Most anti-rejection drugs can cause miscarriage and fetal malformation in pregnant women. If you insist on getting pregnant without taking these drugs, the result may be more harm than good, causing the patient's condition to rapidly deteriorate during pregnancy and waiting to die.
Under such circumstances, patients like this who have access to extensive medical information will naturally make the best choice for themselves and just get pregnant first, since they will have to undergo a heart-lung transplant sooner or later anyway.
However, what this patient did not expect was that domestic doctors told her that she could undergo non-transplant surgery to treat the disease before the operation.
"Director Zhang believes that transplantation is not necessary, but foreign doctors believe that it is necessary?" Du Haiwei tried to confirm whether the information he heard was correct.
Foreign medicine is more developed, and domestic doctors have always been learning from foreign advanced medicine. Domestic doctors can understand that most patients have a mentality of admiring foreign medicine. The patient settled abroad for medical treatment earlier, so it is right to listen to the professional opinions of foreign doctors first. It is even more right for Du Haiwei to ask one more question now.
"Yes." Du Yeqing nodded. "After carefully evaluating her condition, our Director Zhang believes that this patient had a heart disease and had undergone a mitral valve replacement. The worsening of her condition this time was due to problems with the artificial mechanical valve she had received abroad. It became narrow again and had a blood clot. The situation is quite critical. The tricuspid valve has regurgitated, which has led to severe pulmonary hypertension. Considering the patient's condition as a whole, it is very likely that she has secondary pulmonary hypertension. We can try to perform heart surgery first to improve her condition. Foreign doctors believe that her pulmonary blood vessels have undergone substantial changes and she must undergo a transplant."
Whether or not to perform lung transplantation for pulmonary hypertension may be a controversial issue in the judgment of domestic and foreign doctors on the pulmonary artery vascular lesions of this patient. In other words, whether the patient's pulmonary artery vessels have been sentenced to death. If it is believed that the pathological changes of narrowing and stenosis of the blood vessels cannot be reversed, there is no magic medicine in internal medicine that can deal with this substantial pathological change of the pulmonary vessels. This is also the reason why primary pulmonary hypertension was later called idiopathic pulmonary hypertension. The cause is unknown, there is no medicine to cure it, and only transplantation can be performed.
Surgery cannot completely remove these pulmonary vessels and remodel them. In the last pulmonary interventional surgery, we could intuitively feel that the distribution of pulmonary vessels is like the dense branches and leaves of a lush tree, which are almost all over the lung tissue. Removing these vessels is equivalent to removing the entire lung. To remove the entire lung and find a replacement, the only way is to transplant both lungs.
Zhang Huayao could not be said to be gambling. He relied on his own skills and experience to judge that the patient's pulmonary blood vessels had not yet undergone irreversible changes, so he could make an attempt. It is really hard to conclude who is right and who is wrong between the doctors in Guozhi and the foreign doctors. The final judgment will have to wait until the operation is completed and then look at the patient's subsequent condition.
...
...
In any case, the patient just heard that he didn't have to undergo the transplant, so he was willing to run back to China to find Zhang Huayao even if it meant taking a gamble.
This incident fully demonstrates that patients' demand for doctors will never be whether to see domestic or foreign doctors, but whoever is capable will be chosen.
Du Mengen, who was listening, frowned and blinked: Xie's clever answer was right, he was a heart patient, with secondary pulmonary hypertension. And it was an academic result supported by the big boss Zhang. Xie was not just an academic stubborn, he was a smart guy.
Continue read on readnovelmtl.com
