instruction: hi doctor my dad is without ventilator support since 40 days and his tracheotomy has also removed five days back without any life support system he is currently breathing by himself for last 8 days with saturation level 100 on air past four days he is able to keep his eyes open for few minutes and moving his pupils and following the moving objects my brother showed him pictures of family members and he is trying to look at the picture and recognize it he is trying to hold hand or other objects with his left hand when asked he has minor movement in his left leg as well but there is no movement on right hand or leg and occasionally he moves his neck I have attached a video showing his movements bedsores on side of the head and hip continues to be a point of concern as per your advice I had requested the treating doctor for mri however they only did a it scan and the same is attached for your reference I am also sharing the two it scans which they did two months back for comparison please advise on the below his left hand and leg getting stiff and he was given baclofen for the same is there other better medicine apart from changing position every 2 hours and applying candid powder on the affected area is there any medicine for curing bedsores do you see any chances of recovery from here what needs to be done next for reasonable improvement do you see any chances of him speaking soon below are his vital statuses serum sodium 129 serum potassium 8 serum chloride 98 serum creatinine 6 egfr 103 blood pressure 150 100 of saturation 100 maintaining without oxygen support for last 8 days pulse 75 90 blood sugar 230 to 265 after taking insulin comes down to 140 160 I have attached the list of medicines which he is taking for the past one week kindly guide us
output: hi thank you for the detailed information I am happy to see your father improve gradually here is what I suggest for further information consult a neurosurgeon online