below.
[Look, it’s better to take a look. I’m about to enter Columbia University Medical School. My teacher suddenly sent me an email yesterday and asked me to preview this paper. According to him, this paper may be useful for Our branch is of great significance. Oh, I forgot to mention, I am in the cardiovascular department. 】
[This paper... I don’t want to talk about anything else. I just want to say, why can a physicist and a mathematician write this kind of paper? 】
[Don’t forget, he is also a ‘mathematical biomedical scientist’. In this paper, he has brought his data analysis methods to the extreme. It is hard to believe that all his judgments come from The results of his data analysis! 】
[I suggest you take a look. Believe me, diagnostics has almost only relied on better technology to improve the accuracy and speed of diagnosis for so long, but it has been a long time since there has been such an improvement through pure theory. Well, every medical student will probably have to study this paper in the future. At least many hospitals in Montreal where I work have begun to promote the methods mentioned in this paper. 】
Among the many comments suggesting that the poster should study this paper, there are of course some opponents.
[By the way, do you really think this paper is useful? How can so many complicated conditions be diagnosed so easily? I don’t believe it anyway. Once this paper leads to a misjudgment, it will probably delay the best opportunity to save the patient! 】
[Any diagnosis may lead to misjudgment, and you cannot deny that the method proposed in this paper is indeed useful. 】
[Whatever you say, since there are CT, B-ultrasound, and MRI to use, why do we have to use this kind of thing? 】
[It takes time to use these things! If an unexpected situation suddenly occurs during the operation, can't we use this method to make a quick judgment? 】
[What if the judgment fails? Can’t the patient be saved? 】
[Without judgment, the patient cannot be saved]
【……】
A quarrel began, and for a while, netizens with different opinions joined in the debate.
Of course, for any new medical method, there will always be various doubts at the beginning.
Therefore, for the entire medical community, although Li Mu's paper has had a huge influence, in the end, it still depends on whether it can really help in application.
…
United States, Mayo Clinic.
The Mayo Clinic is famous among all hospitals in the world because this hospital has been ranked first among hospitals in the world for many years.
It can be said that if this hospital says it cannot save the patient, then most other hospitals cannot save the patient.
"Dr. Layton, why are you here at the hospital today?"
At the door of the cardiac surgery department, a doctor in a white coat walked in, and the nurses inside all greeted the doctor.
Jason Layton, that's the name of this doctor, is also one of the best doctors in their cardiac surgery department.
Because, as the chief surgeon, he had completed several heart bypass surgeries, all of which were successful.
You should know that heart bypass surgery is considered one of the most difficult of all surgeries.
After all, it is the heart that moves.
In addition to heart bypass surgery, he also performed heart transplant surgery, which is also one of the most difficult of all surgeries.
A doctor who can perform one of these surgeries would be a mainstay in the cardiac surgery department of any hospital, let alone one who can perform both surgeries.
Therefore, even at the Mayo Clinic, Jason Layton has a high status.
Hearing the greetings from these beautiful nurses, Jason Layton smiled and greeted several times back: "I have a heart transplant to do later, so I came here."
Hearing his answer, the nurses all said "Wow".
"Are you going to have a heart transplant again? You are truly worthy of Dr. Layton!"
Jason Layton waved his hand, then turned and entered his office.
Sitting in the office was his colleague Hoggs. When he saw Jason Layton walking in, he smiled and said, "It seems that you will be the one to perform the surgery."
Jason Layton nodded, went to the coffee machine next to him and made a cup of coffee, and said, "I am the only one who can do the surgery today."
"Okay." Hoggs shook his head slightly, and then asked, "I heard that the patient is a director of Boeing Company?"
"Yes."
After taking a sip of coffee, Jason Layton replied: "I am over sixty years old and my physical condition is not bad, but there are still bad things."
Hoggs smiled and said, "I guess it's nothing to you, right?"
Jason Layton laughed, and then said very confidently: "Probably."
Suddenly he noticed that Hogs was looking at something, looking at the cover...it seemed to be "The Lancet"?
He walked over and asked: "Is this the latest issue of The Lancet? Are there any interesting results in it?"
Hoggs said, "That's the special issue, you should know about it."
Jason Layton was stunned for a moment, then nodded with a smile: "Of course I have read that paper, but what does it mean to us? Which of the instruments in our operating room is not more useful than that paper?"
"What's more, don't forget that we are here to serve those rich people, and of course we have to use the best."
"That's not necessarily true." Hoggs shook his head: "What if you encounter symptoms suspected of pulmonary embolism during the heart transplant process? You may miss the best opportunity for rescue."
Hearing this question, Jason Layton was silent for a moment.
Pulmonary embolism during heart transplantation?
This is indeed a very fatal possibility.
At this time, all responses must be rapid, otherwise, the patient will definitely be stuck on the operating table.
After a moment, he stretched out his hand and said: "Please show me the paper. After all, I will start the operation soon. What if it happens?"
Hoggs smiled, and then handed the special watch in his hand to Layton, "Look, my surgery today is about to start anyway, so I have to prepare now."
"Good luck to you."
After taking the journal, Layton continued.
"I'd like to lend you some good words."
Afterwards, Hogs left the office, and Layton read the special issue in his hand.
"Determine whether there are problems with the hematopoietic system...blood pressure, blood viscosity...blood flow rate..."
"Determining whether an aortic aneurysm exists..."
…
More than an hour later.
In the operating room.
"Dr. Layton, here are the patient's cardiac CT and color ultrasound."
The assistant next to him handed two pictures to Layton.
Layton took the two pictures and squinted his eyes to examine them, "The situation is pretty good. If there are no hidden conditions, the operation should go smoothly."
Hearing what Dr. Layton said, the assistant next to him couldn't help but show admiration.
This heart condition is simply terrible.
The patient's heart has entered end-stage heart failure and only a heart transplant can restore it.
But at this moment, Layton suddenly remembered the paper he had just read temporarily and said, "Show me the blood biochemistry test results again."
"Blood biochemistry...Okay, please wait!"
Before a heart transplant, many, many tests must be carried out, including blood biochemistry.
Not long after, a copy of the test results was handed to Layton.
Layton looked at it, but upon seeing it, his brows furrowed.
"Wait, did the patient have an aneurysm test?"
The assistant was stunned: "Aneurysm?"
"The patient has had a B-ultrasound and there should be no aneurysm."
Layton's brow was still frowning.
Because based on the various indices of this blood biochemical test and comparing it with the data given in Li Mu's paper, he seriously suspected that this patient had an abdominal aortic aneurysm.
If the tumor is not corrected, the patient will not be able to undergo a heart transplant.
This is a taboo for heart transplantation!
Generally speaking, abdominal aortic aneurysm is relatively easy to detect, but if it is a B-ultrasound examination, it may be missed.
But it is also possible that there is a problem with Li Mu’s paper?
He thought for a moment and finally said: "Do another abdominal CT for the patient."
"OK."
Although the assistant was confused, he did as he was told.
Not long after, the results came out.
The assistant ran over with the results, his face full of shock.
"Dr. Layton, the patient really has an abdominal aortic aneurysm! It seems to have developed recently!"
Layton suddenly exhaled a long breath.
That paper saved this operation!
"I understand. During the operation, the abdominal aortic aneurysm should be corrected first, and then the heart transplant can be performed. The donor heart should not be removed for the time being to avoid deactivation."
"yes!"
…
(End of chapter)
