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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffered Massive Stroke, Thrombolysis And Decompressive Craniectomy Was Performed, Had Swelling In Brain. Treatment?

Hi, My father suffered a massive stroke on 26 May '13. There was a right MCA infarct. Thormbolysis was performed. But a haemorraghic transformation followed. A decompressive craniectomy was performed due to rising ICP. It followed up by right temporal lobectomy and ICH evacuation. His BP is stable with medication now and the brain swelling is coming down. His current GCS is E4M2VT and on PEG feed. The Neurosurgeon has recommended a specialized centre for rehab - NIMHANS, Bangalore or CMC, Vellore. I wish to know which of these centres would be the right one for him. Thank you - Subin Jose, 0000 0000, Bangalore, India
Thu, 25 Jul 2013
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General & Family Physician,  's  Response
Hi,
I understand the difficulties that would have faced you as a result of your father 's sickness.It is one of the most debilitating diseases to suffer.There is lot of mental trauma involved.Saddenned to hear that the treatment,though the recommended one ,in your fathers case led to more problems.Anyway ,the brighter side of the story is that he is showing signs of improvement.He has atleast fought himself to a condition ,where rehabilitation is being considered.Regarding the two institutes that you have mentioned,I dont think any is inferior than the other.Both are very good. NIMHANs is a leading institution ,and CMC is one of the best in the country.So I feel your decision may be based on other parameters like comfort,travelling etc.Whichever is more comfortable and closer to you, may be chosen.Wishing your father a speedy recovery and dont worry, the day is close when He will speak and be with you as normal as he was before.Just dont give up.All the best.
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Suffered Massive Stroke, Thrombolysis And Decompressive Craniectomy Was Performed, Had Swelling In Brain. Treatment?

Hi, I understand the difficulties that would have faced you as a result of your father s sickness.It is one of the most debilitating diseases to suffer.There is lot of mental trauma involved.Saddenned to hear that the treatment,though the recommended one ,in your fathers case led to more problems.Anyway ,the brighter side of the story is that he is showing signs of improvement.He has atleast fought himself to a condition ,where rehabilitation is being considered.Regarding the two institutes that you have mentioned,I dont think any is inferior than the other.Both are very good. NIMHANs is a leading institution ,and CMC is one of the best in the country.So I feel your decision may be based on other parameters like comfort,travelling etc.Whichever is more comfortable and closer to you, may be chosen.Wishing your father a speedy recovery and dont worry, the day is close when He will speak and be with you as normal as he was before.Just dont give up.All the best.