Our first week at Kindred is drawing to an end. I've gained a good perspective on what we face in weeks and months to come. First, there really isn't a dramatic "wake-up" from an injury like this. Progress is incremental, often subtle and slow. Challenges are maintaining Marilyn's health while getting her plenty of rehab therapy. I am comfortable that is happening here, although I am sure I've been a bit of a pain in the neck to the caregivers.
Overall - she is trying to break through. Good signs include: chewing and swallowing ice, yawning, holding a brush and taking it to her hair, holding a toothbrush and taking it to her mouth, tossing a ball at me, snapping her fingers, spending part of each day in a special chair and even going outside, trying to speak on the phone, opening her mouth and sticking out her tongue so I could brush her teeth, turning on the TV with the remote and changing channels and more. I hope for more wake up time, speaking and revival of her left side in time.
I've found some good sources for understanding what is going on with Marilyn that I will share with you. First the Rancho Los Amigos scale lines out the general stages of brain injury recovery: http://www.rancho.org/patient_education/bi_cognition.pdf. Also the Craig Hospital website (Marilyn's next stop) provides many educational resources here. http://www.craighospital.org/TBI/HealthandWellness.asp