Patient: Description of condition (time of onset, main symptoms, hospital visited, etc.): On October 7, 2010, a car accident caused cranio-cerebral trauma. At that time, he was in a deep coma for 30 days and stayed in the Second Hospital of Landa University for 34 days (you know some of the treatment situation, Director Xue). After that, he was transferred to Landa First Hospital for treatment for 75 days, and at 100 days, he was transferred to Gansu Provincial Rehabilitation Hospital for rehabilitation treatment for 75 days. The biggest problem at present is the recent poor memory, just after brushing the teeth and washing the face, he will go to brush the teeth again. Inflexible movement of the left lower limb. Walking timidly, always afraid of falling. Diagnosed with diffuse axonal injury and transferred to Landa One Hospital, where he was treated with ganglioside, wake-up call, and olanzapine for two and a half months; after 40 days, he underwent hyperbaric oxygen therapy for 90 times. At present, his cognitive ability is poor in recent memory and disorientation, and he can’t say the date, month and year. 1.Can I recover my memory in the near future, and if so, how long will it take to recover? 2. What medications are I taking at this stage. Now taking: vitamin B complex, Pellegrin, carbamazepine, warfarin (right lower extremity thrombosis, installed a filter) nifedipine extended-release tablets (blood pressure is somewhat high). Beijing Tiantan Hospital hyperbaric oxygen: Suggestions: 1. 0.9% saline + gold sodium more than 5 / intravenous drip, 15 days for a course of treatment, and then interval of about 2 weeks to use a course of treatment; 2. at the same time can continue to hyperbaric oxygen therapy 60 times; 3. with cognitive function and limb motor function and other rehabilitation training. In short, it is difficult to determine the degree of recovery, but most patients will recover within 1 year after the trauma, and they will recover to different degrees with reasonable treatment and rehabilitation training. Patient: Thank you, Director Xue, for giving such a serious reply in your busy schedule. I will go to the hospital tomorrow to do the treatment according to this prescription, and I will trouble Director Xue with any progress or problems. Patient: Hello, Director Xue! Thank you again for your careful treatment. After two courses of Kinadol injection, my memory has obviously improved, and I can remember things I care about and am interested in for a longer period of time, and my thinking has become faster. What is the next step of treatment? My current symptoms are: poor memory, numbness in my right foot, heaviness in my right lower limb, excessive sweating on my right face, and repetitive speech. What medication should I take? The medications I am taking are: vitamin b complex, warfarin, nitroprusside extended-release tablets, carbamazepine (I have never had epilepsy or seizures, do I still need to take carbamazepine?) I’m not sure if I can take it again during the infusion of Gennadol. Good luck! Patient: Hello Director Xue! Her condition was guided by you at a critical time, which led to the miracle today. The treatment and recovery to this extent is much better than our family originally expected. Please understand our family’s feelings, we always want to have a better result, that’s why I am disturbing you. Beijing Tiantan Hospital Hyperbaric Oxygen: Sorry, I’ve been very busy the other day and couldn’t get on line in time, please forgive me! In the case you mentioned continue my previous suggestion, 1-2 more courses of infusion, continue hyperbaric oxygen and rehabilitation treatment can be. In addition, the degree of recovery of brain function in craniocerebral injury depends on the degree of primary and secondary injury. If some brain tissue is completely necrotic at the beginning, its function will probably never reach full recovery, but insisting on reasonable treatment and rehabilitation is to strive for the best result Patient: Thank you for your heart, Director Xue, that is, using this formula for treatment. At present, my condition has improved a lot, my thinking ability is close to normal, my gait is not very good, but my endurance is fine for walking three or four kilometers, and I can take care of myself completely. When I think about it, it is a miracle that I have recovered to this extent. Once again, I would like to thank Director Xue for his careful treatment at this critical time. The main problem now is that she has a poor memory, she forgets when she turns around just after eating, she forgets when someone has seen her, she forgets when she leaves, she repeats her speech because of her poor memory, and her right foot is numb. The only medications she is taking at the moment are Nitropin and Warfarin, but all other medications have been stopped. We hope to recover well, and we are very grateful that Director Xue understands. I know you are very busy at work, take care of yourself and wish you well!