I am happy that the blood transfusion has been done, and the PUF

The patient has shown some new good signs especially more water was taken out from his body. This new progress should be counted by the new treatment made Dr. Eagen. First of all, he started blood transfusion and also, very importantly, it was him that the Ultrafiltration (PUF) was added.

The PUF technique can be added to heart-lung machine to concentrate hemoglobin. That was what we often added to our extracorporeal circulation experiments. The PUF technique can also be employed in Dialysis. This is the fast way to get rid of extra water in the body. Dr. Engen added two agressive maneuvers (Blood transfusion and PUF) which achieved his better blood concentration. The water taken out by these two maneuvers would better improve his wet lung.

And his walking on the ground would be another progress in reduction of his lung edema, and help his microcirculation. This physical activity would significantly increase his lung volume and capacity.

I expect that, the tree maneuvers - (1). PUF, (2). Blood transfusion, and (3). Patient's walking could bring the patient to another level of improvement.

This hospital also looks disorganized, evidenced by that there is even no one doctor in charge of the patient treatment plan, while Dr. Eagen showed more precise diagnosis of the patient's lung condition and added more skillful necessary treatment. It is this doctor's contribution that improved the condition of patient's lung and kidney.

You got the advice from the responsible nurse who encouraged you to get in a deeper involvement in this case, indicating all what you have done in the past is absolute correct. And here some people's critique against you is totally wrong, and not humanitarian too. Their critique indicated they should receive medical ethical education.  In this hospital If the doctors don't get well organized, it is better just let Dr. Eagen do his job. If the other doctors change Dr. Eagen's plan, you may raise your hand, and you have the right to raise your hand.

所有跟帖： 

• 谢谢御医, 到目前为止,胖子对Eagen 医生的方案反应良好, 胃口大开, 血压也很稳定, 脚也开始消肿。 -yankeeviv- ♀ (404 bytes) () 05/14/2015 postreply 04:42:33

• 谢谢您一直的帮助和支持, 最令人欣慰的是今早胖子的一直肿得厉害的左脚也消下去一半了。真是见效。 -yankeeviv- ♀ (0 bytes) () 05/14/2015 postreply 05:59:00

• 我展示给胖子的褥疮图片吓得他屁滚尿流的, 不敢跟我耍赖在床上, 同一个部位久坐或久卧4个小时以上了。 -yankeeviv- ♀ (1077 bytes) () 05/14/2015 postreply 11:21:40

• The patient has shown a very positive and promising response ind -御用文人- ♀ (1180 bytes) () 05/14/2015 postreply 08:58:07

• Dr. Eagen showed his talents, we should only rely on good doct -御用文人- ♀ (208 bytes) () 05/14/2015 postreply 09:27:05

• 其实我们也是有基本判断力的人, 医学的东西不懂, 人性还是能了解一点点的。医生的高下, 事实可以说话。 -yankeeviv- ♀ (0 bytes) () 05/14/2015 postreply 10:58:58

• 谢谢御医一路指点过来, 胖子才得以存小命。以后万水千山还是免不了要您多指点。 -yankeeviv- ♀ (0 bytes) () 05/14/2015 postreply 11:02:11

• 谢谢御医, 胖子的水肿真是好了很多, 右脚已经回归正常人类的现状了, 左脚还有些肿, 看着不吓人了。 -yankeeviv- ♀ (338 bytes) () 05/14/2015 postreply 10:30:05

• 真好，祝福胖子夫妻 -家家123- ♀ (0 bytes) () 05/14/2015 postreply 06:04:16

• +1 -欲千北- ♂ (0 bytes) () 05/14/2015 postreply 13:52:29