Doctor insights on:
Survival Pancreatitis Develops Ards
Acidosis: The simple answer is yes. However, the amount of acid has to be very high for that to happen. High amounts of acid in the blood interfere with many, if not all, biologic processes in the human body such as the effect of Insulin lowering blood sugar, the normal metabolism of proteins and fats that are essential for life, and even normal heart beat, just to name a few. ...Read more
ARDS, now know as acute respiratory distress syndrome, is an acute inflammatory respiratory illness resulting from lung injury that usually leads to respiratory failure and need for intubation/mechanical ventilation. It can be caused by an initial insult directly (as in a pneumonia) or indirectly ...Read more
It depends: The transplant center will evaluate whether based on their transplantation survival statistics and your clinical disease severity, whether the benefits outweigh the risks. The allocated organs are received first by the patients who are the most severe, and most likely to benefit from an organ transplantation. Transplantation centers will have information on this for you. I hope that this helps. ...Read moreSee 1 more doctor answer
Depends: On the cause of the pancreatitis and the severity. There are predictive models that give you an idea of the expected mortality. ARDS per se is not factored in, oxygenation is. Other parameters include fluid requirement, degree of anemia, liver enzyme changes ...Etc. The mortality can be as high as 90% or as low as 10%. ...Read moreSee 2 more doctor answers
Husband was diagnosed with end stage liver disease, congestive heart failure, common variable immunodeficiency, ulcerative colitis. How much longer?
Impossible: There are many variables that you don't state (and probably don't know). Even if all the lab values were available, an accurate time table is never possible with human beings. I think you know from your question that each day with your husband now is precious. Try to enjoy what time he has left. ...Read more
Epigastric pain: Chronic pancreatitis is caused by chronic inflammation of the pancreas. No matter what the cause, the danger lies in the complications that can arise such as pancreatic-pseudo -cyst, decrease exocrine and endocrine function. Eventually, the pancreas will not work at all and you will have to take the enzymes that it usually produces to help in the digestion process. Treat symptoms . Watch etoh. ...Read moreSee 1 more doctor answer
58y woman with brain injury, history of CHF and aspiration pneumonia. High fever, "extensive double pneumonia". O2 sats dropping. Odds of survival?
Varies: I am sorry to hear about your mother's illness. There is no easy answer on this--i have seen spans of weeks to years. A lot has to do with her pre-illness condition, amount of weight loss, symptoms, time in the hospital. I try in my own practice to emphasize "quality of life" as more important than "quantity of life." i have seen people do better than expected; maintain realistic hope. ...Read more
Mom is 55 F HCV, ESLD massive splenomegaly, decomp cirrhosis, 11cm liver & recurring HE. & gast bleeds, depression. Can she survive transplant?
Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?
Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more
Failure kidney transplant because recurrence of focal glomerulosclerosis also has global hypokinesia on dialysis no diabetics or heart disease . ?
Transplant: Focal segmental glomerulosclerosis or fsgs has recurrence rate of 10 % after transplant. You can get another transplant and decrease rate of recurrence by getting plasmapheresis and galactose therapy before next surgery. These therapies have been shown to reduce risk in selected group of patients. ...Read more
Unknown: It sounds like you a reporting lung failure after a double-lung transplant? Lung failure (or respiratory failure as commonly known in the field) can have many causes, some reversible, some not. Check with your doctor about what is causing the lung failure and if the cause is reversible or not. ...Read more
Was is the life expectancy of a Woman with NASH cirrhosis recently diagnosed with stage 4 liver cancer exhibiting grade 3 hepatic encephalopathy.
Poor prognosis: Regretfully, Stage 4 disease is associated with spread of the liver cancer to minimally nearby lymph nodes, and probably through into blood vessels. The treatment is typically chemotherapy, with/without embolization. The presence of an encephalopathic clinical picture also portends to a guarded at best prognosis. Please consult with a specialist care team to determine therapeutic options. ...Read more
It could be commuted: Until recently, colon cancer metastases in the liver were invariably fatal within a few years. However, there are some new biotechnology findings that suggest this may no longer always be the case. Your oncologist would be the person to ask. ...Read moreSee 3 more doctor answers
GB cancer is: Uncommon, so few studies done prospectively. Looking at results in people treated empirically, perhaps one person in 10 will respond. That needs to be balanced against side effects that tend to occur in most. Frank discussion about symptom rrelief focus rather than "shrink tumor" at all cost. ...Read moreSee 1 more doctor answer
Difficult t say: It is hard to say what the prognosis would be in a patient with kidney failure and pneumonia without a lot more information. Important factors would include: the patients age, and the presence of chronic diseases like diabetes, or copd, how severe the pneumonia is ( does the patient need oxygen, is the patient on a ventilator ( breathing machine), is the kidney failure old or new, etc. ...Read moreSee 1 more doctor answer
Friend diagnosed stage 4 inoperable lung cancer and adrenals in march.Did 6 rounds aggresive chemo.Lung mass shrank but in 3 months back.Lymph, prognosis?
Stage IV lung CA: We really have no treatment that will get rid of lung ca that has spread beyond the lung..Stage iv. Treatment can sometimes slow things down but often doesn't even do that. Ca that has become visible on x-rays after only 3 months is very fast growing...You should spend as much time with your friend as you can, now. ...Read moreSee 2 more doctor answers
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