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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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My moms heart rate was very high and her blood pressure was up very high, please help

Hello My mom was in a nursing home, and I recieved a call last week that they couldnt wake her, and they said her heart rate was very high and her blood pressure was up very high, they took her to ER and I sit with her all day untill night 11:30 at night she roused from her sleep for a minute, I found she had had a stroke but it hadnt just occured, it happened 4 days before, and I had never been notified,I had noticed before when I went seemed she slept alot, and had noticed some bruises, when I would ask they would tell me they didnt know how it got there, Now since the stroke the dr wants to put a g-tube in my moms stomach, but i fed her some the other day , I believe she can eat, they said after a stroke sometimes they cant swallow, but I fed her some, I think they want this g-tube so they can be done with it, and back to the rest home, ive called attorneys and they never would return my calls , as there is more neglect then im telling, I dont know what to do. I ll do a part 2
Wed, 16 Dec 2009
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If she is paralyzed on one or both sides from the stroke, then the same thing could be happening with the throat muscles. If one or both sides of the esophagus is paralyzed or weak from the stroke then the foods and/or liquids that she takes in could go into the lungs instead of the stomach, causing what is called aspiration pneumonia. They don't do a g-tube without a barium swallowing study to see how her throat muscles are working or not working. If she could swallow, then they would say if her food should be whole, small bites, pureed and/or thickened liquids (and how thick...honey-thick, etc). A speech therapist would determine what she could or could not swallow.You could be harming her by going against medical advice. Some people also have a g-tube when they can swallow but are refusing food (due to alzheimer's, etc where they don't know they are hungry or depression , where they want to die and not eat). These people can sometimes eat, but don't eat enough, so that is why they will put in a g-tube. I can't see how they can tell that the stroke was 4 days ago. It may be possible. If there was neglect or something, then you could try medical malpractice attorneys, the medical board or the state bureau that does the checking on nursing homes and cites them for deficiencies, neglect, abuse or malpractice. If you are her POA, then you have a right to see any and all of her records, including hospital records (records department)...nursing notes, surgeon's notes, medical test results and lab results, etc. If she is alert and oriented, then she has a right to see them.
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My moms heart rate was very high and her blood pressure was up very high, please help

If she is paralyzed on one or both sides from the stroke, then the same thing could be happening with the throat muscles. If one or both sides of the esophagus is paralyzed or weak from the stroke then the foods and/or liquids that she takes in could go into the lungs instead of the stomach, causing what is called aspiration pneumonia. They don t do a g-tube without a barium swallowing study to see how her throat muscles are working or not working. If she could swallow, then they would say if her food should be whole, small bites, pureed and/or thickened liquids (and how thick...honey-thick, etc). A speech therapist would determine what she could or could not swallow.You could be harming her by going against medical advice. Some people also have a g-tube when they can swallow but are refusing food (due to alzheimer s, etc where they don t know they are hungry or depression , where they want to die and not eat). These people can sometimes eat, but don t eat enough, so that is why they will put in a g-tube. I can t see how they can tell that the stroke was 4 days ago. It may be possible. If there was neglect or something, then you could try medical malpractice attorneys, the medical board or the state bureau that does the checking on nursing homes and cites them for deficiencies, neglect, abuse or malpractice. If you are her POA, then you have a right to see any and all of her records, including hospital records (records department)...nursing notes, surgeon s notes, medical test results and lab results, etc. If she is alert and oriented, then she has a right to see them.