NOTES written much later....about this particular phase of recovery:
(Days 7-12)
Kimmie was still on the respirator here...although they had turned it down & she was matching it with her own breaths. Her lungs were getting stronger, but the inevitable pneumonia was kicking in. We had been warned of that, so it was no surprise. It is almost a certainty in I.C.U., even with all of our medical knowledge & technology today. Although the Drs. still labeled her "unresponsive" at this point, giving her a Glasgow Score of only 3 to 5 (slight response to deep pain only - no eye responses, no purposeful movement/response, no verbal response at all, no sucking reflex or swallowing) and between a Level I and II on the Rancho Los Amigos Scale (inconsistent and non-purposeful responses to deep pain only) , the family had seen quite a few things that let us know for a fact that Kimmie was still "in there" somewhere. She was fighting desperately to respond, to the point of wearing herself out at times & dropping into a deeper coma for hours afterwards. The most we saw at this point was a slight wiggling of toes once or twice, a very hard hand squeeze (which the Drs. called an involuntary response), & occasionally an eyebrow movement (in response to her fiance telling her to "scowl" at him). Most of the time, the only way we could tell that she knew we were with her was by watching her monitors...her heart rate, breathing rate, ICP level, & blood pressure would rise when she became "agitated". It's amazing, but you can tell when they are only slightly under or in a deeper coma state! When she was deep under, we'd tell her to rest & make herself better. When she was only slightly under, we'd push her like crazy...hoping for a response. Near the end of this time period, her fiance & I were in the room with her & he reminded her of their engagement & of the ring he had given her... He placed it halfway onto her ring finger, telling her that whenever she woke up, she could have it back. She slowly & purposely reached inward with her thumb and tried to pull the ring the rest of the way onto her finger!!! We knew for certain at that point that she was aware of everything around her...no matter what the damn Drs. were telling us. It was at the end of her first 2 weeks in the coma that her primary care physician sat her fiance and myself down for a talk. He told us in no uncertain terms that Kimmie had suffered a drastic injury...a life-changing injury...and that she would probably never again lead a normal, productive life. He was very hesitant to even give us "hope" for her waking up & living with severe disabilities. He said..."it's been 2 weeks and we've seen little, if any, change in Kimberly's condition. At this point, it would literally take a miracle for her to just wake up & recover enough to lead a normal life". He thoroughly poo-pooed the idea that she'd EVER teach again. We were told that we were being "unrealistic" in the hopeful signs Kimmie was so desperately trying to give us. Boy, was he ever surprised when after a couple weeks, she opened her eyes on command & held up 2 fingers for him!! *laughs* I think you could have knocked him over with a feather at that point :):) She immediately slipped back into an unresponsive state, but she did it...and on command! We, of course, had seen the changes she had made, even if the Dr. hadn't. She had a great grasping reflex in her left hand...she'd pinch HARD at the bedclothes or anything else within reach of her left hand (which they had cuffed down to stop her from pulling her tubes out)...so we started bringing her in things that she could feel and do with those 2 fingers...like the Scooby-Doo doll...if we strategically placed the dog's ear within her reach, she could pinch it tightly, making him "talk". The rattle-dog in the photos was another great toy for her. It's made of a rough terry cloth which Kimmie was often found pinching/rubbing between her fingertips. We figured at that point that ANY stimulus that got her attention was a great thing :) |