Wednesday, April 15, 2009

Tubeless and thankful

When he woke up from surgery this morning I said, "how do you feel?" " Thankful and so happy not to have a VAC tube!" Oh, that darn TUBE! Once again we are experiencing God's mercy toward Todd. Though his head looks like a Smerf for the second time, his spirits are high and there is a big grin on his face because it feels good to be a little further down the path of recovery. Dr. Grossman said that the surgery went well except that they had to take the graft to cover the flap site from his thigh instead of from his head as he had hoped--there simply wasn't enough skin. I'm kind of glad that they choose another part of his body to harvest skin because I think his head would have been overwhelmed with rawness. He's such a brave trooper and never complains...even when his family would accidently yank on his tube!
Another piece of good news is that for the moment he is relatively pain free with mild medication that he likes! This could all change as the healing progresses, nerves wake up and the leg graft site "dries out". Ugh. From what we are told a graft site is even more painful than some of the head surgery. For now, how great to be thankful for great doctors and nurses, pain killers that really work, a future with skin everywhere and all the love any family could ever dream of and more....we can't thank you and our Lord Jesus enough...there just aren't words adequate for thankful, full hearts. Heather

Monday, April 13, 2009

Fasciocutaneous muscle rotation flap to scalp & Split thickness skin graft





Well now that's a mouthful. I just received the paper work for the surgery and that is what they are calling it. I did not explain the surgery in a the previous post exactly right and may never explain it right but basically they need to rotate some of my existing scalp and keep part of it connected at the same time. In my previous post I said they were going to lift up my scalp completely and then rotate it. The docs need to leave some connected tissue to keep it all healing and growing.
Here are some pics.
I think I did 5 push ups before calling it quits.
I tried to mow the lawn and made it a couple of laps around the yard.
Easter Sunday with family. Landon ( my sisters son) and Gracie my daughter with me in the back yard.
Cheers
Todd

Saturday, April 11, 2009

Surgery , Here I come!!

Dr. Peter Grossman took a look at my head yesterday, Friday April 10th and said it was time to make some decisions. The wound bed still did not look the way he wanted so a basic skin graft will not work. What they are going to do is called a "Flip" in laymens terms. CENSOR...might get yucky hear for some.
Picture if you will a 6 inch square with a 3 inch circle in the middle. The 6 inch square would represent the total scalp to be worked on the the 3 inch circle is my wound. Now draw a line down the middle of this square and separate it. You now have two 3 inch by 6 inch rectangles with a half cirlcle on the side of it looking like a bite was taken out of it. Now take those two 3x6 inch pieces and flip them 180 degrees so that the half circle or "bite" is on the out side of the 6 x6 inch box. This in affact covers my wound with vascular 3 layer skin and allows it to join together. I now have two half moon open areas that need skin and those areas ( at or about at my hat line , you know, where a hat band might wrap around your head) will get a normal skin graft. If they have enough room they will take the needed skin from another area on my head or from my thigh. My wound will be covered by a healthy head of hair while the sides of my head will be bald.
I will be leaving SB at 3:30 am Wed morning April 15th and be under the knife around 6am or so. You might be thinking that this is going to hurt and I guess it will but I need to go forward or go crazy having this tube coming out of my head. Pain makes me thankful for when I do not have pain. It is interesting that some of the most basic things in life are so wonderful. A hot shower, a good meal, not being in pain ect. If you are ever feeling sorry for yourself that you can not go on vacation or do something fun just don't take a shower for 8 days and when you take a shower, you will fee like you are on vacation! And yes lather up that scalp and scrub real hard, it to is a nice pleasure. You see folks, this accident has been a good reminder for me not to complain. The simple pleasures in life are a gift to us and often overlooked. Please remind me of this when you see me complain, I am sure my complaining is not over! ha.
I also wanted to mention that my fingers are offically un wrapped and open to the air. They are kind of grungy looking, a little stiff and just a bit numb but last night I got to do one of those simple pleasures, I washes my two hands together for the first time in 3 weeks!! Heck I'm on Vacation!!
Mucho Gusto ( kind of a joke while at Ensanada when asked if I liked some food and I said "nice to met you")
See ya---------Todd
Romans 11: 33-36

Monday, April 6, 2009

Hurry up and wait. A mentionable Team.

A good evening to you all.
Today I had my head checked....no not that kind of check, you know, my big ol' rasberry on my head. Dr. Kirt removed my VAC and let me tell you, the medical world put duct tape to shame. Man that medical tape sticks well! I couldn't resist and asked to see the wound on my head. Interesting. It looks kind of like Austrailia or some other kind of island. ----Censor...Reading the following might make you quizy---- The edge of the wound, say a 1/4 of an inch border was red with a little blood, but the majority of the wound looked white. Dr. Kirt told me that I was looking at my Gabium (sp). He said it looked OK and was glad to not see any dark stuff but was not willing to plan any surgeries just yet. Doc. wants to keep the VAC on until Friday and then determine the next step. He wanted to see more...well let's just say more good stuff going on to take a skin graft. My fingers got about the same review, rewrapped till Friday. Yes I was hoping for a surgery date and was willing to go under the knfe right then and there but I need to be patient. Me, Patient?
Thanks Dr Kirt, Ruby and Lilly for your careful work.

Team. One of my favorite words. Yes this team I speak of was the Potter's Clay team I was priveledged to be part of while in Mexico. We were having such a good time until I had to go and ruin everything! ha. Folks let me tell you the Westmont college PC student volunteer is a special person. We had a lot of hard work to do and everyone had great atitudes and worked very diligently. We had a great time getting to know each other while working and visiting our favorite taco stand. We were led by Kelly and Evan who humbly and lovingly got us going in the right direction every day. Thank you two for your great leadership. I am also grateful to Rita, Julia, Natalia, Leanna, Christy, Tim, Reed, and Pay-kiss. Sorry bro you said to sound out your name like pay and kiss so that's how I worte it! hah. May the Lord bless you all. See you at the reunion. note....Almost forgot about the best co-construction leader a guy could ever have...Jim... and I thought that even before he saved my life on that roof!!

-----SPECIAL INVITE TO ALL-----
SANTA BARBARA COMMUNITY CHURCH will be having their Easter service at the UCSB Faculty Club Green, 9:30-11:00 a.m. this Sunday April 12th. Come at 9:00 am for some food and chit chat. This outdoor venue is wide open and beautiful. Bring a chair and or blanket or sit in the chairs provided. See you there?

Question for you: What are you passionate about?

Till next time. -----Mucho Gusto!----

Saturday, April 4, 2009

Party Fingers Tidbits

Good Day to all of you.
There were somewhere between 100-200 sightings of Todd yesterday at his party. Lots of hugging, a few tears and no wrestling! A BIG THANK YOU to all who came to the party. Heather said to me, "boy you have a lot of friends...I think you have more than me" I don't know about all that but I do know I am surrounded by great people, loving people and people who really care. It is ironic that one might need to go through something like this in order to really see the height and width and breadth and depth of this Love. Amazing. I am also touched by the new friendships I have made. Thank you seems to come up short.
I had my fingers checked yesterday and the Mepolex that came off had to go back on. Not quite healed yet. No problem. Mepolex ( sp ) is basically a 1/8 inch thick foam rubber that is impregnated with a bunch of good healing stuff including some form of silver. All of my other burns were covered in this wonder wrap. I really appreciate this stuff but after they took the Mepolex off my arms and neck I felt like a new person. Let's hope the fingers are ready for the rest of their open air healing when they look at my head on Monday. As you may know we are hoping and praying that the awesome docs at GBC will say its time to get my head closed up.
Tidbits?
Some of you may have read some notes on my time in the Hyperberic Chamber. This chamber is used to promote healing by putting your entire body in this large clear tube. While in this tube you are fed a steady diet of 100% O2 at a simulated depth of 33 feet under water. This light pressure and 100% Oxygen push into the skin and entire body. My wonderful respiratory therapists, Herb and Steve did a great job getting me comfortable with a piece of gum, reassurance, skill and a cool movie to make the 85 minute therapy go by faster. Those who are claustrophobic might find this experience tough but after the 10 sessions I had it was old hat.
Got a chance to see some of my great nurses while at GBC on Friday. Get ready because "I'll be baack" Couldn't think of a better bunch to take care of me after my next surgery!
I keep learning little things about the course of the accident and Heather reminded me that I texted her on that Thursday morning asking her to pray for safety. What is odd is that I am not the most belt and suspenders kind of guy. I also had this great need to ask for the same prayers on Wed. night when the Westmont Prayer and Worship team came by. Did God answer this prayer or not? I had a chance to fall through the rafters but did not, I had a chance to fall 26 feet to the concrete below on the end of the building, 22 feet to fall off the side of the building, I had no acute trauma, my ekg's were like nothing happened, I spent a long time getting off the roof and to 2 Esanada hospitals and then a 1.5 hours trip to UCSD. Any kind of bodily function failure would have been tough to overcome. The surgeons at GBC were getting ready to drill my skull based on the data from UCSD. When they opened me up they saw no need to get rid of what looked like dead bone. There was also fear that my brain would swell but id did not. Ok I will stop. You can decide for yourself whether or not Got answered this prayer. Question for you:
Is your cup half empty or half full?
Blessing to all of you. Breakfast is ready...Thanks Heather for all your care...What a gift.
Todd

Thursday, April 2, 2009

Some Facts or near facts of the accident

Good evening friends and family.
I thought I would try and give as many facts as I could of the accident. Many have come in the middle of all this and much of what I am going to say could possibly be found somewhere in the pages of this blog. The following will be choppy and short.
I was in Ensanada Mexico working on a Church with a group called Potters Clay. This Westmont College led minsitry goes to Ensanada every year to build, play sports, and put on a whole vacation bible school event as well. ( More than that too)
I was shocked when my head touched a 13,500 volt open line that was 32 feet off the ground. Notice I said shock and not electrocution. Electrocution would mean that I died. The peak of our structure was 26 feet. This line had gone un noticed as we had to concentrate so much on our footing below. I was at the peak ready to lay some more ply wood and ZAP!! Did it hurt? Never felt a thing. Witnesses said I had an orange glow around my head. I was standing of the top of the open framed roof and fell onto the ply wood side of the roof. My head landed a foot from the edge of the roof and my body lay inbound of that. I was continuing to flop down and off the roof when my HERO Jim Peterson grabbed my tool belt and pulled me to safety. Later through another sheepish story telling of what happpened, Jim mumbled off the part about my face scraping across the asphalt shingles as he instinctively pulled me to safety. This detail for some reason gave me a real good needed laugh. Thanks Jim, hopefully some scars will stay to remind me of you. ( seriously).
I was unconscience for a good 2 minutes and lasped in and out for the 30 minutes I lay on the roof. I was rushed to a local hospital only to be sent to another that might have a CATSCAN machine. Later I took an ambulance ride to San Diego and met the SDSU ambulance. My fearless brother and myself met a EMT medic and a RN. They sent an RN to help out with the severity of the situation I guess. My brother was being interviewed by the RN to get all the data on me. SDSU was intending to take me to the burn center. The very calm cool RN asked about the amount opf voltage I was shocked with and when Jeff told her is was 13.5KV she lost her composure and said Holy **** we got to take him to the trauma center now!! We have had many good laughs from that one ( Jeff tells the story the best) . I spent near 4 days in SDSU and was transferred to GBC ( Grossman Burn Center) I spent about a week there and now am home. I sustained 2nd and 3rd degree burns on my right 3 fingers on right hnad, right forarm, arm, shoulder burns. My face was cut up ( ha) but the real doosy is my head. I got a 4thish degree burn up there and this is what is causing some head scratching on their part ha. It's a tricky wound and will need some kind of skin graft. I will know more next week. I wait for surgery with this VAC thing stuck to my head to keep the wound bed healing but not healing over. Skin grafts have to be done perfectly or they will not take. You and I can only receive our own skin for a permantant skin graft. This is what is so brutal about burns. First you get burned , then you get kind of peeled to fix your burns. By what I saw at GBC, I got off easy. Many ( Including our code named "Hope" suffer much worse. If you happen to be praying for me, please ask God for his mercy on the patients who occupy 34 beds at the GBC. Lord come quickly.
Hope to see you FRIDAY April 3rd at our house from 5-7pm for the Todd Is Alive Party. Don't beleive me? Just come on over, we can hug, wrestle and cry together. OK forget the wrestle part. Good night.

Wednesday, April 1, 2009

Todd tries to type.

Hey folks,
It would be an understatement to say that I am incredibly grateful for all of you. Your prayers and support have overwhelmed me to tears.
I sit here in my office Wed night after 24 hrs of being home. We have enjoyed great meals provided by you and made it home in time to watch Idol. We had a great time listening and judging the group, laughed, and smiled......I AM HOME!!! It feels great. Today I caught up a little in the office , took a nap and hobbled out to the mesa to watch my son fly his RC jet.
Friday I go back to the burn center for a look at my 3 fingers and Monday they look at my head. After that they will inform me of possible skin grafting surgery dates. Right now it is a waiting game, I have this VAC thing taped to my head. I look like a Sci-fi creature but hey, I AM HOME!
I want to acknowledge the great hospitals that worked on me. SDSU Hospital was amazing. When I got transferred from the Esanada ambulance to the SDSU rig/hospital it was like watching a INDY 500 pit crew and an orchestra at the same time. As I looked up I saw this amazing array of people and machines descending on me. I felt safe with them and will never forget the experience. My super cool Brother Jeff and wonderful wife Heather hauled me up to the Grossman Burn Center. a few days later. I am so thankful for this hospital and the entire staff. My nurses and Docs were some of the kindest people to meet. This staff cared for me flawlessly. I made many friends and really miss them.
I plan at some point to really pencil out this journey I am on but until my fingers and head get better, this will have to be the short version.
By many accounts I should be much more severely hurt or even dead. God obviously had other plans. Thank you all of you.
Todd
PLEASE NOTE---ALL ARE INVITED TO OUR HOME FRIDAY APRIL 3 FROM 5-7PM FOR A TODD IS ALIVE PARTY. Come for 5 minutes or 2 hours, we would love to see you.
5275 Louisiana Place
Santa Barbara 93111