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Catatonia

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Catatonia
Posted: 01-28-08 11:13am

Could this be catatonia? He is even able to stand in the bed either on his hands and knees and balance himself or try to get out of bed. one of his nephrologists told us that it could take a very long time to get the toxins out of him. What can we do?


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DoctorAnswer
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Mental Conditions Answer A3580
Posted: 01-31-08 12:37pm

You wrote:

"Current medical status: Regarding my father. he has renal failure and just recently had 2 heart attacks. Then he might have coded. the records are kinda shady from the hospital. Tests show his heart is still pumping pretty well and everything else is stable. Dialysis is working pretty well. Mental status has improved, but still not speaking. everything else is coming back slowly. they gave him so much sedative (propofol)while on the ventilator and so many other sleeping meds and anti-anxiety meds some of the doctors think it could take a long time to get it out of his system. Some say he could have brain damage. he seems catatonic to some of us. Now his eye-hand coordination is back to almost normal. his eye-brows go up and his eyes open wide when some people say his name from across the room.

Current medical treatment: He is in the CCU and improving. They removed the ventilator and stopped the sedative. At first he was just laying with eyes open just a little and only moving legs. looked like a lot of anxiety and or restless leg, which he does have both issues. a day later his eyes started to open and the rest of his body was moving. no speaking yet. next day he was extremely aggitated and we did try to ask him some questions. i asked him what he was doing in an angry voice and he said under his breath in an angry tone, "NOTHING." he also said no a few times. since then we havent gotten a word, but he has had the feeding tube in. the last few days he has acted more like himself, but still not listening to commands and not speaking. Brain CT came back normal, but we are waiting for them to do an MRI. they will have to give him more meds to get through that."


Catatonia is a psychiatric disorder, a kind of schizophrenia, wherein a person takes bizarre body positions and keep them for a long time without fatigue and doesn’t communicate with other people. According to your description of his symptoms, it doesn’t sounds like your father is experiencing catatonia. The condition appears to be more like a psycho-motor weakness due to the sedatives he's taking in combination with the bad condition of the kidneys and heart. You can’t do anything but to wait while he is recovering in the CCU.




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