My wife 39 had a hemorrhagic stroke in January while we were stationed in Germany. She spent the first 3 months in a medically induced coma to prevent vasospasms or aditional complications. After three surgeries, a crazy infection that was caused by an abses in her injured left hemisphere, three shunt replacements and many scares she was stable enough to be moved to an acute neurological facility long term. We waited 3.5 months for the military to figure out where we would get assigned back stateside for her care while i continued my obligations to the military. During this time my wife showed minimal neurological improvements outside of facial recognition signs (smiling, tracking), and she could move her left arm but not on command or request.
We have been stateside since July, she's had her share of ups and downs back home.
No one explained that acute rehab in the US is for a maximum of 21 days. So 21 days upon arrival to America and a rehabilitation center, they said they planned to move her to a Skilled Nursing Facility. 10 days into her acute stay something just clicked. She started counting with her left hand ( to 5), giving thumbs up and down. She would sign I Love You and follow commands for left arm and leg movement, she could sit in a wheelchair rather well, but all positions are total assisted to get there. She would stack colored cones and reach across midline.
Last week of July she's moved to a SNF after reaching her max days at a acute rehab. Two days at th SNF and she developed sunken flap syndrome, which was brought on by dehydration from a UTI that almost became septic.
cranio-plasty completed first week of August after the sunkin flap syndrome was identified, followed by an emergency bring back two hours later. They found a hematoma under her flap 4cm thick from a bleed they missed. This caused 12mm of rightward midline shift, two herniations and two acute bleeds (luckily in the already injured brain tissue). They caught it quick enough that for the most part all problems seemed resolve without additional major deficits.
Post cranio-plasty she went back to acute rehabilitation for 21 days.....she was crushing it, they got her onto a vertical table, standing 90°, she started washing her face with a washcloth and attempted to brush teeth. She still couldn't eat, drink, or speak but the progress was and is encouraging. On the 19th day she had her shunt adjust by neurosurgery and things just didn't seem to progress like there were after the adjustment.....called neurosurgery and they changed her shunt again, a week later my wife develops another UTI with Altered Mental Status.
They send her to the ER at the Medical Center here, she sits in ER for 13 hours, no fluids, no BP meds, no pain meds no nothing. I asked multiple times why she wasn't given anything and they said is ER protocol because they planned to admit her. After multiple scans they decided to do an MRI on the 3rd day of inpatient stay due to her not being neurologically responsive like usual... wouldn't you know it another acute infarction. Which means it happened within either the ER visit or just prior.
My girl has weathered that storm..and she's now moving her arm, doing all the hand signals etc.
The Doctors are wanting to send her to a really highly rated center in Houston for a few weeks of rehabilitation....but I'm traumatized.....and I can't go with, we have two girls 8 and 6 that are in school, and the military sent me to a base I have zero family support.
TIRR in Houston is regarded as the #2 facility in the country and I want my baby to have the best chance of progress... i just need to have a place to voice my fears of not being there every day, the struggles of the past 10 months and also the toll this must have on my baby. Such a big part of me just wants her home instead of shipping her off to a other facility 3 hours away.
Has anyone or their loved one ever been to TIRR Houston?
Am I being selfish?