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Unconsciousness due to ischemic stroke - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Stroke
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3631 Questions
User :   Hi, My uncle had a hemorrhagic stroke yesterday, and now he's unconscious. He lives somewhere in xxxxx where hospitals do not have all the required equipment. As far as I know he was conscious while his family was taking him to the hospital. when they got there, apparently the doctors didnt give him any hopes, so they told the family to take him home with them. The problem is that my uncle is still breathing but not reacting to anything. My cousin measured his BP and that was normal he said. I was wondering what is best to be done right now? Im scared he's going to die because of the negligence of the doctors.
Doctor :   Hi Dr xxxxxx here
User :   hi
Doctor :   let me read your query
Doctor :   it may take a few minutes
User :   ok
Doctor :   may i know your uncles age ?
User :   58
Doctor :   and did he have any prior medical conditions ?
User :   hypertension
User :   as far as i know
Doctor :   like hypertension , diabetes , etc ?
Doctor :   ok
Doctor :   so is he at home now ?
User :   yes
User :   but unconscious
Doctor :   Was any CT scan done to know whether it was a hemorrhage ?
User :   i believe so because they said it was hemorrhage
Doctor :   did he have any headache prior to the onset of stroke ?
User :   yes he did..
Doctor :   is he breathing spontaneously ?
User :   yes he is
Doctor :   is any tube placed in his oral cavity for feeding , or any IV lines placed for IV fluids ?
Doctor :   any support for breathing provided ?
User :   no thats the thing im not liking about this.... he was taken at home per doctors request
User :   because they said he wouldnt probably get home alive but he did
Doctor :   that is really odd
User :   so now hes only beathing by himself... no feeding is being done
Doctor :   how long has he been at home ?
User :   nothing
User :   since yesterday afternoon
Doctor :   that is really very odd and wrong
User :   i know,,
User :   is there anything the family can do
Doctor :   at least he should have been monitored and a CT scan done to note whether it is a ischemic stroke or a hemorrahgic one
User :   i mean i can tell them to try to move him to prevent bed sores
User :   does he has any possibilites you think if they take him to the hospital again? and monitor him?
Doctor :   a hemorrhagic stroke can cause severe cranial bleed and then compress the brain causing death within 24 -48 hrs depending on the site and extent of bleed
User :   its been close to 48 hours since hes had the stroke
Doctor :   yes he should be taken and taken care off, until at least if he can come out of danger
Doctor :   in that case, the chances of death are remote since he is breathing by himself
Doctor :   he has good chance of survival
User :   i believe so too...
User :   i just cannot believe a doctor can do that to someone.
Doctor :   if it was a hemorragic stroke, due to Subarachnoid hemorrhage, he could have died without treatment within this time
Doctor :   but i assume it to be a ischemic stroke , as here his respiration is intact and he is still alive
User :   that probably what the doctors told the family too
User :   so thats your only advice then.
User :   just take him to the hospital..
Doctor :   in cases of ischemic stroke the brain goes into rest as a form to prevent any body damage
Doctor :   and over time as the brain recovers, it will regain consciousness
User :   one more thing i have to say.. my other uncle went and talked to another doctor and he told him that "hes dying so let him do that"
Doctor :   and he will tend to improve over time
Doctor :   you cant determine a patient to die even after 2 days, if he is still breathing on his own
Doctor :   without evidence that he has developed brain damage , that is irreversible, you cannot say a person cannot recover
Doctor :   in this case, a CT scan has not been done , so how can the doctor tell that the patient is dieing
User :   i dont know how they think..
Doctor :   i am of the opinion that the doctors are wrong
User :   they shouldnt be called doctors at all
User :   i believe that too
User :   so if they take him to the hospital, would moving make him worse
Doctor :   without imaging and evidence, of brain death, a person cannot be left to die
Doctor :   at least , until he passes away, supportive care has to be provided
Doctor :   when his BP currently is normal, and he has normal respirations , i believe that he has good chances of survival
User :   ok
User :   what if he's brain dead?
User :   i mean i dont know
User :   but what if he is and the doctors havent said anything to the family
Doctor :   if he is brain dead, he would have died soon within 24 -48 hrs
User :   oh ok...
Doctor :   the heart and the lungs cannot work for a long time without the support of the brain
User :   ok
User :   well im gonna go ahead and call them
User :   maybe they do something
Doctor :   what you can do, is to try ti get him to a hospital or medical center where he can be monitored
Doctor :   and evaluated
User :   ok
Doctor :   i hope this clears your doubts
User :   thank you
User :   yes it did
Doctor :   Do u have any other questions for me
User :   thank you very much
User :   not that should to it for now
User :   thank you
Doctor :   thanks for consulting me here ,please leave your feedback
User :   ok i will
User :   thank you
Doctor :   take care and have a good day
User :   you too
Doctor :   bye for now
Doctor :   i hope everything will work out fine
User :   bye
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