Friday, September 4, 2009
catch up
It has been 5 months since my accident. I have been released from physical therapy. I was quite a while ago because I go to the gym and the physical therapist said that would do just as well as me going into therapy. I was very happy about that. Just typing that makes me feel a little bad as I am supposed to be a pilates right now. It was my turn to drive and my friend didn't make it. There is a war that goes on in my head when I pick up my friend and I see her house dark. The one side tells me to go to the gym and the other side says go home and go back to bed. I was glad she didn't get up this morning because I had a late night last night. Ali and Eric took me to the University of Utah and Utah State University football game. Anyway, I opted to go back home but instead of going back to bed, I finished the dishes and am now posting this.
My injuries are doing ssoooooooooooooooooooo much better. The orthopedist told me at my last visit in July that technically my injuries were healed but it would still take 16 - 20 weeks to be completely healed. I am walking mostly normal now unless I overdo. My ribs still hurt which I find very puzzling. Whenever I would ask about my ribs, I just got the shrugged shoulders and the answer "it will go away one day". I have my doubts about that. I have been very dizzy when I lay down or when I raise my head toward the ceiling since the accident. Last week in pilates while I was laying on my side doing a side series, I felt like I was falling hard and fast and the room went black for just an instant. I had fallen to my back and as I was feeling the panic of the fall, I realized that I was already on the ground and that I shouldn't panic. I was able to get back on my side and I finished out pilates. I was a little shakey for the rest of the day. I couldn't make myself go to the doctor. I am so tired of going to the doctor. Some are so good but some just make me feel like a hypochondriac (that is probably spelled wrong). And I am tired of getting the bills. Luckily, my out of pocket has been met but I still have to pay copays. I felt a little off for the rest of the weekend but by Monday I realized that I was no longer dizzy. The dizzyness when I lay down or raise my head is gone. What a wierd way for that to happen.
I just continue to be grateful for each day that I have with my family. Life truly is a gift.
Kara and her family are moving up closer to Logan and I will miss being able to see them as often as I have had the opportunity to see them and Ali and her family are wanting to move to Bountiful. I will miss them when they go. I know that neither of these places are that far but I still have such a difficult time getting in the car, I know that I won't be driving there very often.
I forgot --- since the last post I have a new grandson. Chad and Sandi adopted a little boy. He was only 5 pounds when they got him and he is a beautiful little thing. I can't believe how much he grows from week to week. I have another grandson that is supposed to be born Sept 20. We'll see if Kara makes it that far. She already measures at 40 weeks. She is going to have a big baby.
Monday, July 13, 2009
July 13, 2009
Since my last blog, Sammie was involved in a fender bender. She was in a parking lot, opened her door and bent down to grab her purse and someone pulled in the spot next to her quickly and bent the door pretty badly. Luckily Sammie's foot wasn't any further out the door or it could have been her leg. I am starting to think that there is a magnet attached to any car that we have or a sign that says "Please hit me". Colby and I went to Walmart the other day and as we were leaving Colby's face just sunk and he was saying "oh, no" . We had taken the car we had just bought to replace the car that got totalled in the accident. The car we were looking at had a huge dent. Of course, we are thinking that the insurance is going to cancel us. We can't afford to get that taken care of. There were dirty scrapes around the dent. After just a few seconds I noticed that there was a pink car seat in the back seat and I knew that Meg had not ridden in that. We were at the wrong car. What a relief!!!!!!
I really am feeling so much better. I saw the orthopedist last Thursday and had x rays taken. He told me that clinically my pelvic fractures are healed but it will take another 12 - 20 weeks before they are back to normal. There was a minor amount of shifting in the pelvis but not enough to give me any permanent damage. I was told to do what I could but not to overdo and to take days of rest occasionally when I need them. I am walking much better. It is easier and I don't need to concentrate as hard to make my steps not so hard. The neurosurgeon appt is next Monday and I need to have x rays of my neck before then. I am so hopeful that this will soon all be done and I can quit going to doctors. I am debating on whether or not to follow up with any further physical therapy. It is hard to find the time to do it and after I have worked all day, I am really exhausted. I have thought that I may call the therapist and see if he can see me maybe once a week or once every other week and give me some exercises that I can do on my own at the gym. It is easier to go to the gym in the early morning before my day gets going.
Life is in full swing now. I drove on the freeway for the first time since the accident last week. It was a little unnerving but the biggest fear that I have faced was having my grandson in the car with me and driving with him in the car. It all worked out ok. Ryan was excited to ride in grandma's car. I wouldn't have been if I were him after what happened last time but he either has forgotten the incident or he has more faith in me than I have in myself.
Nikki had her birthday party last Saturday. She was so funny. She would open every present that anyone had given her and then stand up and give the present back. She just didn't understand the concept that the presents were for her and were not just given to her to open. Ari was baptised last Saturday. She is so sweet and I was so proud of her. We had a dinner at Chad and Sandi's house after the baptism. Eric had to stay in the basement in his room because he has pneumonia. They are trying very hard to keep the house sanitized and keep him away from the baby. I am going to fly to Haley's in November. I will watch the kids while she runs the Richmond marathon. I am excited to see all of them also.
Other than that, life is just busy taking care of my family, going to work, doing my church calling and whatever other things happen to come along. Life is good and I am so glad to be alive.
Monday, June 29, 2009
June 29, 2009
I went to St. George with some of my sisters last Thursday to Sunday. It was a lot of fun. We had a chance to reminisce, went to a show at Tuacan, shopping, of course, watched a movie together, ate, and spent time at the pool. It was very relaxing. I really do love being with them. Colby, Meg and I went to the Utah Symphony in the park tonight and watched fireworks. It was so good. Ali, Eric and the kids met us there. I get so emotional when those patriotic songs are played. I am very happy to live in this country. I think so often people are only thinking of things that are wrong that we very often don't remember how many things are right with our country. Our family loves the fourth of July. The parade is coming up and that is one of the highlights of our whole year. We love to go. I am so happy to be alive!!!!!!!!!!
Saturday, June 13, 2009
June 13 - update
Sammie gets home tomorrow from New York. I think she has worn Haley completely out. Thanks Haley for showing her such a wonderful time. You and Wayne need a vacation when this is done. It will be good to have her home.
Meg continues to help me. I am trying to move more without my crutches. The more I do that, the more it hurts after a while and I find I am holding my breath so I need to remind myself to breathe. Meg hurries to my side with crutches or just her hand to steady me. She is so good to be my "runner" at times when I just can't do it. I had more x rays of my pelvis done last week and the doctor said I am healing well. When I discussed the pain issues with him and asked him what I needed to do to help the pain, he said "work it". He told me that I might overdo one day and if so I would know to not do that much the next day. I decided to put it to the test. He probably told that to the wrong person because the next morning I got up and went with my "gym buddy" to the gym for the first time in 2 months. It was so good to catch up and it felt good to exercise. I didn't do the class and we were only there about 35 - 40 minutes but it was a start. Thanks Wendy for driving. Probably everyone will be so happy when I can drive myself again. My kids have been so good to drive me everywhere I need to be or want to be. I am a "basket case" in the car. I have told Colby that I need a blindfold before I get in. He is a really good driver but I am looking everywhere all of the time. The car we got has such dark tinted windows, it is difficult to see especially at night so next week I am getting that taken care of. Ali is driving the car into a shop and I am having the tinting removed from the driver and passenger side in the front. I tried to do it myself but I just couldn't. I get very light headed when I hold my head up for a prolonged amount of time.
I feel that my healing is making a major breakthrough. I really did wear myself out after my doctors appt when he told me to "work it". I have not been able to sleep on my side because of the pain that would go into my inner thighs but the last 2 nights I have been able to move my legs without pain and have been able to sleep on my side. It was a happy day for me.
This has been such a long drawn out ordeal and I need to thank my sweetheart. So many people have done so much for me but no one has done more for me than my husband. I am so grateful to him for his patience (especially when I am in the car trying to use the imaginary brake on the passenger side. Pretty soon I will have made a hole through the floorboard and I will be able to dig my heels into the asphalt.) I am grateful for his help as he has tried to do everything within his power to make everything in our home pleasant as I recover. I don't know what I would do without him. By the way we went on our first date together 40 years ago today. I just can't be that old, can I?
Friday, June 5, 2009
June 5, 2009 - graduation
I am going to start work next Monday. I will go back 3-4 hrs for 3 days a week and ease into the schedule for two weeks before I resume my normal schedule. It feels like I have had a lot of healing in the last two days. Water therapy last Thursday felt so good. I am thinking it is helping and that makes me so happy. I did go to the graduation in the wheelchair. I debated whether or not to do that but when I saw all of the people being so uncomfortable on the bleachers, I was so grateful I had a nice comfortable seat. We went to Leatherby's after the graduation and had our traditional ice cream feast. It seems strange to think that my oldest grandson graduated from 6th grade today as well. I can't be that old.
Tuesday, May 26, 2009
May 25, 2009
Saturday, May 23, 2009
May 23, 2009
Saturday, April 11 was just like any other Saturday except it was the day before Easter and, of course, I had put off getting things ready for Easter so I spent the day running to grocery stores and getting things ready for my ever popular easter egg hunt where the prizes are truly fantastic things gotten from all a dollar. This year though I had decided to get good prizes and had begun my quest getting gift cards that I was going to make into a game for my children. Meg was invited to a wedding reception for one of the leaders of her special mutual that she was very excited to go to. Ryan, my 2 year old grandson, had croup and a 5 day old sister that we were all worried about so Colby, Meg and I picked up Ryan and were going to keep him for a couple of days until he had been on medication long enough that hopefully Ellie would be able to stay well and not end up in the hospital with RSV like Ryan had when he was a baby. When we arrived at the wedding reception, the line was sooooo long. I had walked into the church with Meg and wondered how long Ryan would be good sitting in the car waiting because I knew that there was at least an hour wait. There were some girls in line that invited Meg to wait with them and I told Meg I would go sit in the car with Colby and Ryan. There was an arctic Circle just a couple of blocks from the church so I decided Colby and I should take Ryan for an ice cream cone. He would like that, right? We ordered our treats and then I began to make a left hand turn to head back to the church. All I remember is being in the middle of the street watching a cars headlights heading right for me. I was thinking “I need to get out of here” but I think I went into shock. I don't think my foot was on the gas. I think I just froze and in an instant I could feel the impact of the car as it hit the drivers side of the car. I was driving and I remember groaning and feeling pain but I was worried about Meg. Who would find her? I could feel myself slipping and then Colby yelling at me. For anyone who knows Colby, you know that he NEVER yells at me but he was that night. He kept yelling at me, “Jan, don't you leave me, stay with me”. That jolted me back to reality for just a minute until I lost consciousness. I missed all of the excitement of an ambulence ride. Can you imagine, $1900 dollars for a ride in a car that I can't even remember taking. Evidentally, there were a lot of people at the hospital for me but the first thing I remember Colby telling me was that Ryan was OK. What a relief. I would have wanted to really die if anything had happened to him. During that night in the ICU (I didn't know at the time that I was in the ICU) I heard the doctors telling Colby that it would take possibly 3-6 months for me to heal. I remember thinking “oh, pleeeeease, I'm going to work on Monday”. Then the nurse tried to move me and I knew that work on Monday was definitely out. I have never experienced such excruciating pain in my life. I was told that I had the same fracture in the neck that Christopher Reeve had except my spinal chord had not been affected. Everyone in the hospital it seemed wanted to watch my fingers and toes move and wanted me to squeeze their fingers. I was happy to do soThe first day after the accident, I was grateful to Colby for jolting me back to reality by yelling at me. The second day after the accident, I asked him why he didn't let me die. They kept moving my legs and the fractures in my pelvis and my ribs just kept me in constant pain. The neurosurgeon did surgery on my neck Tuesday some time. All I know is I was handed a form outside of the operating room to sign giving them permission to operate. I think it was about the fourth day after the accident that I was taken to a regular room. It was important to get me up they said. It was horrible. My legs felt like there was no way they could support me. I worked up a sweat just by standing. I was able to get into the bathroom finally but it took every ounce of energy I could muster. By the time I would get back to my bed, my clothes were drenched because of the work out it was. After being “teased” by being in a regular room for a couple of days and having food and drink, I was taken back to ICU because I had a couple of blood clots in my lungs, I also had pneumonia and they discovered that my spleen was also oozing blood. I was given 3 units of blood and that seemed to stop the bleeding in my spleen. I was going to ask, what else? But I stopped myself thinking if I asked that maybe the Lord would say “You want more? OK.” I was not able to eat or drink again because there was a possibility I would need more surgery. That day in the ICU proved to be the low point. There was a nurse that decided he would help me sit up. He grabbed me under my arm and tried to lift me up. I was literally screaming in pain. I was put on oxygen because I couldn't even get in the 80's without the oxygen. After my spleen stopped bleeding and I had been put on heparin for the blood clots, they decided it would be ok to go back to a regular room the next day. I was so happy to be able to get out of ICU. It was so noisy there and I just felt like they didn't care. I began physical therapy in the hospital. It consisted mainly of me getting out of bed without assistance. I had a device that I could use to put my foot in and very painfully move my legs out of the bed. I was taught how to stand up with the aid of my walker. It seemed so unreal that this was happening. It was during this time in the hospital that Ali and Kara took over the mom roles at home for Meg, sammie and Kaysha and Haley decided that she would come to Utah to take care of things for me. After 9 days in the hospital, it was decided that the next step would be to send me to Healthsouth rehabilitation hospital since there was no way that I could care for myself. I was still not able to dress myself or move very well. I was moved to Healthsouth and Haley and her kids came to town. I was so grateful for all of the company that I had at the hospital and healthsouth. The days are very long when all you can do it watch television and that was about all I could do since I couldn't move my neck and my line of vision was very limited. I heard someone say that if an accident doesn't kill you, physical therapy will. I believe this! I would have 3 hours of therapy each day at healthsouth. Two hours of physical therapy and one hour of occupational therapy where they mainly tried to keep my upper body strong. I would take pain medication about ½ hour before therapy so I could stand it and then I would wheel myself back to my room and cry for about an hour. This did ease up a bit. There were a couple of days I didn't cry at all for the whole day. After 16 days there, it was definitely time to come home. I could now shower by myself and dress myself. It was still a painful process but I could do it. I was told in the hospital that I could put full pressure on my left foot but because of the fracture on my right side of the pelvis that I should just toe touch pressure on the right so I did that for 2 weeks until it was time to see the orthopedist again and take more x rays to see how things were going. It was discovered at that visit that I had an almost identical fracture on my left side that was somehow not seen. That certainly explained the pain I had been feeling as I tried to lift my left leg and it just would not respond. But, as weird as this sounds, I am grateful they didn't find that fracture or I would have been completely non weight bearing for that time. That would have been so hard for me. I thank everyone for the visits, the gifts, the prayers and the love that have been showered on me and my family. I believe that there are accidents that happen and that not everything has to be part of a grand design. I believe that I was just in the wrong place at the wrong time but I know that I have so much to be grateful for. I had the same injury that paralyzed Christoper Reeves but I am not paralyzed, Colby had a contusion and was not seriously injured. Who would ever have found Meg if he would not have been able to get hold of someone? Probably the greatest miracle was that Ryan was right behind me and it was as if he was protected in some kind of bubble. If I would have stepped on the gas instead of going into shock and freezing, he possibly would have taken the hit instead of me. One day in healthsouth as I was praying and thanking the Lord for sparing my life I realized how much my Savior truly loves his children. I was praying that if someone had to be hurt, I was so grateful it was me and not Colby or Ryan. I would take the pain over and over just to not have them have to experience it and I felt the sweetest feeling of love and I knew that Jesus felt that way also. He so willingly took upon Him all of the pains of this world whether it be from sin or illness or accident and He did so because He loves us. I know that what I experienced is nothing compared to what he experienced in the garden of Gethsemanie. My niece, Angie made a plaque that was a quote from David Bednar for me. The quote is “In the strength of the Lord we can do and endure and overcome all things. I put that in a prominent place in Healthsouth so it could be a constant reminder to me every day that I can't do anything without the strength of the Lord. This life is a process and as we do what needs to be done, we learn to endure and finally through the strength that comes only from the Lord we can overcome our obstacles. I have been in constant pain for the past six weeks now. I know though that eventually I will be able to overcome this affliction. I am grateful for the power of the priesthood that I know has blessed my life over and over again. I am grateful to have a husband and a son who were with me immediately to use that priesthood in my behalf. I am grateful to a wonderful family who have been so willing to sacrifice their time to help. I have a great dad who has been so worried and concerned and sisters and friends who check on me and are willing to do whatever they can to help. I seem to cry all of the time but the tears mean different things at different times. Sometimes it is the pain, but very often it is gratitude for my many blessings.
I pray that God will help me always see the good in life and in people.
What good are life's lessons if you can't learn from them?
Wednesday, May 13, 2009
May 13, 2009
Saturday, May 9, 2009
Day 28 - May 9, 2009
I am going to try to go to sacrament meeting tomorrow. That will be it as sitting for longer than an hour will be very difficult.
Wednesday, May 6, 2009
Day 26 - May 6
My love to all of you who have asked about me and have helped in any way.
Tuesday, May 5, 2009
Day 24 - May 4th
She met with the doctor last night. They reviewed her progress and where she is now. They came to the conclusion that she is just about ready to come home, and a target date has been set of this coming Wednesday (May 6th). To say the least, we are all very excited about this.
It's been over three weeks since the accident. In one regard, it's as though it happened an eternity ago. On the other hand, given the severity of her injuries, it is miraculous that she has made a recovery of this magnitude in such a short time. There is still a long way to go, but given her determination and the Lord's power I wouldn't be surprised to see it happen much faster than we all think.
Again, thanks to all for your help in making this happen.
Sunday, May 3, 2009
Day 23 - May 3
Day 22 - May 2nd
Again, thanks to all for your prayers and help.
Day 21 - May 1st
She is appreciative of all the visits she has received. It's wonderful to know that so many care.
Thursday, April 30, 2009
Day 20 - April 30th
Day 19 - April 29th
Here's hoping ...
Wednesday, April 29, 2009
Day 18 - April 28th
Tuesday, April 28, 2009
Day 17 - April 27th
This week she has an appointment with the orthopedic specialist that treated her at the Intermountain Medical Center. Xrays and other examinations will take place. If things have been healing appropriately, the physical therapists will start allowing Jan to put weight on her right leg (which she's been prohibited to do because of the nature of the pelvic injury). They will train her to climb stairs, and then send her home. It is possible that she might be home in another week. We'll know more this coming Thursday.
Monday, April 27, 2009
Day 16 - April 26th
Please continue to remember us in your prayers. They have been very effective.
Sunday, April 26, 2009
Day 15 - April 25th
I daily thank my Father in Heaven for preserving her life, protecting her from far greater calamities, and showering tender mercies upon both her and all of us, her family.
With Haley and her children now with us, we won't be needing (at least for now) the help that has been showered upon us in the form of meals, work at the house, and transporting and looking after Meg. We are all deeply greatful for the love, kindness, and sacrifice that have been shown to us by many.
Friday, April 24, 2009
Day 14 - April 24th
Jan was able to walk 100 feet with the walker. No assistance. Although pain is a constant companion, she continues to fight through it.
Our daughter Sammie is president of the Murray High School Dance Company. They were having their spring dance concert last night and tonight. She has been in the Dance Company for all three years of high school. This was her last concert before graduating. Needless to say, it was very special. It was tremendously disappointing to Sammie that Jan wouldn't be there. However, regardless of the situation, Jan was going to move heaven and hell to be there. She arranged for transportation to and from the concert, to a strong shot of pain killers, and attended the concert. Even with the pain killers, it was very uncomfortable to sit up in a wheel chair for over two hours. It was an event never to be forgotten by either Sammie or Jan. Both embraced each other in tears.
How could a man not love this woman.
A rather amazing coincidence happened in connection with this. Jan was brought to the high school by a private transportation company. It turns out that the driver of the vehicle that brought Jan is the father of the young man who hit our car in the accident. He said that his son has been sick with worry about Jan's condition. Somehow he had been told that she suffered brain damage. He hasn't been able to get any information concerning her. Jan told him of her condition; that it wasn't what the young man feared.
Thursday, April 23, 2009
Day 13 - April 23rd
She continues to fight through it, although it drives her to the limit at times.
Again, we are deeply appreciative of all the help and kindness that you are giving us. Please continue to pray for Jan.
Wednesday, April 22, 2009
Day 12 - April 22nd
- 11:00 AM to 12:00PM - Physical Therapy
- 2:00 PM to 3:00PM - Occupational Therapy
- 3:00 PM to 4:00PM - Physical Therapy
Visiting hours are from 9:00AM to 9:00PM, except during the hours of the classes.
Even though she remains in pain, her ability to get up and move around seems to be getting better and better. It is still very limited, but is way ahead of last week. It is still a baby steps process, but given her injuries she is making remarkable progress.
She and I conversed today about the tremendous blessings we have received in all of this. Even though she was seriously injured, it could have been so much worse. I took pictures of the car in the holding lot last week. As I have shown these pictures to various people, they were all shocked that she wasn't killed, paralized, or suffered massive brain damage. Even more, that our grandson escaped unhurt. I'm still amazed that given the impact, I didn't suffered major whiplash or some other kind of skeletal misalignments. We also talked of the great outpouring of love we have received from so many, and the power of their prayers. We've always felt that we had a close knit family, but this has brought us that much closer together. It has galvanized our view of being an eternal family. We know Jan will be fully whole once the healing process is done. That will be the crowning blessing of the many others received during this ordeal.
Again, thank you all so much.
Day 11 - April 21st
We don't know how long she will be at Health South. Guesstimates range anywhere from 1 to 3 weeks. I'm thinking it will be 2-3 weeks, but she could prove me wrong (it wouldn't be the first time).
It's great to see her now settled into a predictable routine, and past so much of the uncertainty that plagued us last week. In some ways it seems like the accident was an eternity ago, whereas it was only a week ago last Saturday. A lot has been compressed into a short time frame. Her progress is remarkable, although it is baby steps. The healing process will go on for several months.
Again, I want to thank everyone for their help. Whether it be meals for the family, taking care of Meg, or all the prayers that have been offered in her behalf (we feel the power and effect of them). I seriously doubt we could ever repay you. Most of all I want to thank my Heavenly Father, who preserved her life, protected her from paralysis, brain damage, (or worse), protected my grandson from injury (or worse), and has given her and all of us the strength to move forward in this.
Monday, April 20, 2009
Day 10 - April 20th
Sunday, April 19, 2009
Day 9 - April 19
Jan
Saturday, April 18, 2009
Day 8 - April 18th
Jan's work at physical therapy today saw great progress. She got up from bed and visited the bathroom several times. She also was able to walk out into the hall in front of her room. All of this required the most that she was able to give both in physical exertion, as well as the bearing of pain.
What we take for granted as just a few steps that are quickly taken, for Jan it requires the time and physical exertion of moving a large boulder. Just going to the bathroom in her hospital room is very exhausting. Each day sees her making more and more headway; progress that her therapists are very impressed with. They are things that only a couple of days ago seemed quite remote. The therapists comment on her steely resolve and single minded toughness. However what she is accomplishing is requiring the utmost of what she can give; day after day. And therein lies her frustration. For all the effort she is giving she feels that she should be conquering Mount Everest; not going 8 feet to the bathroom. The challenge is not only to maintain the physical momentum, but to not give into the frustration and despair of a process of recovery that is agonizingly slow.
Yet she continues. She won't be beat; she won't roll over and give up. To use the words of Gene Krantz, NASA flight director during the Apollo 13 crisis, "failure is not an option!" She will succeed.
Friday, April 17, 2009
Day 7 - April 17th
When I arrived at the hospital this morning, much to my surprise they were preparing to move Jan back into a regular hospital room. It turns out that when they ran her blood work this morning, everything that was deficient had leaped forward. Also, her spleen didn't start bleeding again. I never cease to be amazed at the power of health blessings and prayer. Today was a day of several firsts:
- She rode in a wheel chair to the new room, instead of being transported in a bed. She was able to get out of her bed and into the wheel chair with less help than normal (although it was still a very grueling and tiring experience.)
- Upon arriving in the new room, she moved from the wheel chair into a recliner instead of the bed.
- With the use of a walker, she was able to move from the recliner and go to the bathroom. Again, the help needed wasn't as much as before (but again, it required a lot of physical exertion on her part and was painful).
- While in the bathroom, a nurse was able to give her a shower (the first since arriving at the hospital) and dress her in regular clothes instead of a hospital gown. She felt and looked like a new woman.
After having moved to the new room, a representative from the Health South Rehabilitation Hospital along with IMC personnel visited her. They said that they felt she was now ready to move to Health South (and only the day before, given her condition at the time, they said it would be about five days before such a move would take place). However, all the work she has put forth in the last couple of days has left her very exhausted. We felt it would be better to wait until Monday to make the move. They agreed.
Again, I want to thank everyone for their prayers. We certainly feel the effect of them.
Thursday, April 16, 2009
Day 6 - April 16th
As was mentioned yesterday, we were anticipating Jan being transfered to the Health South Rehabilitation Hospital today. There was one problem however. Jan's blood oxygen level was persistently low. Even though she had been working hard, it wasn't budging. This caused the trauma team to order another CT scan for her, as well as more Xray's of her pelvis. The CT scan revealed the following:
- She had two blood clots in her lungs. They were small, and were located in the periphery of the lungs. Nevertheless, they were interfering with her breathing and consequently her blood oxygen level.
- It turns out that her spleen was also injured in the crash. The CT scan done Saturday night in the ER had missed it. It was a small injury, but it bled (although it has stopped bleeding now). They figure that at least some of the clotting in the lungs came from it's bleeding. The rest probably came from bleeding in the pelvis.
It turns out that there really isn't anything you can do to remove the clots; they have to do that on their own. You simply need to make sure that the clots don't get any bigger. To that end, it was decided to inject a potent blood thinner in order to get rid of any thickening in the blood that would add to the clots. The potential problem with this is it might cause the spleen to start bleeding again, and they would have to shut down the blood thinner. If that were to happen, they would remove the spleen.
Making sure that this regimen works correctly requires a constant monitoring of Jan. To that end, they decided to move her back to the Intentive Care Unit as a precautionary measure. If the spleen starts to bleed, they will immediatly get her into surgery and remove it. Because of the potential for surgery, she can't eat or drink anything (other than sips of water and ice chips) because she has to have an empty stomach for surgery (if it is needed). They estimate that Jan will need to remain in the Intermountain Medical Center for five additional days before going to the rehabilitation hospital. As can be deduced by all of this, Jan didn't go to the rehabilitation hospital today (duh!).
Between going for the CT Scan, Xrays, and finally the move to the ICU; Jan has been moved from one bed to another SEVEN times today. It's just about killed her. She ended the day very tired. Jan requested another health blessing which was given by Jan's father and myself. The spirit repeated the same message as the other two blessings, plus gave additional insight. We ended the day comforted.
Jan has received a lot of flowers and well wishes. It is all deeply appreciated. Also appreciated are all the prayers. We feel their effectiveness. Finally, we appreciate the army in our ward that has been mustered to help with meals and getting Meg where she needs to be. It would take an eternity to repay all of you.
Wednesday, April 15, 2009
Day 5 - April 15th
Ali and Kara have been indespensible in all facits of this. They have seen to things at the house, made sure we are stocked with the groceries that we need, been there for Meg, helped their mom at the hospital, and have been a shoulder for their younger sisters to cry on. In another week, their older sister Haley will arrive from New York to join them in these efforts. She will be here for a couple of weeks. These girls all form a real Tour D Force. I'm so proud of all of them for their love and efforts (Sammie and Kaysha included).
Today the physical therapy people brought in some devices that will enable Jan to put on pants, put on socks, etc. She will be trained on the use of them in the next day or so. It will take quite a while before she can bend over to do these tasks in a normal way.
Another issue is the healing of her neck vertibrae. The neck needs to be stablized at all times during this process, so the neck brace is going to remain on for another 3-4 weeks until the vertibrae and muscles surrounding it are healed sufficiently.
When Jan isn't working at trying to walk, sit, breath, etc., she is in and out of sleep. The energy required to not only do these things, but to mitigate the pain associated with them consumes a large amount of energy. On the one hand it's discouraging for her, but on the other she is determined to make it happen. What a woman!!
We learned today that in the next one or two days she'll be transfered to a rehabilitation hospital. The purpose will be to get her to the point that she can return home and continue the healing from there. She most likely will go to Health South (8074 South 1300 East in Sandy).
Tuesday, April 14, 2009
Day 4 - April 14th.
In the morning they moved her out of the ICU and into a regular hospital room. Prior to doing this, they disconnected her from the morphine pump. By the time they were rolling her bed to the new room, her pain was increasing (she could feel every bump the bed went over). Arriving at the new room, they moved her from the transport bed to her new bed. That move was very painful. They gave her some new pain medication that got the pain under control again. They then took her in her bed to have her neck Xray'd (a follow up for the surgery of the day before), and then returned her up to her room. She felt reduced discomfort.
Upon returning to the room, she found lunch waiting for her (she hadn't eaten since before the accident, although after the surgery she could have all the fluid she wanted). She relished the soup, turkey sandwich, and dessert (as well as the dinner that followed later).
It was discovered that because of her two broken ribs her breathing had been quite shallow for over two days. This resulted in a small amount of fluid in her lungs. She now had a small case of pnuemonia. They started her on breathing exercises, which they did several times during the day.
Later in the afternoon, they tried to get her on her feet again, but she was so exhausted that she couldn't stand up. The best she could do was sit on the bedside. She spent the rest of the day resting and sleeping.
Day 3 - April 13th
After she came out of the effects of the anestisia, she was told the HAD to get her up on her feet. Much to my amazment (and with a lot of help) she was able to sit up on the side of the bed, and stand up. It was painful and took a lot of energy, but she did it.
They attached her to a morphine pump that enabled her to dispense doses of it every 10 minutes by pressing a button. It was programmed so as not to allow her to consume too much. This stablized her pain. She rested for the rest of the day (with her bed in an inclinded position).
Day 2 - April 12, 2009
During the day, they tried to get Jan up on her feet. This was needed to prevent blood clots from forming in her legs that could result in an ambulism or a stroke. Her pain was so intense that she couldn't even stand it for them to position the bed in a reclining position so she could step out, thus the effort was abandoned. They continued to give doses of morphine each hour to arrest the pain. Also because they didn't know when her neck surgery might happen (which could be any moment), they couldn't allow her to eat or drink anything. The best that could be done was to swab her mount with a small moist sponge every 15 minutes.
We didn't see the neurosurgeon until late that afternoon. He had spent quite a bit of time studying her injury and how to fix it. After describing several possible solutions, he told us of a relatively new techique that involved live 3D images produced by a specialized CT scanner. The Intermountain Medical Center is the only facility in the state that has an operating room with one of these. He favored this course of action, to which we agreed. He would try and set up the operation for the following morning (but it was possible that it might not be done until Tuesday).
Knowing that surgery was not imminent, we were allowed to give Jan ice chips (and finally sips of water). This was very welcomed, seeing that she had become very parched. At Jan's request, my son Chad and I gave her another blessing relative to the surgery (she couldn't remember the blessing from the night before). In it was again revealed the same positive outcome of the prior blessing.
The Accident - April 11, 2009
The accident occurred on the evening of Saturday, April 11, 2009. Jan was driving, I was in the front passenger's seat, and our grandson Ryan Jones was in a car seat behind Jan. We were at the Arctic Circle on about 3900 West and 5400 South. As Jan pulled out of the parking lot to turn west on 5400 south, our car was hit on the driver's side (Jan's side). Jan was severly injured with multiple fractures to her pelvis, broken ribs, and a fractured vertibrae in her neck. I was only slightly injured with a contusion on the chest wall. Our grandson, Ryan, was completely unhurt.
At this point, a number of miracles had already occurred:
- Jan wasn't killed. The impact on the car was so powerful that it dramatically caved in the drivers side of the car.
- Jan didn't suffered any brain damage. This could very easily have happened.
- Jan wasn't paralyzed. The vertibrae that was fractured was the second vertibrae in the neck. When the actor Christopher Reeve was paralyzed in a horse riding incident, he fractured the same vertibrae. In his case, the spinal cord suffered irreparable damage. Jan's spinal cord was completely untouched.
- I went into both emotional and physical shock. This was a blessing because it enabled me to view and interact with the whole thing while being emotionally detached. It enabled me to remain clear headed instead of collapsing in panic. Also I could feel virtually no discomfort in my chest, thus enabling me to physically move about unimpeded.
- As was mentioned before, our grandson was completely untouched. He was on the same side of the car as Jan was. His car seat held completely.
Paramedics were on the scene within 5 minutes. They demonstrated great skill in stablizing Jan before removing her from the car so as not to produce any further damage to her. She was rushed to the emergency at the Intermountain Medical Center in Murray, Utah. There they diagnosed her injuries, and moved her to the shock and trauma intensive care unit (ICU). At this time, my son Chad and I gave her a health blessing. The blessing was very comforting in that it revealed a very positive outcome. She continued to wear the neck brace placed on her by the paramedics, and was heavily sedated due to terrific pain. In the meantime, the results of her diagnosis were sent to teams of orthopedic surgeons and neurosurgeons.