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#Cardio-Thoracic Surgery
shubhamkarmarkar · 7 months
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Preparing for Cardio-Thoracic Surgery: What to Expect and How to Get Ready
Undergoing cardio-thoracic surgery is a significant medical event that requires careful preparation to ensure the best possible outcome. Whether you're facing heart bypass surgery, heart valve repair, lung surgery, or another cardio-thoracic procedure, here's what you can expect and how to prepare:
1. Preoperative Assessment:
Your healthcare team will conduct a thorough preoperative assessment to evaluate your overall health, review your medical history, and perform necessary tests like blood work, electrocardiograms, and imaging scans. This assessment helps determine your suitability for surgery and guides the surgical approach.
2. Discussion with Your Surgeon:
You will have a detailed discussion with your cardio-thoracic surgeon, who will explain the procedure, its risks and benefits, and what to expect during and after surgery. Be sure to ask any questions or express any concerns you may have.
3. Medication Management:
If you are taking medications, your healthcare team will provide guidance on which medications to continue, discontinue, or adjust leading up to the surgery. This is particularly important for blood-thinning medications.
4. Fasting and Dietary Restrictions:
Typically, you will be asked to refrain from eating or drinking for a specific period before the surgery to reduce the risk of aspiration during anesthesia. Follow these instructions carefully.
5. Lifestyle Modifications:
Your surgeon may recommend lifestyle changes, such as quitting smoking, managing chronic conditions like diabetes or hypertension, and improving nutrition and exercise habits to optimize your overall health before surgery.
6. Support System:
Arrange for a support system to assist you during your recovery. This could include a family member or friend who can help with transportation, household chores, and emotional support.
7. Hospital Stay Planning:
Depending on the type of surgery, you may need to stay in the hospital for a few days or longer. Plan accordingly, including packing essentials like comfortable clothing, toiletries, and personal items.
8. Postoperative Care:
Understand the postoperative care plan, including follow-up appointments, medications, and rehabilitation or physical therapy if necessary.
9. Mental and Emotional Preparation:
Preparing for surgery also involves mental and emotional readiness. Practice stress-reduction techniques, stay informed, and maintain a positive outlook to promote healing.
10. Clear Communication:
Maintain open and clear communication with your healthcare team. Inform them of any changes in your health or concerns leading up to the surgery.
Remember that cardio-thoracic surgery is a collaborative effort between you, the cardiothoracic surgeon near you, and your support system. By actively participating in your preparation, you can enhance your chances of a successful surgery and a smooth recovery.
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Takotsubo Caused by Pulmonary Embolism
Abstract
Takotsubo is a transient acute coronary myocardial infarction due to a catecholaminergic discharge accounting for 1 in 36,000 adults after intense physical or psychological stress. Most often found in women over 50 years of age. Its association with pulmonary embolism is very rare.
With this in mind, we report the case of a 76-year-old female patient with poorly followed chronic obstructive pulmonary disease (COPD). She presented to the emergency department with acute respiratory distress and lipothymia. Clinical examination revealed hypoxia with SaPO2 at 86% in free air, blood pressure at 120/80mmHg, tachycardia at 112 beats/min. The electrocardiogram showed S1Q3, hyper-right axial deviation, complete right bundle branch block with fragmented QRS, positive AVR with a tachycardia of 125 beats/min. A thoracic angioscan was performed, showing a bilateral pulmonary embolism of segmental and sub-segmental level. Ultrasensitive troponins were highly elevated at 1530ng/l with transthoracic echocardiography showing signs of acute pulmonary heart disease associated with apical ballooning, very akinetic with hyperkinesia of the bases, LVEF 26% suggestive of takotsubo confirmed by coronary angiography coupled with ventriculography giving an amphora-like appearance with a healthy coronary. The patient was initially admitted to the intensive care unit and then to the hospital for an intermediate-high risk pulmonary embolism complicated by takotsubo. The etiological work-up of the pulmonary embolism was normal. She received apixaban, Ramipril and bisoprolol. The evolution was marked by a recovery of the bi ventricular function with an LVEF of 58% in 1 month.
Takotsubo was secondary to respiratory failure caused by pulmonary embolism through catecholaminergic discharge resulting in a redistribution of beta receptors in the myocardium.
Read More about this Article: https://juniperpublishers.com/jojcs/JOJCS.MS.ID.555846.php
Read More Juniper Publishers Google Scholar: https://scholar.google.com/citations?view_op=view_citation&hl=en&user=rp_7-igAAAAJ&cstart=20&pagesize=80&citation_for_view=rp_7-igAAAAJ:_FxGoFyzp5QC
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Wellsun  Medicity is Multi specialty hospital, Healthcare service, premier medical hospitals and India's best Doctor who came together to drive their passion and commitment to providing quality healthcare such as Cardiology, Cardio Vascular Thoracic Surgery, Nephrology, Urology & Kidney Transplant, Neuro Surgery & Trauma Management, euro Surgery & Trauma Management, Pulmonary Medicine
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alinladaru · 7 months
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EACTS 2023 – The 37th European Association for Cardio-Thoracic Surgery Annual
The EACTS Annual Meeting is the largest cardio-thoracic meeting in the world focusing on scientific developments and research in the following specialities: Acquired Cardiac Disease, Congenital Heart Disease, Vascular Disease and Thoracic Disease. Now in its 37th year, the 2023 Annual Meeting will take place in Vienna, Austria from 4-7 October. The 37th EACTS Annual Meeting is the largest global…
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dramitabha · 1 year
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drramjimehrotra · 2 years
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Dr Ramji Mehrotra - 10 year old boy undergoes bypass surgery.
The patient, a resident of Mathura & was in a condition of heart failure. His heart was functioning at 50% capacity. The CABG was performed by Dr Ramji Mehrotra, Director - Cardio-Thoracic Vascular Surgery, FEHI. Dr Ramji Mehrotra said, “The bypass operation at this age itself is a challenge as it mandates joining small caliber vessels to his heart arteries which are also very minute.
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noteguk · 1 year
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is the drabble game still open, mx. Nala??
If it is, can I request for:
23. Medical/Hospital AU + Angst & Smut for Jungkook
Thank you (°○°)
— contents and warnings; ridiculously specific medical talk (are you surprised?), vague smut, discussion of open relationships, I don’t support hospital seggs!!!, semi-public, protected
Two overworked and emotionally constipated surgeons trying their hand at romance was clearly a recipe for disaster — you knew it, Jungkook knew it, but none of you cared too much about it.
Medical school made you formulate a theory that, generally, the most hardworking students are the ones with the littlest time for interpersonal growth. Yeah you know the coagulation cascade, but you don’t know how to handle failure without crying. Yeah you can manage a patient in arterial fibrillation flawlessly, but you’ve sacrificed great experiences in the name of academic perfection.
It’s not all bad, obviously. Chances are that such student will be a fantastic doctor, and that matters a lot. But, then, after the diagnosis is made and the surgery is over, all that is left are the people you deal with. And all the issues that come from it.
Jungkook was a classical case of that: one of the most prolific and up-and-coming cardio thoracic surgeons out there, but a complete idiot when it came to catching a non verbal cue. At first you thought that it was adorable, and his high intellect didn’t hurt also. But when one kiss turned into another and you two started waking up next to each other, things took a more complicated turn.
“Kid with Tetralogy of Fallot also has Hirschsprung’s disease.” Jungkook threw some papers on your desk, which made the X-rays poke under the white paper. You looked down on it for a second before you heard the door close behind him, and then you found his gaze once again. “Thought that you could take over that case.”
It took you a second to digest his words, then the case came up in your head — newborn with cyanosis, yeah, the one Jungkook had discussed with you about. Unfortunately the kid had won the malformation lottery, it seemed. “How bad is it?” You asked, reaching for the papers.
“Not that extended, it seems. But he’s already showing serious signs of pain and constipation.” Jungkook sat down in front of you. You hummed in agreement, taking a quick look over the case. “Also, it’s affecting his potassium intake, and nephrology thinks the abdominal pressure could worsen his kidney. I can’t do the Fallot correction and risk cardiac failure.” He tapped on the table. “So, can you take over?”
“Well, I’m the pediatric surgeon on call, so yeah,” you agreed, staring at him. “But it’s probably going to turn into a full-on discussion. Operating his intestines can also mess up a lot of things. I’ll talk to my colleagues about it, let’s keep him hydrated and balance out his electrolytes externally for now.”
Jungkook nodded, absent minded. He had probably reached the same conclusion before he even walked in, that much you knew. After a second of silence, he spoke up again. “So,” he said, “any plans for the next hour?”
And that’s how it always started.
Having relations in the hospital was always a huge no-no in your book — so, how you always ended up pressed against the wall with his large hand over you mouth, you had no idea. It was the same theory as before, you thought: you were chasing after the college experiences you never had before, but the impulsive, teenage-like mentality came a little too late.
“Why are you so loud today?” He asked, fighting back his own sounds. Jungkook’s voice was groggy, hanging over the edge, and you could feel yourself clenching around him already. Quickies always made you rush — in all possible ways. “Missed me that much?”
You could only nod, blinking up at him. Jungkook licked his lips and dove into a heated, passionate kiss. You felt like crying.
Yesterday, he had asked you about trying new things with new people. He said he was scared of making anything official between the two of you because he “has never had anyone else”, so he didn’t want to jump into a full on commitment, even if he “liked you very much” and “looked up to you as a person and as a colleague”. You had felt your heart break into a million pieces, but, like the pushover that you were, you agreed. Even though you also liked him very much and didn’t want to see him with anyone else — you agreed.
And now Jungkook was kissing you and you felt like throwing up because you didn’t know who had he kissed in the meantime. Didn’t know if he had his eyes in someone else, if he was just trying to create some distance because he didn’t see a future with you. You felt replaceable, and that’s something you had worked hard to never feel.
With a groan muffled against your shoulder, Jungkook spilled himself inside the condom, holding tightly onto you hips. You followed right after, but the pleasure was muted by the emptiness that grew inside your chest.
“I needed this,” he breathed out. “Thank you.”
If he said that because he missed you or if he was nervous for a date and needed a way to unwind, you never knew. “No problem.” You lied through your teeth. “I needed you too.”
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shubhamkarmarkar · 7 months
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Pediatric Cardio-Thoracic Surgery: Specialized Care for Young Hearts and Lungs
Pediatric cardio-thoracic surgery is a specialized field dedicated to the surgical treatment of congenital and acquired heart and lung conditions in infants, children, and adolescents. These procedures require a unique set of skills, as well as a deep understanding of the anatomical and physiological differences between pediatric and adult patients. Here's an overview of the importance of specialized care for young hearts and lungs:
1. Congenital Heart Defects: Many children are born with congenital heart defects, which are structural abnormalities in the heart that are present at birth. These defects can vary in complexity and severity, and surgical intervention is often required to correct them. Pediatric cardio-thoracic surgeons are trained to perform intricate procedures to repair or reconstruct the heart, ensuring optimal blood flow and function.
2. Lifesaving Procedures: Pediatric cardio-thoracic surgery is instrumental in saving the lives of children with heart and lung conditions. From repairing septal defects (holes in the heart) to addressing complex cardiac anomalies, these surgeries address a wide range of conditions that, if left untreated, could be life-threatening.
3. Improved Quality of Life: Beyond saving lives, pediatric cardio-thoracic surgery also aims to enhance the quality of life for young patients. Procedures like heart valve repair or replacement can relieve symptoms, improve cardiac function, and allow children to lead active, fulfilling lives.
4. Unique Anatomical Considerations: Pediatric patients have smaller hearts and blood vessels than adults, which require specialized surgical techniques and equipment. Surgeons must adapt their approach to accommodate these anatomical differences and minimize trauma during surgery.
5. Comprehensive Care Teams: Pediatric cardio-thoracic surgeons work closely with a multidisciplinary team of pediatric cardiologists, anesthesiologists, nurses, and other specialists who are well-versed in the unique needs of young patients. This collaborative approach ensures comprehensive care before, during, and after surgery.
6. Emotional Support: Pediatric patients and their families often require emotional support and guidance throughout the surgical journey. Pediatric cardio-thoracic teams are experienced in providing compassionate care and addressing the psychological and emotional aspects of surgery.
7. Long-Term Follow-Up: Many pediatric cardio-thoracic conditions require ongoing monitoring and follow-up care into adulthood. Pediatric cardiothoracic surgeons near you and cardiologists collaborate to create long-term care plans that transition smoothly as patients grow.
Pediatric cardio-thoracic surgery plays a crucial role in providing specialized, life-saving, and life-improving care for children with heart and lung conditions. These highly skilled surgeons are dedicated to ensuring that young patients have the best possible chance at a healthy future.
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dr-lindsay-clark · 1 year
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Dr. Lindsay Clark | Wattpad
Dr. Lindsay Clark a physician leader always shared her extraordinary health advisories to each and every patient as well as to staff.
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horsetailcurlers2 · 2 months
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guys i can’t sleep i’m too busy thinking about how in the fuck sam bennett from private practice just became a cardio thoracic surgeon overnight after 20 years of not practicing and quitting his surgical residency before finishing. like, he just decided to be a surgeon again and then he was doing big fancy surgeries all of a sudden. not to mention that he was allegedly a good one, considering how cocky he was and how charlotte was just willing to let him do whatever. wild.
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anunkindncss · 9 months
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This is a PERMANENT STARTER CALL for the redemptive nephew Sawyer Duquette. He is notably known for his work in cardio-thoracic surgery, and resembles Daniel Gillies. When he's not saving lives, he's chasing dreams of a world where heart failure is no longer a diagnoses one has to worry about.
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landmineradio · 3 months
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every chicago med episode be like
trauma patient gets wheeled into the ED
pediatric patient with a rare genetic condition gets admitted and the parent is argumentative with the doctors
another patient needs to get cardio thoracic surgery
CODE BLUE!!! CHARGE TO 200 HOLD COMPRESSIONS
HES IN A-FIB
CHARGE TO 200 HOLD COMPRESSIONS
HES IN SINUS TACH
the psychiatrist has a simple convo with a patient and goes I Know Exactly Whats Wrong
surgery goes well!! but now theres family drama
The doctors argue with each other. theyre probably fucking outside of work
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hyperbolicreverie · 1 year
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What are some of your headcanons for Law as a doctor? Like how many disciplines does he know besides surgery, what's his least favorite thing to work on but still tries to stay sharp with it anyway, etc.
Ooh, that's a fun question.
Surgery, obviously, as well as all the things under that umbrella. Cardio-thoracic, certainly, but the body is a system, and it's all interconnected. Have to be able to treat more than just the symptom.
I think, given his background, anything to do with chemicals, poisons and other foreign issue-causing substances are going to be a serious focus. But we also see him removing Caesar's chemicals from the kids in Punk Hazard, so he has to know enough to be able to do that level of fine detail work. And he had to deal with Luffy after Marineford, so he clearly knows how to work with burns.
Really, Law strikes me as the sort of person for whom there is never enough information. There is always something more he can learn, something new to read about, a procedure to perfect both within the scope of his abilities and as the skills of a more mundane doctor. I'd think he'd want to know about everything, or at least enough to be able to identify where to find further information or next steps, even if it's not a specialty.
If I had to guess about the ones he likes the least or finds frustrating, I'd probably go with anything that deals with the endocrine system. It does all sorts of important things, but it can also be super unpredictable and finicky and unique to a person. Harder to be able to be meticulous about something like that.
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drramjimehrotra · 2 years
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Dr Ramji Mehrotra is a renowned cardiac surgeon based in Delhi. Dr Ramji Mehrotra is one of the leading names in the field of Cardio Thoracic and Vascular Surgery in India.
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leotide · 1 year
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3 years ago I was fortunate enough to create an illustration for an article in the European Journal of Cardio-thoracic surgery 😊
Please give it a read if you're interested! >>> https://academic.oup.com/ejcts/advance-article/doi/10.1093/ejcts/ezaa205/5893647
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llycaons · 5 months
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The night hours are a sacred time for him, often the only time he has to recover. As a cardio-thoracic surgeon, getting enough rest is the literal difference between life and death. Wei Ying understands that — has always accepted his dutiful nature and innate calling to help others. Wei Ying loves him for it.
fake. not surgeons needing time to recover, but wwx being in love with someone else.
also I get it sucks to be in this situation but he says later they spent the whole day together so him complaining about being stood up sounds so petulant? but it's literally life and death if this guy is on call so wwx cheating on him with a random hot dude he met at a bar just makes him look like a self-absorbed tool
also wwx wasn't even stood up, his husband had to rush into emergency surgery, of course he wasn't as worried about making dinner plans. ALSO a-yuan is wwx and this guy's kid somehow
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