
And here’s a success story of international cooperation in medicine between Taiwan and it’s Pacific ally, Palau. Last year, 58-year-old Ms. Mildred from Palau came to Taiwan to seek treatment for advanced liver cirrhosis. A medical team at MacKay Memorial Hospital then conducted an assessment of her condition and her son’s to then perform a successful liver transplant from a living donor in 12 hours. It is the first case of its kind involving a referral from Palau to Taiwan. Let’s hear more.
Ms. Mildred
Palauan patient
I just wanted to say, thank you so much for the Mackay medical team for taking care of me. Thank you very much.
Lin Jiunn-chang
Mackay Memorial Hospital
The surface of her liver was uneven and nodular and she had fluid accumulation in the abdomen. There’s also the spleen, which has blood flowing toward the liver, and when resistance increases, it enlarges. Some people with liver cirrhosis may develop myocardial disease. Their skin may appear jaundiced, and kidney function may also be impaired. With living-donor liver transplants, the main challenges are bleeding and how to preserve all the necessary blood vessels and bile ducts, and then properly connect each part. Locally, liver function indices can still be drawn and are sent to me through the International Medical Center. If the values look good, the original plan of coming to Taiwan every three months to get medication can be maintained.
Since the patient is returning to her home country, the international medical team on her case will continue to monitor her condition across the ocean. This breakthrough for medical diplomacy once again proves that Taiwan can help is not just a slogan.
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#livertransplant #liverdonor #palau #taiwan #medicine
台灣、帛琉完成一場醫療外交!58歲帛琉籍婦女米德莉,因重度肝硬化,去年來台求診,經過馬偕醫院團隊評估患者與她的兒子身體狀況後,歷經12小時完成活體肝臟移植手術,更成為首例帛琉來台轉診手術個案!
[[帛琉肝硬化患者 米德莉]]
“我只想說,感謝馬偕醫療團隊,對我的治療照顧,非常感謝”
[[馬偕醫院外科部副部主任 林俊昌]]
“(患者)肝臟表面式凹凸不平的,第二個她腹部有積水,第三個這個器官叫脾臟,它也是一樣血流流往肝臟,阻力變大,它體積就會膨大,(肝硬化)有的人會有心肌的病變,外觀皮膚會有黃疸,然後也有可能會讓腎功能不好。(活體肝臟移植)面對的就是說,出血量多,然後要如何把每一個該留下來的血管,膽管都能夠保留好,然後最後吻合的時候,每個地方都要接好。當地能夠抽得肝功能的指數,其實還是有透過國際醫療中心傳給我這裡,如果我看數值都還不錯,那就原來維持三個月,就來台灣(拿藥)的頻率”
由於患者隔天即將啟程返國,國際醫療團隊將持續跨海追蹤各項指數,首例帛琉來台的活體肝臟移植個案,再次證明Taiwan can help!
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