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Further treatment and recovery chances post stroke - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Stroke
Answered by

General & Family Physician
Practicing since : 2009
Answered : 676 Questions
Doctor :   hi
Doctor :   How can I help you
Doctor :   are yoiu there?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice.
Doctor :   There is a friend referral contest going on. You can win a T-Shirt daily if you refer maximum number of your friends in a day. You can also win Rs. 1000/- per week if the number of your referrals is highest in the week. There will be a form coming up on your screen now.
There is a button to import contacts from your Gmail, Yahoo, AOL ID's. Please refer your friends to this service with a click of the button instead of entering the email ids manually.
Doctor :   hi
User :   hello doctor
User :   my name is xxxx .my grand mother had a strock resently
Doctor :   k
Doctor :   stroke isit
User :   yes.
User :   she's not able to walk
Doctor :   k
User :   so wht shud we do
Doctor :   To get a better picture I need this information--
Age: Gender: Occupation: Location: Marital Status: of ur granny
User :   her age is 80
User :   female
User :   homemaker
User :   she stays @ xxxx
User :   my grand father is dead
User :   we have taken CT scan Brain
User :   protocol: plain axial CT scan Brain was performed employing 5mm
Doctor :   k
Doctor :   can u please send me the impression of the CT
User :   findings:lacunar infarct is noted involving left basal ganglia and left parasagital gyrus.
User :   well doctor i dont have scaner her
Doctor :   k
Doctor :   did she have any problems
Doctor :   before stroke
Doctor :   i mean diabetes or Blood pressure
User :   this is the 2nd time she had a strock.i wanted to ask wht is the chance of her sarvivel?
User :   she had BP
Doctor :   ok
Doctor :   one sec
User :   ok
Doctor :   prognosis is difficult to tell
Doctor :   becoz since it is online consultation
Doctor :   we have not examined the patient
Doctor :   in person
User :   well i do understand but i just wanted to know tht
Doctor :   the doctor who is treating her would be the best person to comment regarding her condition
Doctor :   sure we can give information
Doctor :   regarding the condition
User :   he has said it will be alri8
Doctor :   k
User :   but it takes time
Doctor :   is she paralyised now?
Doctor :   on the right side
User :   now she is lil bit able to walk
Doctor :   k
User :   i have tht CT scan Brain report
User :   whr shud i send it
Doctor :   u can send me the impression or the report
Doctor :   at the bottom they mention
Doctor :   is she able to talk
User :   yes doctor she can
Doctor :   k
Doctor :   any visiual problems
User :   whr doctor its not thr at the bottom
User :   her leg pains a lot n she can walk properly tht is the only problem
Doctor :   in CT report there will be a report or diagnosis or impression
Doctor :   that is related to stroke , i mean not able to walk properly
Doctor :   is she given physiotherapy
User :   Impression:1) diffuse cerebral atrophy.
Doctor :   diffuse cerebral atropy is age related
Doctor :   k
User :   20lacunar infarct involving left basal ganglia
Doctor :   then
Doctor :   good
Doctor :   tel me
User :   3)preiventricular ischemic changes noted
User :   that's all
Doctor :   Your case requires undivided attention and as I am chatting with few other patients, I can get back to you with the necessary information by email or I can give you a Chat appointment.
User :   ok...u can send me through email doctor
Doctor :   its ok
Doctor :   the other patient i closed
Doctor :   You can chat
User :   n doctor do u also take councelling?
User : wht do u think about my grany's report doctor
Doctor :   We are presently assigning the task of counselling
Doctor :   to the experts on our panel
Doctor :   They are the best persons to deal
Doctor :   Let me tell about the report
User :   ok
Doctor :   To be frank enough
Doctor :   according to the agge and the recurrent stroke
Doctor :   she had the chances fo the recovery keeps decreasing
User :   ok
Doctor :   Recovery is the most rapid in the first 3 months following strok
Doctor :   the clinical recovery depends on the diff factor
Doctor :   s
User :   ok
Doctor :   medical comorbidities (eg, diabetes mellitus [DM], cardiac disease, ECG abnormalities), prior stroke, prior functional dependence, neglect, sensory and visual deficits, severe motor deficits, loss of consciousness (LOC), cognitive deficits, and incontinence.
Doctor :   since your granny has the risk factors the prior episodes and dependence
Doctor :   the chances are comparitively less but there is always a scope for recovery
User :   ohh ok...
Doctor :   Some patients continue to improve for several years following stroke and show remarkable and unexpected recovery
Doctor :   Recovery can occur in spite of extensive brain damage and advanced age.
User :   ok...
User :   ok...
Doctor :   Please fill this form I send and give feedback and when done, Please say it.
Doctor :   Make sure thre are no bedsores, dont feed her unconscious or making her lying down
Doctor :   always get the physiotherapy consultations
Doctor :   every one month
Doctor :   Visit the treating physician
Doctor :   as an when required
Doctor :   good nursing care
Doctor :   hello are you there
User :   yes doctor
User :   im here
Doctor :   k
User :   i was filling up tht feedback form
Doctor :   k
User :   ok doctor i will take care of tht...
Doctor :   k
Doctor :   Is there anything else I can help you with?
User :   thanks for your time with me doctor...
User :   i did not understand about tht counselling
Doctor :   ok
User :   how do i get in chating for my councelling?
Doctor :   ur granny need good psychological support
User :   ok
Doctor :   u need to support her
Doctor :   care for her
Doctor :   that will be a boost for confidence
Doctor :   sure she can recovery
User :   thanks doctor.i will take care of her
User :   i did not understand about tht counselling.i need to go under a counselling...
User :   how do i go about
Doctor :   one sec
User :   k
Doctor :   meanto say
Doctor :   we do online consultation
User :   im distrubed mentaly coz of family problem
User :   so i want to under a councelling
Doctor :   sure we arrange for that
Doctor :   if u wish so
User :   yes doctor
Doctor :   we can fix up appointment with counsellor
Doctor :   Could I confirm your contact details so that we can fix the appointment. Your identity will be kept completely confidential
Doctor :   YYYY@YYYY
Mobile : 0000
Doctor :   Please confirm your details
User :   is it online councilling?
Doctor :   no
User : whr shud i drop down?
Doctor :   one on one with the counsellor
Doctor :   One of our doctors will get back to you soon with all the relevant details.
Doctor :   please confirm ur details i sent u
User :   YYYY@YYYY ,0000/0000
Doctor :   k
User :   and how much wud it cost doctor so tht i can arrange the money
Doctor :   details u will get when one of our doctors calls u up
User :   just a sec
Doctor :   k
User :   yes doctor tell me
Doctor :   where do u stay in xxxx
User :   xxxx
Doctor :   which day u want appointment
User :   can i tell tht when i get a call
Doctor :   sure
User :   coz i need to comform tht with my frind so
Doctor :   sure u can
User :   thanks doctor...
User :   so whn can i xpect the call
Doctor :   shortly
Doctor :   have a nice day
User :   ok doctor thanks a lot for your time...
User :   have a nice day to u too
User :   bye bye...
Doctor :   bye
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