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08/19/07
- Gerry was airlifted from St. Elizabeth Hospital to St. John's
Mercy at 9:00am
08/27/07
- Gerry is in stable condition, 103 fever, Pneumonia, still on a
ventilator, 4 broken ribs on
the left, left leg wounds,
infection in his blood stream.
08/30/07
- news is that
surgery is scheduled for 7:00 a.m. tomorrow, Friday, August 31.
They think the surgery should take about five hours. Once
surgery is over and he stabilizes, Chief will be
weaned off of the breathing tube. (The longer he remains
intubated, the harder it will be for him to start breathing on
his own.) They're hope is to
get him off the tube and breathing on his own (if he's able)
within a few days after surgery. Keep your fingers crossed!!
09/04/07 -
As scheduled, Chief had his surgery
on Friday. It lasted all of about 68 minutes, but it seemed to
go okay. Unfortunately, as with everything, there were a few
surprises along the way that the MRI didn't show.
Initially, the doctor was
going to take a piece of bone out of Chief's leg for the fushion.
Instead, he decided to use a cadaver bone because he felt that
Chief's body had been through so much trauma already and didn't
want to put him through anything additional. The fusing part of
the surgery went just fine. Once inside though, there was still
a significant amount of swelling around the injury. There was
evidence that spinal fluid had been leaking out, but it had
resolved itself over these last few weeks. Most disturbing is
that there is a severed nerve in the spinal cord and sadly there
is little that can be done for something like that. The doctor
is still unable to predict what the final outcome of Chief's
injuries will be once all is said and done.
Since the surgery,
they've been trying to wean Chief from the vent, but it hasn't
gone very well. At this point, the plan of action is to take
him off the vent on Thursday and place him on a traech. They
will attempt to wean him off of that instead.
09/07/07 -
The good news
is that his blood infection has cleared up…yeah!!
:) But, now he has pluracy…boo!
:( The doctors warned us that Chief will have his
ups and downs…and, I gotta tell ya', they weren't kidding!!
He's had a restless day or two this week, along with a slight
fever. Although Chief has had a few set backs, he has made some
great strides…surviving the accident for one. I don't think a
lot of us could've made it through that in itself. We are so
thankful that our Chief is still with us and fighting like
crazy.
They were just
finishing extubating Chief and replacing the tube with the
traech yesterday. The entire procedure took about two hours due
to all of the swelling in and around Chief's neck. In addition,
because of the pluracy, he is getting additional fluid built-up
in his lungs. So, they extracted a lot of that yucky stuff out
of his lungs, too.
For now, he still remains in a med-induced coma, but the game
plan remains the same...they will lower the sedation and begin
waking him up slowly. During this time, they will make repeated
attempts to wean him from the traech to see if he can breathe on
his own. The doctors and nurses have said that they don't know
what we can expect as he comes out of the coma--what he will and
will not remember and what his reaction will be to everything.
Again, only time will tell.
09/11/07 -
Gerry started out the week pretty rough. He needed a chest
tube yesterday for a large pleural effussion on the left side
where the rib fx. are. Today he is awake. They discontinued his
sedation and he is coming to terms with the accident and the
fact that he has been in the hospital for over 3 weeks. He is
"hungry" so they are letting him have a few ice chips.
No
movement in his legs, and he has figured that out and is
frustrated. He has a new pneumonia as well, but he is weaning
from the vent. Tomorrow they are going to try to get him out of
bed. He is "down" but we are trying to remind him that he is
"superman" having even survived being run down by a pick-up
truck.
09/11/07 -
Gerry was out of bed once today and they are going to try for
a second time today but in a different type of chair as he was
very uncomfortable. He still has pain in the back of his head
and wound care RN is coming to look at his pressure ulcer that
is on the back of his head.
His lungs remain coarse, but he is weaning on pressure support
ventilation...support from the vent while he takes all the
breathes on his own. Having trouble sleeping at night so the
plan is to really keep him busy during the day. Doing good
with the tube feeds. His hands really hurt as well so Sarah is
here today giving him the royal treatment rubbing his hands
and keeping him positive.
She is wonderful for him as the rest of us get frustrated
seeing little progress day after day yet she stays so
positive and uplifting. Slow and steady!!!
09/24/07 -
They're continuing the slow
process of weaning Chief from the traech and he is showing signs
of getting stronger in that regard. He only needed full vent
support for 2 hours on Sunday…that's wonderful progress!! When
he dozes off though he forgets to breathe. Then hello!...all
the apnea bells and whistles go off…right in his ear. I don't
know how he can get any sleep. We always watch the constant
fluctuation of his respiratory numbers--they'll go up in the
40's (this is bad...he has to slow down his breathing) and then
drop down to zero (which is even worse). Then, they'll steady
back into the teens and low twenties…where they want those
numbers to be.
Sunday was a rough day, I
think. Chief still coughs a lot and has a lot of yuck in his
lungs that they continue to suction out. They've been trying
different types of chairs for him to sit in, but nothing makes
him comfortable. He's not comfortable in bed either. He
complained that his stomach was bothering him and he felt like
he had a cold. All in all, I think he just felt miserable…not
to mention the Bears lost against the Cowboys, and now he owes
Bud $5!
Robyn has spent some time
with Chief this morning. He didn't have a headache…yeah!! She
said that he really looks great and is well rested. She said he
actively participated in his morning exercises and that his arms
are becoming so much stronger…I noticed that on Friday and
Sunday when I was there. His hands aren't following in as fast
a pace, but hopefully that will come with time. Get this…he's
worried about his weight!!! Can you believe that??? Only
Chiefy! :)
We know so many of you
want to come visit Chief and he wants to see everybody. He said
that he will be ready for visitors when he can talk to us. This
is a wonderful goal for him and it gives him something to
continue working so hard for. Like all of you, I keep praying
that day will be soon!!
Robyn made a special
request to all of us. Please keep sending get well cards!! She
said that he wanted to see them all this morning so she held up
each and every one. One after another brought such a smile to
his face this morning. He truly knows that we are all here and
we care so much about him.
If you don't think he'll remember you because you're an old
friend (from grade or high school, a former job, etc.) or an
acquaintance (he took your family pictures, senior pictures,
baby pictures, etc.), please drop him a note and re-introduce
yourself and tell him how you know him. I've heard from
quite a few people who don't think he'll remember them.
Every time I talk to him and tell him names and how they know
him, his eyes get real big and he shakes his head "yes."
All of you have brought such a smile to his face!!
09/29/07 -
Robyn
is working with the medical team to get Chief on a daily
schedule of physical therapy, out of bed and in a chair, etc., a
routine of sorts to keep Chief busy, interested and working hard
every day. That’s good for Chief since he has his days and
nights a little messed up for sleeping. Hopefully, with some
movement and keeping him awake during the day and early evening,
that should really help and get him back on track.
Wednesday wasn’t so good for Chief
as he is becoming his worst enemy. He feels like he’s not
getting enough air and panics. He will breathe 40 times a minute
on PSV when he is awake with no rise in his carbon dioxide
level, but will complain of shortness of breath. He can fall
asleep on the same settings and breathe 16 times a minute and is
just fine. Poor Chief…it must be a horrible feeling.
He is still doing good with the
tube feedings and he continues to get plenty of nutrients. His
swallow reflex is good, so they are allowing him to take sips of
water. His labs continue to come back stable, which is good,
too!
Well, that’s all for now. We will
continue to keep you posted on all developments.
10/04/07 - After
a good weekend, things seemed to go south for Chief on Monday.
During an attempt to take down the trach cuff to let him talk,
all the secretions sitting on top of the cuff went into his
right lung and collapsed it. He needed a bronch and after
several bagging attempts, his lung opened up and they were able
to suction out the secretions. His oxygen saturation level
dropped to a scary 46%. (That level should always stay high
90's to 100.) The good news is that the chest x-ray looked
good. The pulmonologist said that the secretions in his lung
were caused from the cuff, not from any other lung issues. The
downside to all of this is that Chief went back on pressure
support after the desat issue on Monday.
Tuesday Chief spent
chillin'. He was out of bed twice and watching some new movies
brought in by one of the nurses. (Leave it to Chief and his
charm! He now has nurses bringing in movies for him!)
Wednesday, Chief had a
good day. He continues to tolerate the tube feedings. He was
put back on the trach collar (which is awesome!). He has no
fever, he's on no antibiotics, and his pressure ulcers are
healed and no knew ones to report. They performed a cookie
swallow study test and he PASSED!! He is now able to have
pureed foods and things like ice cream. Pureed foods sound
yucky…but it's a great start to bigger and better things. He
even made a special request…Campbell's beef soup! Campbell's it
is!! :)) Can you believe it…Chief's never had an iced tea from
Starbucks. (Well, truthfully, we haven't either, but we hear
it's really good. I only drink the hot chocolate, which is
pretty darn good!) In celebration of him passing the cookie
swallow test, they've made arrangements for a Starbucks run on
Thursday morning. I stopped by after work tonight (Bud's under
the weather) and we chatted about all sorts of things. You'll be
glad to know that my lip reading has really improved. I even
impressed Chief! He gave me the eyebrow lift and a big ol'
Chief smile of approval!! When I left, he was awaiting the
arrival of some special visitors…his nieces and nephew were on
their way! :)))
Today, Thursday, they're
hoping to get Chief outdoors again--some fresh air and different
scenery will do him good. Bud is still under the weather today
and won't be stopping by after work.
They've moved Chief to
Bed 4 (he was in 5), across from the nurses station. It's a lot
noisier than his other room, but hopefully if we can keep him up
during the day he'll be good and tired at night. (He was moved
because they painted his old room.) If you send cards and
emails, please address it as Unit 475, Bed 4.
10/19/07 -
"Great news...Gerry is OFF the
ventilator. They pulled it today. It is out of his room. He was
on the trach collar all night and capped again
today. He has already had therapy this morning. Taking
about 2500 calories on his own a day, so next step is to pull
tube feeding."
We’re so excited and wanted to share
this wonderful news with everyone! What a super way to kick-off
the day and weekend!! This is such a HUGE milestone for
Chief…and all of us!!
10/29/07 -
First of all, we would like to
welcome back Chief's sister and brother-in-law, Mary and Jack
Skees! We are happy to report that their three day drive to
Belleville from New York was uneventful and boring…which is good
to hear. Welcome back Mary and Jack!! We're so glad you made
it safe and sound.
It's Monday morning -- October 29 -- and Chief remains in St.
Louis this morning. We're waiting for the call from the
Rehabilitation Institute of Chicago. Rumor has it--a tentative
moving date of November 1. We'll keep you posted. We hope
you'll have a chance to stop by and visit with Chief before he
leaves for Chicago. Just a reminder, if you would like to go
before he leaves, but would feel more comfortable with Bud or I
going with you, just let us know. We will be more than happy to
join you. If you need directions, please let me know as well
and I'll forward them to you.
The last few days have
been hard on Chief. On top of being stressed out about
everything in general and his pending transfer to the
Rehabilitation Institute in Chicago, he came down with a nasty
bacteria that causes nausea and lots of yuck (along with a
fever) which really hit him hard physically, mentally, and
emotionally. He's back on an antibiotic to help kick it. He
wasn't up for much company on Friday and Saturday. Bud stopped
by Friday afternoon to try to cheer him up and even Bud reported
that Chief was very "sad" and didn't feel well. Bud said it was
hard to get Chief to smile--until he offered to bring me up so
that Chief could hit something. HEY NOW!!!!! ;)
Friends who
visited with Chief on Saturday reported that Chief was very
drained and weak from being sick Friday night. They stayed only
for a few minutes as Chief was just tuckered out. Hopefully,
once he gets to feeling better, he'll be on his way again with
positive thoughts and lots of energy.
On Sunday afternoon when
we stopped by, Chief was talkative and seemed in fairly good
spirits. He was very cold and was completely wrapped in his
favorite superhero throw--Spiderman! He said he was feeling a
little better. We hope that will continue today.
On the positive side,
he's breathing fine, the cultures are coming back good, and his
vitals remain stable. All great things to hear!
Chief needs a lot of
reassurance and positive thoughts. Chief has expressed fear
about his future--he doesn't think that he'll be any different
six months from now. There's no way we believe that for one
second! Chief has already progressed so much in light of
everything that has happened. He has overcome so many obstacles
thus far. Gosh, just the accident alone--we know that neither
one of us would have survived something like that! Chief just
doesn't realize how truly amazing he is. Chief is Chief…he is
not a stranger to hard work. He's the bike riding, squirrel
shooting, bird feeding, "that deer was this close", health nut,
gym goer, golfing guy that we've all grown to love and care
about over the years. No accident will ever change who he is or
our feelings for him!!
11/02/07 -
Just a quick note to let you know
that Chief may be moving to a step down unit tonight to Room 455
(it's still on the 4th floor) at St. John's. If you plan to
visit him over the weekend, you may want to check with the
"Information Ladies" on the main floor to see where he is at.
We'll be stopping by to see him over the weekend and we'll know
more on Monday. 11/09/07 -
Chief really seems to be
enjoying his new spacious and very quiet room--455. As I
mentioned the other day, he's getting caught up on some much
needed sleep! That will definitely go a long way to help his
recovery and overall well being. Rumor has it that Chief had
his first real taste of physical therapy on Monday. The PT had
him sitting on the side of the bed and he did great! Way to go
Chief!! Keep up the hard work, dude!
Robyn received the call
from RIC on Monday. They are shooting for this Thursday,
November 8. Since he is more stable, they are going to transport
him by ambulance. We are going to miss him so much while he's
gone! Watch out Chicago…here we come!! We'll keep you posted
on this very important development.
Chief had an interesting
visitor yesterday…a reporter from the News Democrat!!
We'll let you know if we hear more "scoop."
11/11/07 - We are sure
everyone is wondering...yep, Chief has gone to Chicago! I apologize
for not sending an update sooner. I was holding off to hear
from the family, but I'm assuming no news is good news. I was
told early yesterday that Chief's
ambulance left around 8:30 a.m. on Thursday. Chief was in
good spirits, a little anxious, but all in all ready to go and
start rehab. This is wonderful to hear! I also heard
that his room is on the 7th floor at RIC on Superior. Once we
hear any updates from
the family, we'll pass on any new information.
A few weeks ago, I wrote a
letter to the owners of the Bacchetta recumbent bicycle
company who make Chief's bike -- the one that was destroyed in
the accident. I
received a response. The president of the
company was sad to say that there are no design
modifications or conversion kits available for the bike that
would enable the handicap to ride it. The great news is that
the company has generously offered to replace Chief's bike if,
after rehab, Chief is able to ride a recumbent like the one he
had. In the meantime, they have referred me to another
company who does make bikes for the handicap based on the
special needs of the rider. The only problem...those bikes
start at $2,995.00...ouch!
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