I didn’t get a chance to write notes on all the information that was passed along to me this morning so please understand if I miss something or I’m not 100% accurate with my words. Also, from the time I get this info to now, some information may have changed.
Today Ellen is in a coma for 28 days or one month. The doctors have given us a lot of information on her injuries and finally have agreed that she has made some progress. When she was admitted to the acute hospital she was considered not stable enough and a decision would be made within 5 days if they would move her back to a medical hospital. After 5 days, the doctors decided to re-evaluate at 30 days and now with Ellen’s medical condition improving they will re-evaluate at 60 days. Depending on her progress, she will be moved into a sub-acute hospital.
The staff is still trying to wean Ellen off the ventilator. Each day she is taken off a little longer and she seems to be doing well. During the day she is almost breathing all on her own. The ventilator is on at night but only to 30% so Ellen’s breathing is 70% her own. Ellen had her 3rd tracheotomy procedure today to give her a smaller trach which is a sign that she may be breathing completely on her own and hopefully waking up soon.
After numerous tests, the doctors will not be doing any cat scans, mri’s, tests for a couple of weeks to give her a rest. Ellen has an obstruction in her stomach but the doctors feel this will resolve itself with medication. There will also be a procedure to reconstruct her ear drum that ruptured during the accident. The lung infection has improved but they will continue to drop dye to see where her fluids go to prevent further infections and problems. She has numerous skull fractures which will take approximately one year to heal.
The doctors believe Ellen is in an agitated state which could mean that she may wake up within the next couple of weeks. This is amazing news! Ellen is moving around inconsistently and they believe involuntarily which is a sign of an agitated state. She has her days and nights confused. She’s most awake between 5pm and 8pm so the nurses encourage visiting during these hours to tire her out. They hope she will then sleep through the night and will be most awake when the doctors evaluate her in the morning. So far she is in her deepest sleep when the doctors visit. The nurses pre-warned us that the next phase of agitated state is yelling and cursing but she doesn’t know what she’s saying, doesn’t mean it and will not remember it.
One of the evaluations the doctors use is called Glasgow scale which diagnosis symptoms of TBI. The scale is based on a 3-15 point scale. When she arrived at this hospital she was scored at a 3 which is considered sever disability. Yesterday she was scored at an 11 which is categorized as moderate disability. She’s almost there but we still need to get to 15.
Ellen continues to amaze me each day. I’ve always admired her grace and attitude toward her life and life in general. She has shown us all how much she wants to be here and LIVE. She has chosen to live. She fought through almost unbeatable odds to stay with us. I’m so proud of Ellen. I love her so much and I continue to pray for her miracle.
Let's all take the time to pray tonight for her miracle. To continue to make progress, come back to us and have a full recovery.