Blaine has had a pretty good past couple of days. He continues to improve on his attention and his willingness. It’s always nice to see small bits of Blaine peeking through, but we could do without the stubbornness for right now!
The meeting of therapists went very well. The all concluded Blaine’s needs for therapy and rehabilitation were moderate to severe….meaning he needs a lot of work
Each therapist has set short term goals with the families goals in mind for Blaine.
The Neurologist is beginning to take down some of Blaine’s medications. As mentioned before, this is a delicate, timely process. Her goal would be to increase motivation and manage anxiety as well as agitation bringing them to a more normal level. She is impressed at his strength and progress. She is optimistic about his recovery and his ability to gain more independance from his rehabilitation. Though he will never be quite the same Blaine, he will be very high functioning.
The Speech Therapist names something Blaine does and I can’t remember the title! I’ll fix it later. But, it basically means that he get the names of things mixed around. For example, he asks you for a blanket but what he really wants to say is that he wants a drink of water. Obviously…this can be very frustrating and the root of some of his agitation could stem from this. She also said that Blaine stutters. The will continue to work on both of these and these are both things can be learned to work with or corrected. They also changed Blaine’s liquids to regular consistency rather than the nectar consistency. Blaine will no doubt enjoy this change….anyone would! His liquids, thickened up, looked like honey or applesauce. How refreshing, right?
Nutrition has said that once Blaine eats 50% of his food with each meal by mouth, they can remove the feeding tube. Blaine still uses it during the night to get the nutrition and calories or during the days when he refuses to eat. The food at Barrow is on steroids! Everything Blaine eats is full of protein, fat, calories and carbohydrates. Even their pudding is not something you can buy in a regular store. They weigh him all the time and he is at 143 now. Blaine has always eaten a lot and always burned a lot of calories. He has been difficult to put weight back onto and with the added activity, they are watching this closely. He also dehydrates easily and they use the feeding tube to get much water into him. Perhaps the change in liquids will have him drinking more water. Then again, he can be seen much of the time with a cup of cranberry juice in his hand. A long time favorite of Blaines, without the vodka
Occupational Therapy is not one of Blaine’s favorites. Ironically, he does not enjoy working on “life skills.” He has refused his session once this week and she has had to really coax him a couple of others. However, this is essential to Blaine coming home and one of the top priorities. Thankfully, she is patient, kind and willing to work around Blaine’s moods. They begin official bathroom training today. He will go every 2 hours during the day and every 4 hours at night. Yes. They wake him to take him!
Physical therapy is great and they work diligently with him. He is up on a walker now strolling along with the help of his leg brace and special shoes. He walked 5 feet yesterday morning and afternoon. They also work with Blaine with things like raising him arms over his head, sitting on the floor unassisted, sitting in low back or no back chairs and rotation and range of motion. This is exhausting and difficult for Blaine. The physical challenges from being in a coma and in a bed for such a long time make these activities hard on him. He is a trooper here and he desperatly wants to walk again.
Go Blaine! Go Blaine! Go Blaine!
On a very tight therapy schedule, Blaine is working 3-4 hours in the morning and 3-4 hours in the afternoon. Each therapist sees him twice a day. With meals in between, showers and daily duties, there isn’t much down time. Visits are spent watching Blaine work much of the time.
The officially set Blaine at a 7 week stay at Barrow. They agreed that less than that is just to far of a stretch. We are very happy at that news as typical stays at Barrow are 3-4 weeks. It is rare for insurance to pay for any longer. There is an outpatient segment to the Barrow Rehabilitation that will follow this inpatient.
They have asked that the family begin to think of what life after Barrow looks like for Blaine. It appears that is a few weeks, just over a month, Blaine will be moving home. With a large family like Blaine has, there is no doubt that many of us are willing and able to care for Blaine until he is independant enough to share housing with a roomate or live alone somewhere that family can regularly check on him and we continue to have every hope that will happen one day.
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