Anti-rejection drugs are most likely to cause miscarriage and fetal teratogenicity in pregnant women. If you have to take these drugs for pregnancy, the result may be that the patient's condition will be deteriorated rapidly during pregnancy and wait for death.
Under such premise, patients like this who can obtain extensive medical information will naturally make the best choice for themselves. They might as well be pregnant. Anyway, they will have to undergo a heart and lung transplant sooner or later.
But this patient did not expect that domestic doctors said she could undergo a non-transplant surgery before surgery to treat the disease.
"Director Zhang believes that it is possible to avoid transplantation, and foreign doctors think that transplantation is necessary?" Du Haiwei confirmed again whether there was any error in the information he heard.
Foreign medicine is relatively developed, and domestic doctors have always been learning from advanced foreign medicine. Most patients are obsessed with foreigners in medicine and are understandable by domestic doctors. Patients settled abroad for medical treatment earlier, so it is correct to listen to the professional opinions of foreign doctors first. Du Haiwei now asks more questions.
"Yes." Du Ye Qing nodded, "After our Director Zhang carefully judging her condition, he believed that this patient had a mitral valve replacement surgery before. This time the condition worsened because of a problem with the artificial mechanical valve replaced abroad. It was stenosis and thrombosis occurred. The situation was more critical. The tricuspid valve reflux caused severe pulmonary hypertension. Overall, the patient's overall condition is very likely to be secondary pulmonary hypertension, and he can try to do a heart surgery first to improve the condition. Foreign doctors believe that her pulmonary blood vessels have undergone substantial changes and must undergo transplant surgery."
Whether to undergo pulmonary hypertension or not, this controversial point may be due to the determination of pulmonary artery lesions by domestic and foreign doctors on the patient's pulmonary artery lesions. That is, whether the patient's pulmonary artery blood vessels are sentenced to death. If it is believed that the pathological parenchymal changes of the blood vessels are narrowed and stenosis cannot be reversed, internal medicine does not have magical medicine to deal with this parenchymal pathological change in pulmonary blood vessels. This is also the reason why primary pulmonary hypertension was later called idiopathic pulmonary hypertension. The cause is unknown, and there is no cure to treat it, so only transplantation can be done.
In the surgery, it is impossible to completely remove these lung blood vessels and modify them. In the last lung interventional surgery, we could intuitively feel that the distribution of lung blood vessels is like lush branches and leaves that are densely packed and covered with almost the entire lung tissue. Removing these blood vessels is equivalent to removing the entire lung. To remove the entire lung and find a replacement, it is only a double lung transplant.
Zhang Huayao cannot say that he is gambled. He judged the patient's pulmonary blood vessels based on his own technology and experience. There has not been an irreversible change yet. He can make a try. After all, he cannot draw a conclusion on whichever is right or wrong between Guozhi's doctors and foreign doctors. The final judgment result is that he has to wait until the operation is completed before deciding on the patient's subsequent situation.
In any case, the patient only heard that he could not do a transplant, and even if he had a big gamble, he would be willing to go back to China to find Zhang Huayao.
This incident fully demonstrates that patients’ demand for doctors will never be based on domestic or foreign doctors, and whoever does it will do it.
Chapter completed!