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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Low Activity Levels After Brain Injury

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..

but til two years stool and urine problem remained...but by some manual efforts(not exactly physiotherapy) he was able to sit without back support holding sides of bed..we used to make him walk,in which right feet was moved by us..means some activity was seen. he had some fit (not exactly fit,doctors said that brain injured patients have it because of weak nerves) in dec 2008..no -ve impact was seen as such..because of no +ve results for another 1 year we consulted doctors.

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..



physiotherapy is continuous...but no improvements as i said u before..sometimes when we ask 'why havnt u gone to office?'he says 'i will go tomorrow'..he shouldnot say this as he must know that he had accident..



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



                                                                 
Sat, 7 Apr 2018
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Critical Care Specialist 's  Response
Hello,

I think you are mature enough to understand the realities and nature's Process of healing.

Please make a note for any Person if there is a Head Injury (Very Severe Injury) Injury to brain or Spinal Cord in 30% to 50% cases the Recovery will be very slow like a Crawling Ant taking time to cover a short distance.

Coming to your Father's Case as I was going on reading the lines I was feeling great k Soo many Improvements happened after such a heavy injury then Surgery and then Shunt-Operation.

You are Lucky enough that you are seeing your Father in Such a good Condition, so give Maximum effort physically to improve him further but not by force, pray for his further betterment.

But one thing I want to say, SAY Thanks to God for what are all the Improvements he had till now.

It is the Nature's such designed process of healing of Brain and Spinal Cord and also One's Own Will Power that helps in recovery in Case of Brain Injuries, because injury to brain take several months to heal about 30 to 40% but we saw Cases who went walking by themselves after 1 to 2 weeks of their admission and they were discharged.

So, do not force or pressurize your father Request him, Convince him, maintain his Good Mood always.

Never discuss any such thing because of which he gets Irritated and Disturbed. Remember one thing God has given back your father in Such a State after Passing through a Very tough Critical State.

So, accept the God's Gift and don't expect some Magic to happen Overnight. If at all if something Magic Happens overnight that will be your luck and God's extra Mercy but say thanks to God for what all you have in your father right now.

Be Courageous to accept the untoward things that comes in one's own life and we the human beings are here to absorb the untoward things into the heart and convert it into happiness that's the greatness of humanity.

So, do not get Depressed and give up. Be Happy and live the life in a Happiest way to the fullest extent.

Coming to any type of betterment or hopes in life remember, we can only wait till it happens whatever we want, but do not get Overstressed or Depressed if you are not able to achieve what you are willing.

Be Happy for every second of life for whatever you have, do not see that what you do not have. You can analyze or see what you do not have for only to pray for getting it but not for getting depressed or giving up in life.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mohammed Abdullah
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Suggest Treatment For Low Activity Levels After Brain Injury

Hello, I think you are mature enough to understand the realities and nature s Process of healing. Please make a note for any Person if there is a Head Injury (Very Severe Injury) Injury to brain or Spinal Cord in 30% to 50% cases the Recovery will be very slow like a Crawling Ant taking time to cover a short distance. Coming to your Father s Case as I was going on reading the lines I was feeling great k Soo many Improvements happened after such a heavy injury then Surgery and then Shunt-Operation. You are Lucky enough that you are seeing your Father in Such a good Condition, so give Maximum effort physically to improve him further but not by force, pray for his further betterment. But one thing I want to say, SAY Thanks to God for what are all the Improvements he had till now. It is the Nature s such designed process of healing of Brain and Spinal Cord and also One s Own Will Power that helps in recovery in Case of Brain Injuries, because injury to brain take several months to heal about 30 to 40% but we saw Cases who went walking by themselves after 1 to 2 weeks of their admission and they were discharged. So, do not force or pressurize your father Request him, Convince him, maintain his Good Mood always. Never discuss any such thing because of which he gets Irritated and Disturbed. Remember one thing God has given back your father in Such a State after Passing through a Very tough Critical State. So, accept the God s Gift and don t expect some Magic to happen Overnight. If at all if something Magic Happens overnight that will be your luck and God s extra Mercy but say thanks to God for what all you have in your father right now. Be Courageous to accept the untoward things that comes in one s own life and we the human beings are here to absorb the untoward things into the heart and convert it into happiness that s the greatness of humanity. So, do not get Depressed and give up. Be Happy and live the life in a Happiest way to the fullest extent. Coming to any type of betterment or hopes in life remember, we can only wait till it happens whatever we want, but do not get Overstressed or Depressed if you are not able to achieve what you are willing. Be Happy for every second of life for whatever you have, do not see that what you do not have. You can analyze or see what you do not have for only to pray for getting it but not for getting depressed or giving up in life. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Abdullah