Friday, April 27, 2012

Day 45: Going Home- April 27, 2012

It's hard to believe that today Scott was able to go home!! 
How thankful and blessed we truly are. 
To look back and see how far Scott has come in 45 days bring me to tears.

We packed up early so that we could get out of the hospital as soon as we were given the go ahead. We said many goodbyes to the team that worked with Scott. I can't even tell you how many wonderful and special people work at Barrow's. We are luck that CTN is just across the street from Barrows so that we can stop in and say hello to all our old friends. 

We snapped a few shots while waiting for the discharge paperwork to be finished. 

Being Silly Together :)

Headed out the doors as a "free" man!! 
Scott left Neuro Rehab without needing any prescribed medications or assistive devices!! 
The only thing that was on his list was Tylenol as needed.
That is a true miracle!

Patti opening the door for Scott.

Here is a the last video that we will take in the hospital :) 

Things we did after discharge:
- Get Scott's Glasses Adjusted
- Went to Our Favorite Thai Place for Lunch
- Went Home to Find Many Wonderful Surprises
Like a FULL Pantry and Refrigerator!! 
(Thanks to all the friends and neighbors for doing that for us)
- Scott also got an Extra Big Early Birthday Surprise... an iPad.
-We Went on a few Walks 
- Ate Popcorn 
- Played Sudoku 
- Had a Wonderful Dinner from a Fabulous Neighbor (Thank You to the Lines Family)
- Skyped Family

Now it's on to a new stage of life for us!! We are excited to begin this new phase of 
Scott's Return!! 

A thumbs up and a "Wahoo" to you all!! We love you and are so thankful for everything you have done for us!! We continue to be awed at all the love you have shown for us. 

We hope to one day pay it forward!! 

Now we are off to get some sleep in our own bed tonight. 

Love, Scott & Ashley

Thursday, April 26, 2012

Day 44: Hey Hey Hey Goodbye - April 26, 2012

Sorry no fun video tonight. 

Today has been a day of prep work and goodbyes. Tomorrow we officially end our stay here at Barrows Neuro Rehab which means we won't have any therapies tomorrow. We are so appreciative of all the help and care we have had here. It amazes me to think of how far Scott has come in such a short time!

We started off his day with physical therapy. Today we mostly watched Scott do his thing... including walking, and moving up and down the stairs unassisted. "Wahoo" for no more gate belt or blue gown. I was also announced as his official public hand holder which means we are free to hold hands in public wherever we go. I will also act as his bodyguard if he should ever need one. So watch out... I have some big muscles. :) (I will mostly be stationed on his right side to help in crowed areas, and be on the lookout for curbs and other potential tripping hazards.)

After our first session of PT we headed off to speech therapy where Scott continued to do an impressive job at every task. Do you remember the alphabet game he did a week ago? One of todays challenges was to take 3 letters and name the letter that comes directly before or after the stated letters.

For Example:

D   T   U

If you were to answer for the letters that come before they would be, C, S, T
If you were to answer for the letters that come after they would be, E, U, V

He would take groups of 3 letters and answer for the before and then on the next line he would alternate to answer what letters come after. 
It was tricky but he did a great job. 

For OT today he has been given the approval to use a Thera-band. He has been doing more work on the right arm and shoulder. We were also given a list of exercise to continue once we get home.

We were also able to go on a quick outing today to Chipotle with his PT, Recreational Therapist, and another patient.  Scott got a burrito that was about as big as his thigh. He thoroughly enjoyed devouring it as we enjoyed some cooler, yet humid, Arizona weather. 
Yumm makes you hungry just looking at it. 
We quickly made it back to the hospital in time to have a very very important interview with the Director of CTN. (Center for Transitional Neuro Rehab) We were so happy and thankful that Scott's physician has been pushing so hard to get him into this program. It was a great meeting and we are happy to announce that Scott will be starting a "staggered admission" into the program. Basically this means the program is full at this point. As the different therapies begin to have openings we begin meeting with them until he is full immersed in the program. We are hoping by next Friday we will be starting the initial assessments for at least two of the disciplines. 

This is huge news and we are so excited!! The ultimate goal of this type of program is to have the patient return to payed work or back to a school setting. We have been told that Scott is a "perfect" candidate for CTN.

The rest of the day was spent in silent reverie, as we anticipate the events of tomorrow. I am still amazed that tomorrow Scott and I will actually be HOME!!! No more nights spent in the hospital!! We can hopeful get some uninterrupted sleep. 

Speaking of sleep it's about time I get to bed. 

Goodnight to all.

I know I say it often but I mean it every single time, thank you for your love, prayers, and support!



Wednesday, April 25, 2012

Day 43: My Cup Runneth Over - April 25, 2012

I love to interview Scott on what happened during his day... sometimes we talk about what I will ask him beforehand and sometimes we don't. I like to see what he can remember and where his thoughts take him. 

If you aren't able to watch the video... here is one part of what Scott was talking about. 
Today during PT Scott was given a full cup of water and asked if he would walk with it from one area of the hospital to the other. He had to manage many different things while walking. 
Such as, balance, speed, arm movement, eye movement, concentration, all while talking and walking with us. He did a very good job and only let the water spill a few times. As I was pondering what to title this post tonight it felt appropriate to name it "My Cup Runneth Over" I truly feel that the progress we have seen from Scott is such a miracle. Truly our cup runneth over with support, love, and blessings!

Also I remembered to take a photo of his right side of his face today. Here is how it's looking. 

 Also his facial muscles are really starting to come back to his left side of his face!!  
He spent the day getting accustom to his glasses. 

Loving that Scott smile!!

- Love to you all,


Tuesday, April 24, 2012

Day 42: Havin' A Ball - April 24, 2012

Check out what Scott worked on today after his therapies were over... 

Think this looks easy? 

Wanna Try: Stand on one foot, shut one eye, and catch the ball with your non-dominate hand. 
Now switch hands, imagine that you don't have much feeling in your dominate hand or foot.
Also imagine that your dominate arm is broken and your shoulder can't be raised very high.
How did you do with this game?

I am so amazed!! 

Monday, April 23, 2012

Day 41: In His Own Words - April 23, 2012

Hello to all. For the post tonight I wanted to do something a little different. I decided it would be fun to hear todays events from Scott himself. So here's Scott:

Here are some images of how his wounds are healing. They look so much better, but for those of you who are squeamish... you have been warned. 

Trach Stoma 

Stomach Stoma 

Right Arm

Left Arm

I forgot to take one of his head but I will do that another time. Anyway I want to end with one quick story. Today in OT Scott was working on a worksheet that had a list of jumbled letters. The objective was to find a 4-5 letter word somewhere in the mix. It looked something like this:

1. lytruewsao
2. gahalarmrp

On number two Scott circled the letters alar. I was confused for a moment but he explained that alar means wing. He sounded so convincing so I didn't say much. 
A few minutes later he tried to tell me that glarb was also a word... he said it was similar to glop. I told him to try again and he admitted that one was made up. Anyway tonight I wanted to look up alar just out of curiosity and sure enough Scott was right...


  [ey-ler]  Show IPA
pertaining to or having wings; alary.
winglike; wing-shaped.
Anatomy, Botany axillary

 I am learning something new everyday!! Goodnight to all of you.


Sunday, April 22, 2012

Day 40: Scott's Return - Sunday, April 22, 2012

The guard changes once again and Scott is excited to see his mom Patti.  Like everyone else, I am in awe with Scott’s progress and have full confidence that he will be returning to Med School this year.

I have been spending the day attempting to put into perspective the past 40 days.  They unfold something like this...
  • March 13th, the day of the accident and a phone call that no wife or parent wants
  • 8 days in ICU at Flagstaff Medical Center
  • 9 days at Select Specialty Long Term Care Hospital
  • 5 days at St. Joseph's Hospital Neuro Care Unit
  • And next Friday he is scheduled to be discharged after 23 days at Barrow Neurological Rehabilitation Hospital
In retrospect it is phenomenal that Scott has progressed this far so fast.  We have all been witness to an unbelievable example of physical, mental and spiritual strength in action.  Scott's future is once again his and we will all continue to support him in every way possible.

The new phase of Scott's recovery has already begun.  No longer is it Scott's Recovery, but now it is Scott's Return.  Return to home.  Return to church.  Return to school.  Return to athletic activities.  Return to the Air Force.  Return to LIFE.

This new phase will also mean a change with this blog in that the majority of entries will now come directly from Scott and Ashley.  It has been a special honor and unbelievable pleasure for me (and I'm sure for Patti as well) to contribute and share these posts over the past 40 days.  But this is Scott's story and we know his and Ashley's voices will be the best going forward.  And we are so blessed that Scott is able to directly contribute!  I certainly am looking forward to every future post.

Lastly, I leave everyone with this picture of Scott and Ashley dropping me off at the airport and picking up Patti.  And yes they are dressed for Scott's Return to Church.  Indeed, Scott is returning!

-- Mickey Moore


Ashley here, I just wanted to add a few notes to today before bed.

- A huge thanks to Mickey for all his work this week!! Thank you also for all your contributions to the blog!

- Church went very well and Scott was able to interact and remember almost every single smiling face that came to greet us today.

- After church we stopped by the house to change and eat lunch. It was such a wonderful moment to be at home together. My heart was smiling I think.

- For those of you who don't know, Scott loves to eat popcorn! Scott eats about 1-3 bowls a day when he can. (We like to air pop our own as a healthy snack) As soon as we sat down at the table I pulled out a big bowl of popcorn for Scott and suddenly life felt a little more complete.

- Scott was able to have a few visitors after we returned to the hospital. He played one of our favorite games (7 Wonders.) He was able to keep up and remember all of the complex rules. He even tied Kenny for first place!

- I also failed to mention yesterday while Scott was eating his Thai food he wanted to use his chopsticks... and he was successful with his right hand!!

 Much love to you all!!


Saturday, April 21, 2012

Day 39: Thai Spice and Everything Nice- April 21, 2012

Ashley posting again this evening. I think I am going to keep it short and sweet tonight. 

Saturday's tend to be a lot more relaxed around here. Scott was able to start the morning off nice and easy. He didn't have any scheduled therapies today but that didn't stop Scott and Mickey from having a little therapy of their own. This allowed me to do some shopping and cleaning of the house before we get home on Friday. (I can't believe we are going to be home this soon!! We are so excited.)

Here are the highlights from Scott's day:

- Playing Sudoku on Mickey's Ipad
- Exploring the halls of St. Joseph's (Scott is beginning to remember when he rotated here in January)   
- Scott sharing a very delectable lunch of Thai food with Mickey. (Scott was even sweet enough to save me some. He knew I would be sad if I missed out.)
- Scott had a few friendly faces visit today. He loved giving out hugs and sharing in some great conversations.
- Eating dinner while watching an episode of The Big Bang Theory.
- Playing Scattergories over Skype with a few family members.
- Doing multiple math "homework" worksheets that speech gave him to work on over the weekend. 
- Setting out his clothes for church tomorrow... including remembering how to tie his tie. 

Love and thanks to you all for your continued support!! 

Good Night- 

Friday, April 20, 2012

Day 38: Learning the Ropes- April 20, 2012

Hello Everyone, 

It's Ashley. 

I get the privilege to share the events of today with all of you. Scott and I both slept well last night. He only woke up a few times needing to go to the bathroom and only one other time with a bit of disorientation. He started his day around 7:00 am. Around this time one of his physicians came in to check on his progress. Some of the staff here enjoy visiting with Scott and asking him medical questions to see if he remembers the answers. Today Scott had the opportunity to turn the tables and ask his physician a question. He asked what the typical presentation of (SLE = Systemic Lupus Erythematosus) was. It was fun to watch Scott interact and remember some of these medical terms. 

After that was done we realized it was almost 8:00 am and his breakfast hadn't come yet. We notified his nurse and they took care of it for us. While we were waiting for breakfast to come Scott decided to practice some knot tying. Here he is giving us a tutorial on his figure eight skills. 

The Final Product

Showing Off His Skills
For PT today we were able to go on a recreational outing to a local park near St. Joseph's. I wasn't thinking it was going to be much, but it turned out to be a very cute place. There were baby ducks and lots of trees and flowers. There was even a place where you could rent a canoe or a paddle boat. We were joined by one other patient and that patients family member. We worked on walking on different types of surfaces and up a few steep ramps. It was around 83 degrees and we got there around 9:30.  We stayed around 45 minutes. Scott enjoyed being outside but said that he wanted to stay in the shade.  (Too bad Sunday is forecast to be around 100 degrees)

Ashley and Scott together at Encanto Park.
 After we returned from the park Scott had the remaining part of his therapy day. He continues to impress those around him with his determination and humor.
In speech he worked on:
-Math story problems involving time.
- He did some sequencing and manipulation. Starting with the number 1 then adding 9 and then subtracting 4... continuing on until he reached about 130.
- He also had a worksheet that listed different letters. His task was to name the letter in the alphabet that came directly before that letter. (It was tricky, they asked if I would work on it with him for homework this weekend. I have a feeling he is going to be better at it than I will)
- Another exercise was to take 5 words like, (Ball, Foot, Feet, Walker, Hat) then put them in alphabetical order. Keep in mind Scott has these words read aloud to him and he has to try and remember the words while he arranges them. Sounds easy but it is tricky when you have had a list of 50 words read of to you earlier in the day.

This morning Mickey went to the house to do some handy man work before we get home. Thank you Mickey for putting in a extendable shower head, and tightening up our banister for us!! While Mickey was there he picked up one of Scott's books. After lunch today Scott took some time to read over his "First Aid for the USMLE step 2 Clinical Knowledge" (this is one of his study books for the boards!) He has been at it for most of the evening as well.

In OT he worked on straightening out his right arm. He also did a lot of slow stretching with the help of the OT. It is so amazing to me how much we take our bodies for granted. Most of us don't even think about the daily use of our eyes, arms, feet, or brain. (This is me taking a moment to be HUGELY thankful for my health and the health of my loved ones!!)

After Scott's therapies were done we headed out to find a stylish pair of glasses. He told me that I would be the expert on the ones he should get. I told him I would help him choose but it was ultimately up to him. The first frames that the sales associate pulled off the shelf ended up being the ones we liked best. I told him I didn't want to sway his decision one way or the other but I am partial to full black frames... (Now we are twinners) We should be able to pick them up on Monday or Tuesday of next week.

His glasses are his Happy Birthday present from his Dad!! Thank's Mickey and Carol :)

Looking Distinguished!!

I can see him looking more like Student Doctor Moore!! 

On tonight's agenda:
 -We will be having a visit from some of our friends and neighbors
- Playing the guitar 
- I will be giving Scott a hair cut
- Scott will take his nightly shower
- Getting a full nights rest

Again I want to thank all of you for your love and support. I know I haven't had the opportunity to reply to a lot of the letters, e-mails, cards, flowers, and other messages left for Scott and I. I want you to know they are not unnoticed!!! We see the results of your prayers daily. We feel the love from all of you. Thank you for everything. 

Much Love, 


Thursday, April 19, 2012

Day 37: Clearer Future, Schedules and Goals - Thursday, April 19, 2012

In just over five weeks, Scott's new future can begin to come into focus. We all are full of joy to to receive any details for his continued progress to a full life recovery.

Scott is scheduled for discharge from Barrow Rehabilitation Hospital next Friday, April 27th.  His rate of progress is so advanced that he is being referred to CTN, an exclusive Transition Neuro-Rehabilitation outpatient program here at Barrow.  CTN is an exclusive accelerated rehabilitation program and even though Scott has been referred, there is no guarantee he will get in because of a lengthy waiting list.  The attending Neurophysician and her team will be doing everything in their power to have him admitted.  We hope and pray they are able to work magic.

Today Scott got approval for two off site excursions over the next three days.  The first will be tomorrow afternoon to go to an Optician and choose a couple glasses frames for his prescription.  The second is for Sunday so he and Ashley can go to church.  They are both incredibly excited.

Another big scheduled deadline was communicated today when Scott phoned the Dean of his Medical School to schedule a meeting to discuss his return to school.  They have set up a meeting for next week but during the call Scott was told that he would become a member of the class one year behind unless he can return by July, then he could remain with his current class.  You know Scott immediately jumped on the opportunity and has expressed his intent of returning to his class.  He certainly understands that it will require a ton of work.  I will be retrieving a study guide from his house tomorrow so he can begin.  GAME ON!!!

Scott's left arm with the severe burn grew a couple blisters overnight.  Alas, a wound bandage was added today for the arm while it heals.  No worries as he continued to relearn songs on his guitar.  Here is his therapy session where he turned speech therapy into music therapy.

Scott's right hand and lower leg remain numb and tingly.  The pins and needles are a good sign of nerve regeneration and with each day we see improved function

The biggest challenge over the next week will be that the rate of Scott's progress will exceed the ability for the system to get him admitted into outpatient rehabilitation.  He may actually be forced to be discharged before he can be accepted into the next program of choice.  Again an example of insurance companies working their hardest to suppress our ability to be a consumer of health care.  But the bigger picture is Scott and his amazing recovery.  We are so very grateful.


-- Mickey Moore

Day 37: Vision Loss Information - Thursday, April 19, 2012

Hi Everyone! 

It’s Patti.... from Utah..... getting ready to return on Sunday....

WARNING:  Long and potentially boring post!  Apologies in advance!
Since I have been home and have had time to think a bit, I have had a lot of questions regarding Scott’s loss of vision in his right eye.  For instance, I understand the complete loss of vision in the right eye due to permanent and irreparable damage to the right Optic nerve.  But.... why does he now require the use of glasses for his left eye for the rest of his life.  He did not require glasses prior to the accident.  If I cover one of my eyes completely, I can still see just as clearly with the opposite eye.  So.... did he also have some Optic Nerve damage on the left eye?  Is it instead due to some impairment/damage to the second cranial nerve, the Optic nerve, on the left.... and that will heal along with the rest of his brain injury?  Was there some damage to the actual eye itself?
I just like to know why.  And... I like to know how function will be impacted and what we need to work on to restore as normal function as possible.  And..... if there is something we can do to improve his current condition.
I missed the first Opthalmology appt by being in Utah, but I will be in Phoenix for the next one.  In the meantime, I asked Ashley to send me the link to an article she found on-line by NORA (Neuro-Optometric Rehabilitation Association), titled “Implications of Acquired Monocular Vision (loss of one eye)”.
I thought I would share it with you, along with a summary of what it will mean to Scott to now possess “Acquired Monocular Vision” ...the loss of vision in one eye.  Excerpts from the article are posted below (in black), along with my comments (in red).
“Acquired monocular vision will affect vision and the individual in several ways. There are two main issues which are uniformly and predominantly addressed by the published literature and authorities. The two primary deficits are loss of stereoscopic binocular vision and reduction of peripheral field of vision. Most of the ramifications and symptoms of monocular vision are a result of these two deficiencies.”
According to Borrish (reference not cited),
1.    Monocular vision versus binocular vision results in approximately a 25% decrease in the size of the field of view. 

     So…. obviously, he will need to compensate for loss of peripheral vision on the right side.  His left eye can compensate quite a bit, as well as turning his head to improve his field of vision, but he will have to increase awareness of his loss of vision on his right and create strategies to see obstacles, return to driving, etc.

“Brady writes the main problems in monocular vision are primarily attributable to a loss of stereopsis and a reduction of the peripheral field of vision. According to Brady, the loss of peripheral vision is between ten and twenty percent. He says these problems will manifest as difficulties in eye hand coordination, clumsiness, bumping into objects and/or people, ascending or descending stairs or curbs, crossing the street, driving, various sports and miscellaneous activities of daily living which require stereopsis ( see #2) and peripheral vision.”

2.    Monocularity causes an absence of stereopsis which comes from the lack of comparison of retinal disparity present in binocular individuals. 

     His depth perception will be impaired.  Depth Perception is created when the brain compares the slightly different vision between the left and the right eyes.
“Schein writes, "Individuals limited by loss of vision in one eye have difficulties in depth perception." "Determining the distance within three feet from the eye is extremely difficult and highly unreliable." "Beyond three feet, other distance cues can substitute for loss of binocular disparity, provided monocularly impaired individuals are free to move their heads, which allows them to obtain information about relative distances by taking more time than they would when visual images from both eyes can be superimposed, as they are with binocular vision." "Mishaps can occur when monocularly impaired persons are in heavy traffic unless the head is constantly moving from side to side to increase the visual field".   

Regarding driving safety, Schein quotes a study by Keeney, et al. who state that, "nationwide, monocularly impaired individuals have seven times more accidents than the general population with which they were compared." Schein states, "Occupations most affected are those that require close work (e.g. barber, beautician, bartender, machinist, needle worker, surgeon); those that involve vehicle operation (e.g. airline pilot, bus driver, motorman); and any work demanding prolonged visual vigilance (e.g. air traffic controller)."  

This raises some questions as to what Scott's occupational future might hold, and what specialties remain realistic for him.  We will continue to hope for the best for his dreams to become a Physician, and for him to chose his specialty.
3.    Monocular individuals will have decreased visual acuity (compared to their binocular counterparts) because of their lack of binocular summation.  Binocular summation is the phenomenon by which people see better with both eyes together than by either eye alone. 

     This is likely the answer to my question above concerning why Scott will need glasses for his left eye forever.  Gotta’ love simple answers!

4.    Monocular people will have an impairment in their orientation (to space) which results from a lack of kinesthetic cues arising from convergence (binocular "eye aiming") and accommodation (focusing). 

     So... for balance and coordination, our brain takes in information from our eyes, from our vestibular system in our inner ears, and from our joint and tendon receptors.  His body will need to retrain the other systems to compensate, and will need to train his eyes to interpret the information in a different way.  In my experience, when there is a disparity in the incoming information to the brain from one of these three systems, then dizziness or vertigo can also occur.  This can also be re-trained, but it is disconcerting  initially.  So far, Scott has not complained of any dizziness or vertigo.

“Gunter von Noorden writes that the monocular cues of motion parallax, linear perspective, overlay of contours, distribution of highlights and shadows, size of known objects and aerial perspective can be used for spatial orientation. He states, "The nature of non stereoscopic clues is that they are experiential and can be meaningful only when they are capable of being related to past experience." 

This is simply stating that there are teachable strategies to help counteract for the loss of steropsis and spatial orientation.
5.    Contrast sensitivity in the remaining eye may be enhanced following monocular vision loss to "supernormal performance". Monocular individuals can be expected to demonstrate more head movements as a way of enhancing depth perception for eye-hand coordination tasks. Our bodies have amazing ways to compensate!
Scott might experience limited or decreased:

o  Peripheral Vision

o  Depth Perception

o  Visual acuity with his left eye

o  Orientation to space

o  Visual Motor Skills (Eye-Hand Coordination)

o  Balance

o  Coordination / Increased clumsiness

o  Manipulation of things with his hands

o  Reaching

“Brady raises additional concerns and issues for monocular individuals. One, the need for eye protection and safeguarding the good eye. Two, the need to have back-up prescriptions on hand. Three, the need to employ driving aids and techniques such as special mirrors, scanning with the head and eyes, and heightened awareness. Four, the implications of cosmesis. And five, the concerns for a prosthetic device.” 

We certainly have a heightened concern for protecting his left eye. In the last few days,  his left eyelid is now starting to fully close, but initially, it did not close completely.   We were concerned about that eye drying out or being damaged in some way due to the loss of protection afforded by closing his eyelid when he sleeps.   Ashley asked the Opthalmologist for some “gunk” to put in his eye to protect it just incase there was any drying out of that eye. Plus, we manually closed it for him, when he slept.  We are grateful that he is now able to close it on his own.  This reduces our worry.

Scott is fortunate that there are no real outward physical signs of the blindness.  You would have to know that he is blind.  You wouldn’t suspect it by looking at him or by watching his eye movements.  His right eye follows visual stimuli and sounds.  The cranial nerves that control movements of his right eye are still intact.  They are simply following the information given to the brain by the left eye, but they work.

And…. he does not need a prosthetic device.  The eyeball itself is fine; it is the optic nerve innervating the eyeball that is damaged.

“According to Linberg, "Recovery after loss of one eye requires an adjustment to monocular vision and resolution of a significant, serious emotional trauma." Linberg, Tillman and Allara surveyed 125 monocular patients by questionnaire regarding their recovery following the loss of vision of one eye. Their results showed: 85 of the 125 respondents reported that the loss had not changed their life in any permanent way; 7 reported persistent visual problems; 12 reported problems in employment; and 21 reported anxiety or poor self-image. Among 49 with sudden loss (such as Scott’s injury), 50% reported a less than one month adjustment period for driving, work, recreation, home activities, or walking. Ninety three percent of the people questioned reported their adjustment was completed by 1 year. The authors concluded, "most patients were able to resume everyday activities after a short period of adjustment. Problems with employment and self-image were frequent, but visual problems were unusual."

This is clearly encouraging that training and increased awareness will likely result in a decent return to function.  Regarding the “significant, serious emotional trauma” … The loss of vision is only one aspect of Scott’s “significant and serious” traumas, but likely the most impactful long term.  We are encouraged and hopeful that most, if not all, of his cognitive skills will return.  We won’t know for a year, likely, but… we are encouraged by his rapid rate of progress.  (Seriously, I have seen a LOT of rehab over the past 30 years as a physical therapist, and I am stunned by his rate of recovery!  It is soooo amazing to see the benefit and tangible evidence of daily prayers, youth, and good health!  Keep those prayers coming!!!  He still has a ways to go, and they are working!  We are so grateful for all of the prayers said on his behalf!  Talking about Top of Mind Awareness!  We love that Heavenly Father can’t go a full day without being reminded of Scott’s situation and needs! Thank you so very much!)

A number of people have asked how Scott is dealing emotionally with the blindness. So far, he has been pretty matter of fact about it.  He uses words/phrases such as “Dang it”, “That’s unfortunate”, “That’s not good”….. when discussing his loss of vision.  Originally, he was EXTREMELY uncomfortable with having his left eye covered for testing, and basically wouldn’t allow it, but now he has adjusted and become less apprehensive about it.  He hasn’t really shown any emotional distress or break down of any kind yet.  Initially, I wondered if he simply wasn’t capable of expressing his emotions very well due to the head injury or …if he simply didn’t fully comprehend the significance of the injury….. but now it is clear that he has full comprehension of his injury and it’s significance,….  and he is currently capable of expressing his emotions…. And we still haven’t seen much of an emotional reaction.  I can only imagine that he isn’t thrilled by the situation. 
And… I have to wonder if he will struggle more with his emotions about it later down the road.  Right now, he has sooo many injuries to focus on healing and so much function to regain….  that rehab is his primary focus and dominates so much time during his day.  He doesn’t really have time to commiserate on his specific losses.  He will have more time later down the road to be alone with his many thoughts about the accident and any permanent losses.  He may struggle more with things at this time. 

Then again…. Scott is not one to “waste his time” on tasks or feelings that don’t serve him well.  He has experienced many difficult situations in his life and has taken them at face value…. Said to himself, “Okay, this is what I am dealt with.  Now it’s time to figure out a plan of action. Then he goes to work on implementing his plan.” 

Plus, Scott’s faith really enters into the picture here.  Scott is very strong in his faith, and has shared with us that he knows that heavenly Father gave him this experience because he needed to grow in a way that he wouldn’t have otherwise.  Scott strongly believes this situation is divinely designed to provide himself with the necessary growth that he will require for some purpose that Heavenly Father has for him later down the road.  I love the comfort that brings to him and to us.  I am also very selfishly grateful that Heavenly Father still has a plan for him here on earth and that he wasn’t ready to call him back Home!

Hopefully, this has answered some of the questions you have had concerning Scott and the loss of vision he has in his right eye….. for those who stuck with me for this long, long post!
Love to all!
Oh... "Then and now" eye pics....

What a difference a month has made!

Wednesday, April 18, 2012

Day 36: Broken Record - Wednesday, April 18, 2012

Scott had a relatively peaceful night however Ashley suffered from an upset stomach.  We sure hope they both can synchronize themselves very soon.  Ashley did take a break and went home for the day while Scott and I worked through his therapies.

Today was a broken record, Scott eats like a horse for breakfast, Scott does his therapies better than the day before, Scott eats like a horse for lunch and Scott's therapists brag about his progress.  The differences include Scott's constant lobbying to be released next week, a competitive game of checkers with dad and balloon volleyball.

Scott now has only a band-aid over his feeding-tube wound.  There are no other wound bandages on him.  He is totally free and unencumbered but still requires minimal assist to move about.  BTW - you do see Scott in a hospital gown during his therapies.  This is because he is still considered "dirty" only because he came from a long-term care facility.  It also helps ensure that he has a private room.

Tomorrow we will learn Scott's expected discharge date.  We are all excited to begin the next transition in Scott's rehabilitation.  There are a couple accelerated programs for patients like Scott and we will do everything to ensure the right care for Scott and not allow insurance companies to make those decisions.


-- Mickey Moore

Tuesday, April 17, 2012

Day 35: Wii-Hab - Tuesday, April 17, 2012

Scott's mind is keeping him up at night.  It is obviously working overtime and this is good.  He and Ashley continue to work through these episodes and I'm sure together will find peace at night for Scott.

Early this morning Scott had his arm bandage removed and his trach bandage removed.  He only has one more bandaged wound, his feeding tube port.  We love getting rid of things!

Later Scott typed and sent an email to his Medical School Dean to request a meeting to discuss returning to Medical School.  All this on his own initiative.

Today Scott worked through "Wii-Hab" to help him with balance.  Here are some of the hi-lights (sorry again for the one sideways video):

Then Scott had Speech Therapy where he was tasked to use multiple levels of cognition with his problem solving.

He did really Great!

The remainder of the day Scott rested and played guitar.  Concert dates will be announced soon!


-- Mickey Moore

Monday, April 16, 2012

Day 34: Stairs, Fast Walking and Cheeseburgers - Monday, April 16, 2012

Scott was so looking forward to today and getting back to "full contact" therapy.  Here is his first attack at Physical Therapy.

Afterward Scott attacked Occupational Therapy and asked to be able to move around (like go to the bathroom) without assistance.  "Not quite yet but very soon" was the therapist's response.  I'm sure that Scott will push again this afternoon.  That would be "very soon", of course.

Next Scott had an hour of Occupational Therapy and he worked through memory problems that I struggled to perform.  During the session he appealed to have all eating restrictions removed.  They tested him by ordering a cheeseburger, fries and chocolate milkshake for his 1:00pm session.  Of course he passed by wolfing it all down, even after eating a full lunch an hour earlier!  Now only a cursory check with the dietitian keeps him from eating anything he wants.

Scott is truly getting back in so many ways.  Much is rapidly changing including his caregiver needs and our ability to report his progress through this blog.  Bear with us as the articles going forward may become more disjointed, not reflecting a blow-by-blow account.  Please continue to know our deepest appreciation for your part in Scott's recovery.


-- Mickey Moore

Sunday, April 15, 2012

Day 33 Part 2: Scott's First Guitar Concerto - Sunday, April 15, 2012

Scott picked up his guitar for the very first time since the accident.  The following series of videos show Scott tuning his guitar, recognizing that he cannot remember the songs, then quickly re-learning a song with Ashley's help and lastly serenading Ashley.

33 days have lapsed since the accident that caused Scott's Traumatic Brain Injury.  We now have this and are left speechless.

-- Mickey Moore

Day 33: Angels Singing - Sunday, April 15, 2012

Last night was not what we were hoping for in that Scott seemed to awake every hour.  The reason was that just before going to bed, he and Ashley were told that he would be having the MRI for his eyes at 6am.  Scott went to sleep with this thought and it generated a sense of urgency over sleeping in and missing the MRI appointment.  It wasn't until Ashley got him to go back to sleep with something else (a soccer game) on his mind that Scott was finally able to remain at rest.

Here is Scott's report of his MRI this morning.

Because of the MRI, Scott's Breakfast was delayed, he napped and two hours later time for lunch.  After lunch he entertained visitors and discussed fine dining...

Scott was weighed this afternoon and he is up to 167 lbs, this is 18 lbs less than he weighed before his accident.and he has gained a total of 12 pounds back!  We had Scott review information for his Rehabilitation Personal Planner.  This included a list of his surgeries.

We broke out some streaming music so Scott could sing along.  Not a dry eye in the house...

We will close today's blog article with a message directly from Scott.

Saturday, April 14, 2012

Day 32: Finally, Normal Nights - Saturday, April 14, 2012

We continue today with more videos but first want to share another milestone, Scott no longer requires all night supervision.  Last night, for the second night in a row, Scott slept and only woke up twice to let Ashley know he needed to go to the bathroom.  As Scott is often heard to exclaim...  WAHOO!!

We shot a lengthy conversation between Scott and his Physical Therapist.talking about his eye injury.  This conversation provides insight into Scott's attitude about loosing the site in one eye.  Unfortunately we had to break the video into the five segments below.  Sorry for the low audio levels.

And finally here Scott is showing off his soccer skills during PT.  He really had fun.

Scott had a couple visitors today who brought him interactive exercises that he really enjoyed.  He has been eating like a horse and regained 5 to 10 pounds.  His weight will be taken on Monday for a more accurate measure.  Hopefully on Monday we will have the last swallowing test and remove the remaining food restrictions

Carol and I were able to spend much of the day with Scott and will do the same tomorrow to give Ashley the day off.  We hope to continue pushing him as hard as he wants.


Mickey Moore