Brain injury & severe bodily trauma

[Guest guest]

Hi all, I could use some help with this case.....

One week ago my 65-year old uncle was hit while riding his bicycle.

He suffered a fractured skull, 7 broken ribs, a punctured lung,

shattered scapula, severe damage to his left ear, and a broken

clavicle. He is currently in the ICU and suffering a tremendous

amount of pain. He is taking a mixture of fentanyl and vicadin ( & a

low dose of haldol for " ICU Psychosis " ). Of almost equal severity is

his mental state. He doesn't recognize most of his family members,

and is furious to be in the hospital. The brain scan shows some fluid

accumulation and subdural hemorrhaging in the frontal lobe, although

the doctors maintain that neither the brain injury nor the drugs would

be expected to be the cause of his tremendous agitation. He focuses

most of his attention on trying unsuccessfully to rip off the monitors

and hoist himself out of bed. He can't really talk, but mumbles and

swears, and occasionally shows signs of cognition. His nurses have a

really positive attitude toward acupuncture. I treated him today for

the first time and used si shen cong and some auricular points for

specific areas of injury. Limb points are difficult to needle since

he is quite mobile. During the treatment he was pretty relaxed,

although an hour after removing the needles he returned to his

unsettled, tossing about state (although his heart rate did remain

lower). He lives about 2 hours away so I can't treat him everyday,

but hope to get a few more in during this particularly acute stage.

Any thoughts, suggestions, shared experiences would be greatly

appreciated.

Thanks in advance,

Sarah Fink, L.Ac

[Guest guest]

Hi Sarah,

 

You might try using GV 20 pointed towards the face, and GV 24 pointing towards

the back of the head. This pairing is in the scalp, and so will fit your need

to not use limb points. It is especially good for treating PTSD, and calming

down nervous agitation. I like to use it with a little bit of estim for PTSD

patients. It seems like, (if the nurses were open) that s simple formula like

Er Chen Wan, with a San Qi pill would help your uncle a lot. Of course one

could get a whole lot more complicated then this, but while he is in the ICU it

seems simplest would be best.

 

Hope that helps,

 

Sincerely,

 

L.Ac.

The Database

Chinese Medicine

 

sfink23 <sfink23 wrote: Hi all, I could

use some help with this case.....

One week ago my 65-year old uncle was hit while riding his bicycle.

He suffered a fractured skull, 7 broken ribs, a punctured lung,

shattered scapula, severe damage to his left ear, and a broken

clavicle. He is currently in the ICU and suffering a tremendous

amount of pain. He is taking a mixture of fentanyl and vicadin ( & a

low dose of haldol for " ICU Psychosis " ). Of almost equal severity is

his mental state. He doesn't recognize most of his family members,

and is furious to be in the hospital. The brain scan shows some fluid

accumulation and subdural hemorrhaging in the frontal lobe, although

the doctors maintain that neither the brain injury nor the drugs would

be expected to be the cause of his tremendous agitation. He focuses

most of his attention on trying unsuccessfully to rip off the monitors

and hoist himself out of bed. He can't really talk, but mumbles and

swears, and occasionally shows signs of cognition. His nurses have a

really positive attitude toward acupuncture. I treated him today for

the first time and used si shen cong and some auricular points for

specific areas of injury. Limb points are difficult to needle since

he is quite mobile. During the treatment he was pretty relaxed,

although an hour after removing the needles he returned to his

unsettled, tossing about state (although his heart rate did remain

lower). He lives about 2 hours away so I can't treat him everyday,

but hope to get a few more in during this particularly acute stage.

Any thoughts, suggestions, shared experiences would be greatly

appreciated.

Thanks in advance,

Sarah Fink, L.Ac

 

 

 

 

 

 

 

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