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British pilot, 43, is pictured after beating coronavirus in Vietnamese hospital

These are the first images of the smiling British pilot who has woken from a coma after defeating COVID-19 when he was in a critical condition in Vietnam.

The 43-year-old Vietnam Airlines pilot, known as Patient 91, is now reportedly fully conscious, smiling and talking to doctors at Cho Ray Hospital in Ho Chi Minh City in southern Vietnam. 

Photos show the pilot smiling to doctors from his bed, other pictures show him being fed by doctors with a spoon and being given a drink. 

The 43-year-old Vietnam Airlines pilot, known as Patient 91, is now reportedly fully conscious, smiling and talking to doctors at Cho Ray Hospital in Ho Chi Minh City in southern Vietnam

He was admitted to the Hospital for Tropical Diseases in Ho Chi Minh City on March 18 and became the country's most-critical patient, with his lung function dropping to just 10 percent. 

British Consul General in Ho Chi Minh City, Ian Gibbons, wrote a letter of thanks to the Vietnamese health authorities for their care of the ill pilot.

Reports state he is receiving physical therapy twice a day as his recovery continues and his lower limb strength is up to around 40 percent, with his upper limbs at around 60 percent.

He is now drinking sugar water but his lungs are still reportedly infected with two types of bacteria. 

A kind health worker holds the hand of the British pilot in Cho Ray Hospital where he is being treated

The pilot can be seen moving his hand as two medics attend to him. The pilot has reportedly been communicating since waking from the coma

Here the pilot is seen receiving an injection into his shoulder. He has been smiling at healthcare workers

His kidney has now seemingly recovered after he was taken off dialysis on May 27, with consistently positive results from tests for three consecutive days.

The pilot is still using an ECMO (extracorporeal membrane oxygenation) system but the blood rate through the system is down to 3.7 litres per minute, compared to 5.7 litres per minute at his worst condition.

The ECMO pumps bloody out of the body to a machine which carries out the functions of the heart and lungs, removing carbon dioxide and sending oxygen-filled blood back.

The Director of the Administration of Medical Examination and Treatment at Vietnam's Ministry of Health, Luong Ngoc Khue (pictured), has said the hospital has 'fulfilled its mission of treating the British man'

The team hope to reduce the flow going through the system to 2.5 litres per minute as his lungs begin to play a bigger role in oxygenation.

He remains in a serious condition and doctors are reportedly looking for suitable donors for a lung transplant.

He woke from his coma last week, with Tran Thanh Linh, the deputy head of the hospital saying that he was able to communicate after his doses of muscle relaxants and sedatives had been reduced.

British Consul General in Ho Chi Minh City, Ian Gibbons, wrote a letter of thanks to the Vietnamese health authorities for their care of the ill pilot

Local media reported the pilot can move his fingers and toes but still has problems breathing. He was declared free of COVID-19 on 21st May and was transferred from the Hospital for Tropical Diseases to his current facility.

The Director of the Administration of Medical Examination and Treatment at Vietnam's Ministry of Health, Luong Ngoc Khue, said the hospital 'fulfilled its mission of treating the British man'.

He had suffered from cytokine storm syndrome when his immune system overreacted to the coronavirus attacking his body and released too many cytokines, damaging his organs.

Cytokines are proteins released by white blood cells and in cytokine storms they can overwhelm the body.

Cu Chi Field Hospital in Ho Chi Minh City. The British pilot who was Vietnam's most-critical COVID-19 patient has now been confirmed free of covid-19 and has woken from a coma

The pilot was declared free of COVID-19 on May 21 and was transferred from the Hospital for Tropical Diseases to his current facility, Cu Chi Field Hospital in Ho Chi Minh City

In his letter of thanks addressed to Ho Chi Minh City People's Committee Chairman Nguyen Thanh Phong, Consul General Gibbons expressed his gratitude to the Hospital of Tropical Diseases and Cho Ray Hospital for their 'excellent care'.

He wrote: 'They have worked tirelessly and spared no efforts in helping him during the time he has been critically ill in hospital. We have been in very close touch with all the relevant authorities throughout the time he has been so unwell.

'We are in regular contact with his family and close friends. We could not have asked for better treatment. Once again, my sincere and personal thanks to all involved in his care.' 

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