Medic-All
〉 Center for myasthenia gravis, SKH
〉 Myasthenia gravis, diagnosis and treatment/Plasmapheresis
Myasthenia gravis, diagnosis and treatment/Plasmapheresis
Myasthenia gravis, diagnosis and treatment/Plasmapheresis
1.World-class remission rate for MG and thymectomy
2.Multi-modality plasmapheresis with world-class efficacy and safety
- ✔ Specialty/Disease
- ✔ Service
- ✔ Location
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➤ Neurology
➤ Rare Disease
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➤ General Surgery
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➤ Northern Taiwan
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Overview
- The Blood Purification Center for crisis management.
- The Department of Thoracic Surgery for adavaced thymoma treatment.
- The MG Special Clinic for comprehensive and integrated care
- The MG Club for social rehabiliation
Features
1. Myasthenia gravis: patient number 2500, survival rate 98%, remission or minimal manifestion 43%, reintubation rate during crisis 12%
2. Plasmapheresis: patient number 1500, response rate 84%, hypotensive event 3%, allergic reaction 0%
2. Plasmapheresis: patient number 1500, response rate 84%, hypotensive event 3%, allergic reaction 0%
Service Procedure
1. MG-medical treatment (MT):
Pre-MT: correct diagnosis, existence of comorbidities
MT: immune therapy and pyridostigmine therapy
Post-MT: watch for possible complications (eg. Infection)
2. MG-plasmapheresis (PP) treatment:
Pre-PP: set vascular access, check coagulopathy
PP: PP-related complications (eg. shock, hemolysis)
Post-PP: watch for possible infection and coagulopathy
3. MG-thymectomy treatment (TX):
Pre-TX: pre-op assessment
TX: approach (VATS, transcervical or transsternal)
Post-TX: watch for possible complications (eg. Phrenic nerve injury, collapse, infection)
Pre-MT: correct diagnosis, existence of comorbidities
MT: immune therapy and pyridostigmine therapy
Post-MT: watch for possible complications (eg. Infection)
2. MG-plasmapheresis (PP) treatment:
Pre-PP: set vascular access, check coagulopathy
PP: PP-related complications (eg. shock, hemolysis)
Post-PP: watch for possible infection and coagulopathy
3. MG-thymectomy treatment (TX):
Pre-TX: pre-op assessment
TX: approach (VATS, transcervical or transsternal)
Post-TX: watch for possible complications (eg. Phrenic nerve injury, collapse, infection)
Notification
1. MG-medical treatment (MT):
2. MG-plasmapheresis (PP) treatment:
3. MG-thymectomy treatment (TX):
- Complications: infection, abnormal liver function
- Home care: emotional support for disease adjustment, regular life habit, stress coping
2. MG-plasmapheresis (PP) treatment:
- Complications: hypotension, post-PP infection, abnormal coagulation function
- Home care: prevent infection, adequate nutrition
3. MG-thymectomy treatment (TX):
- Complications: wound pain, pneumothorax, chylothorax, phrenic nerve injury, atelectasis, pneumonia
- Home care: chest care, breathing exercise
Estimated Cost
(Prices listed below are for reference. Actual cost may be
according to the real expense during the hospitalization.)
1. Myasthenia gravis +/- thymectomy: USD 5000 - 300002. Plasmapheresis: USD 5000 - 15000
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