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  • Ever since our program started, I have been thinking, "When are we going to find a patient

  • who can be liberated from LVAD support?"

  • Donna Jackson was one of the first patients that we placed an LVAD in at Stanford.

  • When she came to me, she was very ill.

  • The way I knew I was getting sick is I started this cough.

  • I got where I couldn't even walk from my car to the front door without having

  • to stop and sit down and take deep breaths trying to get my breathing back.

  • I thought I just had bronchitis, but when I

  • had an EKG done the doctor he said, “The good news is that you have no blockages, but

  • youre going to have to have a heart transplant.” I just went, “What?” (laughs)

  • He said, “Now, you can go to San Francisco or you can go to Stanford,” And I said,

  • Well, I will go to Stanford.”

  • They did a bunch of tests on me and talked to me about a LVAD

  • and I says, “Well, I don’t know.”

  • Left ventricular assist devises, or LVADs serve patients who have mainly left ventricular

  • heart failure. It’s a device that are used in only in patients who are Bridge to Transplant.

  • We don’t use that device in patients who are not on the transplant list.

  • At that time in our program, it was very early, and people didn't know about LVADs. And there

  • was some skepticism, "Maybe we can get her better with medications. But, one problem

  • with end stage heart failure patients, is that sometimes they're so sick that we can't

  • even give them the therapies that they need for heart failure, because those therapies

  • lower their blood pressure and give them symptoms. So, that was the case in her. The benefit

  • of having the LVAD was that we could give her

  • more of the medications at the recommended doses.

  • I told him I don’t want a heart transplant. “You know, I’ve lived my life.” He said

  • but I had to be put on the transplant list because LVAD is only considered a bridge.” He says,

  • if your name comes up, you can say no,” And I told him, “Well, I have to think about it.”

  • And then, my little granddaughter came in one night and she curled up on the bed

  • with me, and she goes, “Grandma, I don’t want you to die.” And the next morning I woke up

  • and didn’t even think what I was going to say or anything. I just came in, I told Cheryl

  • I said, I’ll have the LVAD put in.”

  • I had it put in, in September of 2010. During the day, I wore two big batteries, one on

  • each side, plus I had to carry two batteries and a controller in my purse.

  • I had it on for two years and seven months, and my heart was getting stronger, I says,

  • Well, if my heart’s getting strong enoughwhy can’t we take it out?”

  • She told us, you know, "I want to go swimming," and "that's my favorite thing to do and to

  • swim with my granddaughter and do water aerobics with my best friend."

  • He says, “Well, were not sure that youll live,” and I says, “You know, were

  • talking about my quality of life not my quantity.” I said, “I want my quality, even if it’s

  • just for a year.

  • We did the tests that were necessary to show that her heart had recovered,

  • But I was really hesitant to be honest, because that was a high-risk operation.

  • So then we thought, "Well, how can we help this woman?"

  • The way that we stopped the support on her was very innovative

  • and has never been done in the country, and

  • I think that has go to our surgical team and interventional radiology team's credit. We

  • thought, "What if we can stop the support from the LVAD by putting a catheter inside

  • her body, not doing an operation, and having it clot off?" Then we could keep the LVAD

  • in and just clip the line that comes out, and it would be a very minor procedure.

  • She did very well with the surgery. Of course, she still needs very close monitoring.

  • But she's smiling and she's

  • happy, and I can happily tell you that she's swimming with her granddaughter last week.

  • I just enjoy being free.

Ever since our program started, I have been thinking, "When are we going to find a patient

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B1 中級 美國腔

斯坦福大學的LVAD切除術。唐娜-傑克遜的故事 (LVAD Removal at Stanford: Donna Jackson's Story)

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    Ting Huang 發佈於 2021 年 01 月 14 日
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