Smile

Today Taylor got a shower and afterwards a care giver carefully combed her hair and teased out a tangle. Do you want me to braid your hair? No. Do you want a pony tail? No. So we just left it loose.Taylor was curled on her side and looked more comfortable than she ever had.

Then came time to select the music. Incubus? No. Estella? No. The Lumineers? No. The Romones? Yes! After “Blitzkrieg Bop” started playing Taylor started smiling. Not a big obvious smile. Kind of a sneaky sly smile. Happy that she recognized some of her music. This was the third time she has been spotted smiling.

How Amazing This Recovery Is!

This website is about positive news, and now that Taylor has reached this level of recovery, I can now talk about some of the negative news we initially got.

In the beginning, the senior neurologist gave us the news. It was blunt and simple: ‘Persistent vegetative state for the rest of her life.’ This news really stunk, so we earnestly enrolled Taylor in a research study, really just to get access to another professional to get a second opinion. The neurologist heading up the study talked candidly with us but in the end, said the same thing.

The research neurologist did give us a glimmer of hope by noting that before the cooling protocol, this prognosis was very accurate, but after this protocol, which Taylor received, the prognosis was only 95% accurate. As I said…a tiny glimmer. Exploring and coming up with ways to explain this 5% was the focus of the study.

Then I managed to get a young night shift resident to give it a go. At 3 am he looked at the MRI with me and very carefully took the time to explain exactly why anyone looking at that MRI would say the same thing. Basically, because the brain needs a feedback loop to process time-based information, and the feedback mechanism is heavily damaged, she will never be able to process a sentence or a succession of eye movements or anything at all. He then proceeded to talk about the other damage.

Then a friend of a friend (thanks JB) took a look at it and said it looks “not very optimistic.”

Then I cornered another night shift resident who also gave the same assessment under no uncertain terms. You see, night shift residents are young and haven’t learned the fine art of sugar coating. They tell you the text book case of things and don’t hold back. I explained this idea to a senior neurologist, and he said they do this only because they are so green that they haven’t been totally wrong yet.

The clincher was when Taylor’s eventual lead neurologist first looked at the MRI. At that time, he and I hadn’t met. I was walking in and out of Taylor’s room and when I did, this doctor was glancing over at me from behind a computer screen. It wasn’t a good glance. It was a face of incredible emotion. It creeped me out and after two or three of these looks, I shot him a WTF face. When I did, he realized what he must’ve looked like and immediately changed to a pleasant smile. When he finished with the computer, he asked to speak with me and said he had just reviewed Taylor’s records and wanted to talk about how to proceed. He was a seasoned pro and as such, carefully told me to not expect much and discussed what kind of care we could give her short and long term. He has kids about Taylor’s age and the sorrow in his raw, unfiltered expression still haunts. That look!

The greatest news of all is that we don’t care about any these predictions because Taylor didn’t just beat the original prognosis, she kicked its butt! Apparently, she is in the 5% that defy the pre-cooling methods of prediction. Of course, to anyone who knows Taylor, that’s not a big surprise.

Taylor Code

“Taylor Code” is a way for her to communicate with us using simple gestures. “Yes” is stick out your tongue. “No” is shake head side to side. “I don’t know” is close your eyes.

Her improvement in answering questions using this code is amazing. She is able to explain her comfort (and discomfort) to us using a few questions. Example: Are you comfortable? No. Are your legs bothering you? No. Is your back bothering you? Yes. Do you want to be rolled over? No. Do you want to be pulled up? Yes. Problem solved!

I also asked her if she “wanted to tell or ask me something?” Yes. ‘Now what do I do?’ I thought. Getting to the point of what she wants to is a bit trickier. Here is how the conversation went:

Is it about an object or a person? Oops, that’s not yes or no question. Is it about an object? Yes. Is the object stationary, like a house? No. Is the object movable? Yes. Does the object belong to you? Yes. Is it your old car? No. Is it your… wow there are a lot of possibilities. Out of the blue I say “Is it your computer?” Yes. Eureka! What about your computer? Oops, she can’t answer that. Do you want me to get your computer? Yes. I now have the computer, do you want me to turn it on? No. Huh? Are you sure you don’t want me to turn it on? Yes. After thinking about it for a while… did you just want to know the computer is here and safe? Yes.

At first I thought this was an odd first question to ask, but considering it is probably her most valuable and useful and personal possession, it is not a bad first question. It also made me think…What would be my first question assuming that, like her, you already know that you and everyone in your family is safe?

If anyone has any experience, tips, or ideas on how to carry on conversations this way, please leave a comment.

 

First Day of Rehab

For Taylor’s first day of rehab she was pushed and pulled all over the hospital. First she went for lab tests and an x-ray, then to speech pathology for swallowing training, then to another speech pathologist to attempt use of the speaking trach. She then went to physical therapy where they tricked out her wheelchair. Afterwards she took a small break, then over to occupational therapy, then finally back to her room where they did and EKG. After that it was close to 5pm and she finally got some rest.

At each stop there were many questions asked and Taylor was answering them all like a champ. Between the two of us I was the tired one. Finally she is being put to bed and is resting up for another full day tomorrow.

Craig Hospital Mailing Address

Many of you have asked how to send things to us at Craig Hospital. I meant to add the address to the last post but forgot, so here it is.  Please be sure to add Taylor’s name to anything you send.

Patient: Taylor Shaw
c/o Craig Hospital
3425 S. Clarkson Street
Englewood, CO, 80113

Excitement

Taylor and I had an adventure on the air ambulance today. The air ambulance was staffed with 2 pilots and 2 medical personnel.  (See picture below for Taylor being loaded onto the plane.) We flew for 2 hours and then stopped in Toledo, OH for fuel. Another 3 hours got us to Colorado. Taylor did mostly very well on the flight, but was uncomfortable for part of it and did some squirming. (But wouldn’t you if you had to lay on a stretcher in a plane for 5 hours?) She slept some on the plane, which was good because she did not sleep much the previous night.

Taylor is now at Craig Hospital. So far, John and I are very impressed with what we’ve seen of the facilities and staff. Their philosophy for rehabilitation seems to match with ours. For example, we have always felt that Taylor was ready to be weaned off of the tracheostomy, but the staff at MGH never wanted to take the first step, which was to deflate the cuff. When the cuff of the trach is up, all of Taylor’s secretions from her mouth and her nose go straight into the trach. With the cuff down, Taylor has to manage her own secretions from her mouth and nose by swallowing and allowing them to go to her stomach. If she doesn’t do this correctly, the secretions can go into her lungs and possibly cause an infection. The staff at MGH never wanted to take this risk always telling us that she wasn’t ready. We’ll, not even more than 2 hours of arriving at Craig, the respiratory therapist came to see Taylor and deflated the cuff. And guess what? Taylor had a little trouble in the beginning with the new feel of her trach, but she was able to manage just fine! Also, she has been sleeping…a lot! I guess it was a very exciting and tiring day.

Waiting and waiting

Well, it turns out the reason there was a delay in the insurance authorization is because insurance denied covering the cost of the travel. Some good news is that Craig Hospital has agreed to pay for half of the travel cost. We agreed to pay the other half and we are confirmed to leave Boston for CO this morning.

Taylor did not sleep at all last night; she has been mildly storming. We have a big day today. Please wish us a safe and non-complicated journey.

Save Taylor’s Plant

Some time ago Taylor grew an avocado tree from a seed she got from a grocery store avocado. Apparently a grocery store avocado can sometimes grow into a plant if the seed is split. Taylor heard this and when she found one she grew a healthy little tree which she deposited in my care after going to MIT. Of course I have a black thumb and so now the plant is in bad shape. Just like Taylor it needs some rehab.

My girlfriend Inge, who is a farmer’s daughter and has a green thumb, replanted it with healthy soil but it still looks kind of sickly.

Something is eating this plant. Does anyone have an idea what is eating the leaves and making them look so sickly? Does anyone know how to get rid of it?

Climate wise, the plant is in Los Angeles, Venice Beach to be exact. This is a challenge to all you southern California gardeners out there.