Tuesday, July 31, 2012

Tuesday

Wow...what a difference a good night's sleep, a home environment, and Grandma's cooking have made! It's so good to see him with his spirits up, finally feeling like contacting his friends (he's been busy answering texts all day), and eating better.  When somebody tells a funny story, he tries so hard to not smile/laugh because it hurts his face, but it still thrills us to see him smiling and laughing!! :)

Today Mom and Dad came for the afternoon and evening. Was nice to see them one more time before they head home.  Hopefully tomorrow we'll see his one surgeon in Billing, and then start heading home on Thursday. :)

Monday, July 30, 2012

DISCHARGED!

I think I mentioned that last night I planted the seed with the surgeon that I wanted to take him home today. She wasn't quite sure of it, but I kept assuring her that we'd get home to Grandma's cooking where we could make high calorie food. This morning the primary trauma surgeon came in and ordered that CT of his neck (came back normal), his facial surgeon came in and once again kept saying "WoW!" and gave us a big hug, and his primary came in late afternoon and said we could TAKE.HIM.HOME!!! We are so happy!!! His palate surgeon called us as we were driving in here to Howard and Donna's. When he heard we had our appt with him on Friday (he's out of the office Wed and Thurs), he said he'd just come in on Wed whenever it worked for us!  Trent came home and ate more of Grandma's yummy food (nice and soft and easy to get down) than he has yesterday and today combined.  He was so happy to have the feeding tube out right before we left. We have had the BEST of care, the BEST of encouragement from everybody, and we are so thankful to be where we are today. I'll probably post some pictures tomorrow to show how amazing his progress is, and then a post again after our Wed appt, then I'll probably sign off. This has been a great way to communicate. Thanks again, Mary Jo, Jacquie, and Kerin, for setting up the blog and back posting all those texts, etc. XO

CT scan

Dr came in this morning and ordered a CT scan of Trent's vessels in his neck. He just feels that it's wise to check them because with the kind of force he sustained, sometimes a part of a vessel can sheer off, like a flap, and can cause blood clots, which of course would not be good headed to the brain! So he'll have that done this afternoon.  They did stop the feedings (he still has the tube), and he's been eating very slowly but surely. Got one pancake and about 1/3 of the scrambled eggs in so far today. We reallllly want to go home today!!!

Sunday, July 29, 2012

Sunday's been such a good day!

We've had company trickling in all day..Kelvin and Leila and kids, both sets of grandparents, Chuck and Shir, and Steve and Kim and kids. Grandpa Howard asked Trent if he likes all this company. He said yes! It does seem like company really perks him up and gives him something else to think about.  When he wants to sleep, he just takes out his hearing aids and naps away in spite of the visiting.

Our doctors are fantastic. They both are off this weekend, but have still come in both days and spend a good half hour here. The palate dr was just leaving when the facial dr arrived, so he just sat down in the chair and stayed for that, too. It's almost like they come "to visit" now, rather than just do doctor stuff. The one is really pleased with how his bite is coming along.  Since they were able to put the plate in his upper jaw (instead of just the splint he has in his mouth), he said that he may be able to remove the splint and all the stuff in there a lot sooner. He is very confident about its healing since it has that plate (that's the part he'd never done, and usually people's anatomy makes it such that they can't use it). So he is so glad for that extra "rock solid" support of the plate.

The face dr just stands at the foot of his bed and says "Wow!" over and over. He truly looks like he had his accident a  month ago. His skin has healed up, his swelling is WAY down (some still left to go, but not at all what you'd expect at this point), and now he just has that punk rocker purple/black eyeshadow look. :)

The feeding tube has helped immensely!!! His energy is better, he's walking faster (this morning after his walk, he almost passed out on me, and it was all I could do to get him to the bed, but this afternoon he was really walking well!). His spirits have lifted a lot! He got his pureed tray but was only able to eat a few bites.The dr agreed to soft food for tonight, so we'll see if more palatable food will go down. I am so wanting to take him home tomorrow (to Bridger) and feed him some soft, high calorie food! But I know he HAS to prove he can eat enough before we take the feeding tube out and take him home.

All in all, it's been a great day, with great progress. Every day is better and better! By the time we go back to CA, I think the only noticeable battle scar will be the neck brace! Amazing, the way these young kids heal!

Sunday morning...a new week

Good morning to all,

Again, thanks to all who've posted and reached out. It means so much to us. Trent did take a peek at a few yesterday but soon wore out, but I know he'll appreciate reading them all so much as he gets better. He's had so many stop by:  grandparents,  uncles and aunts with families, cousins,  ministers, friends we've known from years ago, etc. etc.

I definitely think it was the Ativan they gave him for the procedure that made him so carefree yesterday afternoon, but it was great to see while it lasted! He was really tired after that all wore off, and did some long napping! We did order his first tray of food last night to try get him started on real food so they can wean him off the tube feeding. It was pureed chicken, mashed potatoes, and pureed corn. To make it look more appetizing, they put the pureed item in a mold that looks like that item...so, for instance, rather than a plop on the plate, the corn looked like corn on the cob. He only took a few bites, but it's a start. His mouth is so sore inside from all the incisions and work they did there (they did all the facial repairs thru the mouth, even the plate that goes beside his eye!) so naturally it's pretty swollen and sore. Also it's hard to eat with that splint in place. We did end up taking out the bands that hold his teeth pretty close together, as it was went better using a spoon that he could barely get in, than a syringe. Also, the dr showed me how to put them back on, so he can have them off for eating.

Robert and kids will be in this afternoon after they go to meeting. Our hearts are with them there.

He had a good night last night. There were alarms on him for different IV's, and feeding tubes, going off hourly (they do that for safety)  and nurses coming in for meds, etc, but I think he slept through most of them.So...today is a new day, a new week, and the beginning of the rest of our lives. So let's make every day count. xo to all

Saturday, July 28, 2012

Feeding Tube Placement

Hello all.Here is an update for you. Trent has really been down the last couple days. Since finding out last night that he needed a feeding tube, he has been really blue. This morning I felt so helpless as he lay there. The dietician came and said in spite of our best efforts last night Trent can not even come close to meeting his caloric requirements..so..they took him down to radiology around 11 and put the feeding tube in from his nose to his small intestine. They also gave him antianxiety meds...he came back with his spirits up, walked the halls with Rydel, and wanted to check the blog about him ( and comments) for the first time. Not sure if it was the " happy meds" or the relief of the procedure being done. We went from worry this morning to happiness seeing him perk up!!

Sat morning

Well, we've gotten a bit of nutrition in! I got up every hour and gave him  a 60 cc syringe of Ensure.  Any more than that was making him nauseated, since it's been so long since he's really eaten. The pain while swallowing issue seems to have resolved since he got all the packing out, so even though he's still running a big time caloric deficit, I'm hoping to talk to the nurse soon and see if she can call Dr. Kennedy and get an order to cancel to the feeding tube! I'm going to wake him up in a bit to start day...walk, eat, sleep! His mouth isn't closed with wires, but he did put some very tight elastics on the same way, so it's almost like he's wired shut, but that won't be a long term thing. I think it's just until his bite is together again. Even in 10 minutes while Dr. Griffeth hung around, his bite was moving.


You cannot believe how GOOD he looks! He's been on meds for the swelling as well, but his skin is looking so good. It's amazing how fast a kid heals! The abrasions are almost completely healed, and now he just has some chipmunk cheeks and purple "eyeshadow", but he is definitely starting to look like Trent again! Even after they brought him back from OR we were so shocked at how much better he looks. Amazing how much getting those bones back in place changed him!


So...I have big plans for him for today! Guess I better wake him up and tell him about them! He'll be thrilled! ;)


Thinking of so many this morning at a special gathering in Sacramento. 

Friday, July 27, 2012

Feeding Tube...or not?

Here's the scoop for today.Trent is looking great, but still has not been able to eat, so he's getting weaker and weaker. This last walk, he was so unsteady and dizzy. Trent had  a real hard day eating due to the severe pain he feels in all his nose etc when he swallows.(This has been an issue since the accident)  Dr. Kennedy ordered a feeding tube put in tomorrow. That didn't go over well, as you can imagine. But she took out the nasal packing which seems to have helped the swallowing immensely.(Allows the pressure to equalize when he swallows).  THEN Dr. Griffeth came in and said his bite IS off but that happens some so he brought wires and elastics and ended up using elastics to try get his bite to shift. They had to take the muscle off the jaw so that jaw is really disrupted so not surprising. Anyway, he doesn't really think he needs a feeding tube, and he got a syringe and basically fed Trent some chocolate milk thru it. But with the packing out, seems like the pain in his nose with swallowing has lessened, so it went way better than it has been going. So we've ordered several Ensures and are going to give him some hourly thru the night in hopes of staving off the feeding tube.

Hustling (to recover)!

A gift from all his basketball team!! A card signed by them all ( very touching), hustle socks, and a basketball signed by them all. He said he'll never use it. He wants to keep it perfect and buy a stand to put it in. :) Notice the bed extension, and keep in mind this didn't get put on the bed til Wed night!

Post op day 1

Good Morning!

Trent arrived back to the room last night late evening.  Even in the hallway he was trying to tell me, "They didn't get my bite right!!" He was in a lot of pain, and was very distraught that his jaws didn't seem to line up.  As for how he looks,well, let's just say we were shocked at how GOOD he looked!!! He was SO much better! Amazing how bones being a little off in your face can really change the appearance. Also, all his abrasions on his face that had been so disconcerting were healing so well, that when she was cleaning his face for surgery, she just took the scabs all off, and it is amazing how well they've already healed! Youth....

But back to his jaw. After he got settled in, he was showing us that when he bites naturally, the upper jaw was way off to the left. To get his lower jaw to fit into the splint, he had to jut his lower  jaw forward and over. Naturally, he felt like surgery had been a failure, and our euphoria went to worry.

This morning Dr. Kennedy came in at 6:45. When we explained to her about the jaw, she assured us that that upper jaw went together beautifully. She said it was rock solid and exactly where it should be, and that the reason the jaws aren't fitting together is because swelling is actually pushing the lower jaw out of place, so what seems like his "natural comfortable" bite is not really correct. She said absolutely no more surgery is needed on that palate, and that perhaps Dr. Griffeth will wire his teeth together (or use rubberbands, hopefully) to bring his jaws together. So that was great news!  She said his nose was really hard to put back together because it was so crushed, and that he'll likely need more surgery on that in the future.

His job today is to EAT. Since the accident Monday (which was before breakfast), he's had the sum total of one ice cream cup  (and you know how tiny those hospital ice creams are!) and one small pudding. Due to all the nausea, vomiting, and such, he's had no appetite.  So he is very slowly eating an ice cream. I told him I would not let him rest until he's eaten it! It would normally only take him about 3 swallows to get one of those cups down, and he's been working on it for about 1/2 hour.

As far as putting pictures on this blog, Trent is not ready for that yet. He's going to look just fine, probably no different than before, but as he gets closer to his usual appearance, he'll likely be ok with putting some photos up. But for now, we'll leave those off.

We continue to feel so grateful for all your love and support, for the excellent care we are receiving, and for the help from our Father. I am sorry I've not been able to answer you all individually, but we are ever so grateful!!

Thursday, July 26, 2012

He's OUT!!!!!! Surgery was successful!!! Surgeons said the palate went better than expected! He DID use the method he had never done before and came out smiling! She said his nose is like crushed cornflakes so that was the least successful but that can be repaired later. He did NOT have to have his jaws wired shut as originally thought. So happpppppy!
It's been over 4 hours. When we asked how long it would be one surgeon thought about 3 hours, but the palate surgeon said his part is so intricate and he wouldn't rush. Been 4 hrs.

Waiting Room Support!


Status

Via Elaine:  Kennedy and Griffeth are his surgeons...he's the only case left in OR!



A reminder about posting comments

Just a reminder that if you log in under a blog name or Anonymous, the Petersons may not know who you are...so be sure to include your name after your comments if it isn't already clear.  Thanks!
Thank you to those who set this blog up!! And I LOVE the picture you put up of Trent!! We are still waiting.

ADDRESS for those who'd like to send a card

There have been many who've expressed a desire to send well wishes to Trent at the hospital.  Since we don't know when he'll actually be released and just so he doesn't miss anything that might be sent to him, any are welcome to send wishes to the following post office box....be sure to include the box #!

3031 Stanford Ranch Rd., Ste 2 #126
Rocklin, CA 95765


We are patiently waiting for Trent's surgery. We have lots of family here..Both sets of grandparents,Roy and Wendy, my cousin Joanne, Julia B and Heidi H, Kerrie Dutton brought a basket of food etc etc. We'll let you know as we hear more.

SURGERY TIME

Trent's surgery is scheduled for 3:00, Billings, MT time.  The time for us here in California will be 2:00.

text: 7/26, 10:17 a.m.

"Swelling is way down from yesterday and palate shifted again but actually in a better position so now his mouth isn't very crooked and surgeon said it'll be easier now to place the splint!!"

text: 7/26, 8:05

I asked Elaine about bruising and whether that would get worse for awhile.  Her response:

"Likely, but that's all ok.  Will come out with some battle scars but they'll be small.  Right now he's forgetful...asks me to tell him what all the surgeon said...10 minutes later it's like he never knew.....but it's not like that with everything....and he knows it and is frustrated by it.  Know it's not meds because same meds as Tuesday and Wed he felt forgetful and different than Tuesday.  All part of concussion."

I expressed nervousness about the surgery.  Her comments:

"Yeah, the palate one is going to be so challenging.  He may have to basically break the maxilla right to left as well.  Palate shifted in night.  Left msg for Dr.  Hope it doesn't delay surgery because he already made splint....  Thinking about it, it shouldn't."

text: 7/25, 7:17 a.m.

"Can't WAIT for surgery to get things stabilized. He had a very bad first half of the night. Wouldn't give a pain # like they want but said HIGH. Felt like he was choking, suction pulling from his nose area with every swallow. Kept saying he was bubbling inside  and I could hear the gurgles especially when he swallows. Before Robert left last night we were remarking how he's not saying "why me?" or anything like that. But last night he was very blue. I lay down beside him and held him a long long time. It was so hard to not be able to fix it for him. Dr Wilcox just in and will up his IV fluids since he can barely drink. He's sleeping now."

12:50 p.m.  "Dad and Mom just arrived.  Got Trent more cleaned up today and I even got his teeth brushed....been bleeding a bit more from the nose again.  He had more pain and nausea but meds are getting him knocked out again.  he is tracking normally now mentally (was a little off/strange first day because of concussion)."

9:02 p.m.  "One more update tonight. Trent became more and more swollen as the day went on. We were worried they'd cancel the upper part of the surgery but that surgeon came in tonight and said she can still do it. Then the surgeon who is doing the palate came in and said it is going to be a very difficult surgery. He has I think he said 3 options and will see how it goes once he's in there. He may need to fracture the palate the other direction as well. His partner (who is near retiring) has only performed one of the options once.
Dad and Mom arrived from Plentywood so great to have him. Roy and Wendy arrive tomorrow as well. 
We are seeing some concussion issues but that's to be expected!
Tonight we read the bible study together and after an interruption, Trent said, "Keep reading"...but quite honestly I think he and I did more nodding off than listening! Good night, thanks again to all, and tomorrow is THE DAY!"

I asked about the doctor and whether there would maybe be a more experienced doctor in CA and she responded:

"No.  This guy is well renowned and trained under some considered the very best."

text: 7/24, 1:30 p.m.

"The facial Dr just walked out. he made impressions and we are hoping for surgery tomorrow night or Thursday . He does not want Trent to be discharged before surgery. Also after more nausea and the subsequent antinausea med..he ate a wee bit of ice cream  AND walked down to his new room! The other room was a physician sleep room...a crackerbox ! I slept in a recliner that didn't really recline . This room however has 2 beds...one for me! And lots of room! That tuckered Trent out and now he's sleeping! Oh..the maxilla surgeon agreed the palate had continued to open. Trent now can feel his cheek bones move when he moves his lower jaw."

4:14 p.m.  "What a difference this afternoon and right meds makes!!  Dr. Kennedy (face Dr) just here and said absolutely NOT discharge him!"

10:56 p.m.  "T finally settling down.  Has been a hard hard night so far.  So much pain.  He says the worst so far.  You can hear all the gurgling and he feels like he's going to choke.  Swallowing causing a suction feeling now in his nose."

text: 7/24, 7:02 a.m.

"2 drs already in this morning. Spine dr ok with fit of his collar(he's so tall it's a bit short). Trauma dr going to order case manager for us to try deal with insurance. Going to give him a liquid bkft. The palate split open further during the night. More vomiting blood last night. One pupil was quite large in the night as well for not long but trauma dr feels both the pupil and the nausea are related to the concussion. He didn't have an answer for the unequal pupil but CT was ok so will just watch.


7:03 a.m. "(the Phenergan that stopped the vomiting was about 3. a.m."  


8:35 a.m. "Got off phone with insurance.  All are contracted with BC/BS.  So hospital should be able to get auth!!"


I then asked Elaine if there was still any danger regarding swelling and his brain, and this was her response:


"His brain should be fine...he wasn't tracking quite right here in the hospital yesterday but better today.  The eye thing was so strange.  But he is now considered stable and out of danger.  I think he'll surprise us with how fast he'll recover."

text: 7/24, 5:36 a.m.

"Trent's night was better with the Phenergan.  It totally stopped his vomiting.  He slept well for a good solid 3 hrs.  Then he was having quite a bit of pain so they started him on the oral pain meds and he's back asleep now.  I just took a literally 2 minute shower.  Took some liquid soap from dispenser, showered, toweled off with a washcloth."

text: July 23, 7:58 p.m.

Maxilla facial surgeon just here for a long time. This is a rare injury.i think he said he's only seen 5 of these palate fractures in his career and only 1 other that opened up like his. Something like that. Very very impressed with him. He says it's "ok"to wait but can be a lot harder to fix successfully so tomorrow we call and fight with insurance. if so surgery Thursday or Sat. Home in between.

text: July 23 @ 6:34 p.m.

"Saw ortho and spine Dr.  Actually broke neck in 2 places:  c3 & c4 but both are stable.  Elbow not broken.  Got him cleaned up and even more so he's looking a lot better.  Trauma dr. just came.  No surgery now so clear liquids and a more comfortable collar.  Still vomiting up a lot of blood, like 250 cc at at time."

First text, July 23, 3:58 p.m.

This is how news first was relayed, via text (the following posts will be all the texts received, in the order received).  There are two different set of texts that were received (Kerin received the first, I received the second).  I've included both---even though it's rather confusing and mine were received out of order---but there's a little different information in each, so excuse the redundancy:  (Also "st v's" refers to St. Vincent's hospital, Billings MT)

"Trent in motorcycle wreck on farm. Ambulanced to st v's. Here's a list of his injuries.
1)C4(neck) fracture but stable won't probably need surgery but waiting for spine Dr
2)leforte 3 on one side(so you can look it up) which is fractures of his maxilla (cheekbones) 
3)leforte 2-3 on other
4) broken hard palate (bone making roof of mouth) from front to back
5) possible elbow fracture
HIS BRAIN IS FINE
Been vomiting lots of blood
Admitting him and facial surgeon to see him up there. May be too swollen for surgery. Often have to wait a week or so."

"Facial dr just here.  Went over CT with us.  It is a leforte 3 on one side and a 2 (not 1 as previously thought) on other.  Orbital bones broken on one side will need plate as well as plate under right maxilla (cheekbone).  Numerous other breaks as well but some are not fixable because they are too far back in the head but the muscles of chewing will help bring some bones back into place and the others are offset but not enough to be noticed.  His nose is broken in many pieces with one bone almost coming thru skin.  They'll attempt fixing but with so many broken may be hard for them to stay in place and likely need rhinoplasty (nose job) in a yr or so as those bones too small for screws.  She's contacting another surgeon about the palate break.  Wouldn't do surgery for 5-7 days anyway so she's going to call our CA drs and we likely will just go home.  I've been cleaning him up.  He's on morphine.

I'll tell you all a little more about the wreck.  Robert took Trent up and down the lane this morning before we were to leave for Plentywood a couple times then let him go on his own.  No helmet.  "Just the lane"...We, who are so conscious of that.....at the end of the quarter mile lane, we saw him go down.  We started running and there was no movement from Trent.  I knew the ditch has water so was worried about that. Feared he was unconscious in the ditch. We ran what seemed like forever but about 3/4 of the way down (Tyler way ahead) he stood up and staggered and fell face forward as he lost consciousness again.  As we got on the scene he was face down with lots of bleeding.  Got him turned on his side and supported his spine when the vehicle that had flown by when we were running backed up and offered to call 911.  I immediately saw facial fractures and the roof of his mouth separated.  Cop arrived first (Robert knew him).  Fire dept next (Steve Fendler, one of friends) and ambulance nxt (man knew Robert and lady knows Donna).  Tyler came got kids and said that it looks like Trent's face broke a post.  He also has loose/chipped teeth.  Waiting now in hospital room for spine dr."

That was the extent of the first texts that I received.

The Purpose of This Blog

Hi all!

This blog is to better keep everyone informed about Trent's experience, his accident, his recovery, his journey.  There's been a WONDERFUL outpouring from friends and family and the community, and it's difficult to make sure that each one gets updated news.  Hopefully this will make it a little easier.

The first entries to this blog are going to be from texts that I received as the situation unfolded.  I'll edit them as much as I can to make sure they're clear, but some of it will be confusing as I received them rather fragmented and incomplete at first.  As you can imagine, it was a terrifying first several hours and so information was sketchy.  So if there's some stuff that doesn't make sense, I'm just typing it as it came to me and you'll get the basic idea.

Thanks for all your care and support---I know it means a tremendous amount to the family.