Dr will consider to have a small incision on his throat (tracheostomy ) to connect the airway to the respirator. This procedure is not urgent and may be carried out next week.
Risks of the operation are explained and considered as rare, perforate to the upper lobe of the lungs, tear the artery, constriction of the trachea may happen in long term. But the immediate benefits are more weighed, usually patient need to be on respirator more than a week, Benny is the case that Dr recommends to have tracheostomy. Because it facilitates the nursing care, mainly to aspirate the sputum that is to relieve the symptoms of infection. And if the patient arouse and able to breathe on himself, it’s more safe for the wean off respirator period.
His conscious level is still described as in coma. Dr said they usually employ the Glasglow scale for assessment of the conscious level, which may not best suit post- stroke patient but as a common language between the medical team. The full mark is 15 for a normal person with all motor, sensory and verbal responses. Benny is regarded as 5-6 now while just after operation was 3. Dr said he responds to pain and have some minor movements. But still they regard the progress is slow. If he can open eyes and response to verbal stimulation, that will be more positive.
The damage to the cerebellum due to stroke is not fatal but the pressure that inserted to the brain stem and middle brain is more crucial. Since the cerebellum is more in supporting function, while the brain stem controls the functions of the vital organs. Dr said the operation relieved the pressure and then we have to wait for the response of the brain. 70-80% cases Dr Wong encountered did not recover, of course, he admits there is miracle. In the meantime, Dr said it’s OK to have some gentle stimulation to Benny, in whatever ways that we like.
Chest infection is unavoidable as a bedridden patient and on respirator (because the lungs can’t be fully expanded and have effective exchange of air). Even with antibiotics, the infection won’t be cured. It just prevent deterioration. And chest infection can be fatal.
Risks of the operation are explained and considered as rare, perforate to the upper lobe of the lungs, tear the artery, constriction of the trachea may happen in long term. But the immediate benefits are more weighed, usually patient need to be on respirator more than a week, Benny is the case that Dr recommends to have tracheostomy. Because it facilitates the nursing care, mainly to aspirate the sputum that is to relieve the symptoms of infection. And if the patient arouse and able to breathe on himself, it’s more safe for the wean off respirator period.
His conscious level is still described as in coma. Dr said they usually employ the Glasglow scale for assessment of the conscious level, which may not best suit post- stroke patient but as a common language between the medical team. The full mark is 15 for a normal person with all motor, sensory and verbal responses. Benny is regarded as 5-6 now while just after operation was 3. Dr said he responds to pain and have some minor movements. But still they regard the progress is slow. If he can open eyes and response to verbal stimulation, that will be more positive.
The damage to the cerebellum due to stroke is not fatal but the pressure that inserted to the brain stem and middle brain is more crucial. Since the cerebellum is more in supporting function, while the brain stem controls the functions of the vital organs. Dr said the operation relieved the pressure and then we have to wait for the response of the brain. 70-80% cases Dr Wong encountered did not recover, of course, he admits there is miracle. In the meantime, Dr said it’s OK to have some gentle stimulation to Benny, in whatever ways that we like.
Chest infection is unavoidable as a bedridden patient and on respirator (because the lungs can’t be fully expanded and have effective exchange of air). Even with antibiotics, the infection won’t be cured. It just prevent deterioration. And chest infection can be fatal.
There was a minor heart attack during the operation. Benny's heart beat has been unstable after operation. Dr has infused medication to stabilize the condition.
Sonia
Sonia
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Dear Tien, Patrick & Josh,
ReplyDeletei just saw johann last night and he told me about uncle Benny. will be praying for a MIRACLE from our loving Daddy, & for peace & patience for the family. do you have a phone number while in HK? would love to see you while you are here if you guys are able.
much love,
janice, derek & ethan :)
Tien, Josh, and Patrick, we arepraying for Uncle Benny daily. Take good care of yourself as well.
ReplyDeletein Christ,
Siu Siu
Dear Tien, Patrick & Josh,
ReplyDeleteThis is Peter from Toronto (former AFC staff), Benny has been very dear to me as a friend and mentor, I have been praying since I received the news. Let's commit Benny to God, may God restores his physical body and revives his spiritual condition. Amen!
In Christ,
Peter