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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I'm a 1:1 nurse for a child with spastic-paralysis cerebral

I'm a 1:1 nurse for a child with spastic-paralysis cerebral palsy. I've noticed that she has a tendency for her body temperature to cool rapidly. My thought is that as her body has a higher percentage of fat to muscle changes in room temperature will have a greater effect for her. Does this make sense?
Thu, 24 May 2018
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doctor1 MD

Hi Drs. My brother has spondylosis disc 5,6 & 7 he woke up one night and was paralysed from the chest down. He had been complaining of pain in his arm for around a year. He had the operation and now has spastic paralysis. He is 44 yrs old - what are his chances of walking again and using his hands properly? Thanks Marcelle

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If some one has his spinal cord at the C4 level, which of the following signs would you expect to observe after the spinal shock had resolved? Question options: Increased patellar and Achilles tendon reflexes. Spastic paralysis of the upper limbs and lower limbs. Normal somatic sensation of the facium, neck and trunk. You would expect to observe both a) and b).

doctor1 MD

A report on the diagnosis and treatment of Mr. Ajit Kumar Sahoo (Age 71) at RUBI GENERAL HOSPITAL, Kasba Golpark, E. M. Bypass, Kolkata-700107. Mr. Ajit Kumar Sahoo 71 years of age was a healthy person without any diseases. He was cycling 15km per day and was practicing Veterinary doctor. Suddenly 10th November 2013 he complains severe back pain along with abdominal discomfort and with flatulence for 3 days. He was shown to a local family doctor and he referred him to any good hospital in Kolkata. Therefore he was taken to RUBI GENERAL HOSPITAL, Kasba Golpark, E. M. Bypass, Kolkata-700107. Dr. Kunal Sengupta who was the attending doctor examined him and admitted him emergency bed no. 6808 on 11 November 2013 at 1:41 pm. The patient described all the above mentioned symptoms to the doctors (Dr. Kunal Sengupta and Dr. Kalayan Kar). His BP was 130/70mmHg, PR 72/min, RR 18/min, SpO2 98%, CBG 166mg/dl, Temp within normal limits. Initial treatment of Diclofenac injection IV and pan injection were given along with X-ray LS. Then he was shifted to bed no. 1013 under Dr. Kunal Sengupta. Then he was given pain killer injection (IM) on 11/11/2013 under the instruction of Dr. Kunal Sengupta. On 12/11/2013 once again pain killer injection (IM) was given and Dr. Kalyan Kar advised for MRI Lumbosacral Spine scan. On his advice MRI was taken on 12/11/2013 at 11:20 am and the report was submitted following impressions were found on MRI scan, -Lumbar spondylosis. -Acute schroal node at upper endplate of L2 -Annular bulge at L4-L5 & L3-L4 levels are causing thecal compression. No nerve root compression. -Disc osteophyte complex at D9-D10 level is causing thecal compression. No nerve root compression. -There is bilateral pleural effusion. There was no nausea or vomiting except back pain and abdominal pain. On 13th November 2013 the patient was given tramazac (50mg IV), Tab Alzolam (0.5mg). The Pulse was 80/min and patient was in stable condition. Further it was found from the case report that several medications were given to the patient. The doctors were not able to conclude the type of disease and taken a decision to do Exploratory Laparotomy as per the case history. The patient was further under the control of group of doctors (Dr. Kalyan Kar, Dr. Kunal Sengupta and Dr. T K Das). The patient was given several Injections. He was operated for Exploratory Laparotomy and appendicectomy under GA. The operating surgeon was Dr. Kalyan Kar and he was assisted by Dr. K Mukharjee. The anesthesiologist was Dr. Abir Ray and Scrub nurse was Ms. Kabita. After the surgery patient was give several medications. Then the patient was taken to ICU bed no 2028 on 14th evening and he was monitored for BP, RR, HR and all cardio logical parameters. The patient is now full paralyzed and not able to move his body. Sir kindly advice whatever RUBI GENERAL HOSPITAL did the treatment is correct or erroneous and what is the next step to take the action. YYYY@YYYY

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