Wednesday, August 09, 2006

Updates

This morning we met with Dr. Steele and he shared with us the dynamics that took place yesterday regarding the discovery of many large blood clots in Terry's system. Yesterday during the morning rounds the nurses noticed a significant increase in Terry's oxygen levels. Apparently, this is one sign of potential clotting taking place. Terry was taken down for a spiral CT scan and they were able to confirm the large blood clots. This type of situation can happen when a patient is immobile for a long period of time. At any moment, one of the large clots could have flowed through the blood system and caused cardiac arrest.The typical treatment for blood clots is a medicine known as Cumiden, an anticoagulant that thins the blood. Due to Terry's head trauma, this treatment is not available. So, during the early evening, Terry was sent down to have a mesh filter inserted through his groin and up through his body to serve as a protective layer to the heart and prevent any clots from moving directly to the heart. The mesh filter procedure was successful and Terry is stabilized but he continues to be at risk for more clots. There are also some risks in that the mesh filter can become backed up with blood clots and prevent blood from traveling to other areas of the body. The nurses will be monitoring this very carefully.The mesh filter could be removed in about 5 - 6 months. The doctor said Terry should survive any future clotting issues. We are very blessed that the medical team caught this situation. Today, Terry has been active, moving his legs, opening his eyes, etc. The doctors will continue to monitor oxygen levels, they want him to be at 40% and currently, he is at 55%. He is slowly being removed from the Versed and morphine so that he can be evaluated for the extent of his head injuries. The cat scan revealed yesterday that some of the swelling had gone down. However, the surgeon, Dr. Grollmus does still see a significant amount of damage to the frontal and temporal lobes. The good news is that the ICP bolt was removed along with the head drain yesterday. Terry also has no tubes going into his mouth at this point. If you would like more information about brain injuiry, please visit this site: www.tbiguide.com It provides a lot of information that you all might find helpful. The situation yesterday was extremely scary and we are all so fortunate to have the blessings of so many friends and family. Please continue to keep Terry in your prayers. David Quilleon

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