休斯顿28岁年轻实习医生死于covid的脑出血并发症

s
stephilosphy00
楼主 (北美华人网)
https://www.houstonchronicle.com/news/houston-texas/houston/article/Young-Houston-doctor-dies-after-fighting-for-her-15581069.php
Young Houston doctor dies after fighting for her life in ICU with COVID-19
Fagan was doing well in recent weeks, according to the statement. But about half an hour after receiving a good report on her condition at 10 p.m. Friday, her family received a call. They had to decide whether to perform a procedure that would relieve pressure of a massive brain bleed. A nurse who entered Fagan’s room for a routine task noticed she was not responsive. Hospital staff rushed to perform a CT scan to see the extent of the damage.
上了呼吸机和ECMO后本来情况还不错,周五晚突然出现脑出血就这样走了
c
can-can
看不到全部文章,没看到是COVID 病毒引起的,本身是不是有什么疾病,或者治疗方面用了容易出血的药物。
x
xiaochi
个案有啥好说的,年轻人死亡的,死于各种病的都有。又不是只有covid19 才会致年轻人死亡
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lovery
看不到全部文章,没看到是COVID 病毒引起的,本身是不是有什么疾病,或者治疗方面用了容易出血的药物。
can-can 发表于 2020-09-20 20:28

因为covid 肺感染,呼吸不行必须上Ecmo, 新冠导致高凝状态,为了Ecmo 不堵住,就要给抗凝药,然后就是脑出血。
看不到全部文章,没看到是COVID 病毒引起的,本身是不是有什么疾病,或者治疗方面用了容易出血的药物。
can-can 发表于 2020-09-20 20:28

说的好像这个年轻人奄奄一息进急救室和covid没关系一样。
e
evachuyi0426
Sad. RIP!
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VivaLaVida
看不到全部文章,没看到是COVID 病毒引起的,本身是不是有什么疾病,或者治疗方面用了容易出血的药物。
can-can 发表于 2020-09-20 20:28

文章里第一段就写了“A Houston doctor died early Saturday after fighting for her life in an intensive care unit since becoming infected with COVID-19 in July, according to a statement from her family.”
V
Viviennedd
R.I.P. 个体差异太大,今天看新闻,第一波床位够不够,第二波医护够不够,唉
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vanillaicecream
是covid 的并发症。太可怜了,这么年轻有为。
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tracys0801
本来年轻有为的。真可惜。RIP
愉快灌水
28岁,美好的生活才刚刚开始,so sad, RIP
E
Evergreen_S
R.I.P
b
bluelily888
太可惜了,RIP!
k
kita
rip 希望疫苗或者有效药物能早点出来
Z
Zaoxingke
个案有啥好说的,年轻人死亡的,死于各种病的都有。又不是只有covid19 才会致年轻人死亡
xiaochi 发表于 2020-09-20 20:33

你可以藐视新冠,也请尊重那些珍惜自己生命尽量降低感染风险的人选择。
L
LoveGinkgo
Sad! RIP!
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brookhollow
RIP
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zyhbwh
一路走好。RIP。
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tbaobao
太年轻了,可惜,心疼。RIP
RIP
P
Papyrus
rest in peace, 好难过
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huahuachouchou
R.I.P.
t
tidewater
RIP
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can-can
因为covid 肺感染,呼吸不行必须上Ecmo, 新冠导致高凝状态,为了Ecmo 不堵住,就要给抗凝药,然后就是脑出血。
lovery 发表于 2020-09-20 20:39

就是抗凝药引起的,呼吸机本身也会导致脑出血,这些都是procedure or treatment caused complications, 不是COVID 直接引起的。但是高凝血症和COVID-19 也许有直接的关系。我只是想说这一点。这个文章的题目提示好像是新冠直接引起的,这还是有区别的。
h
heydaymint
RIP...
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louaci
太可怕了,所以不能轻视病毒
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can-can
说的好像这个年轻人奄奄一息进急救室和covid没关系一样。
睿 发表于 2020-09-20 20:40

当然有关系,怎么可能一点关系都没有,所以更要搞清楚真正死因,以免后来的病人重蹈覆撤。这个是很不幸的病例。
F
Fhu
RIP
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can-can
文章里第一段就写了“A Houston doctor died early Saturday after fighting for her life in an intensive care unit since becoming infected with COVID-19 in July, according to a statement from her family.”
VivaLaVida 发表于 2020-09-20 20:49

这句话也没说这是COVID 的并发症呀?只是是得了COVID 以后发生脑出血,其实是治疗(不当?)引起的。
很多因各种原因住院的病人会出现这样那样的并发症,比如说肺炎,败血症,肾衰竭,肺栓塞……...但这并不能说是原发病引起的,大多数是住院和用药造成的,除非有足够的证据。

S
Stella
Her sister再gofundme上面描述的病程。真是一个非常不幸的病例。她坚强斗争了2个多月。 Adeline, an OB/GYN resident physician, was starting her second year of residency in Texas when she got sick. On July 8th Adeline went into work for her 12 hour shift in the ER. While she mostly works delivering babies, she was doing a rotation in the ER, treating COVID patients. That morning she went into work feeling well and excited to see patients, but by the evening she began to feel under the weather. What started as intense flu-like symptoms escalated within the week to a hospital stay. Adeline spent the next few weeks battling COVID and was treated with several different respiratory therapies and put on dozens of drugs. When there was no positive response to these methods of treatment Adeline decided to begin an experimental drug trial. However, before we could see if this new drug was effective, her lungs could no longer support her. On August 3rd Adeline was intubated and placed on a ventilator. That night her vitals were unstable and the doctors said that she was not responding well to the ventilator. After consulting with our parents, the doctors took the last remaining step available. At 1am on August 4th Adeline was placed on ECMO, extracorporeal membrane oxygenation. The catheters used in the ECMO machine involved an invasive procedure to place them in her femoral artery. The ventilator opens her lungs through positive pressure, while the ECMO machine oxygenates her blood. This leaves Adeline’s lungs with the only task of healing themselves. It is projected that Adeline will be on the ventilator and ECMO for at least 6-8 weeks. 
b
bwise
回复 5楼lovery的帖子
抱歉手滑碰到踩
l
lovery
就是抗凝药引起的,呼吸机本身也会导致脑出血,这些都是procedure or treatment caused complications, 不是COVID 直接引起的。但是高凝血症和COVID-19 也许有直接的关系。我只是想说这一点。这个文章的题目提示好像是新冠直接引起的,这还是有区别的。
can-can 发表于 2020-09-20 22:08

这个的确要算新冠头上。上呼吸机本身不会造成脑出血。 新冠致病三大机理:直接脏器损伤,高凝状态,炎症因子风暴。三个都是杀招,招招致命。
l
lovery
这句话也没说这是COVID 的并发症呀?只是是得了COVID 以后发生脑出血,其实是治疗(不当?)引起的。
很多因各种原因住院的病人会出现这样那样的并发症,比如说肺炎,败血症,肾衰竭,肺栓塞……...但这并不能说是原发病引起的,大多数是住院和用药造成的,除非有足够的证据。


can-can 发表于 2020-09-20 22:29

都是已知并发症了,四五月份我见了好多,真心不用再怀疑。要不你再多读几篇paper?
w
waterbear
RIP RIP Rip
甜米酒
唉,估计是刚刚读医科毕业就这样了。好可惜
梅干茶泡饭
RIP
a
aoiqa
实习医生工作非常辛苦,精神压力巨大,免疫力肯定不如同龄人。
m
mylittle9
Her sister再gofundme上面描述的病程。真是一个非常不幸的病例。她坚强斗争了2个多月。 Adeline, an OB/GYN resident physician, was starting her second year of residency in Texas when she got sick. On July 8th Adeline went into work for her 12 hour shift in the ER. While she mostly works delivering babies, she was doing a rotation in the ER, treating COVID patients. That morning she went into work feeling well and excited to see patients, but by the evening she began to feel under the weather. What started as intense flu-like symptoms escalated within the week to a hospital stay. Adeline spent the next few weeks battling COVID and was treated with several different respiratory therapies and put on dozens of drugs. When there was no positive response to these methods of treatment Adeline decided to begin an experimental drug trial. However, before we could see if this new drug was effective, her lungs could no longer support her. On August 3rd Adeline was intubated and placed on a ventilator. That night her vitals were unstable and the doctors said that she was not responding well to the ventilator. After consulting with our parents, the doctors took the last remaining step available. At 1am on August 4th Adeline was placed on ECMO, extracorporeal membrane oxygenation. The catheters used in the ECMO machine involved an invasive procedure to place them in her femoral artery. The ventilator opens her lungs through positive pressure, while the ECMO machine oxygenates her blood. This leaves Adeline’s lungs with the only task of healing themselves. It is projected that Adeline will be on the ventilator and ECMO for at least 6-8 weeks. 
Stella 发表于 2020-09-20 23:37

这个读的让人落泪。 这么年轻。rip。
夏天的马甲
好可怜 RIP
b
baozi11
RIP, 一声叹息
s
sesameme
回复 31楼can-can的帖子
Coagulopathy, one of covid-19’s complications
s
shoeholic
太可惜了。那么年轻。RIP
-
-bigbelly-
回复 19楼brookhollow的帖子
抱歉手滑了
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-bigbelly-
回复 19楼brookhollow的帖子
抱歉手滑了点了踩
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patx2449
这不是个案,年轻的住院医师进ICU的听过好几例了。一个是住院医生本身工作就很辛苦,自身免疫力不一定有大家想象的那么好,另外一开始防护和认识都不到位,那些attending都把住院医师推在一线。这种就跟武汉早期的各种医生中招的很多,后来重视防护了,医护的感染率就明显下降了。

V
VOD
RIP
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ella13805
太可惜了,RIP!
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yanhren
多年轻的医生,多不容易读完医学院,就这样走了? 悲伤
m
miaka
好惨。这么年轻优秀。家里人得多伤心
庚子
你可以藐视新冠,也请尊重那些珍惜自己生命尽量降低感染风险的人选择。
Zaoxingke 发表于 2020-09-20 21:19

减少感染新冠风险,从而减少社会医疗负担,也是大功一件。
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zxl035000
this is so sad!! rest in peace!
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haorenpingan
太可惜了。那么年轻。RIP
眼影
回复 34楼lovery的帖子
同意 lovery. 治病最大的一块就是治疗疾病的 complications. 没有那个医生会把这两个东西拨离开的。所以CDC的那个什么直接死于 covid 的说法是愚弄人的玩意
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loveccc
不相信羟氯喹的医生,终究只能重症
c
cxu1
R.I.P.
C
Cherrychocolate
回复 19楼brookhollow的帖子
抱歉手滑了点了踩
-bigbelly- 发表于 2020-09-21 01:17

现在可以点踩了吗?不是都取消点踩,只能点赞了吗?
h
heathx
So sad, rip
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charyyu
RIP 不过一个数据点得不到任何结论,也许只是outlier。
R
Rxy51
RIP
蓝天碧海
RIP, Bless her family
a
ansys
美国 XX 城市 XXX 死于车祸!!
建议美国 禁止汽车 !!!!
全部汽车 禁止出售!!!
汽车禁止上路!!