Suffered a head injury leading to sub dural hematoma. Treatment? - Online Doctor Chats
Dr XXXXXXX here
he has been hospitalised since then
but the problem is that there is a continuous deterioration of his condition
May I know his age ?
he is 77 he is unable to swaloow food since the last 2 weeks---being fed by a rice tube
he is constantly drowsy and does not even open his eyes unless he is shaken very vigourously
Do you have the CT or MRI reports with you now ?
yes i do
Can you please read it for me ?
MRI would be useful
MRI of the brain was not done
Ok ,the above report confirms the presense of the bleed
but cannot help to define progress
all ventricles are mildly dilated
what can be done--doctor says surgery is not an option for him
A MRI scan can show what is the damage to the brain tissue which is the main indicator of progress or cure
yes, he is right surgery will not be useful.. it is the healing of the damaged brain which is important for his survival
keeping age into consideration the healing process is not expected to be optimum in him hence the progress cannot be predicted
its just wait and watch process with some stabilizing medications
he has been like this for more than a month--from the fact that he is deteriorating --does it seem like its not healing at all?
could be a chance
since I do not know the extent of the damage i could not comment exact
is it advisable to bring him back home? he is in the ITU, can monitoring be done at home---you know family members get a feel that they can try and nurse him back to health
Yes, but its clear decision of the treating doctors who know more about your father in law
If they accept the defeat and cant gaurentee a recovery then you can go ahead with your decision
they are saying that there isnt much to be done--but they havent done any fresh scans/MRI since 20th february---and they are keeping in the hospital because of recurrent infections leading to an elevated total count
infections are very common and mai
* and one of the reasons for detriorating condition
he has to be managed for them
can infections be managed at home---last week he had developed meningitis and pneumonia which subsided after antibiotics were given but total count has shooted up again and now a different antibiotic has been started. previously he was on moropenem a very strong antibiotic also----he has APKD as well as a polycystic liver--can his body handle so much antibiotics
Well there are antibiotics which are safer in kidney diseases.. the choice of antibiotics depends on many other factors which can be evaluated by the treating doctor
If you plan to treat him in home and expect a cure , i would say that is impossible
i am very worried. do you think that a recovery is at all possible?
As I said i could not comment as i do not know the exent of brain damage
and it could be a tough thought for the treating doctors too
yes i do understand that. Thanks for your advice
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