About a year ago, my heart failure worsened, and was treated in a community intensive care unit. Part of the problem was that my aortic valve, through which pumped blood enters the circulation through the aorta, the largest artery in the body, was failing. I was too sick to tolerate open-heart surgery, the usual way to replace valves. In the intensive care unit (ICU), with guidance from both X-rays and ultrasound, a balloon pump was inserted, by catheter, into my heart. It supplemented the heart as a pump for several days, until I could tolerate a less invasive procedure to replace my aortic valve. The transaortic valve replacement (TAVR) also uses a catheter threaded into a blood vessel in the heart. A replacement valve, partially of plastic and partially of muscle from a cow’s heart, slides up the tube, and snaps open, rather like an umbrella opening. It crushes the damaged natural valve, pushing it aside at taking over. Respecting my donor, I do make a point, whenever I see the. "Yes you sir, you particularly, sir," he explained, "Miss Oakes wishes none but her former governess Miss Daley to attend her." he said pompously."But how is she?" I asked. "Oh middling," he replied insolently, "She's lying in a cell in a pool of her own blood crying" he continued, "But she says she wants nothing to do with you."Dawson thereupon grasped me firmly around the throat before I had a chance to assault the insolent oaf and then he, Dawson, set me firmly on the way home.Father was in surprisingly good humour as I returned, "So Prince Charming how is your Princess?" She won't see me," I admitted, "She wants none but her governess." Why am I not surprised, now set aside thoughts of Camilla and we shall dine with the Oakes' no less tomorrow evening, we have an invitation the two of us." No," I insisted."Yes!" he insisted, "Find out about the father, why does he not believe his flesh and blood Camilla, over his lover or wife as he calls her, for you have aroused their interest,.
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