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Sadly it is fatal for many. One in my PAH group passed away this August after battling this disease for years.. Yes a transplant is an option, but not for everybody. It actually depends on how sick one are. The person getting the transplant cant't be too sick. Maybe I used the wrong term when describing PAH as terminal, sorry for that, I will change it. Yes I live in a great country, and I consider myself extremely lucky being able to get all the treatment I need. Thank you so much, have a nice day :)

Kristin, don't mind my musings. I am a pulmonary doc affiliated with a pulm HTN. Center and that is why I asked. I hope we meet in person when you are a110 years old