How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22580
Experience:  Over 20 yrs of Family Practice
18722459
Type Your Health Question Here...
Dr. Chip is online now
A new question is answered every 9 seconds

My brother is on an ECMO machine, and ventilation, currently

Resolved Question:

My brother is on an ECMO machine, and ventilation, currently receiving 100% oxygen from the ECMO, and 50% from ventilator. He has been on these numbers for two days, oxygenation rate around 97-100. Has Acute Respiratory Distress Syndrome (ARDS), likely a result of his overdose on Seroquel 2 weeks earlier (6500mg). Is there any reasonable chance he will survive? He is 43 years old, preexisting condition HIV, for which he was/is on medication, low viral count, otherwise in outstanding health.
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.
Hi--and I think we've talked about this before--how is he otherwise, i.e. his kidney, liver, and heart function? Is he considered septic? I think you mentioned cultures before but has he had blood cultures?
Customer: replied 1 year ago.

Other than his lungs, everything else is fine. No indication of sepsis, heart in excellent shape, kidneys working very well. White blood cell count normal, all other organ systems functioning normally. His x-rays have previously shown a consistent decline and his lungs appeared "white" on a ct-scan. Today's x-ray was *slightly* better, emphasis on slightly. Lung biopsy came back negative, and they tested for basically everything he could possibly have, leading the doctors to think the overdose caused the lung damage. He does not have pneumonia or any other bacterial/viral/fungal condition.

Expert:  Dr. Chip replied 1 year ago.
OK--how many days total has he been intubated and on a ventilator?
Customer: replied 1 year ago.

I would say for the past 8 days.

Expert:  Dr. Chip replied 1 year ago.
OK. Of course, it's hard for me to be exact here, not being able to see his chart and examining him, but that's not your fault. ARDS usually occurs after a major insult to the body--infection with sepsis, major hemorrhage with shock, aspiration pneumonia, etc. The most important treatment is to successfully treat the underlying problem--the causative event. In this case, with organs functioning and white count OK and no evidence of ongoing infection, the chances are very good that he'll get through this and come off the ventilator but hopefully that will be soon because the longer one is intubated, the more likely a pneumonia or another hospital-acquired infection will occur and that could be a major setback.
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 22580
Experience: Over 20 yrs of Family Practice
Dr. Chip and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery