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  02/07/05   02/06/05   02/03/05 01/30/05 At present, Joey has shown the early signs of cognition. His eyes show a delayed response to moving objects, though it is still intermittent, it is clear he is trying to focus on a balloon above his head and a small prayer bear he took to bed with him every night. He has shown less "posturing" with his hands and legs and seems to have more movements (purposeful movements) than ever before. His physical therapy is becoming slightly more aggressive. He extends both arms above his head by himself and has moved his head from side to side. He folds both legs at the knees (right now, the left side seems to be more active than the right side). He has made a few sounds from his throat, but nurses believe it is just accidental, at this point. He finally got a haircut. With the haircut and the breathing tube removed and neck brace removed, he is looking more like "Joey" than ever. The facial swelling is now minimal and the staples across his skull were removed. The wound is healing nicely. He still has some brain swelling and minimal bleeding. There is some blood behind his right eye. Both eyes appear to be functioning. The pneumonia is gone and his fever has been consistently around 99. His blood gases are normal and all systems appear to be functioning normally. Doctors have mentioned possibly replacing his skull in 3 weeks. He would need to be flown back from the Arizona Rehab hospital for this surgery. He would need to wear a helmet to protect his skull for the 2-3 months it would take for the skull to mend. The brain still has lots of healing to do and doctors say that it can take another year before we really know what the lasting effects of the brain injury will be. Joey's Kindergarten teacher will be visiting him today. His teacher, Mr. Birmingham, will be bringing lots of Valentine cards and photographs from his classmates and letters from parents. The outpouring of love, prayers and compassion for Joey continues. The local LV Fox affiliate, Channel 5, will interview Joey's parents for the 8 am morning news show, hosted by anchorman John Huck, on Tuesday Feb. 8th. There will be pictures of Joey and a silent auction held to benefit his Trust Fund. Fundraisers in Michigan, Nevada and New York have been started, sponsored by church groups, business groups, family members and a local Las Vegas restaurant, The Cavalier. Joey has defied the odds, so far. He is a very strong little boy, as those who know him can attest. If he does have speech, motion or learning deficits, he will certainly strive to overcome them, somehow, in his lifetime. If he could talk today, we know he would say he can do it.
01/26/05 The breathing tube is to remain in for at least a couple more days, however the respirator is not breathing for him. After a few days of observation the tube may be taken out all together depending on his situation. Joey is being administered anti-seizure mediacations and sedatives for his fever and may have to take these drugs for quite some time. He is still in the coma and the doctors are optimistic that he may come to within the next week. They are becoming alot less concerned with paralysis as Joey has moved just about everything on his own and is exercised by his parents more than three times a day. He has become alot less resistant to the exercises and is seeming to loosen up with them. The doctors are showing concern to permanant motion deficits or limitations but cannot make any solid predictions. Joey had an MRI done and the results for that test wont be due for another couple days as well. The MRI will determine if there are any neck or spinal injuries from the accident. On another subject; Doctors are expecting to release and discharge Joey from Intensive Care and the hospital together
within the next two weeks. He will need to be moved into a rehabilitational facility to continue his care. Not much has been
discussed about this as of yet, so there isn't much to tell. None of the Las Vegas area centers would accept Joey as a patient,
so as a result he and his family will most likely have to be moved to Phoenix. They will be transferring to another Ronald
McDonald House in the area. Many thanks goes to the Ronald McDonald foundation and to all of you who have helped in support,
prayer, and donations - Every little bit is helping and we hope to continue to see the same kindness and love as we have seen
since this all started.
01/21/05 His fever dropped, but then spiked to over 103. There have been four or five episodes of vomiting and one significant seizure where he bit his tongue and bled for awhile. Due to the persistent fever (over 48 hrs and counting) his antibiotic was changed and a spinal tap was performed. Doctors believe he may have a brain infection, which was anticipated due to the damaged membranes and ear leakage. The membrane has finally healed and the leakage stopped. Doctors have him on anti-seizure medication. The results of the spinal tap most likely wont be in until Sunday. His swelling is nearly gone and they may try to replace the portion of his skull that was removed in another two weeks. Doctors also believe Joey may be able to start rehab in another three or four weeks if things continue to go well. There is limited availability in Las vegas, so rehab facilities in California and Phoenix are being considered. Joey has shown no recognition yet; that process may take another few weeks. Joey's family is overwhelmed by the response to this website and guestbook with all the good wishes and prayers from Afghanistan, Canada, and all over the United States. We truly believe the prayers are working. Joey is nine days post surgery and has come a very long way. The helicopter EMT visited him yesterday and told his mother that he never expected Joey to make it to the hospital alive, let alone survive the brain surgery. He is one strong little boy with lots of friends talking to God.
01/19/05
01/18/05 Doctors have removed the EEG, the veinous feeding, the body cooling unit and blood pressure medication, as he has shown the ability to maintain stability without these aides. A feeding tube sends formula directly to his belly. He is breathing sixty percent on his own. He has a bit of pneumonia, which is being treated. He coughs and moves a little, so there is some motor capability. His arms are restrained so that he cannot pull the feeding and breathing tubes from his mouth. He has staples on the top of his head from the surgery. The facial swelling has disappeared and with the increased body temperature his color has returned. This afternoon his temperature rose to 102 degrees, the doctors believe it will come down on its own. Other than the orbital eye fracture, there appears to be no other injuries. Doctors expect Joey to awaken soon. He will not need aides, as he continues to breathe on his own. Nobody is willing to comment on what will happen in the next few weeks. Joey will have some disabilities that will continue all of his life. Based on the responses to the website and prayer chains he has alot of friends who care and we are all grateful for that. Thank you all for your generosity, support, and prayers.
01/16/05
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