On the other hand, after the medical records were found, they not only failed to answer the doubts but deepened them.
No wonder after Teacher Yuan Fang found the medical records here, he pondered over it for a long time without expressing his opinion.
So that’s it. Li Qian’an and his classmates, who hadn’t figured out the problem before, finally understood where the “gold” Xie had found was.
If that’s the case, could it be that the researchers made a mistake?
First of all, this is data collected in the database. Before it is cited in a research paper, it has little to do with research and can only be used in today's teaching.
Ordinary data collection is most likely the pathology slides made by students for teachers. As for diagnosis, students temporarily use the final diagnosis of clinicians as labels, which cannot be said to be completely wrong.
"Can you say it's definitely not a heart attack? We can't say it's completely ruled out right now." Cao Yudong said again.
For some difficult and complicated diseases with unclear medical history, it is too difficult to make a clear medical diagnosis, and in most cases it can only become a point of discussion within the medical circle.
Unless the patient's family has a follow-up request for the doctor to pursue the truth, the only thing left is for the doctors or researchers to do is to wait for them to suddenly become interested or have a task, and then slowly explore the case in depth. It's because both scientific research and clinical work are too busy, and there are too many medical records to deal with. Moreover, even the big guys know that such cases are likely to be discussed over and over again without getting the correct answer.
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Maybe someone will think of forensic medicine at this time. Can forensic medicine completely solve the mystery of all deaths? The answer is no.
One of the foundations of forensic medicine is medicine. It is impossible for forensic medicine to make breakthroughs on its own when medicine has not yet solved all the mysteries that medicine cannot solve.
So you will find in the news that there are some very controversial cases where everyone suspects they are murders, but the final conclusion given by the forensic doctor is that he cannot provide conclusive evidence of murder and can only say that the patient died of common multiple organ failure or something like that.
At this point, Teacher Yuan Fang once again mentioned Xie's cautious style: "She didn't say it wasn't a heart attack, she just said it was atypical. She wanted to check the medical records and gross specimens for verification."
If the gross specimen and medical records can prove that it is a myocardial infarction, this pathological section can become a special case among myocardial infarction pathological sections and serve as valuable teaching material for atypical cases. Therefore, Xie's cautious suspicion is very meaningful.
"Are there any gross specimens?" Cao Yudong asked his colleagues.
Teacher Yuan Fang said: "I'm afraid this may not be available."
Gross specimens are more difficult to preserve than slice specimens, they take up more space and consume more resources. Not all organs of a body can be preserved as gross specimens. Organs for gross specimens must be selected, and generally only those with research value are selected for preservation. Moreover, during the preservation process, some gross specimens may have problems due to unpredictable factors over the years and have to be eliminated.
In a word, it is very expensive for research institutes to do these things and use dead people for research.
Without a gross specimen, further exploration of this case can only rely on the fragmentary data currently available.
The most significant feature of this pathological section is the large area of myocardial fibrosis. If you remember Xiao Shugang's case, it mentioned that ischemia caused myocardial cell death and turned into cardiac scars, which refers to myocardial fibrosis.
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