A week can be a long time in life as we found out 9 weeks ago. They don’t seem to drag by as much any more, in the main because Darryl is forging ahead making such positive progress now. I have almost found myself looking forward to the next day, where for so many weeks I dreaded each new day and in the beginning I was struggling to even face them.
Darryl has turned a number of corners in recent weeks, each adding to the last and building hope from the ground up like a skyscraper under construction. But the major corner turned in the last week has been his return to talking! He is back!
As with all in recovery from serious brain injury, the old nerve pathways have been severed and you have to find ways to re-start them. This is easier with limbs and extremeties as you can manipulate them and make them work, but how do you do that with a voice?! When someone has ‘forgotten’ (for want of a better word) how to speak, how do you begin to re-start this essential function? I tried massaging his face and neck and this helped him to murmur but it was not improving anything.
Last weekend I had an idea that laughing might help as when you do this, sound comes out automatically. All I had to do was get him to laugh! Bearing in mind Darryl has had no facial expression since this incident I knew just getting him to smile would be a task, let alone laugh. As I mentioned last week, I decided to show him a video of someone farting repeatedly, which he found amusing enough that he did start to smile. A breakthrough moment.
Over the course of Monday, Tuesday, Wednesday I made as many jokes and wise cracks as I could, trying to encourage laughter. And slowly the odd, beginnings of a chuckle sprang forth. I worked with this as much as possible and by Friday night we had some genuine “haha” sounds coming out. Friday night I spent about an hour getting to him make two haha sounds then three, then four and so on. I also had him do morse code haha’s like hahaaaaaha. He was now effectively able to make sounds (albeit needing to be kick started with a joke) and realise that he was reponsible and in control of the sound coming out.
The breakthrough came at about 7.3o am on the Saturday when I was doing this haha practice while I was doing his stretches. Once he was up and running and the “haha’s” were flowing I said hahaha – how, he repeated it back. Then I just said “how” and he repeated it. I then said “how are you” sort of all run to together, and he said “how are you”, to which I replied, I ‘m fine Darryl, nice of you to ask, then promptly burst into tears of joy as we both laughed.
From there, it was like a switch had been flicked and talking was back in gear. Over the next half hour I thought of as many words beginning with ‘H’ as I could and confirmed in my own mind, and his I expect, that he could and was doing it. Within a short period he was clearly saying three or four word sentences and while speaking slowly and needing considerable effort it was clear he could speak relatively normally.
So it was that with a little coaching as Catherine , Brook and Brenna, my parents who were down staying with us for a couple of days, and my brother Len and his wife and kids, entered his bedroom they were greeted with Darryl asking them “how are you doing?” And for each new visitor he asked, he shed a tear or two of joyful relief as the recipent of the question stood, mouth dropped open with tears running down their cheeks. It was very special. Brenna was absolutely gob-smacked and giggled uncontrollably as she stared at Darryl with rekindled joy.
Since Saturday morning Darryl has taken some degree of pride speaking to all the staff at the rehab and even shared a couple of words over the phone. Improvement in his talking was made even within 24 hours. And what a moment of pure jubilant relief it was when I asked Darryl how he felt about being able to talk again and he said “I feel good Dad”.
So that is a major milestone ticked off but there have been many others over the week. Each day brings a new set of achievements and improvements. Some of these this week have included progressing from having a few sips from a cup to downing an entire glass of water, gulp after glorious gulp. He had his first coffee today(abeit cold) he really likes a coffee.
Once he started progressing with swallowing water we started to introduce yogurt to him. He has gone from a teaspoon or two of yogurt, to this evening having baked beans, a scrambled egg, half a banana, half a pot of yogurt and a cup of juice. This was on the back of having a fairly impressive and equally sizeable lunch earlier in the day.
He now brushes his own teeth, not only exercises himself in bed, but arranges his his pillows, sheets and his right arm which has been in a cast most of the week as we have been working to break the tone and straighten it out.
This week has also seen major improvement in the gym, Jim, but not as we know it. He has gone from being hoisted to standing in a sling to just being stood up from a seated position and then helped to keep his balance. He does a quarter squat and then stands back up from it. He shifts his weight from one leg to another and bends each leg and re-straightens it.
He has now been sitting upright on his own for over two and a half minutes, doing bicep curls, shoulder presses and chest presses. He bridges (lying on his back with his heels up to his bottom) he lifts his bottom and back off the mat. He will do sets of 10 of these at a time. He then does trunk twists, twisting his legs from one side of the mat, up and over to the other.
He is doing resistance activities now where he is not just being stretched or doing an exercise, they are applying resistance to his movements to build strength. Each day he improves his range of movement and increases his strength, physical and no doubt mental.
It has been a very good week of progress and re-gaining a lot of what is taken for granted in day to day life. He has been in the rehab facility for almost five weeks. I can only imagine what he will be like in another five weeks time. I can not speak highly enough of the terrific team of skilled, caring and compassionate individuals who have been working with Darryl. It is definitely a team effort and they all go the extra mile, every day. We are fortunate to have such an amazing facility in New Zealand and even luckier to have the people working there that are .
Darryl, it has been a huge week and it is hard to single out one highlight from another. There are so many. But of all you have done to date, hearing your voice for the first time and seeing you cry with relief, surprise and happiness as it happened, is something I will never forget and will always treasure. It has been a monumental struggle for you so far and you have come so far, back from the brink. There is a long way to go and many stones yet to move but the load gets lighter with every milestone you achieve.
To hear your voice, your feelings and your thoughts over these last two days has filled my heart with a new sense of joy and hope. It is a major part of you that I feel we have back. The parallel universe we have traversed together has now become one. And it feels so good. It just feels so damn good.
Love you mate.
Dad.
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