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The immune response to transplantation
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"It is infinitely better to transplant a heart than to bury it to be devoured by worms" (Barnard). For a long time I have wanted to pursue Cardiothoracic Surgery as a career. This is an occupation that specializes in surgical treatment of the heart and lungs. I believe I got my interest in medicine from Dr. Heidi Lakes M.D./O.B, otherwise known as my mother. Before she stopped practicing, she was an OB/GYN (Obstetrics- Gynocologist) at St. Thomas Memorial Hopsital. On occasion, I got to see her patients and had their conditions and surgeries explained to me. From then on, the hospital stuck as my favorite place. As for my choice in topic and specialty, I am fascinated by the heart because of how it can be one of the most delicate organs in …show more content…
Other, less severe damage hearts can be fixed with other treatments and procedures such as valve replacement and chest tubes to remove blood. There’s surgery has multiple steps and details. The first step is being put under general anesthesia. A cut is then made on the patients breastbone. The patience origins are then put on a heart lung bypass machine. Named and created by John Heysham Gibbon in 1953, this device continues to pump blood and breathe while the organs are stopped. This way a surgeon can work on the body without the movement of the heart and lungs in their way. The diseased heart is then removed and the donor heart is put in its place. The machine is disconnected and the new heart, hopefully, takes …show more content…
In the following days they stay in the hospital and are closely monitored for any signs of rejection and or post-operative infection. The recovery period last for about 2-3 months whilst having regular check-ups and blood tests. These will continue for the rest of the patients life. The body's immune system, when presented with a foreign body, will create antibodies to fight it off. This is what happens with transplanted organs. For that reason, patients will take many drugs that suppress this response. They also take these for the rest of their lifespan. Though the patients life post-operation, will be drastically changed by and inability to do rigorous exercise, smoke, etc., their life extension should be
In 1932 DeBakey invented the roller pump for the heart and lungs machine. The device is rhythmically powered by a flexible tube which is an important part of the lung-heart machine applied in the heart surgery. It has the ability to replicate the rhythm of human’s heart. As a result , it is named peristaltic pump.[1]
There are four different categories of treatment: lifestyle changes, surgical procedures, non-surgical procedures, and medications. Lifestyle changes include having a healthy diet; increasing physical activity; eliminating cigarettes, alcoholic beverages, and illicit drugs; and getting enough rest and sleep; losing excess weight. These lifestyle changes are to lower the patient’s blood pressure, cholesterol, and reducing any other future medical conditions. There are also surgical options to help cure, prevent, or control cardiomyopathy. Surgical method include a septal myectomy, surgically implanted devices, and a heart transplant. A septal myectomy is used to specifically treat hypertrophy cardiomyopathy which is where the heart muscle cells enlarge and cause the walls of the ventricles to thicken. The thickening of the walls may not affect the size of the ventricles but instead may affect the blood flow out of the ventricle. Usually along with the ventricles swelling, the septum in between the ventricles can become enlarged and block the blood flow causing a heart attack. When medication is not working well to treat hypertrophic cardiomyopathy, a surgeon will open the chest cavity and remove part of the septum that is blocking blood flow. Surgically implanted devices include a pacemaker, a cardiac resynchronization therapy device, a left ventricular assist device, and an implantable
This machine used an intravenous drip which was hooked up to the patient. The IV would start dripping a solution of saline. When the patient was ready they pushed a button and this solution would stop dripping. At this time the machine would release a drug called thiopental, better known as sodium pentothal, a general anesthesia for sixty seconds. After this the patient would be in a coma. A timer would stop the first drug and the release the next one called potassium chloride. This drug will cause a heart attack and the patient will die in their sleep. (Gibbs, McBride-Mellinger; PBS.org.
Throughout this researched that I investigated I became interested in this field in a way. If I had an option in medical field I would take the option. Knowing that you are helping patients out is an amazing feeling. I would work with infants rather than adults. I would cherish every moment because you would never know if that’s the last time to work with the patient not just because of death but maybe cause they might recover from there sickness.
Cardiomyopathy is a disease of the heart muscle, causing the heart muscle to become enlarged, thick or rigid. In rare cases, the muscle tissue in the heart is replaced with scar tissue.
During this internship I had a variety of tasks that made me understand and develop my skills in cardiac rehab, stress testing, working at the hospital in the CVCU, and also talking to the patients in the hospital about coming to outpatient cardiac rehab. During my time in the outpatient cardiac rehab I have learned and perfected how to take a manual blood pressure, check heart rates, oxygen levels, and be able to teach and instruct our patients on healthy habits to ensure they are staying healthy and active outside the rehab facility. I learned to do a full disclosure on a patient, meaning to check their EKG, find out their max heart rates during exercise, and send a note to the doctor if anything abnormal should occur. I’ve learned to chart and tech
Ever since I was younger, I wanted to get into the medical field. Both my grandmothers used to work in the hospital and I would always wanted to tag along. Following them to work influenced my decision to work in a hospital. Every time I tag along, I would see many interesting things that would catch my attention and make me curious. There was a lot of materials such as the stethoscope, weighing machine, and etcetera that I would pretend to be a doctor or nurse examining imaginary people. It was absolutely perfect because I always wanted to help people. So this fall of 2014, I will be starting my education on becoming a nurse anesthetist.
Without regard to the patient David, he has potential to receive the heart transplant. The reports of the other patients are unclear
Open-Heart Surgery presents unique challenges. The heart, which some would say is the cradle for the soul as well as a muscular organ which is exposed. Does the essence of the heart’s experience during surgery permanently change us? We may never know. Yet we surely can acknowledge that the very existence of open-heart surgery in all its aspects, is a miracle. This is my own personal experience that I had to face at a very young and weak age.
...as become increasingly necessary to obtain a second and even a third opinion because surgery is expensive, and physically invasive and traumatic for the heart patient.
(Slide 2) What is Cardiomyopathy? If we break down the word we can see “Cardio” which means of the heart, “myo” which means muscle, and “pathy” which means disease, therefore cardiomyopathies are diseases of the heart muscle. (Slide 3) There are 3 main types of cardiomyopathies; hypertrophic, dilated, and restrictive. I will only be discussing dilated cardiomyopathy, which is characterized by the enlargement of the hearts chambers with impaired systolic function. It is estimated that as many as 1 of 500 adults may have this condition. Dilated cardiomyopathy is more common in blacks than in whites and in males than in females. It is the most common form of cardiomyopathy in children and it can occur at any age (CDC).
The cardiologists at BCH are looking for a new way to perform the corrective heart surgery. “Performing heart surgery on an infant they need to open the chest and stop their heart. This is an invasive and lengthy procedure that will cause life-threatening complications.” Says Pedro del Nido chief of cardiac surgery at BCH. He has come up with a 3-D tool that provides superior imaging and makes surgery times less. Active research includes “surgical robotics and ultrasound guided intracardiac surgery, myocardial metabolism and myocardial hypertrophy and heart failure, and tissue engineering to stimulate the growth of new tissue to repair congenital defects” at Boston
This is the story of Christiaan Barnard an excellent African cardiac surgeon who performed the first human-to human heart transplant. He was born in Beaufort west, Cape Province, Union of South Africa on November eight, 1922. He grew up in Beaufort West and his family wasn’t rich. Adam Barnard, his father, was a church pastor and his mother, Maria, played church organ. Christiaan Barnard lost one of his four brothers, Adam, because he had a heart problem disease. Adam died at the age of five. In 1940, he matriculated from the Beufort West High School. Five years later, he obtained his Bachelor of Medicine of Surgery at the University of Cape Town.
I love hospitals. My interest sparked when my mom would take me to visit people who were sick and I would watch the hustle and bustle of the hospital floors. The go-go-go atmosphere drew me in from the beginning and I enjoyed asking everyone about what they did. Consequently, when the time came to choose a career I looked for something that provided the option to work in a hospital providing one-on-one care to people. This is how I discovered speech and language pathology.
After trimming, a cannula is inserted into the superior vena cava. Through this cannula, the preservation media can be pumped in. What if this scenario were different? What if doctors were able to preserve the donor heart and keep it viable outside the body for up to 24 hours instead of only four hours?