As the top journal in the medical field, each issue of The Lancet is able to attract 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 hospital go smoothly.

And now, the "Lancet" has actually released a special issue separately, which naturally attracts more attention from the academic community.

What is it that would allow The Lancet to publish a separate issue of the journal for this?

Then, when the doctors who subscribed to this issue of the journal and the medical scientists received the journal, they opened it and looked at the catalog, so they were stunned.

A special issue of hundreds of pages, but there is only one paper?

And although there are many table of contents, they are just sections within this paper.

Then, as soon as the doctors turned the first page and began to look at it, they were hooked as the editors of The Lancet.

When they came to their senses, all that was left in their hearts was shock.

The contents of this paper were incredible.

It was as if they had seen this paper and entered the core content of diagnostics.

Diagnostics is a discipline that any clinical practitioner must master!

And at this time, they will recall the author of the paper.

Li Mu!

……

Premed 101, an internationally renowned forum for medical students, is the equivalent of 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 latest special issue of The Lancet's paper, "On the Role of Fluid Dynamics Analysis in the Judgment of Vascular Diseases", have you read it? I'm a graduate student in medical school, should I study this thesis well? 】

The landlord asked.

And the following replies have passed, hundreds.

[Look, it's better to take a look, I'm about to enter Columbia University School of Medicine, and my teacher suddenly emailed me yesterday and asked me to preview this paper, according to him, this paper may have a lot of meaning for our sub-department, oh, I forgot to say, I'm from cardiovascular medicine. 】

[This paper...... I don't want to say anything else, but I just want to say, why can a physicist, a mathematician, write this kind of paper? 】

[Don't forget, he is still a 'mathematical biologist', in this paper, he simply brought his data analysis methods to the extreme, it is hard to believe, his judgments are all from the results of his data analysis!] 】

[I suggest you take a look, believe me, diagnostics for so long can almost only rely on better technology to improve the accuracy and speed of diagnosis, but there has been no such improvement through pure theory for a long time, every medical student, I am afraid that in the future, I will have to study this paper, at least many hospitals in Montreal where I am have begun to promote the methods mentioned in this paper. 】

Among the many comments suggesting that the landlord study this paper, there are certainly some opponents.

[By the way, do you really think this paper is useful?] So many complex conditions, can they be judged so easily? I wouldn't believe it anyway, but once this paper leads to a miscalculation, it will probably delay the best time to save the patient! 】

[Any diagnosis can produce misjudgments, and you can't deny that the methods presented in this paper are indeed useful.] 】

[Whatever you say, since there is CT, B-ultrasound, and MRI to use, why do you need to use this kind of thing? ] 】

[It takes time to use these things!] In the event of an unexpected situation during the course of surgery, isn't it possible to use this method to make a quick judgment? 】

[So what if the judgment fails?] Isn't the patient unsaved? 】

[If you don't judge, you can't save the patient]

【……】

A quarrel began, and for a while, netizens with different opinions joined the debate.

Of course, for any new approach to medicine, there will always be all kinds of skepticism at the beginning.

Therefore, for the entire medical community, although Li Mu's paper has brought a very huge impact, in the end, it depends on whether it can really help in application.

……

Rice Country, Mayo Clinic.

The Mayo Clinic is one of the most famous hospitals in the world, as it has been the top hospital in the world for many years.

It can be said that if this hospital says that it can't be saved, then for the vast majority of other hospitals, it can't be saved.

“雷顿医生，今天怎么来医院了？”

At the door of the cardiac surgery department, a doctor in a white coat walked in, and then the nurses inside greeted the doctor one after another.

Jason Layton, that's the name of this doctor, and one of the best doctors in their cardiac surgery right now.

Because, as the chief surgeon, he has completed several heart bypass surgeries, all of which were successful.

It is important to know that heart bypass surgery, which is considered to be one of the most difficult surgeries of all.

After all, it's the heart that moves.

In addition to heart bypass surgery, he also performed heart transplants, which are also one of the most difficult of all surgeries.

Doctors who can perform one of these surgeries are the mainstay of cardiac surgery in any hospital, let alone those who can perform both.

So, even at the Mayo Clinic, Jason Layton has a high status.

Hearing the greetings of these beautiful nurses, Jason Layton smiled and said back a few times: "There's a heart transplant to be done later, so I'm here." ”

Hearing his answer, the nurses all let out a "wow".

"Do you want another heart transplant? What a Dr. Layton! ”

Jason Layton waved his hand, then turned and entered his office.

Sitting in the office, as well as his colleague Hoggs, saw Jason Layton walk in, he smiled and said, "It seems that you are going to perform the surgery." ”

Jason Layton nodded, and while coming to the coffee machine next to him to make a cup of coffee, he said, "I'm the only one who can be the main knife today." ”

"Okay." Hoges shook his head slightly, then asked, "I heard that the patient is a director of Boeing?" ”

"Yes."

Taking a sip of coffee, Jason Layton replied: "I'm over sixty years old, and my physical condition is not bad, but there are still bad places." ”

Hoggs laughed, "I guess it's nothing to you, right?" ”

Jason Layton laughed, then said very confidently, "Probably. ”

Suddenly, he noticed that Hoggs was looking at something, looking at the cover...... Like "The Lancet"?

He walked over and asked, "The latest issue of The Lancet?" Are there any interesting results on this? ”

Hoggs said, "It's the special issue, you should know it." ”

Jason Layton was stunned for a moment, and then nodded with a smile: "Of course I have read that paper, but what is the significance to us, which of those instruments in our operating room is not more useful than that paper?" ”

"What's more, don't forget that we are going to serve those who have money, and of course we have to go to the best."

"Not necessarily." Hoggs shook his head: "What if you have symptoms of suspected pulmonary embolism during your heart transplant?" You may miss the best time to save the life. ”

Hearing this, Jason Layton was silent for a moment.

Pulmonary embolism during a heart transplant?

This is indeed a very fatal possibility.

At this time, all reactions must be fast, otherwise the patient will definitely be on the operating table.

After a moment, he stretched out his hand and said, "Show me the paper, after all, I'm going to start surgery soon, what if I do?" ”

Hoggs smiled, and then handed the special watch in his hand to Layton, "Look, my surgery today is about to start anyway, and now I have to prepare." ”

"Good luck."

Taking the journal, Layton followed.

"Lend you good words."

Hoggs then left the office, and Layton looked at the special issue in his hand.

"Determine if there is a problem with the hematopoietic system...... Blood pressure, blood viscosity...... Blood flow rate ......"

"Determining the presence or absence of aortic aneurysm ......"

……

More than an hour later.

in the operating room.

"Dr. Leighton, this is a CT and color ultrasound of the patient's heart."

The assistant next to him handed the two drawings to Leighton.

雷顿接过了两张图，眯起眼睛打量起来，“情况还算良好，如果没有隐藏的情况，手术应该会很顺利。 ”

Hearing Dr. Leighton's words, the assistant next to him couldn't help but show admiration.

The condition of this heart is simply terrible.

The patient's heart has reached end-stage heart failure, and only a heart transplant can restore it.

But at this time, Layton suddenly remembered the paper he had read improvised, and said, "Show me the results of the blood biochemical test again." ”

"Is blood biochemical...... Okay, wait a minute! ”

There are many, many tests that need to be done before a heart transplant, and blood biochemistry is naturally part of it.

It didn't take long for a copy of the test results to be handed to Layton.

Layton looked at it, but at this glance, his brow furrowed.

"Wait, did the patient get tested for an aneurysm?"

The assistant was stunned: "Aneurysm? ”

"The patient has already done ultrasound, and there should be no aneurysm."

Layton's brow was still furrowed.

Because according to the various indices of this blood biochemical examination, compared 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 big no-no for heart transplantation!

Generally speaking, abdominal aortic aneurysms are relatively easy to find, but if it is a B-ultrasound examination, it will also be missed.

But it is also possible that there is a problem with Li Mu's paper?

He thought about it for a moment, and finally said, "Give the patient another abdominal CT." ”

"Okay."

The assistant was confused, but he did so.

It didn't take long for the results to come in.

The assistant ran over with the results, his face full of shock.

"Dr. Leighton, the patient really has an abdominal aortic aneurysm! It seems to have grown recently! ”

Layton let out a long breath.

That paper saved this operation!

"I know, surgery, the abdominal aortic aneurysm will be corrected first, and then a heart transplant will be performed, and the donor heart should not be taken out for the time being to avoid inactivation."

"Yes!"

……

(End of chapter)