Douglas to have surgery following spill

[Danzig]

Originally Posted by mark2061mn

http://www.bloodhorse.com/article/50929.htm

Not good news.

no, it's not. but it's not over yet. ten days to two weeks before they know much, so i'm keeping my fingers crossed for him.

[docicu3]

Originally Posted by Danzig

no, it's not. but it's not over yet. ten days to two weeks before they know much, so i'm keeping my fingers crossed for him.

Hopefully his current situation has do with the swelling or edema in the injured area which would regress in 10-14 days potentially allowing the nerve roots/cord to recover and transmit impulses hopefully leading to recovery of muscle movement.

As long as he does not have a transection or severing of his cord like that poor unfortunate kid Andrew Lakeman did two years ago at Belmont his prognosis may have reason to hope. Hopefully his paralysis is due to the edema squeezing the nerve root/cord which slows down blood flow (ischemia) throughout the cord.

It's likely Rene is still in the hypothermic phase of resuscitation where his body is cooled to 32-33 C to minimize the secondary phase of the neuro injury. They keep patients ventilated and sedated so it is impossible to know anything about recovery of function until he is not being treated this way. It isn't done every time but in 2009 hypothermia is a big part of acute neuro care.

If he did in fact have movement and feeling in his feet post fall that is a huge positive. My most sincere prayers are certainly with he and his family.

[GBBob]

Originally Posted by docicu3

Hopefully his current situation has do with the swelling or edema in the injured area which would regress in 10-14 days potentially allowing the nerve roots/cord to recover and transmit impulses hopefully leading to recovery of muscle movement.

As long as he does not have a transection or severing of his cord like that poor unfortunate kid Andrew Lakeman did two years ago at Belmont his prognosis may have reason to hope. Hopefully his paralysis is due to the edema squeezing the nerve root/cord which slows down blood flow (ischemia) throughout the cord.

It's likely Rene is still in the hypothermic phase of resuscitation where his body is cooled to 32-33 C to minimize the secondary phase of the neuro injury. They keep patients ventilated and sedated so it is impossible to know anything about recovery of function until he is not being treated this way. It isn't done every time but in 2009 hypothermia is a big part of acute neuro care.

If he did in fact have movement and feeling in his feet post fall that is a huge positive. My sincerest prayers are certainly with he and his family.

Doc..you posted accurately about that kid who had the football injury that was treated immediately and was able to walk again. Is this comparable and will AP (or any track) not having a similar response situation cost him?

[docicu3]

Originally Posted by GBBob

Doc..you posted accurately about that kid who had the football injury that was treated immediately and was able to walk again. Is this comparable and will AP (or any track) not having a similar response situation cost him?

The hypothermic environment would not be a track available or expected therapy. Patients have to be accurately diagnosed before that protocol is utilized. Without really knowing how severe Rene's injury is there really is not more to stay other than to keep coming back to the feeling or movement he had in his feet. Permanent paralysis cases never have movement or true feeling post event because there is no blood flow so he must have still had blow flow post injury.

Missed the transfer comment.....

Chicago has a first rate trauma service. There is no way a neuro injury in a city of that size and medical reputation doesn't get triaged to a Level 1 trauma center

[docicu3]

He had surgery at Northwestern Medical Center one of the finest medical centers in the country.

[jwkniska]

Originally Posted by docicu3

Chicago has a first rate trauma service. There is no way a neuro injury in a city of that size and medical reputation doesn't get triaged to a Level 1 trauma center

He started at a level 1 trauma center, then got helicoptered downtown due to them having a better neuro center.

I totally agree with your assessments too, as my sister's a clinical pharmacist in the ICU at Childrens/Barnes in STL and what she told me earlier today matched exactly. Let's all hope for the best when the swelling goes down.

[Danzig]

Originally Posted by docicu3

Hopefully his current situation has do with the swelling or edema in the injured area which would regress in 10-14 days potentially allowing the nerve roots/cord to recover and transmit impulses hopefully leading to recovery of muscle movement.

As long as he does not have a transection or severing of his cord like that poor unfortunate kid Andrew Lakeman did two years ago at Belmont his prognosis may have reason to hope. Hopefully his paralysis is due to the edema squeezing the nerve root/cord which slows down blood flow (ischemia) throughout the cord.

It's likely Rene is still in the hypothermic phase of resuscitation where his body is cooled to 32-33 C to minimize the secondary phase of the neuro injury. They keep patients ventilated and sedated so it is impossible to know anything about recovery of function until he is not being treated this way. It isn't done every time but in 2009 hypothermia is a big part of acute neuro care.

If he did in fact have movement and feeling in his feet post fall that is a huge positive. My most sincere prayers are certainly with he and his family.

that's what i'm hoping for, that any paralysis has to do with swelling at the injury site. no doubt tho everyone has seen that they're concerned that a bone fragment could have caused damage. but i'm taking the fact that he did have feeling in his extremties earlier as a good sign-i'm hoping for the best, as i'm sure everyone is.