Can I receive treatment at your hospital for memory loss caused by a stroke?
Hello, I would like to seek your advice.
My father suffered a stroke in June of this year, which caused a blood clot to press on a part of his brain, leading to intermittent memory loss.
He has been taking the medications prescribed by Chang Gung Memorial Hospital regularly, but his condition has been worsening recently.
He expresses concerns about water in the toilet causing floods and refuses to use the bathroom, opting to relieve himself anywhere instead.
He frequently experiences hallucinations and has been moving household items around, along with sudden outbursts of anger.
Given these symptoms, should we take him to your hospital for treatment and possible hospitalization? Which department should we consult? Our family is unsure whether to seek help from a neurology or psychiatry department.
Thank you for your guidance!
A-Hua, 30~39 year old female. Ask Date: 2007/09/16
Dr. Su Zongwei reply Psychiatry
The symptoms may be indicative of organic psychiatric symptoms caused by a stroke.
Our hospital has a psychosomatic medicine department that offers outpatient treatment.
Please prepare a list of all medications your father is currently taking for reference during the treatment.
Reply Date: 2007/09/16
More Info
I'm sorry to hear about your father's condition. Stroke-induced amnesia and the accompanying symptoms you're describing can be quite distressing for both the patient and the family. It’s important to understand that the management of stroke-related complications, including cognitive and behavioral changes, often requires a multidisciplinary approach.
First, it’s crucial to recognize that the symptoms your father is experiencing, such as intermittent amnesia, hallucinations, and behavioral changes, may be related to the areas of the brain affected by the stroke. The brain is a complex organ, and damage to specific regions can lead to various cognitive and emotional disturbances. In your father's case, the presence of a blood clot that is exerting pressure on certain brain areas could be contributing to these symptoms.
Regarding treatment options, it is essential to consult with a neurologist or a stroke specialist. They can evaluate your father's condition comprehensively, including a review of his medical history, current medications, and the results of any imaging studies (like CT or MRI scans). This evaluation will help determine the best course of action. If your father is experiencing significant cognitive decline or behavioral issues, a referral to a psychiatrist or a neuropsychologist may also be beneficial. These specialists can provide insights into the psychological aspects of his condition and recommend appropriate interventions.
In terms of hospitalization, if your father's symptoms are worsening and significantly impacting his daily life, it may be advisable to seek admission to a hospital that specializes in stroke care or rehabilitation. Facilities that have dedicated stroke units often provide comprehensive care, including physical therapy, occupational therapy, and speech therapy, which can be crucial for recovery. Additionally, they can offer psychiatric support if needed.
When considering transferring to a larger hospital, such as the one you mentioned, it would be wise to discuss this with your father's current healthcare team. They can provide guidance on whether a transfer is appropriate based on his medical status and the resources available at the new facility.
As for the medications prescribed by Chang Gung Hospital, it’s important to ensure that they are being taken as directed and that any side effects or concerns are communicated to the healthcare provider. Sometimes, adjustments in medication can help manage symptoms more effectively.
In summary, your father's condition warrants a thorough evaluation by specialists in neurology and possibly psychiatry. If his symptoms are severe, hospitalization in a facility equipped to handle complex stroke cases may be necessary. Open communication with his healthcare team will be key in navigating this challenging situation. Please ensure that you advocate for your father's needs and seek the support that can help improve his quality of life.
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