Doctors are preparing to discharge Prime Minister (PM) KP Sharma Oli, who is currently recuperating at the Intensive Care Unit (ICU) of Manmohan Cardiothoracic Vascular and Transplant Center inside the Tribhuvan University Teaching Hospital (TUTH) premises, by Friday.
Dr Arun Sayami, who is in the team of doctors treating PM Oli, said he will be discharged by Friday as there has been significant improvement in his health. "PM will not have to remain hospitalized for long. There has been massive improvement in his health. We will discharge him by tomorrow," Dr Sayami stated.
PM Oli had suffered peritonitis and was kept on a ventilator following appendectomy on November 26.
He had reached the hospital that morning after abdominal pain. He was diagnosed of appendicitis and peritonitis and underwent laparotomy (incision on abdominal wall) and appendectomy (removal of appendix).
Peritonitis is an inflammation of the peritoneum, the tissue that lines the inner wall of the abdomen and covers and supports most of the abdominal organs and is usually caused by infection from bacteria or fungi.
Peritonitis, if untreated, can rapidly spread into the blood causing sepsis and to other organs resulting in multiple organ failure and death. The fact that PM Oli's immune system is compromised after the kidney transplant, doctors say, significantly increased the risk of sepsis and organ failure.
Doctors had immediately started antibiotics to prevent spread of that infection. PM Oli had regained consciousness after surgery but had not been able to speak. He would move his eyes to communicate. He started to talk since the following morning and the ventilator was removed after improvement in his health.
Oli, whose transplanted kidney has stopped functioning, is on regular dialysis in recent times. He underwent fourth dialysis on November 24.
He underwent the fifth dialysis at Manmohan Cardiothoracic Vascular and Transplant Center November 27.
He underwent plasmapheresis seven times in Singapore in August. Plasmapheresis is a term used to refer to a broad range of procedures through which blood components are filtered outside the body.
It was done on PM Oli, who had a kidney transplant 12 years ago, to remove antibodies for immunosuppression.
PM Oli is now said to be mulling another transplant as the transplanted kidney has stopped functioning.