Friday, June 08, 2018

Melania had ‘big operation,’ can’t fly for a month, Trump reveals


President Donald Trump on Friday increased the mystery surrounding his wife Melania’s recent hospitalisation for a kidney condition, revealing that she had had a “big operation” that lasted close to four hours but is “doing great.”

Trump said he was attending meetings in Canada and Singapore alone because the first lady is under doctors’ orders not to fly for a month.

“First lady’s great. Right there,” Trump said, pointing up to the White House from the driveway as he departed for Quebec. “And she wanted to go. Can’t fly for one month, the doctors say. She had a big operation. That was close to a four-hour operation. And she’s doing great. Right there.”

“She is a great first lady,” Trump added.

Trump’s comments only deepened the mystery surrounding his wife’s hospitalisation in mid-May and her weeks-long absence from the public eye.

The first lady’s office announced May 14 that she underwent an embolisation procedure to treat a kidney condition described as benign. She spent five nights at Walter Reed National Military Medical Centre outside Washington and returned to the White House on May 19 to continue her recuperation.

Stephanie Grisham, a spokeswoman, has declined to provide additional details, citing the first lady’s right to medical privacy.

“The statement I put out on May 14 was correct,” Grisham said Friday in an email. “Mrs. Trump had a successful embolization procedure. She cannot travel internationally yet, and is doing great.”

Doctors not involved in Mrs. Trump’s care but familiar with the procedure said embolisation most likely was used to remove a type of noncancerous kidney tumor called an angiomylipoma.

Embolisation is a minimally invasive procedure in which doctors snake a catheter into blood vessels of the kidney to find the right one that is feeding the tumor so they can block the flow of blood to the growth.

Dr. Lambros Stamatakis of MedStar Washington Hospital Centre said embolisation can take hours because of the time needed to find the right blood vessel. Trump’s four-hour estimate could cover when his wife was wheeled off to receive anesthesia and time in the recovery room after she came to, Stamatakis said.

He said a procedure that can last a couple of hours on a “normal” patient could run longer on a VIP patient because doctors “may take a couple extra hours to make sure everything is as perfect as it possibly can be.”

Stamatakis added that five days in the hospital may have been because the first lady was in a government hospital.

“The issue about flying, that is completely and utterly arbitrary,” he said. Typically doctors might want a patient to stay nearby, rather than taking a far-away trip, in case they need follow-up care. But he said there’s seldom a reason for a patient to avoid flying if the patient has left the hospital with no problems.

Grisham’s initial statement described the embolisation as successful and said there were no complications. She later said medical professionals who have been discussing the first lady’s case with journalists are “uninformed.”

“Mrs. Trump has a medical team that is comfortable with her care, which is all that matters,” Grisham said.

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