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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Cognitive Impairment Be Treated?

My husband is 74 ! He had his first vp shunt put in on April 7 2017 since then he has had three new shunts put in and and three revisions ! We took the last one out permanently on January 17 2018 ! He now has pneumonia and still in the hospital ! He is not alert and stares sometimes keeps hide yes closed and can t walk and was a livestock dealer and very active ! Wonder if they ruined his brain or too many senseless surgeries ! One time the valve malfunctioned next staph in stomach tube then next clogged in clavicle area in neck ! Had the original on right side then neurosurgeon said bone damage on the right so the last one was on the left ! I m so frustrated getting ready in about a week to bring him home ! I m afraid he has delirium too ! Any thoughts what I can do help him with memory
Mon, 9 Jul 2018
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Psychiatrist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

As you mentioned that you are still in hospital, delirium picture generally will come down gradually in a couple of days.
Regarding memory, there are certain drugs which improves memory like Citicoline, Piracetam or combination of both.
Reorientation techniques, that is explaining him in detail what all happened since he was joined in hospital at times improve his memory by decreasing the anxiety but this should be done carefully observing is response to your saying.
If doctor permits him to ambulate, regular walking and minimal exercise also helps in improving his memory.

Hope I have answered your query.
Let me know if I can assist you further.
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How Can Cognitive Impairment Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you mentioned that you are still in hospital, delirium picture generally will come down gradually in a couple of days. Regarding memory, there are certain drugs which improves memory like Citicoline, Piracetam or combination of both. Reorientation techniques, that is explaining him in detail what all happened since he was joined in hospital at times improve his memory by decreasing the anxiety but this should be done carefully observing is response to your saying. If doctor permits him to ambulate, regular walking and minimal exercise also helps in improving his memory. Hope I have answered your query. Let me know if I can assist you further.