It’s been an up & down day. This morning, Jerry opened his eyes on his own and turned his head towards voices he recognizes. As the morning went on he became progressively less responsive on his right side which led to a CT scan around 10:30am. The CT results showed no change from his intake CT. This was good news.
The day wore on and his right side responsiveness continued to slide. A second (third, total) CT scan again showed no change in the hematoma. This led the team to believe that something else is causing the lack of motion – perhaps a nerve pinch.
We learned a few things today. First, apparently high blood pressure is a good thing with a brain injury. Apparently, the swelling in the brain constricts the blood vessels which requires a higher blood pressure to ensure that the oxygen is reaching all the parts of the brain.
We also learned the difference between a respirator & a ventilator. A respirator breathes for the patient with no effort required by the patient – this is how Jerry was breathing when we first saw him at Cambridge Memorial Hospital. A ventilator helps the patient breathe, but the breath must be initiated by the patient. This is how Jerry is breathing now. It is a much more natural breathing – if it weren’t for the tube, you wouldn’t know he was on a machine at all.
Tomorrow at 7pm, Jerry will pass the magic 72-hour mark. If he makes it until then without surgery (that’s the expectation) then he’s as close to “out of the woods” as he can be – and a transfer out of ICU would follow shortly barring any further complications.
We are also holding up well. Arminta and Hannah came for a visit this afternoon which made Grandma very happy. Hannah couldn’t go in to see Grandpa J, so she set about charming an entire ICU waiting room instead!
Off to sleep for me. It’ll be another long day tomorrow.
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Colin
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