Following a complicated surgery, a little patient goes home in the arms of his parents

A five-day-old newborn was hospitalized at our clinical hospital due to a complex heart defect -Pentalogy of Fallot, characterized by cyanosis (bluish discolouration) or a decrease in oxygen saturation.

From the third day following its birth, cyanosis and desaturations occurred to the baby. Hence, it was transferred to a children’s clinic, and from there after being diagnosed with a congenital heart defect to our clinic.

In the case of the newborn, it was a complex cyanotic heart defect Pentology of Fallot (in addition to the characteristic 4 defects in our patient, there was another anomaly and that was a communication between the two atria of the heart). Due to the complexity of the defect, immediately after the newborn was admitted to the hospital, the prostaglandin therapy was continued, which served (Dukutus arteriosus) communication, present in the fetal period, to remain; which in the case of our patient enabled the blood supply to the lungs.

Due to the constant presence of cyanosis, it was decided the patient to undergo a surgery immediately. During the surgery, all the heart abnormalities present in our patient were corrected. The postoperative treatment consisted of regular monitoring of all vital parameters and a complete medical support.

During the following days, its general condition gradually stabilized, hence we started feeding the newborn, initially with milk formula and after its mother was accommodated in the hospital she started breastfeeding her baby.

After about ten days spent in our hospital, the newborn went home with his parents in a solid stable condition. After the complete surgical correction of the heart defect in our patient, a period of normal growth and development is to follow, without the necessity of repetitive surgical interventions.

 

Baxter obtains FDA authorization for Oxiris blood purification filter for COVID-19 treatment

On 10 April 2020, the US Food and Drug Administration (FDA) issued an emergency use authorization for the blood purification system for the treatment of patients with confirmed Coronavirus disease (COVID-19) aged 18 or older admitted to the intensive care units (ICU) with confirmed or expected respiratory failure.

With this type of treatment and filter (which we now also use in patients with severe Covid -19 infection), our hospital has excellent experience since 2008 in the treatment of patients with severe viral and bacterial diseases, and also in patients with systemic inflammatory response, a condition that is common and a serious complication in cardiac surgery patients.

Blood Purification Devices EUAs

Baxter Obtains U.S. FDA Emergency Use Authorization for Oxiris Blood Purification Filter for COVID-19 Treatment

Oxiris Info

Patient testimonial: So grateful for being left in the best hands, not only in our country Macedonia but also in the world

When someone gives testimony about what they have experienced in the most difficult moments of their life, it is considered the most sincere testimony that remains embedded forever in the psyche of all those who shall see, read or hear the testimonial.

Here, we share such testimonial from one of our patients who has wanted to share the moments from her experience at our clinic in the past few days and what to her meant a fight for life.

The 55-year-old B.K. having all Covid – 19 infection symptoms and a positive swab, started her treatment in one of the state hospitals, after which her condition drastically deteriorated and she decided to continue the treatment in Zan Mitrev Clinic.

  • Only a few days after the first symptoms I felt difficulty in breathing and I was diagnosed with double pneumonia. I was hospitalized in a state hospital where despite the care given, my condition deteriorated rapidly and drastically and there was a sharp decrease in the work and capacity of the lungs and an increased load on the heart – this is how, our patient who successfully recovered and wanted to share her experience at our clinic, started her testimonial.

Following the deterioration of her condition, she was transferred by ambulance to our clinic where the intensive treatment began.

– The condition I was in was difficult and life threatening. I was immediately put on a blood purification machine – venous hemodiafiltration and oxygen support. Only after a few difficult days I felt that the therapy had started to work, and the parameters that had been quite out of the limits began to return to normal, and also the breathing, although still very difficult, started to become easier.

I am deeply grateful to the medical staff for the excellent care they had given me. I am especially grateful to the physiotherapists who, during the stabilization period of my health condition, following the filtration, immediately started with exercises for lung strengthening, gradually loading them to the point where I no longer need oxygen support. This clinic uses the latest and most modern apparatus for treatment of both:  muscles and easier release of the accumulated secretion in the lungs, and the medications and treatment are personalized and planned for each patient individually. I received an excellent care in all aspects of my treatment, and I was under constant control and examination. I was provided with such psychological support by the professional, kind and cheerful doctors and nurses who in those difficult moments gave me the strength to fight for my life. My family was constantly and regularly informed about my health condition, but they were aware of the fact that I was in the best hands not only in our country Macedonia but also in the world. I express my deep and sincere gratitude to Dr. Zan Mitrev not only for his professionalism and commitment to the patients, but also for building this Clinic and employing this exceptionally professional staff with whom he saved thousands of lives, and now they have saved mine.

I thank them once again and wish them to gain as much strength as possible in order to carry on with their dedicated work and to quickly find a strategy for Covid 19 treatment of the seriously ill patients. I believe that one should only follow the thought of God that sent him here to do good to his people. Be careful, do your best in order to reduce the risk of spreading Covid 19 and to protect yourself and your loved ones! I wish you may be in good health! – Sincerely, B.K.  – this is how, our patient ends her testimonial, to whom we wish she may be in good health and happiness in the future.

There is hope in treating severely ill patients infected with COVID-19

Dear patients and colleagues,

 

During June, 23 patients, of which 21 men and 2 women aged 27 to 84 genetically positive with pronounced signs of Covid-19 infection were treated in Zan Mitrev Clinic. All patients several days previously developed the following clinical features: high fever, cough, shortness of breath, saturation lower than 80% despite high oxygen support and pronounced changes on chest X-ray images with signs of severe bilateral pneumonia and acute respiratory distress syndrome (ARDS).

Based on our long-year experience in intensive treating of patients with septic conditions we have applied a proven concept in treating all seriously ill Covid-19 patients.

Baxter’s continuous mechanical extracorporeal blood purification was used in all these patients for 24 to 48 hours. Also, according to our protocol, they were given high doses of anticoagulant therapy, high doses of vitamin therapy, as well as intensive respiratory physical therapy. Antibiotic therapy was exclusively applied according to an antibiogram.

This way, we managed to avoid the respirator as a self-treatment option, except for one patient. All patients recovered very quickly by all clinical and laboratory parameters. Thirteen patients were discharged in good general condition, 1 patient is still on a respirator with improved clinical features, one 84-year old patient died immediately after admission and we could not fully apply all procedures due to the severe clinical features.

This treatment method lasts 5-10 days, depending on the patients’ clinical features. If the onset of the disease last long before patients come to the hospital, then the recovery is also long, but if the clinical features of the lung damage are very severe, then there is nothing to do.

The only current disadvantage of this treatment is its costs which patients have to bear on their own.

 

Zan Mitrev, MD FETCS, Acad.

General Manager

„Zan Mitrev Clinic“