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“There is no royal road to anything. The one which grows fast, withers away, and the one which grows slowly perdures.”

Josiah Gilbert Holland, (1819-1881), American novellist, essayist, poet…

Lung Emboli

If this entity occupies a huge number of pages in medical textbooks and publications, only the summit of its iceberg is diagnosed in medical practice.

A huge number of patients still die of it.

To be placed thus on the same level as heart infarction, it might be even more prevalent, as most cases go undiagnosed.

The full-blown and acute image is well described, but all cases without D-Dimers elevation pass under the screening level.

What doctors do not tell and probably ignore is that many more patients, most of them ladies above 60, live for years and decades with this disorder.

Trained practitioners applying vein echography are not diligent at diagnosing a tiny thrombus in the legs.

As a matter of fact, such an examination needs half an hour for one leg, and if you have two lower extremities, medical doctors find it exhausting.

Triggering factor is a deficit in Vitamin B12.

This one is abundant in our nutrition, but needs for absorption the so-called Intrinsic Factor secreted by parietal stomach cells.

Last ones degenerate above 60, most frequent autoimmune disease.

Then, the only way to supply liver stores is with sub-cutaneous injections of this vitamin every 3-4 weeks.

Most practitioners rely still on blood levels of this vitamin, which remain erroneously high.

Diagnosis of deficit is coined by levels of Homocysteine or Methylmalonate.

Echo-scan machines can be easily constructed with modern techniques for the leg below the knee.

Those can use several, and even multiple transducers surrounding the calf, and applying point per point pressure on every cm.

Besides, also AI can be used with help of the examiner, who would always be needed and especially for muscle veins outside the 3 usual pairs.