Any Doctors Out There?

[Thailion]

Sorry not sure where to ask this but....

I am looking for advice regarding neurology?

My brother recently was in a very serious motorcycle accident and is currently stable but just beginning to show signs of coming out of a coma after 2 weeks. My questions are about pain management and rehabilitation. With regards to pain management, do they have this facility in hospitals in Thailand (currently in Chiang Mai)? They had him on Tramal 50 but have now switched to paracetamol. I am wondering if this is suitable taking into count that he suffered multiple injuries besides brain injury? I would have thought something stronger would be more appropriate??? Morphine? etc.?

With rehab, they started today by putting him in a wheelchair, as they wanted him to sit up. He can't keep his head straight as his neck is not strong enough, has still not fully recovered from Meningitus and generally quite weak. After this his blood pressure went up for 3 hours and temperature rose again to 37.7. I don't see the point in starting this sort of rehab right now and would of thought a more basic line, like massage or gently moving arms, legs would be more suitable until he regained a bit more strength. I would of thought that rest for a few more days until the Meningitus was gone and his strength was improved would be better???

Any help would be greatly appreciated.