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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is this OK for moving my mom just after 7 days to nursing home, after a stroke?

Moving my mom just after 7 days to nursing home, after a stroke?
,her right side of the brain, alot of the right side, But she responds on command! crying, sqeezes hand, moving leg up and down.. one ??? I think it's because she's on medicad... Can I make them keep her at this stroke unit to get the care my mom deserves.... i know she needs to go to nursing home, i just think she needs the care at the stroke unit a little longer like everyone iv seen with good insurance???? doesen't she deserve a chance if she is responsive??????
Mon, 29 Aug 2011
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's  Response
Sometimes family members read more into their parent's condition then there actually is. Believe me I empathize with you and even though I spent years in the medical field I couldn't separate myself from the way I felt about Mom's care. I was sure I was seeing her do more and respond more then she actually was. She may be responsive but it may not be in a way that is really going to be helpful to her condition. I have seen people with fantastic insurance being kept in the stroke units and they don't get any better any faster then those who have no insurance. I'm sorry and it may be hard to admit, but she may just need to go to the nursing home now.
General & Family Physician Dr. Ramesh M.Vachharajani's  Response
Hi,
Thanks for query,
As your mom admitted in nursing home and they diagnosed stroke,investigated and started proper treatment.
Recovery from stroke is slow process and time taking and now no further addition in the treatment and observation require so they gave discharge.
Now physiotherapy and follow up is require.
Ok and bye.
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doctor1 MD

hello sir,

this is Hina ,from Punjab...Actually my father had brain injury due to accident,i want to seek your suggestions regarding this case..hope it would be fine with you.....

My father met from an accident on 22nd aug,2007..he had brain injury..bone from right side of brain was taken out..as it was fully damaged..case was very serious as per doctors..according to doctors he

had no chances of survival...he was in icu for 5 months.brain was operated..the bone taken out was central portion of brain..it controls intelligence,memory etc as doctors said..he spoke by end of november..

memory was nt fine that time..but now it is fully fine..he remebers almost everything...during first year of accident he was not able to eat himself,but now it is fine..also had urine and stool problem..he

couldnt know ...physiotherapy is almost continuous from then...his right leg is affected,which doesnt hold body weight...he cannot stand on his own,cannot sit without back support..using two persons

support,we make him to sit on a chair having side and back support...for 1 year he had memory problem,irritation from family,short tempered..used to say many things to us ,if we do for pap's benefit..

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doctors told that their is fluid in brain,for that shunt(dnt knw exactly:shunt,but some pipe to drain the fluid) was put in brain ,so another operation in may 2009..after that some positive results were seen

like,he came to know before passing stool..but not urine..irritation was reduced(one medicine was given by doctor)..but the activity shown in two years that i have mentioned was no more...but we found brain more relaxed..no irritation.. sometimes he used to say 'i will die nd al,u r not caring for me etc'..from then we have seen no much +ve results.physiotherapy is continuous..but he is still not on his own.cannot stand,sit without back support,walk etc..voice is also not much clear..

I think he prefers sleeping..he has become so lazy..no efforts from his side.physiotherapy is not working...we say all day to try to get up,try to move ur right feet..but he thinks that we are doing wrong to him.

and doctors have said :in this case u can only wait..there is no other option,had checkup in pgi.said the same.no solution to this case..such patients can be well all of a sudden,u never know..is this really happens??

can we hope for this magic??sir,we couldnot understand what to do..3 years have passed..and we have no positive results...

now the status is like this:he can only eat himself,memory is fine..but sometimes he talk strange as'where are we sitting'(becoz he hasnt gone anywhere from three years,this question shouldnot arise,and in his own home he asks where are we?i want to go home etc..but he talks so intelligently,that listening to it u can not say that he has brain injury...

but he cannot sit without back support,cannot sit on bed cross leg..cannot stand on his own (2 persons to support) which he used to before 2nd operation atleast for 5 mins..can speak..but sometimes not properly..



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i think his will has died..he never make efforts to get up..want to lay on the bed whole time...we say him everytime to get up,try to do something..but he never listens...there is no cooperation from his side during physiotherapy...it is done forcibly..one physiotherapist said'if u gather all world doctors then also he cannot improve,until and unless he has will to get up'....he asks for our help for even a small work which he can do himself...



sir,wat to do???is there any option??till now we have heard,just to wait in these case...is this really??can nothing be done??how can we make him try,make efforts as his brain is not fine..everyone has tried to make him understand that he has to do proper exercise for standing,walking..but he prefers sleeping...



i really need help,need suggestions...it has been 3 years..and we want papa to get well soon..atleast to be on his own...what are the chances in such cases??sir,be frank to reply,eventhough it is negative ..but please do reply on this mail( YYYY@YYYY this is only till 20th july) and( hina.watts@ WWW.WWWW.WW also.i really want help..please reply whenever u get time







thanx



hina watts



                                                                 

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