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When “patient 91” entered the HCM City Tropical Disease Hospital in mid-March, consciously, he shared with the doctors that there were no relatives.
Dr. Nguyen Thanh Phong, Head of Infection Department D, said that in the first days of hospitalization, this 43-year-old patient was unable to eat Vietnamese food and ate less milk. The hospital must contact your employer, Vietnam Airlines, to order your own food.
The hospital informed the Ministry of Health, contacted the British Embassy to proceed with the notification process for the family. “So far, however, no patient’s family has contacted the hospital. The British Embassy keeps in touch with us by email,” said Dr. Nguyen Van Vinh Chau, director of the hospital.
The cost of treatment in the last two months of patients is approximately VND 4-5 billion, at the beginning, the hospital will pay. The estimated cost of a lung transplant is VND 1.5-2 billion. The Ministry of Health assigns the Medical Services Administration to investigate legal regulations and seek funds for lung transplants.
“The legal problem is that if the patient receives an organ transplant, who will sign the agreement,” said Phong. This question is currently unanswered.
Article 61 of the Vietnam Examination and Treatment Law states that “all cases of surgery, surgical interventions must be agreed by the patients or their representatives”. Failure to consult with patients or their representatives and without surgery or surgical intervention will directly threaten the lives of patients, the heads of medical examinations and treatment facilities. The disease decides to undergo surgery or surgical intervention.
Meanwhile, the British embassy said today that its diplomats are keeping in touch with the hospital. “We are very supportive of the 91 patient and his family,” said the British diplomatic service.
Tropical Diseases Hospital in Ho Chi Minh City, treatment area that isolates pilot patients. Image: Huu Khoa
“Patient 91”, positive for nCoV since March 18, is currently the most serious patient. Patients’ health is erratic, worsens, 90% of the lungs are inactive, 40-day ECMO interventions, dialysis, poor prognosis.
Leading experts at the conference agreed to appoint a lung transplant, evaluating that this is the last chance to save patients. The preferred source of lung donation is brain death.
The National Organ Transplant Coordination Center until the morning of May 15 received 40 lung donation requests for “91 patients”, mostly Vietnamese.
The Health Ministry said a few days ago that someone died of a brain donation suitable for “patient 91”, but that the donated lungs could not be used due to an infection. Currently, the National Organ Transplant Center continues to search for adequate sources of donated lungs.
