Hello, Dr. Chang!
Hello Dr.
Chang! I am Lin Huang-Po, the brother of your patient from December 29, 2015.
Currently, my brother has had his left cranial bone removed by the doctors and brought back by the family.
He is also suffering from pneumonia and sepsis.
The doctors have advised the family to prepare for the worst.
Thank you for your selfless efforts in saving my brother.
After returning to Hualien, my brother feels that his condition is worsening.
In this situation, if the cranial bone cannot be reinserted surgically, does that mean we are left with no choice but to accept the reality? We have been striving for a long time, yet we still hold on to hope.
Lin Xiansheng, 30~39 year old female. Ask Date: 2017/04/07
Dr. Zhang Junwei reply Neurosurgery
I'm sorry, I was abroad last week and couldn't respond to questions in real time.
Actually, Huangfu's condition was not optimistic from the beginning, and the chances of waking up are really low.
Of course, if the situation worsens, there would be no need to replace the skull.
To be honest, sometimes letting go is also a choice.
Reply Date: 2017/04/07
More Info
Hello, thank you for reaching out and sharing your brother's journey with us. It sounds like you and your family are going through an incredibly challenging time, and I want to acknowledge the emotional toll this situation can take on everyone involved.
From what you've described, your brother has faced significant medical challenges following his neurosurgery, including complications such as pneumonia and sepsis. These are serious conditions that can complicate recovery and impact overall health. The decision not to replace the skull cap can be a difficult one, often made with careful consideration of the patient's current health status and potential risks associated with further surgery.
In neurosurgery, the removal of a portion of the skull, known as a craniectomy, is sometimes necessary to relieve pressure on the brain due to swelling or bleeding. While this procedure can be life-saving, it also comes with risks, including infection and complications related to the brain's exposure. If the decision has been made not to replace the skull cap, it may be due to concerns about your brother's overall health, the risk of infection, or the potential for further complications.
It's important to understand that the absence of the skull cap does not necessarily mean that all hope is lost. Many patients can still recover and lead fulfilling lives, even with such challenges. The focus may shift to managing symptoms, improving quality of life, and providing supportive care. This can include physical therapy, occupational therapy, and speech therapy, depending on the specific needs of your brother.
Additionally, it’s crucial to maintain open communication with the healthcare team. They can provide insights into your brother's condition, the rationale behind their decisions, and what to expect moving forward. They can also discuss palliative care options, which focus on providing relief from symptoms and stress, improving the quality of life for both the patient and the family.
As for your emotional well-being, it’s equally important to take care of yourself during this time. Caring for a loved one with serious health issues can be overwhelming, and seeking support from friends, family, or even professional counseling can be beneficial.
In terms of resources, consider looking for support groups for families dealing with similar situations. These groups can provide a sense of community and understanding, as well as practical advice on navigating the complexities of healthcare and emotional challenges.
Lastly, while it may feel like the situation is dire, many patients have shown remarkable resilience. The human spirit can be incredibly strong, and there are often unexpected paths to recovery and hope. Continue to advocate for your brother, stay informed about his condition, and seek out the support you need for both him and yourself.
I wish you and your family strength and hope as you navigate this difficult journey. Please remember that you are not alone, and there are resources and people who can help you through this challenging time.
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