• 2 months ago
Jorge Lanata, de 63 años, lleva 83 días internado tras sufrir un infarto mientras se realizaba un estudio. Ha pasado por un coma y una traqueostomía para proteger sus cuerdas vocales. Actualmente, está hemodinámicamente compensado y sin infecciones, pero enfrenta una encefalopatía y secuelas del infarto. Necesita rehabilitación motora y respiratoria, y está siendo evaluado para ser trasladado a un centro especializado en rehabilitación.

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00:00The complexity of Jorge Lanata's health, due to all his conditions.
00:04I'll give you six important points. Let's remember three things.
00:06Jorge is 63 years old. On September 12, he turns 64.
00:10He has been hospitalized for 83 days, almost three months.
00:14He came in on June 14 to do a study.
00:16He had a heart attack while he was being diagnosed with images.
00:20He was in a coma, breathing.
00:22Here on the show, I told you that to keep his vocal cords,
00:25they were going to do a tracheostomy, and that's what they did.
00:28And today they are evaluating, as you said very well,
00:31to move him to a rehabilitation center.
00:33Why? What does Jorge have today, according to the last part?
00:38They say he is hemodynamically compensated.
00:40It means that his heart works well, he has no infections,
00:44his kidney works well.
00:46And here come three important things.
00:49He has encephalopathy, he has a disease,
00:53he has a sequelae of the heart attack he had,
00:56and that he was in a coma, of the brain.
00:58How do I know he has a brain problem?
01:01That's what the part says, and they say two more things.
01:04He has to do motor rehabilitation.
01:08It's hard for him to move.
01:11In fact, in point 8, it says, with progressive tolerance,
01:15I say a word that people don't understand, sedentation.
01:19What does it mean? Jorge was lying down for almost three months.
01:24He is.
01:25And today they are trying to make him be able to stand sitting.
01:31I mean, that photo that the daughter published,
01:34they are trying.
01:36A higher bed.
01:38Higher.
01:39Trying to make him sit.
01:42He is still breathing.
01:43It says he needs respiratory rehabilitation.
01:47That is, he has a respirator and they are taking it out.
01:50A question.
01:51Do we know if this can be done by his own means or not?
01:55The part, I want to be very precise, says, with progressive tolerance,
02:01that is, little by little he tolerates sitting down.
02:04It says he needs it, that's why they have to move him to a specific rehabilitation center.
02:10He needs motor rehabilitation.
02:13They need to help him move.
02:15He needs respiratory rehabilitation.
02:18Yes.
02:19And he needs the treatment of this disease,
02:22which we don't know how much encephalopathy has,
02:25but it did have some damage, mild, moderate, we don't know,
02:30due to the picture he had of the heart attack,
02:33what he was in a coma and these almost three months.
02:35Of being motionless.
02:36Of being motionless.
02:37Doctor, does it have to do with encephalopathy?
02:42Does it have to do with encephalopathy or is it something that goes by separate strings?
02:45No, encephalopathy is, the brain is the brain,
02:49the protuberance and the bulge and everything that we are.
02:53You see me, you listen to me, you are sitting down,
02:56because the neurons of the brain stabilize it.
02:59If he has encephalopathy, the medical part says so,
03:02that's why I can tell you, he has a disease of this part of the body.
03:06And what happens to you?
03:08Do you have knowledge, can you speak?
03:10What happens to you?
03:11There are two things, some said that Jorge could not speak,
03:15some women published a device that is put in the tracheotomy
03:19and you can speak.
03:21We don't know if he spoke or not,
03:23because of the device they put and she posted the photo,
03:25I say yes, and the daughter put an important fact,
03:29there are days that dad knows me and there are days that he doesn't.
03:32The daughter said it, that's why I can say it publicly.
03:35Now, how complex is the transfer?
03:37She posted it.
03:38So I say, I can tell, as a doctor, only the things that are in the part.
03:42And that usually happens?
03:43Yes.
03:44That it is lost by the medication itself?
03:46Yes, remember that he was in a coma several times.
03:50Jorge, as he said a little while ago,
03:53has a serious picture,
03:56he has a picture of injury in the brain,
04:00we don't know if it is temporary, provisional, we don't know,
04:04but the part gives it to you and what you said,
04:07look, we are trying to make him sit down
04:10and that he needs to go to a center to rehabilitate him pulmonarily,
04:14that he can breathe and that he can move,
04:17are important official data that indicate how Jorge is.
04:21Sorry, I'm going to put the internal one in the decisions,
04:25because one of the rumors was that there were differences in the decision
04:28of whether to transfer him or not,
04:30because Escobar is not comfortable,
04:32but at the same time it is not only that,
04:34it is not a question of how he is doing what he is,
04:36that's why I want to ask the doctor,
04:38Eva has two children, two small children
04:41who need her attention and also her work here in Capital,
04:44where she would be the one who is not in agreement with moving him.
04:48Are there centers of the same complexity, but that are in Cava?
04:52I'm going to tell you something very easy,
04:54if Jorge were my brother,
04:56I would take him to the best place in Capital or the great Buenos Aires.
04:59Is there in Capital?
05:01There in Capital, I don't know if it is the complexity
05:03that they are talking about, the center where I would transfer him.
05:06I would look for, because I need,
05:08who is a biologist, a audiologist, a physiotherapist, a neuromaniac?
05:13It is a super intensive job.
05:15It needs more than 10 or 15 professionals who can take care of him,
05:18I need a bed, a place where they receive him,
05:21and let's say, he has to have the best chance,
05:23that Jorge has the means to do it.
05:25Do you have estimates of such an operation, Doc?
05:28Because you are talking about 15 professionals working,
05:30can you think about the time or not?
05:32The cost, Jorge is lucky,
05:35someone is going to cost him,
05:37he or the people who hired him,
05:39I think it is not the problem of the cost.
05:41No, no, the time.
05:42No, no, the time.
05:43The recovery time.
05:44The time is going to be very long.
05:45Very long.
05:46The specific question is,
05:47let's say, you obviously with all the data you have at the medical level,
05:50what possibilities are there and what percentage would be
05:53the one that we can think or estimate or wish
05:56that he can recover completely?
05:58Is there a possibility that this will happen?
06:00Is it going to be halfway through?
06:02Let's say, considering the clinical picture of the cream
06:04from a long time ago, right?
06:06According to the medical part,
06:08Jorge has a serious disease,
06:10it is called encephalopathy,
06:12it says that it evolves favorably,
06:14according to the picture it has.
06:16He has to be rehabilitated,
06:17respiratory and motorly,
06:19and we do not know the severity because that did not transcend.
06:22You ask me,
06:23is there going to be a long rehabilitation process?
06:25I say yes.

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