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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Medicines Given For Heart Issues Be Stopped After Suffering Brain Injury?

Hello Dr.Nath, Thank you for your service here. Appreciate your response as early as possible from your busy schedule. Patient is 68 years of age, male, now bed-ridden. Earlier also, very less movement since past 4-5 years. Eats and drinks all, non-veg. included. Heart-patient, high BP, by-pass done 6 years ago. My father-in-law has suffered a stroke recently (~18 days ago) and has taken to bed since then. This is his 3rd stroke (1st in Jan 2003 and 2nd in Dec 2003). A by-pass surgery had been done for him in Jan 2004. Also, his left hand has been partially paralysed since then. This time, his left leg has become immobile. He is on bed since 15 days. Actually, he had a fall in the kitchen while going to the bathroom and injured his head. We have done a CT scan on Saturday and our family doctor says that there is bleeding from inside (outside the brain, but inside the skull, on the layer just above the brain - i forget the name of that layer! A... ) Also, our doctor had asked him to stop one of his heart medicines: Deplatt A. As this may increase the bleeding. Our Dr. has asked us to get him operated after consulting a Neuro-Surgeon. This is to remove the blood, so that the brain comes back into place. 1. What are our options? Should we go in for surgery or not? 2. If we do, Dr. says it can go either way, success or not, even death possible on operating table. 3. If we don t, what are the risks? Would he get better without surgery at all? (Sometimes, he is talking properly, sometimes not, sometimes not recognizing us, etc.) 4. What would be the approx. cost of such a surgery? Appreciate if you could reply. thank you, regards, HVT
Thu, 24 Jan 2019
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General Surgeon 's  Response
Hello,

Consult a cardiologist and get evaluated.

Slight dose adjustments is necessary as some of the cardiac drugs can cause bleeding which might worsen the brain problem.

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

Regards,
Dr. Shinas Hussain,
General & Family Physician
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Should Medicines Given For Heart Issues Be Stopped After Suffering Brain Injury?

Hello, Consult a cardiologist and get evaluated. Slight dose adjustments is necessary as some of the cardiac drugs can cause bleeding which might worsen the brain problem. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician