Inpatient rehab treatment after Brain surgery

[katrinawyne]

My husband is 3 wks postoperative cerebral brain aneursym clipping and is feeling well no neurological side effects. He had his surgery done @ Johns Hopkins and told his surgeon he had substance abuse issues alcohol and oxys so they detoxed him while he was recovering from brain surgery. My question is, he now wants to enroll in an inpatient rehab to address his issues is this possible so soon after surgery? The only problems he is experiencing are headaches and mild fatigue. I am having difficulty with the centers we have contacted, although no one has outright turned him down, they just beat around the bush. His follow-up appt with his neuro surgeon is in 3 weeks.

[katrinawyne]

Believe me I am, I just came across an article in an addiction Industry rag, called "Addiction Professional".  The article deals with, "The Mental Health Parity and Addiction Equity Act of 2008" and the new guidelines that Kathleen Sebelius gave a speech on on 7/6/2010.  I just fired off a letter to my state senator. I am attacking this on all fronts.  Father Martin would be rolling over in grave along Mae Abraham the 2 founders of Ashley.  I also suggested to the senator that he investigate  D/A rehabs and their "Non Profit" status. I mean really do they need state of the art gyms and personnel trainers.  The whole time using Father Martins good name and the good work that he made a life goal of quality care and education for addicts.

[caregiver222]

It is sometimes very difficult to get into in-patient rehab programs for the brain-injured. The problem is not only with your husband. In additon the criterion for admission are secrets, guarded like the permissive action codes on the nukes. Try not to limit your choices to a specific geographical area.


Be persistant.

[katrinawyne]

My husband has already been evaluated for occupational rehab and passed all the tests with flying colors. What we were looking into is an in patient drug and alcohol rehab. I have looked at the quality treatment facilities in my area, given the fact that he was detoxed while a patient at Johns Hopkins he wants to continue his recovery on that front, for the most part the treatment facilities available within a distance of Hopkins (should something happen) are either inner city Baltimore and horrible, or out of network for our health insurance and crazy expensive. So far he is extremely fortunate given the substance abuse issue no neurological side effects have presented themselves. Additionally, the rehabs we have spoken have not stated directly, but they are don't want a person with the diagnosis "traumatic brain injury" and have refused a recommendation from his neuro surgeon. Maybe my thinking here is incorrect, but I view his successful clipping as a possitive. I mean any one of us could be walking around with an aneursym in our head and not know it. I additionally think the substance abuse industry is becoming a money making scheme, its difficult to weed out good/from bad.  We are considering getting an psych evaluation through Sheppard/Pratt, and participating in 12 step programs and maybe down the road in patient, and take into consideration the recommendation @ Sheppard/Pratt.  Thank you for comments, we have alot to look at.  

[Dr. A. Srivastava]

Hi, I can understand your worrying concerns about recovery. Unfortunately, rehabilitation is the only effective way to help the patient regain function to the possible extent and prevent from permanent losses. If rehabilitation program is appropriately instituted, most of the patients can regain maximum functions with appropriate therapy, training and support services. For coordinated rehabilitation program a team of a neurologist, a physiotherapist, an occupational therapist and a speech-language pathologist, a nutritionist work together to help you in your recovery. Therefore, I would suggest following the suggestion made by them and recovery will be although slow but most of the functions may be restored. In addition, it is essential to know that risk of stroke recurrence may be reduced such as by quitting smoking and controlling blood pressure. Hope this helps