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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Not Able To Speak After A Stroke. Paralyzed, Vision Impaired. Feeling Lethargic. Will This Worsen?

My 61 year old husband had a massive stroke march 2, 2012. He is paralyzed on the right side, cannot speak, 100% incontinent, cannot respond to simple commands, has vision impairment. The past week we have noticed him becoming more lethargic and not as responsive to the aides and nurses. I was wondering if this is normal 10 months later or will he continually be declining?
Wed, 23 Jan 2013
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General & Family Physician 's  Response
Hello and welcome,

Thanks for your query.

I understand your anxiety and wish to inform you that the rehabilitation phase after a stroke is vital. We need to start physiotherapy and try to mobilize the patient as much as possible immediately after the stroke.

This will help in avoiding atrophy (reducing in size due to reduced function) of the muscles, which worsens the scope of recovery. But, I am sure the concerned doctor would have ensured this.

I would also like you to know that, a patient who is paralyzed and thus dependent on you will only be fed an amount you wish to feed them. So please see to it that your husband receives ample amount of nutrition, this is solely your responsibility.

Sadly, after a stroke of this degree (your husbands), the expected life span does reduce in most patients. Although this can be avoided if the patient and family members take care and work hard on the patients recovery.

Please don't give up, continue the treatment. Get his blood pressure, blood sugar levels and cholesterol level regularly checked. Maintain logs for the same and see the recovery for yourself as it happens.

Any guidance or assistance required, our team of doctors are always at your service.

I wish you luck and patience.

Best regards.
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Not Able To Speak After A Stroke. Paralyzed, Vision Impaired. Feeling Lethargic. Will This Worsen?

Hello and welcome, Thanks for your query. I understand your anxiety and wish to inform you that the rehabilitation phase after a stroke is vital. We need to start physiotherapy and try to mobilize the patient as much as possible immediately after the stroke. This will help in avoiding atrophy (reducing in size due to reduced function) of the muscles, which worsens the scope of recovery. But, I am sure the concerned doctor would have ensured this. I would also like you to know that, a patient who is paralyzed and thus dependent on you will only be fed an amount you wish to feed them. So please see to it that your husband receives ample amount of nutrition, this is solely your responsibility. Sadly, after a stroke of this degree (your husbands), the expected life span does reduce in most patients. Although this can be avoided if the patient and family members take care and work hard on the patients recovery. Please don t give up, continue the treatment. Get his blood pressure, blood sugar levels and cholesterol level regularly checked. Maintain logs for the same and see the recovery for yourself as it happens. Any guidance or assistance required, our team of doctors are always at your service. I wish you luck and patience. Best regards.