[87797] in SIPB IPv6
50% Off Glasses Online
daemon@ATHENA.MIT.EDU (Glasses Sale)
Thu Jan 26 11:25:10 2017
Date: Thu, 26 Jan 2017 10:42:34 -0500
From: "Glasses Sale" <glasses_sale@seeebettertoday.com>
To: <sipbv6-mtg@charon2.mit.edu>
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lungs kept alive by state of the art technology th=
at oxygenated and circulated her blood until donor organs became available =
and she was able to have a life saving transplant. On a ventilator and in a=
n induced coma the Burlington Ont. mother of a three year old daughter had =
been unaware of how close she had come to dying or what doctors had done to=
save her life. I didn t believe it she said recalling what her husband Chr=
is and her parents told her after she regained consciousness. It took me a =
while to realize what happened. I just couldn t piece it together. Still th=
at initial decision to remove her lungs the source of an antibiotic resista=
nt infection that had tipped her into widespread organ failure and septic s=
hock wasn t taken lightly. Melissa Benoit left hugs her daughter Olivia. Yo=
u really come from the brink of death to back living at home. But I m just =
so grateful so happy to be home she said. Melissa Benoit left hugs her daug=
hter Olivia. You really come from the brink of death to back living at home=
But I m just so grateful so happy to be home she said. NATHAN DENETTE THE=
CANADIAN PRESS It was a difficult discussion because when we re talking ab=
out something that had never to our knowledge been done before there were a=
lot of unknowns said Dr. Niall Ferguson head of critical care at the Unive=
rsity Health Network which includes Toronto General. Benoit had been transf=
erred to Toronto General Hospital in early April 2016 from St. Michael s Ho=
spital where she had been admitted after a bout of influenza had left her g=
asping for air with coughing fits so racking they fractured some of her rib=
s. Her inflamed lungs began to fill with blood pus and mucous leaving her f=
eeling as if she were drowning. None of the antibiotics doctors tried were =
able to kill bacteria that had invaded her CF damaged lungs and blown up in=
to a superinfection and despite being on a ventilator her condition continu=
ed to deteriorate. Ferguson who had been overseeing Benoit s care in the IC=
U said her blood pressure had plunged and her oxygen levels were critically=
low so he and a team of thoracic surgeons discussed the possibility of buy=
ing her some time by removing her lungs to stop the rampant infection that =
was infiltrating her body. In Melissa s case our hand was being forced a li=
ttle bit because she was actively dying and if we hadn t done something she=
would have died that day for sure. Dr. Shaf Keshavjee director of the lung=
transplant program said the team weighed the pros and cons and presented t=
he idea of the last ditch procedure to her family and they immediately agre=
ed. She had made it very clear that she wants to live for her family for he=
r child and to do anything experimental or not to give her a chance if we c=
ould do it said Keshavjee one of three thoracic surgeons among a 13 member =
surgical team who took part in the nine hour operation to extricate Benoit =
s severely diseased lungs. The surgeon described each lung as being so heav=
y and rocklike we could barely pry it out of her chest. Benoit was put on t=
wo machines a Novalung which infused her blood with oxygen while removing c=
arbon dioxide as the lungs do naturally and extracorporeal membrane oxygena=
tion or ECMO that helped her heart pump the blood through her body. And lit=
erally within minutes it was probably around 20 minutes after having taken =
those infected lungs out her blood pressure normalized and they could remov=
e all the blood pressure supporting drugs and just leave her on the pumps t=
hat were providing the circulation Keshavjee said. It proved the concept is=
successful but how long could you support her in this condition he said ad=
ding that the biggest uncertainly was how long it would take for replacemen=
t lungs to become available. We didn t know if we d get them in one day or =
one month ... So it was a day to day thing and thankfully in about five to =
six days we did get donor lungs offered that were her correct blood type an=
d a reasonable size match so we could go ahead with the transplant. The tea=
m s report on the case is published in Wednesday s issue of the Journal of =
Thoracic and Cardiovascular Surgery. When Benoit finally came to after the =
transplant her muscles were so deconditioned from having spent more than th=
ree months in hospital before the back to back operations she couldn t even=
lift her hand to let her family know she was conscious. The only thing I c=
ould do was stick out my tongue she said and then only with the encourageme=
nt of her mother. That was the only way I could get her to communicate with=
me recalled Sue Dupuis. I said Please Melissa if you can hear us stick out=
your tongue. And it took a good 20 minutes for that tongue to come out jus=
t a little bit ... You know it s like a movie. It wasn t until Benoit was e=
ventually weaned off the ventilator about a month later that she realized w=
hat it meant to have new lungs which are unaffected by the mutated gene tha=
t causes cystic fibrosis. That was when I was wow I could breathe. I never =
had this feeling. I didn t cough anymore. When you have cystic fibrosis you=
cough all the time she said dabbing away tears. But that was only the begi=
nning of a long road back to health. With the help of physiotherapists Beno=
it had to learn how to hold up her head up again to sit up and then to stan=
d. I never thought I d do it again. I never thought I would walk. And here =
I am walking she said hugging her daughter Olivia. You really come from the=
brink of death to back living at home. But I m just so grateful so happy t=
o be home said Benoit who had to go on dialysis after her kidneys failed as=
a result of the sepsis. She hopes to be well enough for a transplant in th=
e next few months with her mother donating one of her kidneys. Key concepts=
from George Orwell=20
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