Tuesday, July 10, 2007

From Anantarupa prabhu and Lilashakti didi:

All Glories to Sri Sri Guru & Gauranga!


Ananta Rupa and I visited with Jatindra last night. When we arrived
they were busy "cleaning him up" and asked us to come back in about 15
minutes. We spoke at great length to Rachid who was on duty. He
explained the milestones they are looking for in a neurological
recovery.

The first thing they look for is involuntary movement - Jatindra has
been displaying this for some time.

Next they look for response to stimulus (usually pain) - Jatindra does
not like to have his nail beds pinched hard! This also includes some
voluntary movement.

Next they look for tracking - responding to sounds by turning his head
and opening his eyes - Wow! last night we called his name loudly and he
opened his eyes and actually LOOKED at us! His eyes were focusing. He
also looked around the room with a very puzzled expression. We
explained where he was. When we moved to the right side of the bed and
called his name - he purposefully turned his head towards us and opened
his eyes again. Rachid explained that it was good for visitors to move
from one side of the bed to the other to help stimulate the tracking.
He also said it was good to ask Jatindra questions - even though he
cannot answer while still intubated. He said this will help the brain
start "digging" through the memory to search for information.

Next they look for response to commands. So far Jatindra has displayed
his stubborn streak and does not respond much. Rachid seems optimistic
about his progress - it is still very early in his recovery. When you
visit, you can ask him to move his arm or wiggle his toes.

Rachid also mentioned that they do not disturb Jatindra's "rest" to
check his responses or vital signs. They will wait until he seems a
little restless and moving around. This allows him to get the rest he
needs. He did say when visiting it is okay to talk, chant or read even
if he seems asleep, but it is best to try to engage him in responses
when he is a little active.

He is still being given CPAP - constant positive air pressure - to help
his lungs work properly and prevent fluid build up. Once he starts to
respond to commands, they will discuss extubation.

They do have him restrained, both arms, legs and a chest strap - mostly
for his safety - and to prevent him from pulling on any tubes.

It was a very encouraging visit and we stayed until 8:45 (because we
had to wait to get in to see him:) We also read Chapter 5 from the
Bhagavad Gita.

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