The World's First Hospital: I Build A Palace Of Medicine

late August.

Eagle Country, The Lancet journal headquarters.

Around the horseshoe-shaped table, many editors are participating in the peer review selection meeting.

As one of the world's top medical journals.

The seemingly ordinary weekly meeting of the editorial department of The Lancet will select papers that have caused a sensation in the medical research community around the world.

Among the tens of thousands of papers submitted to The Lancet every year.

Only 12% of papers are eligible for peer review.

At the moment, the editors are discussing whether more than 30 papers can be published in The Lancet or its journals.

At the selection meeting.

The first thing people talked about was a clinical case paper called "Skin Nodule with Autoantibody Positivity: Histoid Leprosy".

The author of the paper is Dr. Zhang Xuying from Xiaguo Yinhe Hospital.

Starting from the successful diagnosis and treatment of a misdiagnosed histoid leprosy patient, she put forward guidance on how to distinguish chronic infectious diseases from autoimmune diseases and improve the success rate of early diagnosis.

Dr. Zhang Xuying's team treated a 33-year-old housewife.

Within a year, she had more than ten skin nodules without symptoms all over her body, accompanied by livedo reticularis on her limbs, and multiple serum autoantibodies were found to be positive in multiple hospitals.

The patient had been diagnosed with "undifferentiated connective tissue disease" and "nodular vasculitis", and received 5 months of immunosuppressive and regulatory therapy without obvious effect.

Subsequently, the patient came to the Department of Dermatology of Yinhe Hospital for treatment.

After seeing a doctor, the doctor performed a skin nodule biopsy for her. The pathological diagnosis considered infection granuloma, and leprosy was highly suspected.

Further examination of tissue sections and skin tissue fluid smears with acid-fast staining revealed the presence of acid-fast bacilli.

Combined with the clinical manifestations, he was diagnosed as histoid leprosy.

Dr. Zhang Xuying used multi-drug combined chemotherapy MDT treatment, the patient's skin lesions gradually disappeared and he was cured.

During follow-up, it was found that the patient had a neighbor who had leprosy in childhood and adolescence.

Dr. Zhang Xuying proposed.

When encountering a patient with suspected connective tissue disease with atypical skin manifestations, a skin biopsy must be performed to rule out the possibility of chronic infection.

meeting room.

Editor Wood said: "Experts, this paper has extremely high clinical value!

We should appeal to clinicians and pathologists from multiple related disciplines.

In diagnosing patients from leprosy areas with atypical skin lesions or peripheral neurological findings.

Vigilance is needed, taking into account the possibility of leprosy. "

The voice fell.

Everyone present nodded their heads.

The quality threshold for Lancet papers is very high.

Clearly, this paper has reached the threshold for publication.

next.

The editors began discussions on the second paper, "Music can improve postoperative outcomes."

The author of the paper is Dr. Zou Bin from Xiaguo Yinhe Hospital.

Dr. Zou Bin's team found out through a meta-analysis of 72 trial data.

Surgical patients who listened to music reported less postoperative anxiety and higher levels of satisfaction than those who did not listen to music.

They require less pain medication and experience less pain.

Specific analysis, including randomized controlled trials, comparing music of any type before, during, and after surgery with other nonpharmacologic interventions as standard care in adult patients undergoing any form of surgery, excluding central nervous system or head and neck surgery .

Analyzed data included postoperative pain, analgesic needs, anxiety, infection rates, wound healing, hospital costs, length of stay, patient satisfaction, and more.

Studies have shown that preoperative music playback minimizes pain, analgesia, and anxiety, followed by intraoperative and postoperative music.

Even under general anesthesia, music can reduce pain.

But the intervention had a greater impact on pain when the patient was conscious.

Music is available for all patients undergoing surgery!

Patients should be able to choose the type of music they listen to, but the music must not interfere with the medical team communicating with each other, or the doctor communicating with the patient.

Editor Fitch said: "This paper has certain clinical value.

I think that any way to relieve the pain of patients should be one of the directions of research.

Even if the pain relief is small, it is very meaningful! "

hear this.

Everyone present nodded again.

next.

The editors went on to explore other papers.

"Phase III clinical research results of oral Helicobacter pylori vaccine".

"The number of elderly people in Xiaguo is increasing, but physical and cognitive functions are declining."

"Epileptic Drugs Protect Against Nerve Damage in Multiple Sclerosis."

"Genetic testing can predict whether you will suffer from a deadly infectious disease 1 year in advance."

"Young patients under 60 years old should be cautious in total hip or knee replacement".

"Low-dose radiation such as long-term X-ray CT can increase the mortality rate of acute leukemia."

...

As editors explored these papers, key problems suddenly emerged.

32 peer-reviewed papers.

There are actually 8 papers from Xia Guo, and all of them are from Xia Guo Yinhe Hospital!

Richard Horton, editor-in-chief of The Lancet, asked, "Have you heard of Xiaguo Yinhe Hospital before?"

Everyone present shook their heads, saying they had never heard of this hospital before.

The editor Fitch said: "As far as I know, Yinhe Hospital is a very large hospital.

The hospital has more than 40,000 employees, and the hospital can accommodate 20,000 beds.

In terms of scale alone, Yinhe Hospital is the largest in the world! "

Hearing this, Horton nodded thoughtfully.

He pondered: "Since everyone has no objection to these papers, let's improve the papers to meet the style and content requirements of The Lancet and publish them next month."

A paper wins the approval of the editor and also needs improvement.

The Lancet journal will polish a paper with a strong technical character into a readable, clear and easy-to-understand article.

Everyone present was stunned when they heard Horton's words.

According to him.

Eight papers from Xia Guo can all be published in The Lancet!

This seems like an exaggeration!

Horton saw everyone's expressions.

It suddenly dawned on me.

He smiled and said: "Our Lancet journal, established in 1823, has a history of nearly 200 years.

The Lancet, which means a scalpel in English, also means a pointed dome window, which means a bright window that illuminates the medical world.

We uphold the highest standards of medical science and publish only the best research papers by academics.

Improving human life is the only ultimate goal of medical research!

Yinhe Hospital is unknown all over the world.

But the 8 papers of the Galaxy doctors are indeed very valuable.

Therefore, these papers should be published in The Lancet journal! "

hear this.

There was no longer any objection from the people present.

However, they were all very curious.

Where is Xia Guo Yinhe Hospital?

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