Friday, January 13, 2017

36 Hours After Stroke

It's Wednesday morning Jan 11 2017. As of the last neurological exam about 20 minutes ago, Baba is able to respond to commands on the right side of his body. His left leg responds very weakly to reflexes and left arm not so much. Still very very early at this point. When sedation was eased/he's stimulated, he slightly opened his eyes (reflexively) and also tried to put his hand under his head as a sign of comfort/preference. These are all positive signs. There will be an EEG today to rule out seizures which is standard protocol. There are positive signs but the objective right now is to ensure his vitals remain stable as the blood continues to drain as he is foremost in a critical state. To summarize, Baba had a stroke Monday night. CT Scan showed massive bleeding into the brain cavities. A catheter was placed into his skull to drain the hemmorage Monday night. tPA was administered yesterday to relieve blood clotting which was hindering progress, and that seems to be working.

As of now, it's an issue of 2-3 months that we're trying to manage towards. He might become conscious in the next several weeks, but think of that as an optimistic objective. It really is a day to day assessment where we will slowly manage the level of independence of various supporting machines. 

Shayta and I have been here since Monday night. He hasn't been alone. However, given the marathon nature of Baba's plan, we feel best, after consulting with the neurologist, to optimize now in terms of weeks in order to provide the best care for Baba without burning out. Anytime conditions can change. 

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