Patient’s question: Illness: 6 years of bedridden paralysis after cerebral hemorrhageDescription: In December 2009, there was confusion, headache, vomiting, blood pressure of 180, followed by limp and coma, called 120 to the hospital, took conservative treatment, played drip flow to lower intracranial pressure, hospitalized 20, went home and could not get up. Been paralyzed until now, blood pressure now remains normal. Hope to provide help: Can this condition be rehabilitated and can self-care be restored? What treatment is needed? Department of the hospital visited: Gongzhuling City Hospital Neurosurgery medication: Drug name: Enalapril taking instructions: one tablet in the morning and one in the evening, for six years, with itchy legs. Reply from Zhao Wenru, Department of Rehabilitation Medicine, National Rehabilitation Assistive Devices Research Center Affiliated Rehabilitation Hospital: Please describe the condition in as much detail as possible, such as how is the patient’s mental state at present? How is the patient’s memory? Is he able to take care of himself? It is better to take a video and send it to me, so that I can judge the condition and know whether neurological rehabilitation can be carried out, the degree of possible restoration of function, etc. Patient’s question: The patient is lucid, has good memory, speaks well, and can take care of herself in bed, but she has a brain stem hemorrhage. I am the patient’s daughter, and I am out of town, so I can’t send you the video and film in time, so I will go back home to pick them up. What is the approximate cost of treatment? Reply from Zhao Wenru, Department of Rehabilitation Medicine, National Rehabilitation Assistive Devices Research Center Affiliated Rehabilitation Hospital: I know, no need to take video. Brainstem hemorrhage is characterized by movement of all limbs, but poor balance. Patient Question: How long does it take? What is the cost? What is the consultation procedure? Thank you! Reply: Generally, a course of treatment takes 3 months and costs about 13,000 RMB per month (a little more for a single room). You will only know how long it will take after a period of functional assessment and treatment. Generally, we use inpatient treatment for 1-2 courses of treatment, go home to exercise for six months, if there are still problems, then inpatient treatment. Patient Question: Yes, thank you, Professor Zhao Wenru for your answer! I would like to know how far my mother can recover through 1 to 2 courses of rehabilitation. Her greatest wish is to walk on her own, I don’t know if this wish in her life will come true, I am counting on you, Professor Zhao. What do I need to prepare? How can I contact you? I don’t know how far your mother can recover after the treatment, I haven’t seen the patient yet and I don’t know the details, so I can only say that there is a therapeutic value. The content of the daily training varies from person to person. The neurological rehabilitation technique identifies the main obstacle points through assessment, and then formulates rehabilitation principles based on the obstacle points, and then formulates a rehabilitation program based on the principles. Neurological rehabilitation is a scientific training, a great project of shaping people. It is not optional, as people think, to move arms and legs, but a scientific training to reintroduce motor programs to the brain. Every day the treatment staff gives treatment, there is no extra personnel to accompany, need to come to their own people or hire a caregiver to accompany. Patient Question: Hello Professor Zhao! I would like to tell you more about my mother’s condition. She had her first cerebral infarction in 2004 and a cerebral hemorrhage in 2007, and she became paralyzed. Now she relies on other people to pull her up and push her forward, her legs can’t take a step, and the joints of her limbs have become stiff. In addition, we are in Gongzhuling, can my mom stand such a long journey to Beijing? My mother does not have medical insurance and the cost of rehabilitation is too high and cannot be reimbursed. I would like to ask the professor what medication my mother can take for this condition, and if you have any there, you can recommend it to me! The rehabilitation medicine department of the rehabilitation hospital affiliated with the National Rehabilitation Assistive Devices Research Center, Zhao Wenru replied: Motor function recovery is a motor function in the learning process, acupuncture, medicine in the early stage of the onset of the disease has a certain role, can prompt the brain cells that have been damaged but not dead to revive, more than three months these effects are not or not much. Think of a computer modeled after the human brain. If the CPU is broken and the computer is paralyzed, the CPU must be repaired before it can work. This is not the current method of rehabilitation, which is to get the software and display first. After fixing the CPU (replacing the damaged electronic components), you have to re-enter the program and then run it through a trial run to modify any inappropriate parts of the program in order to restore the computer’s function again. The three-stage method of neural training is designed according to this principle to eventually restore the lost motor functions. At present, the transportation is developed, and it is safer to come to Beijing by high speed train and moving train, so your mother can come to Beijing by car for rehabilitation treatment. Patient Question: Thank you very much for your answer. I will go back to discuss with my family, and if I need to go to Beijing for treatment, I will first come to Beijing with the information to tell you my mother’s status in detail, and then you will arrange to make a specific treatment plan. Finally, I would like to know what is the probability that my mother will be able to walk again? I would like to have a good idea! Thank you! Reply from Zhao Wenru, Department of Rehabilitation Medicine, National Rehabilitation Assistive Devices Research Center Affiliated Rehabilitation Hospital: It is not possible to bring information and introduce the condition only, you have to examine the patient in person, and there is no guarantee to what degree of recovery. Since rehabilitation started late in our country, it is understandable that people do not understand and trust rehabilitation! However, the demands on rehabilitation medical workers are too harsh, and they generally ask: Can you guarantee a return to normal? Can you guarantee that you will be able to walk again? And so on. Please think about this: Have you ever asked your doctor this question when you went to another department? Can you ask the doctor to guarantee that the appendicitis surgery is minor and will never come back? When you have a cold, can you ask the doctor to reply that you will be cured without any complications after taking several times of medicine? The medical process is full of risks, and “like an abyss, like walking on thin ice” is the mentality of the majority of medical practitioners. Doctors are only doing their best to treat the patient according to the specifications, I believe that no one can guarantee the results. I hope that everyone has more understanding and tolerance, do not want to ask questions like this again.