Phone call from Mr Duffy, Stroke Consultant today
The shunt is working fine. The extreme depression confirms severe frontal lobe damage and atrophy. This was shown on the CT scan anyway. This means that Helen has minimal chance of recovery of function. She has damage to every cortex of the brain, nothing escaped.
They are trying to arrange getting bone flap back in at JR before her transfer to Holy Cross. They will decide on day whether bone flap or titanium depending on health of bone. She should only be gone for 24 hours.
Her bowels are ok. No signs of any underlying disease. I forgot to query collagenous colitis that as on the discharge note from SGH.
Her right side is much looser. This is probably due to the Botox injection. However, the left side is much more tonal. Helen will have a review by Guillaimbarlow(sp) with a view to having more Botox.
Blood sugars are more under control now.