My brother sustained a closed brain injury 3 years ago. He has been moved numerous times primarily because of the aggression from the frontal lobe shearing. So, unfortunately, his medical care has lacked continuity.
Since last fall, "Mike" has become more bed-fast. His insurance no longer provides for physical therapy. So the problem is this: he has had a steady increase in pain in his feet bilaterally, dependent cyanosis on sitting and standing, his pulses are difficult to palpate and there is 3-4 second blanching. In addition, the ends of his toes turn bright pink. He is also having a more difficult time walking.
The nursing home physician believes that it is do to the brain injury and chooses not to address the situation. He is on multiple medications. Calling for a list of these would not be a problem as I am his guardian.
His podiatrist is willing to order doppler studies, but wants to know if I want arterial or vascular. What is your opinion?
I have a BSN and this gives me a great deal of concern.