Decisão mecânica ou biológica?

Abstract

Clarification: in the development of this text, the terms "cardiology" and "cardiologist" also comprise cardiac surgery and the cardiovascular surgeon. I. Bedside reading bookHighlight: "The study of Medicine begins with the patient, continues with the patient, and ends with the patient..." (William Bart Osler -1849-1919.Highly pedagogical medical books -the patient collection -are edited by the bedside; title pages are precisely the faces of patients. There are chapters so revealing of the human being that the text seems to be written in the patient-author's own handwriting; some of them become bedside books in light of the empathy involved in the doctor-patient relationship.With due permission, we reproduce an extract of a book about prosthesis-dependency that started to be written more than thirty years ago by a person with aortic valvopathy. Currently, he is living with his fourth prosthesis and says that quality of life "between operations" has always been excellent: A recent research noted that, for the aortic position, the bioprosthesis was considered superior to the mechanical prosthesis (80% versus 70%) as to the endpoint of degree of satisfaction with prosthesis-dependency. Data included the patient's desire to maintain the same type of valvar prosthesis in an eventual reoperation 3

Residente formado no instituto da vontade: os requisitos desejo, movimento e superação

“…The R-InWi enjoys the interdisciplinarity 7 ; he demands clearness and system improvements; he cares for the quality of the personal life 8 ; balances the weight of science, which does not dispense with the doubt and that of technology, which aims at the certainty dominium.…”

Adaptação transcultural e análise das propriedades psicométricas do Health-Related Quality of Life Questionnaire - HeartQoL com indivíduos brasileiros submetidos à correção cirúrgica de valvopatias

“…Desse modo, previamente à intervenção cirúrgica valvar, que implica substituição da valva por próteses biológicas ou mecânicas, é recomendável que o paciente seja informado sobre as especificidades de cada procedimento, como potencial de involução clínica pósoperatória, correção do distúrbio hemodinâmico pelo implante, probabilidade de sucesso cirúrgico, benefício e necessidade expressiva do implante de prótese. Esses aspectos são voltados à qualidade de vida, retorno às atividades habituais, perspectivas de intercorrências no pós-operatório e informação sobre o sistema de saúde, fatores econômicos que subsidiarão as melhores condições para os cuidados após o implante, a fim de evitar complicações (GRINBERG, 2006;PICON;WENDER, 2011;FERNANDES et al, 2012).…”