patient discharged from hospital. has flown to Rome. Now at a reahabilitation place (not clear what they will do as patient seems quite able already to me)

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April 27 update. This is me reporting to a doctor who asks me questions which show that she knows a lot more about medicine than I do 18:40 Hai inviato Intensive care attending (primaria) says intensive care no longer really needed. DR who knows more than me: What is her heart rate Me:Fever down to 37.5 central (so according to (other doctor we both know) not a real fever). Sometime they switched antibiotics. DR: Sister says patient follows commands per neurosurgeon what does melia say Me: When reasting 120 maybe 130. Steady except sometimes she moves around (as if seeking comfortable position) and it goes up. Old unexplained tachycardia (days ago) no longer happening (see update below) DR: Why is it high now Hai inviato Melia said she does not follow instructions. My effort was blink and tell her to blink and she blinked. Seems way more alert and eye tracking me. Likes to hold hand Hai inviato You asked why pulse so high (120). I guess often lower. I just saw “not tachycardia” DR:
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Here is the referto of the MRI. See the key point is that there is contusion but not detectable ischemia (suspected some small areas of ischemia somewhere). The effects should be temporary. Also Dr Veneziani says the bruised area has no known function -- when it is removed to remove a tumor, there are no known effects. So very good my effort to translate Exam rquested and executed in basal conditions with sequence t1,t2,presente, flair, GRE T2 amd with sequences weighed in diffusion according to axial, sagitale and coronal axes and with an axial sequence aiming in correspondende to the “tratto di rachide” C-4-C6 Extensive craniotomy temporal and fronto- parietal on the left. A collection of extracerebrale fluid collected near the surgical breach of maximum thickness of 18mm. Frontal and temporal bilaterally (walways more evident on the left, there is an extensive area of hyperintensity in the FLAIR and T2 sequences with some characteristics also of a hypointense component i
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MAY 15 update Sorry for delay updating. Patient seems to be recovering quickly. 1) motor skills pretty much completely recovered. Actually agile. Types with thumbs on phone (while your humble blogger types with his right index finger being old). 2) verbal activity has been odd. Patient speeks quickly confidently and without hisitation. However the words so confidently chosen are very odd. "name" means "noun which does not come to mind". "Ice" means water. News for the 15th is that this odd pattern is very much reduced (roughly 4 fold since 14th) so communication works OK. 3) Emotional behavioral corresponds to frontal contusion reported on CAT scan and MRI - very emotional and impulsive with almost no detectable self control (like a young child). Demands that relative or boyfriend be present. I think this too is moderating. 4) Lab news. This is the reason for delay posting. Some fluid escaped from wound Thursday 5/5/2922 (would be mix of CSF a
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