Sunday, July 31, 2005
Rest
Saturday, July 30, 2005
Answers to some recent questions
There'll be days like these...
Friday, July 29, 2005
Moving Kari
Supporter websites
Thanks!
Today's miracles
Your direct line to Kari
How to do this? Simple. Just click here.
You'll need to type in Kari's name and room number as follows:
Room
Thursday, July 28, 2005
As of Thursday, July 28
Each time we start to read an email and state who it is from, Kari's face lights up with a smile as she recognizes your names. She is amazed you take the time to write to her and she is very thankful. Kari is breathing better today. The pressure support from the ventilator has been decreased from 15 to 10. They are hoping to decrease it to 5 later today and possibly remove the ventilator tomorrow or the next day. When we are reading the emails to her, we all are moved to tears sometimes, and as you start to cry, you naturally hold your breath a little. The trouble is, if Kari holds her breath very long, it sets off an alarm on the ventilator, which then makes us laugh and we have to encourage her to breath through the crying from the emails! :)
When Derin and I came in this morning John handed me a cup of ice chips to give her! Another exciting celebration! She can have ice chips! She asked her mom to flavor them with jello, but that request is still on hold per doctor approval :) Speech therapy brought in blue vanilla pudding this afternoon (I guess you cannot color chocolate pudding blue very well) and Kari once again swallowed it perfectly! It is a miracle how much easier she could swallow today than yesterday! It was painful yesterday! Then the nurse offered her a little of her smoothie (colored blue by the speech therapist) and she loved that as well. Tomorrow the menu is blue macaroni and cheese :) As they deflated the cuff in her throat to do this swallowing test, she once again was able to get air through the vocal cords and produce some more voice sounds. She then told her mom "I am going to sing again!"
Kari sat on the side of the bed with therapy and nurses this morning, felt "SO WEIRD!" according to Kari, and had an expected small change in her blood pressure. They will do this again tomorrow. She does tolerate the head of the bed being up quite high. They have a bed here that allows the feet to drop down into sort of a large chair position-very cool, and she tolerates that well too.
More tubes/IV's and stuff came out today and last night (which is a good thing). Her pneumonia is better and the chest tube should come out tomorrow. She does not have the pain she had across her chest two days ago and her elbow pain from yesterday is gone today! Miracle upon miracle! She does fatique quickly and needs to rest often. She also needs to get her body back on a day/night schedule, so she can sleep through the night and be awake more of the day, especially when she goes to rehab.
Aaron has finished visiting rehab centers in CA today and is on his way back tonight. Continue to pray for clear direction with this decision. I told Kari yesterday that Aaron is doing such a great job with all of this. She agreed, smiled and said "He is so positive! He was the perfect man for me to marry!" Their love for each other was a huge thing for Kari when she was trapped under the car as well. She saw the angels there, they were a comfort to her, and helped her to breathe. She also knew she did not want to go with the angels and told them so. She wanted to stay here with Aaron. (Are you getting choked up and holding your breath? I am as I type it.)
Another exciting moment of the day happened this afternoon when John was alone with Kari. As she was talking to him, the ventilator hose popped off her trach! Alarms started to sound, reds light flashed, there was a loud whooshing sound from the detached ventilator hose, Kari's eyes got big and John thought he was going into heart failure :) He quickly determined that tube A fits onto tube B, and he simply put it back together! He still does not find this episode as funny as the rest of us do. He keeps holding his chest when he tells it :)
Well, the library here is closing so I have to leave. Thank you for continuing to pray! There are so many small mountains for Kari and Aaron to climb and we are thankful for every one she has surmounted this far with God's miraculous touch!
Update by Shona Fowler
Wednesday, July 27, 2005
Hope and Updates
"I just spoke with Aaron and took some notes so I could try to accurately communicate Kari's progress today. It is a privilege to be able to be here with Kari. She is such a trooper! Her spirits remain good. She is so positive and encouraging with everyone and is working very hard. The nurses are requesting to continue to care for her, even though they are supposed to rotate to another floor, because they want to get to know her better! Even other patient family members are asking about her and commenting on how wonderful she must be! We can all
confirm that!
"Today I was moving her right arm around and she was able to twist (pronate) her right forearm, between the elbow and the wrist from a thumbs up position to a palm down position several times! This is the first day she could do this movement! She also is continuing to bend both elbows (right stronger than left), and has some shoulder movement, too. When lying on the bed or semi-reclined, if support is given at her elbow, wrist and hand, she can help lift her right arm up, rotate her arm in and out, and extend her shoulder to pull her arm down towards the bed. If the bed is up higher, gravity makes it harder for her to move and she fatiques quickly.
"Today the speech therapists put some blue food coloring on her tongue and had her work on swallowing it. They wanted to see if the saliva and food coloring would go down the right tube in to her stomach and not into her lungs. Kari could tell she was able to swallow it and when they
suctioned out the trach tube later to check, there was not any blue coloring in it! We were all very excited! Tomorrow they will try pudding or applesauce (she preferred chocolate pudding) and if that goes well, they will try liquids next. They deflated a balloon in her throat to do this swallow test, and as a result of that, she could get enough air through her vocal cords (and
mouth) to produce a weak voice! She said she was trying to use some of her high school and college vocal training to isolate the air better through her cords to increase the voice volume. She did so great! She got to do this for around 10 minutes and the speech therapists were very
impressed. Later the surgeon stated he is very optimistic she will eventually be able to have the trach removed and since the trach is well below the "voice box" he did not express significant concern about her voice after the trach removal.
"The surgeon also stated the spinal incision is healing well, the sutures will come out tonight, and if she promises to limit her neck turning right and left, she can leave the neck collar open in the front when she is lying in bed. She promised to be very good and apologized for her vigorous head shaking right and left recently. (I don't think any of us realized she needed to limit her neck movement a little more than she was, while she was wearing the neck brace.) After a little while with it off, she wanted the head of the bed up further so she requested to have the front of it strapped back on. It is just so nice to have that option! The staff and care here are excellent. Aaron stated the surgeon is one of the best The analogy he and Derin came up with is this suirgeon is to spinal cord surgery as Derek Jeter is to shortstops in baseball.
"Kari is initiating all of her breaths today and the ventilator continues to give her pressure support which apparently makes it easier to take a deeper breath. They are planning to continue to decrease the amount of pressure support from the ventilator as they can, which will help wean her off the ventilator. She has significantly less secretions today, is swallowing
better and needs little or no suctioning. Kari told me earlier this morning she was able to have a long talk with her brother Dustin (around an hour and a half) and she was so thankful for
that opportunity! She stated they have a long road ahead of them, and it was so nice to talk and hang out for so long, one on one. Later this morning, Aaron was explaining to her what he observed in his tour of Craig rehab unit. He listed all the programs, the facilities, etc, and
stated they had a church there they could attend. She shook her head "no". When he asked why, she stated she wanted to start her own church there. Isn't that just like Kari! She is already figuring out how and where she will be able to continue to minister to others! Aaron also made her smile when he stated they will need to get some sort of 4 wheel drive wheelchair or other vehicle so they can continue to go out into the national parks of California they love so much.
"Early this afternoon Kari wanted to tell me the details of the accident as she could remember them. I can't include them all here. Aaron is creating a timeline to be posted on the website, but she did clearly see two angels with her there under the car, smiling at her and comforting her.
"Thank you for all your prayers and emails! Again, she loves all the emails and asks us to read them to her. Aaron will be leaving tonight to check out the rehab unit in CA. Please continue to pray for God's clear direction in the rehab unit decision, for healing, for health benefit coverage and for Aaron's sick leave benefit concerns.
Also, keep praying for all those currently here on site: Jerry and Karen Morris, Aaron, Dustin Morris, Sarah (Kari's friend from her church in CA), Derin and Shona, John Fusek, and Pastor Rick from Kari's church (he just arrived!). Everyone is so supportive and helpful!"
As of Wednesday, July 27
Kari is doing well. Her spirits remain good. She is so positive and encouraging with everyone and is working very hard. The nurses are requesting to continue to care for her, even though they are supposed to rotate to another floor, because they want to get to know her better! Even other patient family members are asking about her and commenting on how wonderful she must be! We can all confirm that!
Today, I was moving her right arm around and she was able to twist (pronate) her right forearm, between the elbow and the wrist from a thumbs up position to a palm down position several times! This is the first day she could do this movement! She also is continuing to bend both elbows (right stronger than left), and has some shoulder movement, too. When lying on the bed or semi-reclined, if support is given at her elbow, wrist and hand, she can help lift her right arm up, rotate her arm in and out, and extend her shoulder to pull her arm down towards the bed. If the bed is up higher, gravity makes it harder for her to move and she fatiques quickly.
Today the speech therapists put some blue food coloring on her tongue and had her work on swallowing it. They wanted to see if the saliva and food coloring would go down the right tube in to her stomach and not into her lungs. Kari could tell she was able to swallow it and when they suctioned out the trach tube later to check, there was not any blue coloring in it! We were all very excited! Tomorrow they will try pudding or applesauce (she preferred chocolate pudding) and if that goes well, they will try liquids next. They deflated a balloon in her throat to do this swallow test, and as a result of that, she could get enough air through her vocal cords (and mouth) to produce a weak voice! She said she was trying to use some of her high school and college vocal training to isolate the air better through her cords to increase the voice volume. She did so great! She got to do this for around 10 minutes and the speech therapists were very impressed. Later the surgeon stated he is very optimistic she will eventually be able to have the trach removed and since the trach is well below the "voice box" he did not express significant concern about her voice after the trach removal. (This is an incredible comfort to her and others who have experienced Kari's beautiful singing voice.)
The surgeon also stated the spinal incision is healing well, the sutures will come out tonight, and if she promises to limit her neck turning right and left, she can leave the neck collar open in the front when she is lying in bed. She promised to be very good and apologized for her vigorous head shaking right and left recently. (I don't think any of us realized she needed to limit her neck movement a little more than she was, while she was wearing the neck brace.) After a little while with it off, she wanted the head of the bed up further so she requested to have the front of it strapped back on. It is just so nice to have that option!
Kari is initiating all of her breaths today and the ventilator continues to give her pressure support which apparently makes it easier to take a deeper breath. They are planning to continue to decrease the amount of pressure support from the ventilator as they can, which will help wean her off the ventilator. She has significantly less secretions today, is swallowing better and needs little or no suctioning.
This morning, Aaron was explaining to her what he observed in his tour of Craig rehab unit. He listed all the programs, the facilities, etc, and stated they had a church there they could attend. She shook her head"no". When he asked why, she stated she wanted to start her own church there. Isn't that just like Kari! She is already figuring out how and where she will be able to continue to minister to others! Aaron also made her smile when he stated they will need to get some sort of 4 wheel drive wheelchair or other vehicle so they can continue to go out into the national parks of California they love so much.
Early this afternoon Kari wanted to tell the details of the accident as she could remember them. I can't include them all here, Aaron is creating a timeline to be posted on the website, but she did clearly see two angels with her there under the car, smiling at her and comforting her.
Update by Shona Fowler
Tuesday, July 26, 2005
Angels among us
Monday, July 25, 2005
Waiting--Part 2
Waiting
Sunday, July 24, 2005
Keep Praying
Saturday, July 23, 2005
Good news
Thursday, July 21, 2005
Thanks to everyone
Needed: Your thoughts and prayers
However, this is a long battle and everyone's continued support is going to be critical. If you're reading this and would like to let Kari and Aaron know that they are in your thoughts and prayers, please take a moment to comment on this post and let them know.
Blake Engel
Update as of Wednesday
Kari is stable and making small steps. The doctors are hoping to take her off of the ventilator within 7-10 days and try to build her strength so that she can breath on her own. She can raise her right arm without assistance and can raise her left arm with a little help. She can also do shoulder shrugs on her own.
Cognitively, Kari is doing very well. She breaks into a big smile whenever she sees new people and every time that she sees Aaron. She is awake for probably 5 minutes every couple hours and has a lot to say. She is communicating by either lip reading (which nobody but Linda seems to be very good at) or using a letter board.
She was awakened by the nurse when she pricked her left finger which is a great sign that she has sensation in that area. The doctors are saying that the swelling of the spinal cord starts to subside three days after surgery which means it should be soon.
Aaron thanks you all for your prayers and continued support.
Rob Ridenour
General Information
On Sunday, July 17, Aaron and Kari were driving through Kansas coming from a wedding. They were traveling to Omaha to visit Kari's family.
On a two lane highway, a car in front of them quickly slowed down to turn left. In an effort to avoid the car, they swerved off the road into a ditch. They were riding in a rented convertible, which flipped when they hit the ditch. Aaron escaped with minor injuries (cuts and bruises) but unfortunately Kari suffered a broken neck and spinal cord damage at C5.
She was airlifted to Denver where she underwent spinal cord surgery Sunday night. The surgery was very successful and the doctors are hoping that they have set up her spinal cord for some regeneration. The next two weeks will be critical in determining the recovery. Please pray for Aaron and Kari as they endure this difficult time.