1 00:00:22,240 --> 00:00:26,120 Roxy, open your eyes... 2 00:00:26,240 --> 00:00:29,880 mommy's gonna hold them. One, two... 3 00:00:30,880 --> 00:00:32,920 And you're gonna hold them up. 4 00:00:33,240 --> 00:00:37,080 Look, Roxanne, keep them open. Where's mommy? 5 00:00:37,160 --> 00:00:41,480 Wake up. Roxy, you can do it. 6 00:00:43,680 --> 00:00:46,920 Wake up so everybody can see your eyes. 7 00:00:52,240 --> 00:00:56,240 In 1975, a drug and alcohol overdose left... 8 00:00:56,320 --> 00:00:59,240 Karen Ann Quinlan brain damaged and in a coma. 9 00:00:59,320 --> 00:01:01,800 We'll probably never know the cause of the coma. 10 00:01:02,520 --> 00:01:06,160 Mrs. von Bulow was brought here. The coma lasted for a couple of days. 11 00:01:06,240 --> 00:01:10,520 But then a year later, she was brought back again. In a coma. 12 00:01:10,640 --> 00:01:14,880 There's a deep coma from which until this day, she never emerged. 13 00:01:20,880 --> 00:01:26,080 They go from coma to this persistent vegetative state... 14 00:01:26,160 --> 00:01:31,240 to a minimally conscious state. And they're tough diagnosis to make. 15 00:01:31,320 --> 00:01:34,960 Twenty years ago, Terry Wallis was thrown from a car in an accident. 16 00:01:35,040 --> 00:01:38,440 He suffered severe brain injuries but was able to survive... 17 00:01:38,520 --> 00:01:41,400 in what doctors called a minimally conscious state. 18 00:01:41,480 --> 00:01:44,400 After nineteen years in a state of minimal consciousness... 19 00:01:44,480 --> 00:01:46,840 - Terry spontaneously woke up. - Truely amazing story... 20 00:01:46,920 --> 00:01:50,400 Nineteen years of silence broken by the word mom. 21 00:01:50,480 --> 00:01:53,120 Explain the difference between his case and Terry Schivo's case. 22 00:01:53,200 --> 00:01:54,920 From a medical professional's point of view, they're really... 23 00:01:55,000 --> 00:01:57,560 apples and oranges. This is a big concern because a case... 24 00:01:57,640 --> 00:01:59,800 like this could raise false hope for a lot of people. 25 00:01:59,880 --> 00:02:03,520 By contrast, Terry Schivo, the focus of an intense court battle... 26 00:02:03,600 --> 00:02:06,880 over life support in Florida, is in what doctors call... 27 00:02:06,960 --> 00:02:11,080 a persistent vegetative state with almost no chance of recovery. 28 00:02:11,160 --> 00:02:13,880 Don't give up on her. We haven't given up with her. 29 00:02:13,960 --> 00:02:17,200 - She hasn't given up on us. - Dr. Peter Ban Becheedes... 30 00:02:17,280 --> 00:02:21,280 calls it a vegetative state that is permanent and irreversible. 31 00:02:21,360 --> 00:02:24,480 Interestingly, they may even laugh or seem to cry... 32 00:02:24,560 --> 00:02:28,000 She's trying to answer that question that yes, I'm in here. 33 00:02:28,080 --> 00:02:30,760 Can you tell us 100% she'll never recover? 34 00:02:39,360 --> 00:02:44,200 Unfortunately if you've an injury to your brain you're here to get better. 35 00:02:48,880 --> 00:02:52,880 I'm Dr. McCagg, I'm gonna be taking care of you while you're here. 36 00:02:52,960 --> 00:02:55,000 Welcome to JFK. 37 00:03:18,800 --> 00:03:20,680 What's the matter? 38 00:03:47,760 --> 00:03:50,880 Okay Tom. You're doing really well. 39 00:03:52,840 --> 00:03:54,840 You're here for an MRI. 40 00:03:55,160 --> 00:04:00,120 Okay. You've had those before so it's nothing to be worried about. Right? 41 00:04:04,640 --> 00:04:05,880 Why? 42 00:04:11,560 --> 00:04:14,680 Hey Tom, it's Steve. Can you hear me? 43 00:04:15,240 --> 00:04:18,360 If you can hear me open your eyes. 44 00:04:21,720 --> 00:04:23,600 Keep awake Tom. I'm gonna play something and... 45 00:04:23,680 --> 00:04:26,960 - you listen to it for me. Okay. - Tom, you're going to now... 46 00:04:27,040 --> 00:04:29,440 listen to some stories, pay attention to them, okay... 47 00:04:29,520 --> 00:04:32,600 they're going to be really nice for you. Ready. 48 00:04:32,680 --> 00:04:34,320 - Here we go. - Hi, honey. 49 00:04:34,400 --> 00:04:39,120 remember the day you proposed to me. It was a Friday, June 3rd. 50 00:04:39,200 --> 00:04:44,480 It was cold and nasty and rainy and I was working late as usual. 51 00:04:44,560 --> 00:04:46,960 A couple of seconds later you said, "Okay, open your eyes" and... 52 00:04:47,040 --> 00:04:50,120 you were down on one knee, with my ring from Tiffany and you said... 53 00:04:50,200 --> 00:04:52,960 "Lindsey Delorenzo, please spend the rest of your life with me. 54 00:04:53,040 --> 00:04:56,680 Will you marry me?" And I said "Of course I will, oh my god yes. 55 00:04:56,800 --> 00:04:59,680 I'm so looking forward to spending the rest of my life with you and... 56 00:04:59,760 --> 00:05:03,040 growing old with you and I love you so much baby." 57 00:05:04,160 --> 00:05:07,760 It's a little more information than the CAT scan showed that's for sure. 58 00:05:08,000 --> 00:05:12,640 So this left hemisphere has several lesions in it. 59 00:05:12,720 --> 00:05:15,840 The main injury he has is here in the frontal lob. 60 00:05:16,880 --> 00:05:19,320 - That's mostly on the left side. - On the left side? 61 00:05:19,440 --> 00:05:21,280 On the left side here. 62 00:05:22,360 --> 00:05:23,640 Bruising or bleeding... 63 00:05:23,720 --> 00:05:26,360 - It's injury. It's no... - Okay. 64 00:05:26,440 --> 00:05:28,160 at this point it's not bruising or bleeding. 65 00:05:28,240 --> 00:05:29,280 - It's just, it's injury. - Okay. 66 00:05:29,360 --> 00:05:31,560 - It's damaged tissue. - Okay. 67 00:05:31,640 --> 00:05:33,600 It's affecting the frontal lobe... 68 00:05:33,680 --> 00:05:37,680 So if it's damage, like what does that mean? Does it come back? Or... 69 00:05:37,760 --> 00:05:39,520 Well, it's still early... 70 00:05:39,600 --> 00:05:40,840 - Okay. - so hopeful all of this stuff's... 71 00:05:40,920 --> 00:05:41,960 gonna continue to resolve... 72 00:05:42,040 --> 00:05:43,440 - over time. I mean we don't know... - I wish you back at home. 73 00:05:43,520 --> 00:05:45,240 what it's gonna mean at this point. The one thing... 74 00:05:45,320 --> 00:05:46,440 - we're really watching for... - John. 75 00:05:46,520 --> 00:05:50,600 is language. The left hemisphere's dominant for language. 76 00:05:50,720 --> 00:05:52,800 - Okay. - The front part of the brain is... 77 00:05:52,880 --> 00:05:55,960 particularly dominant for expressive speech expressive language. 78 00:05:56,040 --> 00:05:58,560 We don't know yet, he may have no problem with it, we don't know. 79 00:05:58,640 --> 00:06:00,920 - Right, thank you. - Thank you. 80 00:06:01,280 --> 00:06:03,240 - So how you been coping? - Okay. 81 00:06:03,320 --> 00:06:04,880 You didn't realize how long it was gonna be. 82 00:06:04,960 --> 00:06:08,000 - No. You know, because on TV... - Oh yeah. 83 00:06:08,080 --> 00:06:09,400 - they wake up from a coma like that. - Sure. 84 00:06:09,480 --> 00:06:15,600 everybody's fine. So it's quite an experience. 85 00:06:30,920 --> 00:06:33,440 I don't know what I was 'cause I mean I've never known anyone... 86 00:06:33,520 --> 00:06:36,040 who was in a coma but I was expecting to... 87 00:06:36,120 --> 00:06:39,040 for her to be talking and stuff. 88 00:06:39,120 --> 00:06:40,680 - Hi - Hi honey. 89 00:06:42,480 --> 00:06:46,640 Hey Roxy. Let me put these. She looks good. 90 00:06:46,720 --> 00:06:49,440 She looks great doesn't she? 91 00:06:49,800 --> 00:06:54,000 She looks so good. Hi Roxy. Mommy's here. 92 00:06:55,040 --> 00:06:58,480 Mrs. Sim, she looks great now. 93 00:07:09,200 --> 00:07:12,040 That's all. You're so sweaty. 94 00:07:13,000 --> 00:07:16,520 Roxanne, it's okay momma, it's okay. 95 00:07:16,840 --> 00:07:20,360 Okay. Mommy gonna kiss you, okay? 96 00:07:20,920 --> 00:07:24,040 You wanna kiss me? Kiss mommy. 97 00:07:24,240 --> 00:07:27,200 Oh look at how pretty my baby looks. 98 00:07:27,280 --> 00:07:28,880 - Joanie's here. - Hello. 99 00:07:31,880 --> 00:07:34,400 I don't know. Come here. 100 00:07:34,480 --> 00:07:38,440 - Lookay, Joanie's here, Roxy. - Hey Roxanne. 101 00:07:38,520 --> 00:07:40,080 Roxy... 102 00:07:42,040 --> 00:07:47,320 see Joane. Hi, Joane. What they took the trinket thing off. 103 00:07:47,400 --> 00:07:50,840 You're breathing on your own. Mommy's so proud. 104 00:07:50,920 --> 00:07:53,960 This is the first day I see her breathing on her own. 105 00:07:54,040 --> 00:07:55,520 Oh, yeah? 106 00:07:56,240 --> 00:08:00,640 Mommy's so proud of you. You can touch her hand. 107 00:08:01,360 --> 00:08:03,560 - Look. - She's so sweaty. 108 00:08:03,640 --> 00:08:06,520 I know. I get a towel. 109 00:08:06,680 --> 00:08:10,000 - Watch her for a minute. - Alright, yeah. 110 00:08:10,280 --> 00:08:13,360 Oh Roxy, move your head back. 111 00:08:15,080 --> 00:08:16,720 You want this? 112 00:08:17,800 --> 00:08:23,240 Roxy. Hey Roxy. Here, put your head back. 113 00:08:24,040 --> 00:08:28,400 Roxanne, put your head back. Good girl. 114 00:08:28,480 --> 00:08:32,120 Roxanne, look at mommy. 115 00:08:33,000 --> 00:08:37,040 Look at those eyes. Roxy, look at me. 116 00:08:37,160 --> 00:08:41,240 Come on Roxy, you're gonna talk soon, I know. 117 00:08:47,160 --> 00:08:50,040 Mrs. Sim, you remember her from when she was a baby. 118 00:08:50,120 --> 00:08:52,120 - Yeah. - Remember, I used to take... 119 00:08:52,200 --> 00:08:56,200 Joseph and Joan and Roxanne all over the place. 120 00:08:56,800 --> 00:08:59,080 - Then they grew up. - Yeah. 121 00:09:03,240 --> 00:09:05,200 Feeling a little overwhelmed? 122 00:09:05,280 --> 00:09:06,640 Yeah. 123 00:09:07,200 --> 00:09:11,320 - Understandable. - But happy. 'Cause look. 124 00:09:11,400 --> 00:09:14,720 You're happy because what seems to be different for you? 125 00:09:14,840 --> 00:09:17,720 She woke up, she's progressing. Look at that. 126 00:09:17,800 --> 00:09:20,240 Was there ever a period where there was no eye opening at all? 127 00:09:20,320 --> 00:09:21,640 Like the first month. 128 00:09:21,720 --> 00:09:23,360 About the first month. 129 00:09:23,720 --> 00:09:25,120 And then she opened. 130 00:09:25,200 --> 00:09:29,000 That's the period of time that we'd consider her to have been in a coma. 131 00:09:29,080 --> 00:09:30,120 - Alright. - So when the eyes open that's... 132 00:09:30,200 --> 00:09:32,400 - the end of the coma - Oh, Okay. 133 00:09:32,480 --> 00:09:37,560 Great, when the brain's incapable of processing any information and... 134 00:09:37,640 --> 00:09:44,080 it's not able to sustain wakefulness basic wakefulness, that's a coma. 135 00:09:44,160 --> 00:09:46,640 So when the eyes open, it's the end of the coma. 136 00:09:48,160 --> 00:09:50,520 Following severe brain injury... 137 00:09:50,600 --> 00:09:53,280 the first hurdle that one has to clear is... 138 00:09:53,360 --> 00:09:56,000 whether you survive the injury or not. 139 00:09:56,080 --> 00:09:58,920 Roxy, are you awake? It's Dr. Giacino. My name's... 140 00:09:59,000 --> 00:10:04,160 Of those who emerge from coma, one group will open their eyes... 141 00:10:04,240 --> 00:10:07,680 and that's the onset of a vegetative state. 142 00:10:07,760 --> 00:10:10,640 Roxy? Look at me. 143 00:10:11,120 --> 00:10:15,360 Another group emerges from coma into the mentally conscious state. 144 00:10:15,440 --> 00:10:16,720 Yup that's me. 145 00:10:16,800 --> 00:10:19,480 These are individuals who show some clearly... 146 00:10:19,560 --> 00:10:24,600 discernable behavioral science of consciousness or awareness. 147 00:10:24,680 --> 00:10:29,120 You know the hallmark sign of living in a conscious state's inconsistency. 148 00:10:29,200 --> 00:10:32,640 Your consciousness is gone when it was here moments ago. 149 00:10:32,720 --> 00:10:35,280 A little bit of tracking. Roxy, look at me. 150 00:10:35,360 --> 00:10:38,000 Look at me if you can do that. I'm over here on your left. 151 00:10:38,080 --> 00:10:41,200 Loosing her level of alertness again. Let me wake her up again. 152 00:10:41,320 --> 00:10:44,880 Roxy, touch my hand. Excellent, good job. 153 00:10:44,960 --> 00:10:48,640 In Roxy's case, the important thing in her examination was that... 154 00:10:48,720 --> 00:10:51,760 the point at which I put my hand up and asked her to touch my hand... 155 00:10:51,840 --> 00:10:53,120 Roxy, listen to me. 156 00:10:53,200 --> 00:10:57,520 Her behavior changed directly in response to my instruction. 157 00:10:57,600 --> 00:10:58,680 Take the cup from me. 158 00:10:58,760 --> 00:11:02,440 That's a clear indication of consciousness, tells us that... 159 00:11:02,520 --> 00:11:06,560 this is a minimally conscious state, not a vegetative state. 160 00:11:07,280 --> 00:11:09,480 So I want to hear you say something. 161 00:11:09,560 --> 00:11:13,600 Okay? Listen, Roxy... 162 00:11:15,840 --> 00:11:17,920 can you say mom? 163 00:11:19,080 --> 00:11:20,760 Mommy. 164 00:11:24,080 --> 00:11:26,480 I want you to say mom. 165 00:11:27,320 --> 00:11:29,240 Look at me baby. 166 00:11:29,400 --> 00:11:30,640 Mommy's here. 167 00:11:30,720 --> 00:11:33,960 Say it again. Nice and loud. Mom. 168 00:11:35,960 --> 00:11:40,400 She said it in some vocalized manner. 169 00:11:40,480 --> 00:11:42,400 I know, you probably couldn't hear it from there. So... 170 00:11:42,480 --> 00:11:45,000 I know she means some. 171 00:11:57,640 --> 00:11:58,960 Work. 172 00:12:04,240 --> 00:12:06,480 Okay, so I'm gonna relocate. 173 00:12:12,120 --> 00:12:13,480 - Do we ready? - Ready 174 00:12:13,560 --> 00:12:15,960 - He's moving his hands a lot. - He was moving his hands a lot... 175 00:12:16,040 --> 00:12:18,680 when I worked with him this morning. We can play with that... 176 00:12:18,760 --> 00:12:20,360 - a little bit more. - Yeah, I, that was... 177 00:12:20,440 --> 00:12:24,640 We're set now. Alright, we're going. 178 00:12:29,960 --> 00:12:33,520 - Merry Christmas Peggy - It's really cool. 179 00:12:40,000 --> 00:12:41,600 This is gonna wake you up a little bit Sean. 180 00:12:41,680 --> 00:12:43,560 Yeah, sure enough. 181 00:12:43,640 --> 00:12:45,480 Alright Sean you're coming up. 182 00:12:46,360 --> 00:12:47,800 And his? 183 00:12:48,160 --> 00:12:51,200 Hey Sean, we were trying to move this finger before. 184 00:12:54,440 --> 00:12:56,600 Can you try to lift that up for me? 185 00:12:57,720 --> 00:13:01,680 Thumb up, thumb down. Now you do it. 186 00:13:03,000 --> 00:13:05,040 Bring it up just please. 187 00:13:07,320 --> 00:13:09,400 Sean, were you looking at your hand? 188 00:13:11,360 --> 00:13:12,920 You're looking at it. 189 00:13:16,360 --> 00:13:19,200 I don't know is the worst thing you wanna hear your doctor say... 190 00:13:19,280 --> 00:13:21,320 but that's what we hear all the time. 191 00:13:21,440 --> 00:13:24,640 - Relax. Here we go. You're okay. - Hey. 192 00:13:24,720 --> 00:13:28,040 Sean is unique and the doctors've said from the beginning that... 193 00:13:28,120 --> 00:13:33,200 he's an enigma, he just doesn't do exactly what you'd expect. 194 00:13:33,280 --> 00:13:36,360 So, you know, there have been lots of glimmers of hope... 195 00:13:36,440 --> 00:13:41,880 so we're just gonna continue to deal with it and find a way through it. 196 00:13:41,960 --> 00:13:45,520 And find a, you know, try and give Sean a path back. 197 00:13:46,560 --> 00:13:48,200 It's all we can do. 198 00:13:48,840 --> 00:13:50,800 Look how tall he is. 199 00:13:54,200 --> 00:13:55,800 Hold that head up, Sean. 200 00:13:55,880 --> 00:13:58,280 Come on. How tall are you? 201 00:13:58,680 --> 00:14:00,280 That's not bad. 202 00:14:01,000 --> 00:14:03,040 - Be strong, come on. - Can you turn it? 203 00:14:03,120 --> 00:14:06,000 I'm fortunate that I get to stay here everyday till eight o'clock 204 00:14:06,080 --> 00:14:10,280 So I do get to see the little signs that we can't document and... 205 00:14:10,360 --> 00:14:13,480 they just take my word for it. I know we need documentation and... 206 00:14:13,560 --> 00:14:18,360 I know we need consistency but I'm a witness to a lot more. 207 00:14:18,440 --> 00:14:23,200 I'm privy to a lot more because I have the time. 208 00:14:23,280 --> 00:14:26,320 So that helps me a lot. 209 00:14:30,440 --> 00:14:32,680 This is a very critical time for him. 210 00:14:32,960 --> 00:14:37,000 Yes, we've these still somewhat ambiguous signs, some leads... 211 00:14:37,080 --> 00:14:40,560 but we don't have the conclusive evidence yet 212 00:14:40,640 --> 00:14:42,440 that there's conscious awareness. 213 00:14:42,520 --> 00:14:46,240 And, he is, now that's not to say that he won't... 214 00:14:46,320 --> 00:14:50,680 there's no magic to the one year but we do know that the vast majority... 215 00:14:50,760 --> 00:14:56,000 but more than 95% of individuals, who cross that one year mark... 216 00:14:56,080 --> 00:14:59,640 without clear signs of consciousness are not... 217 00:14:59,720 --> 00:15:02,440 going to recover consciousness after that. 218 00:15:02,840 --> 00:15:05,720 I told 'em I don't wanna work later, that you already worked hard. 219 00:15:05,800 --> 00:15:10,200 Proud of you. Now look right at me, look at my eyes. 220 00:15:11,400 --> 00:15:14,040 Yeah, good job. 221 00:15:21,880 --> 00:15:24,480 I'm over here on your left side. 222 00:15:25,160 --> 00:15:27,840 Look at me over here on your left side, Khan. 223 00:15:27,920 --> 00:15:30,920 There you go. Come on. Let's wipe you up a little bit. 224 00:15:31,080 --> 00:15:32,680 My hands are probably cold enough... 225 00:15:32,760 --> 00:15:34,360 to do that? 226 00:15:36,080 --> 00:15:38,040 That's a good swallow Khan. 227 00:15:38,120 --> 00:15:40,120 Look at me over here. Come on Khan. 228 00:15:47,960 --> 00:15:49,600 He's been really sick... 229 00:15:49,680 --> 00:15:52,720 but I think he's just beginning to start to come around. 230 00:15:52,800 --> 00:15:56,280 This is his first day of sort of what maybe he's moving his stomach in. 231 00:15:56,360 --> 00:15:57,760 I'm not quite sure about it. 232 00:15:57,840 --> 00:16:01,240 Maybe just that I want him to move it so much. 233 00:16:01,680 --> 00:16:06,040 Khan, can you take a deep breath for me? There you go. 234 00:16:09,600 --> 00:16:12,000 You sound clear as a bell. 235 00:16:14,080 --> 00:16:18,840 Can you watch this? Come on. Look at the silver pen. 236 00:16:23,640 --> 00:16:26,240 I don't think he's following. 237 00:16:27,360 --> 00:16:31,680 But you're doing okay. You're getting better. 238 00:16:32,760 --> 00:16:37,400 Since I have seen it in the past I keep looking for it again. 239 00:16:37,480 --> 00:16:44,200 He hadn't had those periods where he can respond then you wonder... 240 00:16:44,280 --> 00:16:50,440 are we doing the right thing. But, he has been able to... 241 00:16:50,520 --> 00:16:54,160 I mean he can tell you his last name and tell you his son's names. 242 00:16:54,240 --> 00:16:57,480 He... there's something in there. 243 00:16:57,560 --> 00:16:59,800 And of course, I have to admit I'm so invested in him now. 244 00:16:59,880 --> 00:17:01,920 I wanna keep going. 245 00:17:02,000 --> 00:17:04,200 I wanna get him back at least to the point where... 246 00:17:04,280 --> 00:17:07,800 he was recognizing people and communicating. 247 00:17:08,040 --> 00:17:10,360 Okay, that's pretty good. 248 00:17:11,320 --> 00:17:13,040 You looking at me? 249 00:17:35,920 --> 00:17:40,600 Close your eye. Come on. Close it. Thank you. 250 00:17:41,240 --> 00:17:46,920 Thank you. Okay, baby, very good. You're warm. 251 00:17:48,000 --> 00:17:51,480 Okay, sweetheart, good. Okay. 252 00:17:53,000 --> 00:17:56,280 You wanna go out? Or do you want out of the chair? 253 00:17:57,720 --> 00:18:02,080 What do you want baby? What? Tell me. 254 00:18:03,800 --> 00:18:07,880 Do you want out of the chair? Do you wanna go out? 255 00:18:07,960 --> 00:18:10,520 I... 256 00:18:11,240 --> 00:18:15,120 What baby? Very good. 257 00:18:16,400 --> 00:18:21,240 Good job. Good job baby. 258 00:18:22,960 --> 00:18:26,800 Okay, it's okay. Hey, I'm calling Lynda. 259 00:18:26,880 --> 00:18:28,040 - Do you want to talk to Lynda? - Hello. 260 00:18:28,120 --> 00:18:29,480 - Lynda? - Hi. 261 00:18:29,560 --> 00:18:31,160 - Guess who vocalized? - Thomas. 262 00:18:31,240 --> 00:18:33,840 Twice. Do you wanna talk? 263 00:18:34,160 --> 00:18:38,880 - Sure. - Okay. Hey, Lynda. Say hi Lyn. 264 00:18:39,320 --> 00:18:40,880 Hi babe. 265 00:18:40,960 --> 00:18:43,360 - What did he say? - I couldn't understand it but... 266 00:18:43,480 --> 00:18:45,360 he wanted out of his wheelchair. 267 00:18:45,440 --> 00:18:46,920 Okay. 268 00:18:47,480 --> 00:18:50,920 And he did it twice. He's getting his feeding... 269 00:18:51,440 --> 00:18:54,880 and he wants out but he can't get out until he's done. 270 00:18:55,160 --> 00:18:57,040 - I'll talk to you later hon. - Alright. 271 00:18:57,120 --> 00:18:58,680 Alright bye. 272 00:19:00,920 --> 00:19:03,320 How are you Tom? I'm Dr. Giacino. 273 00:19:03,400 --> 00:19:05,080 He vocalized to me this morning. 274 00:19:05,160 --> 00:19:07,960 - What? Just sound or... - Sound. He was trying to tell me... 275 00:19:08,040 --> 00:19:10,840 he wanted out of the chair. Twice. Sound. 276 00:19:10,920 --> 00:19:13,520 One time very loud, the second time a little softer. 277 00:19:13,600 --> 00:19:16,400 Tom, I'm Dr. Giacino, I'm gonna do a little bit of examination with you. 278 00:19:16,480 --> 00:19:18,720 But you gotta stay in your chair just as long enough... 279 00:19:18,800 --> 00:19:21,920 for me to do it. And then we can move you to the bed. Okay? 280 00:19:22,000 --> 00:19:23,200 - Okay. Tell him we gonna put with... - You just get... 281 00:19:23,280 --> 00:19:25,240 - this chain, okay? - set up a little bit. 282 00:19:31,880 --> 00:19:33,680 Tom, I'm gonna swing you around a little bit. 283 00:19:33,760 --> 00:19:37,680 I want you to tell me what hospital this is. This is what? 284 00:19:38,840 --> 00:19:40,920 Alright, that's fine. 285 00:19:41,000 --> 00:19:42,320 So even if you have trouble talking... 286 00:19:42,400 --> 00:19:45,120 I'm still gonna ask you some things. Okay. 287 00:19:46,440 --> 00:19:49,200 I want you to give me a yes or no answer. Okay? 288 00:19:49,280 --> 00:19:52,240 First question. Is your name Bill? 289 00:19:52,760 --> 00:19:54,160 Yes or no. 290 00:19:55,360 --> 00:19:58,400 Okay, I saw that. That's a no. Okay. 291 00:19:58,480 --> 00:20:01,400 Is this my ear? Yes or no? 292 00:20:04,120 --> 00:20:05,640 That my ear? 293 00:20:06,560 --> 00:20:08,800 I didn't understand your answer yet. 294 00:20:09,280 --> 00:20:12,960 Shake your head for no or nod it for yes. Is that my ear? 295 00:20:15,640 --> 00:20:21,520 Okay. And the last question. Are the lights on in this room? 296 00:20:23,720 --> 00:20:27,040 Yes or no? Remember to nod your head or shake it for no. 297 00:20:27,120 --> 00:20:29,480 Are the lights on in this room? 298 00:20:31,520 --> 00:20:32,840 He's gonna just leave. 299 00:20:32,920 --> 00:20:35,720 Yeah, he's annoyed. 300 00:20:35,960 --> 00:20:37,720 How long has he been in this chair? 301 00:20:37,800 --> 00:20:40,120 - This morning? - No. I mean overall. 302 00:20:40,200 --> 00:20:42,120 Oh, overall, gees. 303 00:20:42,200 --> 00:20:45,400 - He's learned where the break is. - With this chair, Friday. Last week. 304 00:20:45,480 --> 00:20:47,040 Last week, so almost one week. 305 00:20:47,120 --> 00:20:48,240 Yes. 306 00:20:49,760 --> 00:20:52,800 Well he's definitely across the threshold. 307 00:20:52,920 --> 00:20:55,240 - Not minimall conscious. - Not minimally conscious anymore. 308 00:20:55,320 --> 00:20:56,600 - Well I mean, you know... - Well. 309 00:20:56,680 --> 00:20:58,720 - whatever that mans and clearly not - Whatever that... 310 00:20:58,800 --> 00:21:01,960 - in a minimal conscious state. - That's great baby. 311 00:21:02,040 --> 00:21:06,000 The reason for that is, you know, he's communicating reliably now. 312 00:21:06,080 --> 00:21:11,680 He's showing intentional behavior that's only possible... 313 00:21:11,760 --> 00:21:16,680 if he has a pretty good sense of what's happening around him right now 314 00:21:16,760 --> 00:21:20,160 He's way beyond anything we might expect. 315 00:21:20,240 --> 00:21:23,320 I just've to be a little concerned at this point Tom... 316 00:21:23,400 --> 00:21:27,880 that you can't speak and move the way you want but that... 317 00:21:27,960 --> 00:21:30,160 you're thinking it may be pretty clear at this point. 318 00:21:30,240 --> 00:21:33,680 One of the best predictors of future recovery is the rate of... 319 00:21:33,800 --> 00:21:36,680 immediate past recovery. His trajectory's, you know... 320 00:21:36,760 --> 00:21:39,840 sort of flat lined for a while and then this slow rise and now... 321 00:21:39,920 --> 00:21:43,680 he's got this abrupt increase in his rate of recovery. 322 00:21:43,760 --> 00:21:47,400 We should expect that that's gonna continue at least for the near future 323 00:21:47,480 --> 00:21:50,680 Will we say that he'll be speaking in two weeks, we can't say that. 324 00:21:50,760 --> 00:21:54,560 But I wouldn't be the least bit surprised if within the next month... 325 00:21:54,640 --> 00:22:00,840 or so we start to see some evidence of verbalization. 326 00:22:04,320 --> 00:22:06,760 Roxanne? How you doin'? 327 00:22:06,840 --> 00:22:08,120 Good. 328 00:22:09,040 --> 00:22:11,680 So that's the first time I've heard you speak. 329 00:22:12,560 --> 00:22:15,960 So when did you start to see speech clear-cut? 330 00:22:16,640 --> 00:22:18,160 About three or four days ago. 331 00:22:18,240 --> 00:22:20,080 Just three or four days ago? 332 00:22:20,160 --> 00:22:21,960 - Three or four days ago, yeah. - Yeah. 333 00:22:22,040 --> 00:22:24,840 And then what did she say when I walked in. 334 00:22:24,920 --> 00:22:28,960 She says "Oh mom, they hurt me so much today. 335 00:22:29,040 --> 00:22:31,560 What are you gonna do about it?" 336 00:22:32,280 --> 00:22:34,360 - So, she's conscious. - Yup. 337 00:22:34,440 --> 00:22:38,800 Roxanne, it's Dr. Giacino again. I'm gonna ask you some questions. 338 00:22:38,880 --> 00:22:40,960 So what's your full name? Tell me your full name. 339 00:22:41,040 --> 00:22:46,400 Roxanne Marie... 340 00:22:46,640 --> 00:22:49,160 Okay, very good. How old are you? 341 00:22:50,320 --> 00:22:51,880 Thirteen. 342 00:22:51,960 --> 00:22:54,840 So you said that you were thirteen years old. 343 00:22:54,960 --> 00:22:56,920 Is that right? Are you thirteen years old? 344 00:22:57,000 --> 00:22:59,640 - Yes. - Okay. 345 00:22:59,720 --> 00:23:01,760 So mom, what's the actual age? 346 00:23:01,840 --> 00:23:03,000 Nineteen. 347 00:23:04,000 --> 00:23:05,120 Roxanne. 348 00:23:05,200 --> 00:23:06,720 Yes? 349 00:23:06,920 --> 00:23:08,960 Your mom says that you're nineteen years old. 350 00:23:09,040 --> 00:23:11,200 - Yes. - That sound right? 351 00:23:11,280 --> 00:23:12,800 Shut up. 352 00:23:14,200 --> 00:23:16,680 Is it too much? 353 00:23:17,960 --> 00:23:20,160 - Should we continue? - Yes. 354 00:23:20,240 --> 00:23:24,480 Okay. So we don't really know if she really means that or... 355 00:23:24,560 --> 00:23:29,000 if it's just sort of a release of just impulse. 356 00:23:29,440 --> 00:23:31,480 I'm gonna show you something. 357 00:23:32,760 --> 00:23:35,080 Roxanne, look at me over here. What's that? 358 00:23:35,320 --> 00:23:38,160 - Screwdriver. - A screwdriver? 359 00:23:39,000 --> 00:23:40,640 Yes. 360 00:23:42,320 --> 00:23:43,720 It's actually not a screwdriver. 361 00:23:43,800 --> 00:23:46,080 Let me get you to take another look at it. 362 00:23:47,000 --> 00:23:50,400 - Screwdriver. - And what do you do with it? 363 00:23:50,720 --> 00:23:53,040 Screw screws. 364 00:23:53,320 --> 00:23:54,800 Okay. 365 00:23:58,080 --> 00:24:00,840 - And what's that? - Hairbrush. 366 00:24:00,920 --> 00:24:03,800 Good job. Very good. 367 00:24:06,280 --> 00:24:07,800 And what's that? 368 00:24:08,040 --> 00:24:09,640 Hammer. 369 00:24:10,200 --> 00:24:11,400 Good. 370 00:24:12,560 --> 00:24:15,920 So maybe again a little bit just kind of, she gets the category. 371 00:24:16,000 --> 00:24:19,520 It's a tool, but a little bit of looseness in which tool it is. 372 00:24:19,600 --> 00:24:21,200 Okay. And she shutters. 373 00:24:21,280 --> 00:24:22,880 Is that gonna go away? 374 00:24:22,960 --> 00:24:25,400 I think we expect that to get better definitely. 375 00:24:25,480 --> 00:24:26,840 We expect that to get better. 376 00:24:26,920 --> 00:24:29,400 Being out of the minimally conscious state... 377 00:24:29,480 --> 00:24:31,400 there's is no longer a disturbance in consciousness... 378 00:24:31,480 --> 00:24:34,200 that we're worried about, it's the specific cognitive deficits... 379 00:24:34,280 --> 00:24:36,480 that are the focus of attention. 380 00:24:36,560 --> 00:24:38,680 Roxanne, you're doing fine? 381 00:24:38,760 --> 00:24:39,800 That my mom? 382 00:24:39,880 --> 00:24:41,640 - Your mom's here actually. - I'm here, Rox. 383 00:24:41,720 --> 00:24:44,320 - Get her. - I'm over here. What do you want? 384 00:24:44,400 --> 00:24:46,000 Mom come here? 385 00:24:46,080 --> 00:24:47,200 Why? 386 00:24:47,600 --> 00:24:50,240 - I'm in here baby. I'm here. - Come over here. 387 00:24:50,320 --> 00:24:53,160 - Wanna come? - What do you want? 388 00:24:53,240 --> 00:24:55,000 - What? - I love you. 389 00:24:55,080 --> 00:24:58,320 I love you too. Give me a kiss. 390 00:25:00,520 --> 00:25:02,760 You know, certain days it gets to you. 391 00:25:02,840 --> 00:25:05,760 Sometimes I go home at night and my head. 392 00:25:05,840 --> 00:25:08,960 Then the other day when she said, "Oh mommy... 393 00:25:09,040 --> 00:25:11,800 stay with me 'cause I get scared." 394 00:25:11,880 --> 00:25:15,680 Then that, for two days I couldn't even sleep. 395 00:25:15,760 --> 00:25:18,640 You know, and I cry 'cause you can't bring 'em home... 396 00:25:18,720 --> 00:25:25,000 You know, it's just nobody wants to watch their child suffers. 397 00:25:25,080 --> 00:25:29,120 So it's a toug trip here. 398 00:25:32,240 --> 00:25:35,400 Roxy, where are you? 399 00:25:38,840 --> 00:25:41,200 - You're tired right? - The hospital. 400 00:25:41,280 --> 00:25:43,400 You're in the hospital. Do you know why? 401 00:25:43,520 --> 00:25:46,520 - No. - Good, don't worry about it. 402 00:25:47,000 --> 00:25:49,480 What's to worry about right? 403 00:25:50,480 --> 00:25:54,120 Don't worry about it, you're just taking a vacation. 404 00:25:56,160 --> 00:25:57,640 I lie. 405 00:25:59,640 --> 00:26:02,440 That's what mother's do, they lie. 406 00:26:03,280 --> 00:26:07,600 Here Roxanne. Okay, mommy's gonna pick up your head. 407 00:26:09,880 --> 00:26:13,960 Okay, good girl. Yeah, she's... 408 00:26:14,280 --> 00:26:18,240 That's what's gonna happen. Next week you're gonna be walking. 409 00:26:19,360 --> 00:26:21,000 Are you hungry? 410 00:26:25,160 --> 00:26:28,440 Extended recovery unit, this is Tira, can I help you. 411 00:26:29,080 --> 00:26:30,480 - Come on back. - I like that. 412 00:26:30,560 --> 00:26:32,480 Come on. That's it, come on. You can do it. 413 00:26:32,560 --> 00:26:34,360 - Go forward. Pull with your feet man - Walk with your feet. 414 00:26:34,440 --> 00:26:35,720 - what I told you. - Remember what daddy showed you... 415 00:26:35,800 --> 00:26:37,600 - last night. - Come on. 416 00:26:40,600 --> 00:26:46,480 There you go and pull. That's it Tom. You got it. Awesome. Step. 417 00:26:49,120 --> 00:26:51,680 Yeah, I don't place... 418 00:26:51,760 --> 00:26:53,520 This is too much work. 419 00:26:53,600 --> 00:26:55,400 Come today, man. 420 00:26:57,160 --> 00:26:58,520 Are you pooped? 421 00:26:58,920 --> 00:27:01,000 Have you had enough, Tom? 422 00:27:02,080 --> 00:27:05,560 Can I get a hug? You can. Come on. 423 00:27:08,600 --> 00:27:10,320 I get hugs. 424 00:27:16,880 --> 00:27:18,320 Can I kiss? 425 00:27:19,200 --> 00:27:21,600 You're doing so good. 426 00:27:24,000 --> 00:27:28,880 Good job. 427 00:27:29,200 --> 00:27:31,040 Yeah. Who's that? 428 00:27:31,120 --> 00:27:35,280 Son, you're making me jealous now. Can I get a hug too. 429 00:27:35,920 --> 00:27:37,520 You got one for me? 430 00:27:37,840 --> 00:27:40,160 Yes! You're getting one. 431 00:27:41,200 --> 00:27:43,240 So... 432 00:28:30,720 --> 00:28:32,400 - Doctor says, what's he doing? - Thumps up. 433 00:28:32,480 --> 00:28:35,080 - Thumps up - Thumps up. Yes he is. 434 00:29:46,640 --> 00:29:51,120 Sean's missing the way, he'll always be missing the way we knew him. 435 00:29:51,920 --> 00:29:53,400 But... 436 00:29:58,240 --> 00:29:59,880 he's not gone. 437 00:30:00,720 --> 00:30:03,040 And we have to help him recover. 438 00:30:04,520 --> 00:30:08,440 We have to help him recover to whatever he can and come home... 439 00:30:09,000 --> 00:30:12,640 getting things back the way they were, our family back. 440 00:30:13,800 --> 00:30:16,880 Giving him some quality and some pleasure. 441 00:30:16,960 --> 00:30:19,240 That's what really what we're all working toward. 442 00:30:19,320 --> 00:30:22,000 That's it, that's better. 443 00:30:23,640 --> 00:30:25,400 Let's find the sports section. 444 00:30:25,480 --> 00:30:29,360 You make yourself do everything... 445 00:30:35,200 --> 00:30:38,640 'cause that's what mommy's do. Yeah. 446 00:31:12,360 --> 00:31:14,680 Happy Halloween, here you go. 447 00:31:18,840 --> 00:31:22,240 Whoever ordered Chinese food, it's here downstairs. 448 00:31:22,320 --> 00:31:26,160 Please go downstairs and get it. 449 00:31:27,840 --> 00:31:29,840 - Okay. So what's we need... - Who ordered Chinese food? 450 00:31:29,920 --> 00:31:31,320 - Okay. - That was a Chinese person? 451 00:31:31,400 --> 00:31:32,560 Wake it up. 452 00:31:33,840 --> 00:31:35,840 You got your Yankee stuff on. 453 00:31:35,920 --> 00:31:39,960 This is for Halloween I guess. He's a Yankee. Is that what it is? 454 00:31:42,800 --> 00:31:44,320 Is it good? 455 00:31:50,680 --> 00:31:52,960 Welcome to my house. 456 00:31:55,760 --> 00:31:58,200 - I'm si... - I wanna view. 457 00:32:01,960 --> 00:32:03,560 Do you feel that? 458 00:32:11,480 --> 00:32:12,800 Khan... 459 00:32:14,040 --> 00:32:16,360 look at me back. You're gonna be back, Khan. 460 00:32:16,440 --> 00:32:19,000 - You'll be back alright. - Give the girls a kiss, Khan. 461 00:32:19,080 --> 00:32:20,080 - Come on. - Hang in there. 462 00:32:20,160 --> 00:32:23,320 - It's alright baby. - We'll see you soon, okay. 463 00:32:39,440 --> 00:32:41,200 Massage your jaw? 464 00:32:43,800 --> 00:32:45,960 Massage your jaw? 465 00:32:47,480 --> 00:32:49,280 How are you? 466 00:32:51,200 --> 00:32:54,120 I've to tell you I feel much better seeing him. 467 00:32:54,200 --> 00:32:56,920 All the reports that I got of it. All the... 468 00:32:57,000 --> 00:33:00,520 Oh Khan, you look fabulous. 469 00:33:00,600 --> 00:33:02,120 You look my... hi... 470 00:33:02,200 --> 00:33:05,560 It's Dr. McCagg, you don't even remember me, do you? 471 00:33:05,800 --> 00:33:08,160 Khan, are you having pain? 472 00:33:08,240 --> 00:33:11,760 That expression looks a little as though you're having some pain. 473 00:33:11,840 --> 00:33:15,920 But you look good. Let me see how you in the... 474 00:33:16,000 --> 00:33:19,520 - I forget that he's not my child. - Khan. Hey Khan. 475 00:33:19,600 --> 00:33:22,480 - I'm only his JFK mother. - Hey Khan. 476 00:33:22,560 --> 00:33:25,960 Its Dr. McCagg's here, she wants to know if you have any pain. 477 00:33:26,040 --> 00:33:29,920 Do you have a little bit of pain? Are you in pain? 478 00:33:31,440 --> 00:33:32,840 No? 479 00:33:33,760 --> 00:33:35,080 What? 480 00:33:37,160 --> 00:33:40,480 I think he's trying to say yes, I'm not sure. 481 00:33:40,560 --> 00:33:43,800 Khan, I need you to blink it... 482 00:33:43,960 --> 00:33:45,840 more than once for yes. 483 00:33:45,920 --> 00:33:48,960 Just one time for no. Okay, you know how we do it? 484 00:33:49,040 --> 00:33:51,040 Are you in pain? 485 00:33:52,040 --> 00:33:54,120 - No. - Yeah, good. 486 00:33:54,840 --> 00:33:57,000 That looked pretty reliable to me. 487 00:33:57,280 --> 00:34:01,440 You know, his eyes are wide open and he's definitely fixating so... 488 00:34:01,880 --> 00:34:06,360 this is not the best I've seen him certainly in terms of his neurologic. 489 00:34:06,440 --> 00:34:12,320 What he is doing neurologically but it's so much better than I feared. 490 00:34:12,600 --> 00:34:16,320 He's just not ever been medically stable enough... 491 00:34:16,400 --> 00:34:20,440 for us to really get a good handle on what he can do. 492 00:34:20,520 --> 00:34:25,280 But, you know, I think it's hard because we don't want to... 493 00:34:25,520 --> 00:34:28,560 you know, we see how much suffering he must also be having... 494 00:34:28,640 --> 00:34:31,240 on the other hand. Look at that face. 495 00:34:31,320 --> 00:34:35,320 Yeah. What's the matter Khan, you don't want your face wiped? 496 00:34:35,440 --> 00:34:38,040 We gotta get your face wiped. Open your eyes. 497 00:34:38,120 --> 00:34:41,000 - Stop scrunching up your eyes. - That's a good reaction. 498 00:34:41,080 --> 00:34:43,880 That's the purposeful reaction I think. 499 00:34:45,600 --> 00:34:49,000 Okay, well. Khan, I'm gonn leave you know. 500 00:34:49,080 --> 00:34:50,760 Tell her bye-bye. 501 00:34:50,840 --> 00:34:53,360 Nice to get to meet you. 502 00:34:54,680 --> 00:34:57,760 Khan. 503 00:35:02,680 --> 00:35:04,240 Hey Tom. 504 00:35:04,320 --> 00:35:07,120 Did I tell you, it's raining outside today. 505 00:35:09,160 --> 00:35:11,600 You're singing with me? 506 00:35:13,160 --> 00:35:14,800 What's the matter? 507 00:35:17,160 --> 00:35:18,280 What's the matter? 508 00:35:18,360 --> 00:35:20,400 Tom, are you gonna brush your teeth? 509 00:35:22,680 --> 00:35:27,000 Yeah, that's raining dear. Keep moving. 510 00:35:40,000 --> 00:35:41,280 Okay? 511 00:35:49,400 --> 00:35:50,720 Is that good? 512 00:35:51,600 --> 00:35:52,800 No? 513 00:35:53,200 --> 00:35:56,720 You loved this the other day. You don't like it? 514 00:35:58,280 --> 00:36:01,680 - I'm leaving. - You're leaving. Where you goin'? 515 00:36:02,040 --> 00:36:05,920 - Upstairs. - Upstairs. What's upstairs? 516 00:36:06,920 --> 00:36:09,800 Do you wanna get in your chair? Yeah? 517 00:36:09,880 --> 00:36:12,520 - Yeah. - Okay. Hang on. 518 00:36:12,720 --> 00:36:14,840 Let me change my shoes. 519 00:36:20,960 --> 00:36:24,080 Can I get in here right? What do you want? 520 00:36:24,240 --> 00:36:27,040 - What do you want? - Help me get out. 521 00:36:27,320 --> 00:36:30,760 - Help me get out. - Help you get out. I will. 522 00:36:30,840 --> 00:36:32,520 You've to get in your chair. 523 00:36:32,600 --> 00:36:33,840 Chair? 524 00:36:34,080 --> 00:36:37,960 Well, what are you gonna do when you stand up? 525 00:36:38,040 --> 00:36:40,280 I'm gonna go upstairs. 526 00:36:40,360 --> 00:36:42,160 But you've to sit in your chair. 527 00:36:42,240 --> 00:36:44,160 - Took upstairs. - No. 528 00:36:45,040 --> 00:36:47,920 - Not taking it. - You're not taking that? 529 00:36:49,280 --> 00:36:50,640 No. 530 00:36:55,160 --> 00:36:57,440 I'll help you up there but we've to get in your chair. 531 00:36:57,520 --> 00:37:00,200 - Help me out now. - I'll but you've to sit... 532 00:37:00,280 --> 00:37:03,440 - in your chair. Okay? - No. 533 00:37:04,920 --> 00:37:06,880 - You're gonna... - Walk me out now! 534 00:37:06,960 --> 00:37:09,040 - Babe. - Walk me out. 535 00:37:09,120 --> 00:37:11,800 - Hang on a sec. - No. 536 00:37:11,880 --> 00:37:13,240 - Wait a minute, I have to... - No. 537 00:37:13,320 --> 00:37:15,000 - When you stand up... - No. 538 00:37:15,080 --> 00:37:17,000 - When you stand up... - Yeah. 539 00:37:17,080 --> 00:37:20,400 - then what? - Then I'm gonna walk. 540 00:37:21,680 --> 00:37:23,880 You're gonna walk and you're gonna leave? 541 00:37:25,400 --> 00:37:27,800 But you can't walk by yourself. 542 00:37:27,880 --> 00:37:29,320 Yes. 543 00:37:31,120 --> 00:37:33,280 I don't think Linda and Laura would let me do that. 544 00:37:33,360 --> 00:37:39,160 Bull shit. 545 00:37:51,960 --> 00:37:53,000 Okay? 546 00:37:55,280 --> 00:37:56,480 Come on. 547 00:38:01,160 --> 00:38:03,240 Hold me. Okay. 548 00:38:08,200 --> 00:38:09,400 Come. 549 00:38:22,760 --> 00:38:25,240 - Okay? - I want you to stay here. 550 00:38:25,320 --> 00:38:27,880 Me? Okay. I will. 551 00:38:29,200 --> 00:38:30,880 Want me to unlock your wheels? 552 00:38:30,960 --> 00:38:32,200 Yeah. 553 00:38:32,880 --> 00:38:35,240 I'll unlock them for you. 554 00:38:35,680 --> 00:38:37,680 Just watch behind you. 555 00:38:43,280 --> 00:38:45,000 Awesome baby. 556 00:38:48,760 --> 00:38:50,160 That's great. 557 00:38:51,840 --> 00:38:56,040 Awesome. Yeah, you are. 558 00:39:04,920 --> 00:39:07,480 - Yeah, I did hear you. - You didn't. 559 00:39:07,560 --> 00:39:10,320 I'm taking you upstairs. Ready? 560 00:39:20,880 --> 00:39:23,640 One of the questions I always ask patients' families... 561 00:39:23,720 --> 00:39:26,240 through the whole thing is how do they get through this? 562 00:39:26,320 --> 00:39:29,000 How do you cope with this? So what's been working for you? 563 00:39:29,080 --> 00:39:31,960 What a, how do you feel you've been doing? 564 00:39:32,040 --> 00:39:34,560 What's been the thing that's been getting through? 565 00:39:35,200 --> 00:39:37,080 You don't really have a choice. 566 00:39:37,160 --> 00:39:40,400 You're, this is what it is. 567 00:39:40,480 --> 00:39:45,800 You know, there's some plan and I don't know what it is but... 568 00:39:46,280 --> 00:39:51,480 I believe with all of my heart that Tom is going to recover, and... 569 00:39:51,600 --> 00:39:56,040 we are, you know, gonna get married and have a family... 570 00:39:56,120 --> 00:39:59,240 that's what gets me through is that I just I know deep in my heart... 571 00:39:59,360 --> 00:40:04,000 that, you know, he's gonna be okay. As far as the day to day... 572 00:40:04,080 --> 00:40:08,440 how do I do it? It just, you don't have a choice. You know... 573 00:40:08,600 --> 00:40:09,680 you have to go to work... 574 00:40:09,760 --> 00:40:14,840 you have to do the things you have to do... 575 00:40:15,640 --> 00:40:18,560 the most important part is coming here and visiting and... 576 00:40:18,640 --> 00:40:23,200 spending time with Tom. And... that's... 577 00:40:24,560 --> 00:40:26,400 Is there anything you wanna ask me? 578 00:40:26,480 --> 00:40:28,120 What's the next step from here? 579 00:40:28,200 --> 00:40:34,000 Like if he, when he gets discharged here what, is there an outpatient? 580 00:40:34,080 --> 00:40:37,600 There's a couple options. There's, sometime patients leave us and... 581 00:40:37,680 --> 00:40:40,840 go home and can have outpatient therapy. 582 00:40:40,920 --> 00:40:43,720 But those are all things that we're much further down the pipe. 583 00:40:43,800 --> 00:40:46,600 Brain injury recovery takes a really, really long time. 584 00:40:46,680 --> 00:40:48,880 You know, they used to say it would take at least a year. 585 00:40:48,960 --> 00:40:52,640 Now from what Dr. Giacino always says she has a waitres saying... 586 00:40:52,720 --> 00:40:54,840 it takes much longer than that. 587 00:40:55,680 --> 00:41:00,520 Yup. That everyone says everyone's different, so you can't really... 588 00:41:00,760 --> 00:41:02,720 go by go by anybody else's timelines. 589 00:41:02,800 --> 00:41:06,560 Yes, all the patients are different, all the brain injuries are different. 590 00:41:06,640 --> 00:41:08,440 - Yeah. - Yeah. 591 00:41:14,440 --> 00:41:15,720 Comfy? 592 00:41:17,840 --> 00:41:20,440 The better they get the harder it gets on the family... 593 00:41:20,520 --> 00:41:22,080 is because they want more. 594 00:41:22,160 --> 00:41:24,240 First of all it's fine that they survive... 595 00:41:24,320 --> 00:41:26,640 and then it's fine they get off the respirator and then... 596 00:41:26,720 --> 00:41:29,160 it's fine that they start taking food by mouth. 597 00:41:29,240 --> 00:41:31,240 Do you want your movie back on? 598 00:41:31,440 --> 00:41:34,480 But, you know, then they want more. You know, the closer... 599 00:41:34,600 --> 00:41:37,960 the approximation comes back to the person they knew before... 600 00:41:38,080 --> 00:41:43,520 the more they want it. And that's head injury patients don't usually... 601 00:41:43,600 --> 00:41:46,320 get all the way back in terms of the fact that there's... 602 00:41:46,400 --> 00:41:50,200 often something that's not quite the same. 603 00:41:50,280 --> 00:41:52,560 - Great. Relax your right hand. - Okay. 604 00:41:52,680 --> 00:41:54,080 Okay. I want it down. 605 00:41:54,160 --> 00:41:57,680 - You want it down? - Yeah. Don't touch me. 606 00:41:57,760 --> 00:42:00,200 - I'm not touching you. - You stupid bitch. 607 00:42:00,280 --> 00:42:01,720 - Okay. - You're evil. 608 00:42:01,800 --> 00:42:03,240 - Just relax. - Say your sorry. 609 00:42:03,320 --> 00:42:06,360 - Sorry that you're evil. - No. 610 00:42:06,440 --> 00:42:07,960 - It's okay. - Okay. 611 00:42:08,040 --> 00:42:11,480 - Say I am evil, I am. - Okay, Roxanne. 612 00:42:11,560 --> 00:42:13,080 We see a lot of times with the head injuries... 613 00:42:13,160 --> 00:42:15,680 it's almost like a child, a child will say whatever they think... 614 00:42:15,760 --> 00:42:17,360 'cause they don't have that inhibition. 615 00:42:17,440 --> 00:42:18,840 So anything that comes to... 616 00:42:18,920 --> 00:42:20,360 their mind comes out their mouth. 617 00:42:20,440 --> 00:42:24,680 If it comes to their mind to punch me they're gonna throw a punch at me. 618 00:42:24,760 --> 00:42:27,400 Just stay still, I'll take it and then I'll let go. 619 00:42:27,480 --> 00:42:29,200 Okay, don't start that. 620 00:42:29,280 --> 00:42:30,840 You've to have a little bit of a tough skin. 621 00:42:30,920 --> 00:42:32,720 You're telling me you're dizzy, I gotta check your pressure. 622 00:42:32,800 --> 00:42:35,640 Make sure it's okay. It's a stage that some will move through it... 623 00:42:35,720 --> 00:42:38,600 literally in two days. Some take months. 624 00:42:38,680 --> 00:42:40,720 - Press your head back. - And then unfortunately there are... 625 00:42:40,800 --> 00:42:43,480 a select few that might not move through it at all. 626 00:42:43,560 --> 00:42:45,760 - Get off me. - Please don't scratch me, Roxanne. 627 00:42:45,840 --> 00:42:49,000 I'll let go if you keep your head up. Can you do it? 628 00:42:49,120 --> 00:42:52,040 Okay, hold it up. Up. You're not holding it up. 629 00:42:52,560 --> 00:42:56,640 Hey Roxanne, okay, lift your head up. You want me to hold it? 630 00:42:58,440 --> 00:43:00,920 - Yeah. - Okay. Keep trying though. 631 00:43:01,000 --> 00:43:03,520 Okay. Keep trying to hold it up yourself. 632 00:43:03,600 --> 00:43:05,560 - Mom. - You can do it. Do it for mommy. 633 00:43:05,640 --> 00:43:08,920 - Do it, Put it in... - Look right at it. 634 00:43:09,000 --> 00:43:13,320 - Go girl. You got it. - Good. Nice job 635 00:43:13,400 --> 00:43:14,800 - They're gonna kill me. - No. 636 00:43:14,880 --> 00:43:16,720 - No I'm not. - Yes, you are. 637 00:43:16,840 --> 00:43:19,440 - No, we're helping you Roxanne. - They teaching you... 638 00:43:19,520 --> 00:43:21,480 - how to walk again. - Maybe you won't see me walk. 639 00:43:21,560 --> 00:43:23,920 She's almost finished. 640 00:43:26,840 --> 00:43:28,680 Can you bring that arm in so it's not hanging out there. 641 00:43:28,760 --> 00:43:30,680 - You put it on your... - Roxy, I'll be right back. 642 00:43:30,760 --> 00:43:33,760 We've a meeting. I'm coming right back. 643 00:43:33,960 --> 00:43:35,160 Mom. 644 00:43:36,520 --> 00:43:39,280 - She did really good. - Yeah. 645 00:43:41,000 --> 00:43:43,800 Being out of the minimally conscious state entirely... 646 00:43:43,880 --> 00:43:46,480 and she's now in what is considered... 647 00:43:46,600 --> 00:43:50,160 - a post traumatic confusional state. - Okay. 648 00:43:50,240 --> 00:43:55,240 So this is really the next expected phase of the recovery. 649 00:43:55,320 --> 00:43:59,520 I'll sort of just skip ahead for a moment. I mean at this point... 650 00:44:00,280 --> 00:44:04,200 she has, I think this is worth talking about for a minute... 651 00:44:04,280 --> 00:44:06,960 a lot of what I would call... 652 00:44:09,520 --> 00:44:10,640 Bear with me with this... 653 00:44:10,720 --> 00:44:13,480 sort of delusional beliefs about what's going on. 654 00:44:13,560 --> 00:44:15,960 What that means is, you know, she thinks that she... 655 00:44:16,040 --> 00:44:19,360 I think really believes at times that she's being tortured by people. 656 00:44:19,440 --> 00:44:23,560 And so there's this sort of pervasive feeling of fearfulness... 657 00:44:23,640 --> 00:44:27,600 about all that's going on around her. Now not everybody has this... 658 00:44:27,680 --> 00:44:31,560 but she's these persecutory beliefs. That's the theme that you see. 659 00:44:31,640 --> 00:44:32,920 She thinks she's gonna get killed. 660 00:44:33,000 --> 00:44:35,440 Right. She has a lot of fears of dying et cetera. 661 00:44:35,520 --> 00:44:37,440 She kept mentioning call 911. 662 00:44:37,520 --> 00:44:39,600 - Yeah. - I need help. 663 00:44:39,680 --> 00:44:43,120 And she mentioned the bus. And when she mentioned the bus I thought... 664 00:44:43,200 --> 00:44:44,960 - her memory was coming back and... - Coming back. 665 00:44:45,040 --> 00:44:46,680 - and then she kept telling me... - Yeah. 666 00:44:46,760 --> 00:44:52,360 she was scared and the last thing I want her is to get that memory... 667 00:44:52,440 --> 00:44:55,320 - hold it in her mind and be afraid. - I see. 668 00:44:55,400 --> 00:44:57,280 I think you can feel very comfortable that... 669 00:44:57,360 --> 00:45:00,640 she'll not get much of the memory from the event if any. 670 00:45:00,720 --> 00:45:02,240 - The way to think about it's... - Story... 671 00:45:02,320 --> 00:45:03,720 - from the situation. - You know, the person's fine. 672 00:45:03,800 --> 00:45:06,280 The brain's fine. Then in a matter of seconds... 673 00:45:06,360 --> 00:45:07,720 there's an insult to the brain. 674 00:45:07,800 --> 00:45:12,080 So its ability to process information is immediately disrupted. 675 00:45:12,160 --> 00:45:17,680 So that blocks the memory formation. Memory formation isn't instantaneous. 676 00:45:17,760 --> 00:45:20,440 It takes time for a memory to form. 677 00:45:20,520 --> 00:45:22,920 It must be very, very difficult... 678 00:45:23,000 --> 00:45:28,400 when she starts going on I'm scared, I hurt and that's partly... 679 00:45:28,520 --> 00:45:33,440 that's just gotten stuck in her brain and it is, I'm sure... 680 00:45:33,520 --> 00:45:37,480 very scary to wake up. It's like waking up in... 681 00:45:37,560 --> 00:45:39,960 some sort of foreign country where you don't speak the language... 682 00:45:40,040 --> 00:45:42,520 and don't quite understand what's going on and... 683 00:45:42,600 --> 00:45:44,080 people are unfamiliar to you. 684 00:45:44,160 --> 00:45:48,680 And you can't lay down the new faces so that... 685 00:45:48,760 --> 00:45:52,640 they become familiar and that's why so much stress gets laid on... 686 00:45:52,720 --> 00:45:55,240 on your shoulders because you are the familiar face. 687 00:45:55,320 --> 00:45:59,480 I remember saying and doing things to her now... 688 00:45:59,560 --> 00:46:01,800 that I did and said when she was little. 689 00:46:01,880 --> 00:46:07,640 Besides the diaper and the feeding and the baby talk... 690 00:46:07,720 --> 00:46:11,600 it's like, you know, having a two, three or four year old again. 691 00:46:11,680 --> 00:46:14,880 You've to protect yourself and when it gets too much... 692 00:46:14,960 --> 00:46:18,560 she's gonna be alright, don't wear yourself out. 693 00:46:18,760 --> 00:46:21,520 It will get easier. 694 00:46:25,680 --> 00:46:28,840 Come here, momma's gonna rub you. 695 00:46:41,720 --> 00:46:45,400 Al'Khan, put your thumb down for me. 696 00:46:48,560 --> 00:46:50,160 Nice work. 697 00:46:50,680 --> 00:46:52,320 Keep it down. 698 00:46:52,840 --> 00:46:55,320 We should've mom here more often? 699 00:46:55,480 --> 00:46:58,080 He's like moving his mouth like crazy 700 00:46:58,600 --> 00:47:01,800 Sean, I'm gonna show you some objects, okay. 701 00:47:02,080 --> 00:47:05,120 Here's the ball right there, orange ball. 702 00:47:05,800 --> 00:47:08,160 Here's a brush over here. 703 00:47:09,320 --> 00:47:12,800 Sean, I want you to look at the brush. Look at the brush. 704 00:47:16,400 --> 00:47:20,160 Tom, talk to me and tell me what you haven't done. 705 00:47:20,760 --> 00:47:22,640 Talk to me. What do you want? 706 00:47:25,200 --> 00:47:26,960 What do you want? 707 00:47:28,040 --> 00:47:29,880 Show me what you want. 708 00:47:30,560 --> 00:47:32,400 Are you gonna lay down? 709 00:47:33,080 --> 00:47:36,880 Mommy, are you coming? 710 00:47:40,760 --> 00:47:42,520 Mommy... 711 00:48:01,640 --> 00:48:05,760 Hey buddy, sorry it took so long. 712 00:48:06,440 --> 00:48:08,080 What's up Sean? 713 00:48:08,880 --> 00:48:10,960 How you doin' today? 714 00:48:14,120 --> 00:48:17,280 Brendan's here. Do you hear him talking? 715 00:48:17,360 --> 00:48:18,600 What's up buddy? 716 00:48:18,680 --> 00:48:20,280 - Brendan's here. - Hey Sean. 717 00:48:20,360 --> 00:48:22,560 - Here, I'll let you have some time. - What's up, man? 718 00:48:23,040 --> 00:48:24,280 What's going on? 719 00:48:25,480 --> 00:48:26,600 Hey Sean. 720 00:48:27,120 --> 00:48:30,800 You're looking good today. You have a good day? Yeah? 721 00:48:32,040 --> 00:48:33,480 What did you do today? 722 00:48:33,560 --> 00:48:35,560 - He looks good. - Yeah. 723 00:48:44,680 --> 00:48:47,360 So, how you been? I haven't seen you for like a week. 724 00:48:47,600 --> 00:48:49,080 Tell him what you've been up to. 725 00:48:49,160 --> 00:48:51,040 I gotta lot of work to do. 726 00:48:51,280 --> 00:48:55,040 So it's tough for me to come see ya. A lot. But... 727 00:48:55,120 --> 00:48:57,320 You talk to him on the phone. 728 00:48:59,320 --> 00:49:01,240 - Brendan brought his book bag Sean. - He knows. 729 00:49:01,320 --> 00:49:06,240 Yeah, I brought some books for you. I can read. 730 00:49:06,320 --> 00:49:08,880 - Say please don't. - I can read. Yeah. 731 00:49:08,960 --> 00:49:11,080 - Contracts. - I can read civil procedure to you. 732 00:49:11,160 --> 00:49:13,720 It's really good. So... 733 00:49:16,480 --> 00:49:18,120 So what do you wanna know? 734 00:49:22,480 --> 00:49:25,800 - It's a start. Getting there. - Yeah. There you go. 735 00:49:27,760 --> 00:49:32,040 You can swallow. You know how to swallow. Alright. 736 00:49:33,080 --> 00:49:35,480 - You look really good man. - Brendan, we know. 737 00:49:35,560 --> 00:49:37,000 - Seriously. - When I see you everyday... 738 00:49:37,080 --> 00:49:39,840 sometimes I can't tell the difference. 739 00:49:39,920 --> 00:49:42,640 But Brendan this has been a stretch for Brendan, he hasn't seen you... 740 00:49:42,720 --> 00:49:45,920 - in a while. - See his eyes. I've never seen that. 741 00:49:46,000 --> 00:49:48,400 - What's he doing? - I've never seen that. 742 00:49:48,760 --> 00:49:51,560 - What's the matter honey? - He's making that face. 743 00:49:51,960 --> 00:49:53,840 What's the matter honey? 744 00:49:54,560 --> 00:49:58,800 There's something in your eye maybe? Here, relax your eyes. 745 00:49:59,920 --> 00:50:01,320 Check that. 746 00:50:05,240 --> 00:50:06,400 Okay. 747 00:50:07,720 --> 00:50:08,960 See. 748 00:50:19,920 --> 00:50:23,600 It's alright. It's alright buddy. It's alright. 749 00:50:25,920 --> 00:50:27,720 Come god. 750 00:50:42,480 --> 00:50:44,000 Why are you crying? 751 00:50:55,480 --> 00:50:59,240 Sean, you know you're working on those puzzles, right? 752 00:50:59,880 --> 00:51:03,040 Yeah. And we'll figure out a way. 753 00:51:05,080 --> 00:51:06,560 I know sweetie. 754 00:51:23,560 --> 00:51:25,320 We all love you. 755 00:51:27,680 --> 00:51:29,240 It's alright, bud. 756 00:51:34,560 --> 00:51:38,440 You know what Brendan said a long long time ago... 757 00:51:38,520 --> 00:51:40,800 when you were still in your coma. 758 00:51:41,240 --> 00:51:42,280 What did I say? 759 00:51:42,360 --> 00:51:47,880 You said Brendan, what do you think, and you said, Sean's not giving up... 760 00:51:47,960 --> 00:51:50,120 so we're not giving up. 761 00:51:52,400 --> 00:51:54,640 And that's the way it is. 762 00:51:56,200 --> 00:51:59,680 Okay? That's why we're here all the time. 763 00:52:08,120 --> 00:52:10,120 I've never seen him be like that. 764 00:52:15,640 --> 00:52:17,040 Okay, now. 765 00:52:34,320 --> 00:52:35,400 Help. 766 00:52:36,400 --> 00:52:38,640 We're over right here helping you. 767 00:52:38,720 --> 00:52:40,440 You got a... 768 00:52:40,560 --> 00:52:43,440 Yeah, barely can stand up and you... we're helping you doctor... 769 00:52:43,520 --> 00:52:46,440 - You know what and... - Forty. 770 00:52:47,880 --> 00:52:49,000 Fuck! 771 00:52:50,320 --> 00:52:51,960 Trying to help you out. 772 00:52:57,840 --> 00:52:59,880 Good job, Tom. 773 00:53:03,120 --> 00:53:05,120 Now stand up straight. 774 00:53:15,040 --> 00:53:17,240 So, you're a little tough. 775 00:53:17,960 --> 00:53:21,040 Ready go, one, two, three. 776 00:53:23,080 --> 00:53:27,520 Ready go, one, two, three. And let it go. 777 00:53:31,360 --> 00:53:33,240 Looks ready junior. 778 00:53:35,120 --> 00:53:37,520 - Yeah. - That's why. 779 00:53:38,520 --> 00:53:40,960 We should help him to drop it down. 780 00:53:41,080 --> 00:53:42,600 'Cause he takes a long time okay. 781 00:53:42,680 --> 00:53:44,160 - Yeah. - That's sometimes part of... 782 00:53:44,240 --> 00:53:47,440 the brain injury too. What's wrong. 783 00:53:47,520 --> 00:53:51,840 Okay. I'll let go of you if you balance. Alright, go ahead. 784 00:53:54,440 --> 00:53:57,520 Sometimes you can't stop things like your grip... 785 00:53:57,640 --> 00:54:01,240 'cause it all comes from your brain. It sends down those messages and... 786 00:54:01,360 --> 00:54:04,560 if they're not working as they used to be it's kind of hard. 787 00:54:05,640 --> 00:54:09,000 Okay, go ahead and have a seat. We'll let Tom go one more time... 788 00:54:09,120 --> 00:54:12,440 and then we're good. Is this close enough? 789 00:54:16,160 --> 00:54:19,280 Right there? Okay, let's do it. 790 00:54:19,600 --> 00:54:21,160 Can we stand? 791 00:54:21,560 --> 00:54:24,320 Let's stand. Let's try. 792 00:54:24,400 --> 00:54:25,920 - No. - No? 793 00:54:26,000 --> 00:54:27,680 What would you rather do in group? 794 00:54:27,800 --> 00:54:29,240 Nothing. 795 00:54:29,960 --> 00:54:33,480 Nothing. Nothing doesn't count in therapy usually, right? 796 00:54:34,840 --> 00:54:37,880 Do you need to work on stuff like standing balance? 797 00:54:38,000 --> 00:54:39,800 What do you need to work on? 798 00:54:42,440 --> 00:54:44,800 - No. - No what? 799 00:54:45,720 --> 00:54:47,800 No, please. 800 00:54:48,080 --> 00:54:53,080 Alright. Let's try it. One more time standing and then we're done. 801 00:54:57,000 --> 00:55:00,640 - Damn. - Damn again. Did we get any on? 802 00:55:00,720 --> 00:55:04,360 Did you get any points? No, okay. 803 00:55:04,440 --> 00:55:06,680 You're not interested in group today? 804 00:55:15,400 --> 00:55:21,240 Okay, so this is called neuro behavioral clinic. 805 00:55:21,320 --> 00:55:24,720 Basically it's a clinic that... 806 00:55:25,240 --> 00:55:27,960 allows us to get a additional information... 807 00:55:28,040 --> 00:55:32,320 when somebody is getting treatment here at the rehab facility. 808 00:55:32,400 --> 00:55:35,480 Your therapists have asked me to... 809 00:55:35,560 --> 00:55:39,200 give some input into your treatment program. Okay? 810 00:55:39,280 --> 00:55:42,640 First question, what's your full name? 811 00:55:42,960 --> 00:55:44,880 Tom Segars. 812 00:55:45,040 --> 00:55:46,320 Okay. 813 00:55:46,760 --> 00:55:48,520 How old are you? 814 00:55:50,400 --> 00:55:53,600 - Thirty-five, thirty-six. - Thirty-five, thirty-six. 815 00:55:53,720 --> 00:55:56,080 Let's see. Does anybody know off hand. 816 00:55:56,160 --> 00:55:59,400 Thirty-two. Thirty two. Does that sound right? 817 00:56:00,440 --> 00:56:04,600 Okay. Tom, what place is this? 818 00:56:04,880 --> 00:56:06,320 Rehab. 819 00:56:06,680 --> 00:56:09,440 Right. Why are you here? 820 00:56:09,600 --> 00:56:10,680 Because I fell. 821 00:56:10,760 --> 00:56:14,840 You fell. Okay. How long ago? 822 00:56:15,640 --> 00:56:17,040 Any idea? 823 00:56:17,120 --> 00:56:20,320 Okay. It was about six months ago. 824 00:56:20,640 --> 00:56:27,160 Okay. Now, have you'd noticed any problems since you fell? 825 00:56:27,240 --> 00:56:31,240 Did anything, is anything different for you physically... 826 00:56:31,320 --> 00:56:34,040 or mentally since you fell? 827 00:56:35,720 --> 00:56:37,720 Everything's the same? 828 00:56:38,600 --> 00:56:42,760 Okay. I'm gonna say something. You repeat it after me. 829 00:56:42,840 --> 00:56:46,920 Okay? You ready? The dog barked. 830 00:56:48,040 --> 00:56:50,520 - Can't. - Okay. 831 00:56:53,200 --> 00:56:56,640 I will say something and then you repeat it after me. Okay? 832 00:56:57,240 --> 00:56:58,760 Thanks. 833 00:57:01,640 --> 00:57:03,840 The dog barked. 834 00:57:15,480 --> 00:57:17,480 The dog barked. 835 00:57:20,960 --> 00:57:23,640 Limes are sour. 836 00:57:23,760 --> 00:57:24,840 Lime... 837 00:57:24,920 --> 00:57:27,120 Limes are sour. 838 00:57:33,240 --> 00:57:35,880 - Say. - Limes are sour. 839 00:57:35,960 --> 00:57:37,280 Perfect. 840 00:57:38,400 --> 00:57:39,720 Alright. 841 00:57:40,080 --> 00:57:43,200 So take all the rehab you've done so far. 842 00:57:43,560 --> 00:57:46,600 And reappraise it and deal with this. 843 00:57:46,680 --> 00:57:49,240 So we still have to get to the bottom of this obviously... 844 00:57:49,320 --> 00:57:52,040 figure out why it's not getting in but it's not getting in. 845 00:57:52,120 --> 00:57:55,440 Everything shifts now. Can rely on nothing, verbally. 846 00:57:55,520 --> 00:57:59,880 Well actually, just in case, I'm gonna take it up a level here. 847 00:58:06,240 --> 00:58:08,360 Okay, Tom... 848 00:58:08,640 --> 00:58:12,520 I want you to point to the source of artificial illumination... 849 00:58:12,600 --> 00:58:14,440 in this enclosure. 850 00:58:20,440 --> 00:58:21,600 Okay. 851 00:58:31,760 --> 00:58:37,880 Alright. So language I think we can say is a okay. 852 00:58:38,720 --> 00:58:41,440 I tell you what... Okay. 853 00:58:41,960 --> 00:58:43,480 Yeah. 854 00:58:46,800 --> 00:58:50,120 So the jump out, gigantic finding here is that... 855 00:58:50,200 --> 00:58:53,840 his hearing's a major problem and you can't rely on it at all. 856 00:58:53,920 --> 00:58:56,800 And is that why he's getting so frustrated? 857 00:58:56,960 --> 00:59:00,160 I think that's a major contributor. 858 00:59:00,240 --> 00:59:02,360 - Maybe not the entire story... - Right. 859 00:59:02,440 --> 00:59:06,200 but could very well be a major contributor to why... 860 00:59:06,280 --> 00:59:09,280 he's having these episodes of frustration. 861 00:59:09,360 --> 00:59:12,720 We also suspect may not have full appreciation of his problems. 862 00:59:12,840 --> 00:59:13,880 So that's problem one. 863 00:59:13,960 --> 00:59:16,200 He's in the midst of this kind of therapy program... 864 00:59:16,280 --> 00:59:18,720 that's geared to help him with his problems... 865 00:59:18,800 --> 00:59:21,520 but if he doesn't have full appreciation of what they are... 866 00:59:21,600 --> 00:59:23,600 people are wasting his time. They're getting in his face... 867 00:59:23,680 --> 00:59:28,560 for no good reason. Add to that, he can't hear what they're saying. 868 00:59:28,640 --> 00:59:31,200 It's a perfect formula for a lot of frustration. 869 00:59:31,280 --> 00:59:34,240 The one thing I think is interesting we talked about is that... 870 00:59:34,320 --> 00:59:38,440 he doesn't communicate that he's not hearing. 871 00:59:38,520 --> 00:59:41,440 He doesn't give any indication. 872 00:59:41,520 --> 00:59:46,240 So there is the possibility he's not aware of this problem. 873 00:59:46,320 --> 00:59:47,600 As weird as that sounds. 874 00:59:47,680 --> 00:59:50,240 Anosognosia is one of the most enigmatic disorders... 875 00:59:50,320 --> 00:59:51,640 that follows brain injury. 876 00:59:51,720 --> 00:59:56,040 What it means is it's a loss of awareness of oneself. 877 00:59:56,120 --> 00:59:57,560 Specifically in brain injury... 878 00:59:57,640 --> 01:00:01,720 it means a loss of awareness of one's deficits, acquired deficits. 879 01:00:01,800 --> 01:00:04,360 Close your eyes while I talk to Dr. Casey and then we'll rest. 880 01:00:04,440 --> 01:00:08,120 In Tom's case, he goes through his interactions as though... 881 01:00:08,200 --> 01:00:10,200 he hears appropriately. 882 01:00:10,880 --> 01:00:12,880 The bottom line is you can talk with him... 883 01:00:12,960 --> 01:00:14,640 but anything you said to him... 884 01:00:14,760 --> 01:00:16,960 should absolutely be translated to written form. 885 01:00:17,040 --> 01:00:18,760 Well, it's a little painstaking, a little slow. 886 01:00:18,840 --> 01:00:19,960 That's alright, as long as he can 887 01:00:20,040 --> 01:00:21,800 - understand us. - But I think you'll be amazed... 888 01:00:21,880 --> 01:00:23,720 - Okay. Great. - at the difference. 889 01:00:23,800 --> 01:00:26,640 Well, you know what? That can be dealt with. 890 01:00:26,720 --> 01:00:31,000 - So you know we'll go from there. - Okay. 891 01:00:46,480 --> 01:00:49,120 Okay. I'm gonna call her right now, okay? 892 01:00:49,200 --> 01:00:50,480 Okay. 893 01:00:56,080 --> 01:00:57,840 - Tommy? - Hi Lyn, it's me. 894 01:00:57,920 --> 01:01:01,640 - Hi. - It's Tom's hearing. 895 01:01:02,320 --> 01:01:04,000 - It is... - It is Tom's hearing. 896 01:01:04,080 --> 01:01:07,040 - Talk to me. - Dr. Giacino said it's good that... 897 01:01:07,120 --> 01:01:11,920 it was hearing and not damage, brain damage from the fall. 898 01:01:12,000 --> 01:01:13,880 - Right. - Because this can be worked out. 899 01:01:13,960 --> 01:01:18,080 He really wants to tap into Tom's higher level of brain function. 900 01:01:18,160 --> 01:01:20,600 See where he's at, because he thinks he's up there. 901 01:01:20,680 --> 01:01:21,760 - Great. - Okay. 902 01:01:21,840 --> 01:01:23,000 - Okay. - Alright, bye. 903 01:01:23,080 --> 01:01:24,280 Bye. 904 01:01:26,400 --> 01:01:27,560 Tom? 905 01:01:40,400 --> 01:01:42,720 So what's his current schedule for PT? 906 01:01:42,800 --> 01:01:46,160 Right now he gets it three times a week, and then two times a week... 907 01:01:46,240 --> 01:01:48,920 - When, what's the schedule? At what? - I don't know his exact schedule. 908 01:01:49,000 --> 01:01:50,680 - Do you know? - I think she does Monday... 909 01:01:50,760 --> 01:01:53,400 Wednesday, Friday at ten o'clock. 910 01:01:54,120 --> 01:01:55,520 And the OT is? 911 01:01:55,600 --> 01:01:58,800 - Monday, Thursday, Friday at 9:30. - He's not generally out of bed... 912 01:01:58,880 --> 01:02:00,400 - by 9.30 on Monday... - No. 913 01:02:00,480 --> 01:02:03,480 - Thursday and Friday. - I usually see him bedside. 914 01:02:03,560 --> 01:02:07,120 Bedside. Would the therapy be better if he was out of the bed? 915 01:02:07,200 --> 01:02:12,360 I've seen Sean since he first came here last December. 916 01:02:12,440 --> 01:02:14,240 I've seen him at all different types of time. 917 01:02:14,320 --> 01:02:17,600 I don't think the type of therapy that I'm doing at this point... 918 01:02:17,680 --> 01:02:21,360 it'd really that it really matters whether he's in bed... 919 01:02:21,440 --> 01:02:23,320 or he's in the chair. 920 01:02:23,400 --> 01:02:25,720 When he moves over to... 921 01:02:25,800 --> 01:02:31,160 the therapy aides working with him, will they work with him on the mat? 922 01:02:32,440 --> 01:02:33,640 They won't work now... 923 01:02:33,760 --> 01:02:34,800 - they'll do range in the bed. - Range in bed... 924 01:02:34,880 --> 01:02:36,280 - Made the motion on the bed. - Yeah. 925 01:02:36,360 --> 01:02:38,320 - But... - Until be getting him out of the bed 926 01:02:38,440 --> 01:02:39,680 I didn't understand that question. 927 01:02:39,760 --> 01:02:42,320 What do you mean when he moves over to the therapy? 928 01:02:42,400 --> 01:02:45,360 I guess what we're all saying is that they don't feel that... 929 01:02:45,440 --> 01:02:51,040 their particular skills are making a difference in Sean's performance. 930 01:02:51,120 --> 01:02:55,880 So at this point our plan is to change into... 931 01:02:55,960 --> 01:02:59,480 working with the therapy aides under their supervision. 932 01:03:00,480 --> 01:03:04,880 Then to re-evaluate in a month to see if there've been... 933 01:03:04,960 --> 01:03:06,960 any changes one way or the other. 934 01:03:07,040 --> 01:03:08,680 But that's essentially... 935 01:03:08,760 --> 01:03:12,360 what I think we're gonna have to be looking at at this point. 936 01:03:12,520 --> 01:03:14,880 - OT/PT, or OT/PT Speech. - Okay. 937 01:03:14,960 --> 01:03:17,720 - OT/PT and Speech. - Okay, I'm just... 938 01:03:18,360 --> 01:03:20,480 without our knowledge, his therapy schedule... 939 01:03:20,560 --> 01:03:22,880 went from five days a week to three days a week. 940 01:03:22,960 --> 01:03:25,680 We were never told. And now I'm hearing that... 941 01:03:25,760 --> 01:03:28,360 - a decision's been made to go... - That's what we did. Yeah. 942 01:03:28,440 --> 01:03:32,680 from therapists to therapy aides. Are we giving up on Sean? 943 01:03:32,760 --> 01:03:35,160 No, I don't think we're giving up. At least, I don't feel that... 944 01:03:35,240 --> 01:03:38,240 we're giving up. I think we're changing our approach. 945 01:03:38,360 --> 01:03:40,600 But I think that at this point the therapists have not felt... 946 01:03:40,680 --> 01:03:44,800 what they're doing per se is making a difference. 947 01:03:44,880 --> 01:03:47,680 Well, what if there was an approach to say "double" the therapy? 948 01:03:47,760 --> 01:03:50,840 - That might have an effect. - Well, I think if you cou... 949 01:03:50,920 --> 01:03:54,960 I happen to be a great believer in therapy. 950 01:03:55,040 --> 01:03:59,000 More therapy is always better all the time but that's not a reality 951 01:03:59,080 --> 01:04:01,640 - Because? - because he was on double... 952 01:04:01,720 --> 01:04:04,400 that amount of therapy for a very long period of time. 953 01:04:04,480 --> 01:04:07,120 - So I think... - In terms of physical therapy... 954 01:04:07,200 --> 01:04:12,000 it would seem to me that that's like part of the basic human condition... 955 01:04:12,080 --> 01:04:15,520 and not getting daily physical therapy, to me is... 956 01:04:15,600 --> 01:04:18,720 What you really raise is, you know, what's the standard of care? 957 01:04:18,800 --> 01:04:22,480 What's a standard of care means that you've strongest evidence... 958 01:04:22,560 --> 01:04:24,920 in the literature that this intervention works. 959 01:04:25,000 --> 01:04:27,400 And you know who it works for and for what period of time. 960 01:04:27,480 --> 01:04:28,840 - So we don't have that. - Right. 961 01:04:28,960 --> 01:04:32,200 But what we have is basically a much softer standard of care. 962 01:04:32,280 --> 01:04:34,920 And it's based on temporal parameters... 963 01:04:35,000 --> 01:04:37,080 and this is I don't think new information for you. 964 01:04:37,160 --> 01:04:41,200 This period of time that after traumatic brain injury that... 965 01:04:41,280 --> 01:04:46,720 one'd expect to see further recovery from the vegetative state, okay? 966 01:04:46,800 --> 01:04:51,720 Is twelve months. So, you know, we're at twenty month mark now. 967 01:04:51,800 --> 01:04:57,000 Aggressive therapy and I'll tell you with no uncertainty... 968 01:04:57,080 --> 01:05:00,480 there's not another place that would stay this aggressive this long. 969 01:05:00,560 --> 01:05:03,120 I mean, if you can find it, go there. Really. 970 01:05:03,200 --> 01:05:04,720 - Yeah. - Because... 971 01:05:04,800 --> 01:05:08,680 - That's not the issue. I'm just... - Yeah, no, I understand... 972 01:05:08,760 --> 01:05:12,480 that earlier question as well. But the point is you know that... 973 01:05:12,560 --> 01:05:14,800 at least you know what the standard says. 974 01:05:14,880 --> 01:05:18,360 So any service that could be done by somebody other... 975 01:05:18,440 --> 01:05:22,160 than a licensed professional with adequate training should continue... 976 01:05:22,240 --> 01:05:26,040 to be done and it's true, I mean, you could get to the point... 977 01:05:26,120 --> 01:05:28,800 where you're almost as good as the therapists in terms of ranging... 978 01:05:28,880 --> 01:05:30,440 - and positioning and those things. - Well, I hear ya. 979 01:05:30,520 --> 01:05:33,480 Unfortunately I have a day-job too, Joe. 980 01:05:33,560 --> 01:05:35,840 - I'm not saying... - I'm a practicing lawyer. 981 01:05:35,960 --> 01:05:40,560 So I need, what I need, I... since he was a baby. 982 01:05:40,640 --> 01:05:44,120 I've been trying to attend to the needs of this young man... 983 01:05:44,200 --> 01:05:46,040 which I'm still trying to do. 984 01:05:46,120 --> 01:05:47,800 If you're telling me that... 985 01:05:47,880 --> 01:05:52,000 he's better off with five days of physical therapy than three... 986 01:05:52,160 --> 01:05:53,560 I think that's right. 987 01:05:53,640 --> 01:05:55,320 I actually think that's the right answer. 988 01:05:55,400 --> 01:05:57,520 - No. - Question is, What do I have to do? 989 01:05:57,640 --> 01:05:59,440 Is there a paraprofessional available 990 01:05:59,520 --> 01:06:01,400 - who can, to give him the therapy... - We're getting one. 991 01:06:01,480 --> 01:06:03,320 the other two days when he's not getting it? 992 01:06:03,400 --> 01:06:05,760 Well, let me answer the first part first. And... 993 01:06:05,840 --> 01:06:08,240 One of the most pessimistic meeting we've had. 994 01:06:08,320 --> 01:06:12,960 Right. You think it can't hurt much more, but it always does. 995 01:06:14,200 --> 01:06:16,400 It always does, so. 996 01:06:19,280 --> 01:06:20,560 Yeah. 997 01:07:05,280 --> 01:07:08,040 First one goes to... 998 01:07:34,840 --> 01:07:38,280 We're very close to each other here, but we don't wanna be... 999 01:07:38,360 --> 01:07:41,960 you know, like these are all people that I feel close to... 1000 01:07:42,040 --> 01:07:44,120 I wish I never met them. 1001 01:07:44,200 --> 01:07:48,080 They've a perspective that other people don't but... 1002 01:07:49,240 --> 01:07:51,760 I honestly don't think anybody can understand... 1003 01:07:51,840 --> 01:07:53,680 what I'm going through, not even my husband. 1004 01:07:53,760 --> 01:07:55,680 And I don't even understand what he's going through. 1005 01:07:55,800 --> 01:08:01,960 It's very private and independent trauma. 1006 01:08:22,280 --> 01:08:24,880 - Wouldn't it be nice no more board? - Yeah. 1007 01:08:30,160 --> 01:08:32,040 This is huge for us. 1008 01:08:32,920 --> 01:08:36,200 It took a long time for us to find out that Tom couldn't hear. 1009 01:08:38,040 --> 01:08:42,240 It's the thought of the possibility that today he may be able to hear... 1010 01:08:42,320 --> 01:08:45,280 for the first time in seven months, for us is huge. 1011 01:08:46,480 --> 01:08:48,760 Got it. Okay. 1012 01:08:50,320 --> 01:08:51,720 Okay, I got it. 1013 01:08:57,720 --> 01:08:59,160 Okay. 1014 01:08:59,720 --> 01:09:02,160 Alright, Tom, how does my voice sound to you? 1015 01:09:02,240 --> 01:09:04,760 Does it sound comfortable for you? 1016 01:09:04,840 --> 01:09:07,680 Nothing. You don't hear anything. 1017 01:09:09,280 --> 01:09:11,800 You're not hearing my voice at all? 1018 01:09:13,040 --> 01:09:14,600 You don't hear me talking to you at all. 1019 01:09:14,680 --> 01:09:17,080 You're not hearing any amplification? 1020 01:09:17,160 --> 01:09:18,920 Let's see. 1021 01:09:21,480 --> 01:09:26,120 Your hearing aide's all... it's working. 1022 01:09:29,320 --> 01:09:32,400 I'm just wondering. Maybe we need to write that down. 1023 01:09:32,560 --> 01:09:34,080 You know, Lynda, why don't you just talk to him. 1024 01:09:34,160 --> 01:09:37,680 Just while you're writing and see if he can... 1025 01:09:38,200 --> 01:09:40,280 Can you hear my voice, babe? 1026 01:09:40,440 --> 01:09:43,960 Can you hear me say anything right now? 1027 01:09:44,160 --> 01:09:45,320 - No. - No? 1028 01:09:45,400 --> 01:09:47,200 - Even a little bit? - No. 1029 01:09:47,280 --> 01:09:49,720 - No. Okay. - So I think... 1030 01:09:49,800 --> 01:09:52,440 what I'm going to do is sort of go through it... 1031 01:09:52,520 --> 01:09:55,480 with the hearing aide in place, because it is programmed... 1032 01:09:55,560 --> 01:09:58,680 according to the hearing test results we got the last time... 1033 01:09:58,760 --> 01:10:01,480 which we thought were pretty accurate. 1034 01:10:01,880 --> 01:10:05,160 Doesn't it do it today, if he's not hearing you? 1035 01:10:05,240 --> 01:10:07,880 Actually, I think... 1036 01:10:08,080 --> 01:10:11,000 the reason I would prefer not to have do adjustments... 1037 01:10:11,080 --> 01:10:14,280 is because I think that we spent a lot of time... 1038 01:10:14,360 --> 01:10:17,760 trying to get accurate hearing data on him. 1039 01:10:17,840 --> 01:10:20,560 - Okay. - The hearing aides are programmed... 1040 01:10:20,640 --> 01:10:24,520 according to the hearing loss that they measured on that side. 1041 01:10:24,600 --> 01:10:28,280 Do you not hear me? Or do you not understand me? 1042 01:10:30,000 --> 01:10:31,600 I don't hear her. 1043 01:10:31,680 --> 01:10:33,480 You don't hear her? 1044 01:10:33,640 --> 01:10:35,840 You know, I know that he's saying he's not hearing. 1045 01:10:35,920 --> 01:10:37,400 We're gonna give him a couple of days with... 1046 01:10:37,480 --> 01:10:42,400 the hearing aide to see if he becomes more aware of his surroundings. 1047 01:10:42,480 --> 01:10:44,320 Now, if he can't hear now... 1048 01:10:44,400 --> 01:10:47,520 what would changes to make him more aware? 1049 01:10:47,600 --> 01:10:50,720 I think that there's a question whether or not... 1050 01:10:50,800 --> 01:10:54,920 Tom is not hearing or not knowing what to do with... 1051 01:10:55,000 --> 01:10:57,240 the auditory information that he is hearing. 1052 01:10:57,320 --> 01:10:59,640 So even though he's saying that he's not hearing. 1053 01:10:59,720 --> 01:11:02,640 It's not that he's not hearing it. His ear is actually hearing it... 1054 01:11:02,720 --> 01:11:04,960 but then the brain is actually what does all the work. 1055 01:11:05,040 --> 01:11:09,640 The brain is really what figures out what it is that's being said. 1056 01:11:09,720 --> 01:11:11,920 He's not hearing anything. 1057 01:11:12,000 --> 01:11:16,000 And that's again, if this is working and it's working where he like... 1058 01:11:16,080 --> 01:11:18,760 you're saying he can hear with that the way it is. 1059 01:11:18,840 --> 01:11:21,480 Wouldn't he just hear noise then? 1060 01:11:21,560 --> 01:11:23,000 Look at her. 1061 01:11:24,120 --> 01:11:25,600 - There should be some reaction. - Some reaction. 1062 01:11:25,680 --> 01:11:28,040 - It's not a very... - There's nothing. 1063 01:11:28,120 --> 01:11:31,400 black and white issue. It's not a very simple issue. 1064 01:11:31,480 --> 01:11:34,800 With brain injury, there does come a complication... 1065 01:11:34,880 --> 01:11:38,840 with the different modalities and once again, it could be that... 1066 01:11:38,920 --> 01:11:42,400 the peripheral ear is hearing it... 1067 01:11:42,640 --> 01:11:44,920 but the brain doesn't know what to do with the information. 1068 01:11:45,000 --> 01:11:47,480 - This doesn't make any sense. - You hear it? Yes. 1069 01:11:47,560 --> 01:11:49,880 - Don't hear it. Nothing happens. - That's what he's saying right now. 1070 01:11:49,960 --> 01:11:53,720 That's not a matter of the brain processing sound, it's a matter of... 1071 01:11:53,800 --> 01:11:55,480 - Whether he hears any sound or not. - Whether he hears it. 1072 01:11:55,560 --> 01:11:59,680 There's a possibility with Tom... 1073 01:11:59,760 --> 01:12:02,840 that the hearing loss, it's beyond the ear... 1074 01:12:02,920 --> 01:12:05,880 and it's include and now it's into the brain. 1075 01:12:05,960 --> 01:12:09,520 They call it, what they call it is "central deafness". 1076 01:12:10,840 --> 01:12:13,040 You can've this with normal hearing. 1077 01:12:13,120 --> 01:12:16,520 You can literally've someone that's got normal peripheral hearing... 1078 01:12:16,600 --> 01:12:20,280 in the ear but then once that information goes to the brain... 1079 01:12:20,360 --> 01:12:22,680 the person is unable to make any sense out of it. 1080 01:12:22,760 --> 01:12:26,360 So they their behavior is such that as a deaf person. 1081 01:12:26,480 --> 01:12:28,680 - It called central deafness. - I'm just gonna take him out. 1082 01:12:28,760 --> 01:12:30,240 That's fine. 1083 01:12:32,160 --> 01:12:33,960 Do you've any questions for me? 1084 01:12:34,040 --> 01:12:35,640 It's a lot of information, I know, that we gave you... 1085 01:12:35,720 --> 01:12:38,440 on top of all the other information that we went to that. 1086 01:12:38,520 --> 01:12:39,760 That seemed to be unexpected. 1087 01:12:39,840 --> 01:12:41,760 Very unexpected. 1088 01:12:42,840 --> 01:12:44,080 So... 1089 01:12:44,560 --> 01:12:45,680 So really that's it. 1090 01:12:45,760 --> 01:12:47,120 Okay. 1091 01:12:51,480 --> 01:12:55,400 Khan, wake up right now. You can go back to sleep when we leave. 1092 01:12:56,040 --> 01:12:59,240 Khan. 1093 01:12:59,320 --> 01:13:01,320 C'mon Khan. Wake up. 1094 01:13:01,400 --> 01:13:04,280 Khan. 1095 01:13:04,360 --> 01:13:06,040 Hey Khan. 1096 01:13:06,800 --> 01:13:11,040 I'd talked to Dr. McCagg, and she was just saying that... 1097 01:13:11,120 --> 01:13:13,600 he just was still on a ventilator. 1098 01:13:13,960 --> 01:13:17,880 So then she was saying, when I came in... 1099 01:13:17,960 --> 01:13:21,560 then she would talk to me, so, but it's... 1100 01:13:21,640 --> 01:13:25,600 that's the only thing that I know that he's just still on a ventilator. 1101 01:13:25,680 --> 01:13:30,280 But everything else, I know, has been pretty good. 1102 01:13:32,120 --> 01:13:35,440 - I think they gave him something. - Khan! 1103 01:13:35,560 --> 01:13:39,640 - Open up your eyes. - Khan! You gonna wake up? 1104 01:13:39,720 --> 01:13:41,440 What happened today? 1105 01:13:41,520 --> 01:13:43,280 - Khan! - This boy is out! 1106 01:13:43,360 --> 01:13:45,920 He gotta've some drugs in his system. 1107 01:13:46,000 --> 01:13:49,360 Something! Khan! 1108 01:13:50,640 --> 01:13:53,080 Oh, here come Dr. McCagg. 1109 01:13:53,160 --> 01:13:55,360 - Hello, how you doing? - Hi, I'm Dr. McCagg. 1110 01:13:55,440 --> 01:13:58,520 - I'm Dr. McCagg. How are ya? - Hi, how are you? 1111 01:13:58,600 --> 01:14:01,600 - How are ya? - I'm doing okay. 1112 01:14:01,720 --> 01:14:03,760 - How's our boy today? - I told him, Khan! 1113 01:14:03,840 --> 01:14:07,240 I asked him, they did... 1114 01:14:07,320 --> 01:14:10,400 they have some drugs in his system because he is out! 1115 01:14:10,480 --> 01:14:13,320 - He'd some sedatives or something. - Yeah. 1116 01:14:14,240 --> 01:14:18,240 I haven't gotten any responses from him recently at all. 1117 01:14:18,320 --> 01:14:21,080 - For real? - Since he's been up here. 1118 01:14:21,160 --> 01:14:24,280 But let me go take a look at his chart because I wanna catch up... 1119 01:14:24,360 --> 01:14:26,920 and then maybe we could talk a bit about what's going on. 1120 01:14:27,000 --> 01:14:28,360 Okay. 1121 01:14:31,400 --> 01:14:34,320 Hey! Open up your eyes. 1122 01:14:35,080 --> 01:14:37,400 Khan, squeeze my hand. 1123 01:14:38,240 --> 01:14:41,400 Unfortunately, he's not sedated. He's just not responding. 1124 01:14:41,480 --> 01:14:43,240 Oh, okay. 1125 01:14:46,040 --> 01:14:49,440 And what's different about what's happening now... 1126 01:14:49,560 --> 01:14:52,480 than what happened before is the seizures. 1127 01:14:54,960 --> 01:15:00,720 Since he's been back up here, the seizures have been controlled... 1128 01:15:00,800 --> 01:15:06,320 but with major medications. He's on three medications. 1129 01:15:06,720 --> 01:15:14,000 His EEG, which measures the function of the brain is terrible. 1130 01:15:14,840 --> 01:15:18,400 And it doesn't show any responsiveness... 1131 01:15:18,480 --> 01:15:22,120 so I don't know whether he had further damage while he was having... 1132 01:15:22,200 --> 01:15:27,240 all those seizures, or whether there this was just gonna come. 1133 01:15:30,760 --> 01:15:33,280 - And you know I've been... - Yeah. 1134 01:15:33,360 --> 01:15:37,080 his greatest advocate, but I think this time... 1135 01:15:37,160 --> 01:15:40,800 that I've to say that his chances of any kind of... 1136 01:15:40,920 --> 01:15:44,840 good recovery are really non-existent. 1137 01:15:44,960 --> 01:15:50,160 You look at how bad the EEG is. I just think the damage is 1138 01:15:50,760 --> 01:15:53,320 it's just too extensive. 1139 01:15:53,400 --> 01:15:55,240 You know that I don't say that lightly. 1140 01:15:55,320 --> 01:15:56,720 Yeah. 1141 01:15:57,480 --> 01:16:00,760 So you know, I think as a minimum... 1142 01:16:00,840 --> 01:16:04,240 you might want him to be a "Do Not Resuscitate". 1143 01:16:04,320 --> 01:16:07,680 And then there are other options that... 1144 01:16:07,760 --> 01:16:10,680 I think you need to think about in terms of... 1145 01:16:10,800 --> 01:16:12,960 you know, should we just take him off the ventilator... 1146 01:16:13,080 --> 01:16:15,640 or if he comes off the ventilator, and he needs to go back on... 1147 01:16:15,720 --> 01:16:19,400 make the decision not to put him back on. 1148 01:16:19,480 --> 01:16:22,480 That, you know, that's nothing that you have to decide right away. 1149 01:16:22,560 --> 01:16:27,920 But I think, you know, you need to realize that I don't think... 1150 01:16:28,320 --> 01:16:30,720 this is gonna have a good outcome. 1151 01:16:33,200 --> 01:16:37,840 You've any questions I can answer, anything more than I can explain? 1152 01:16:38,200 --> 01:16:39,560 No. 1153 01:16:44,320 --> 01:16:45,840 No. 1154 01:16:47,160 --> 01:16:48,520 Pretty much know everything. 1155 01:16:48,640 --> 01:16:50,040 - Yeah. - Yeah. 1156 01:16:50,120 --> 01:16:52,440 - How do you think his sister and... - Is he going... 1157 01:16:52,520 --> 01:16:57,040 your mother are gonna feel about making him a DNR? 1158 01:16:57,240 --> 01:16:58,800 - I don't know. - Her mother? 1159 01:16:58,880 --> 01:17:01,120 She gonna want you know just let him hold on... 1160 01:17:01,200 --> 01:17:03,800 - Yeah. - because God, she... 1161 01:17:03,880 --> 01:17:06,200 Well, this isn't really undoing God's work. 1162 01:17:06,280 --> 01:17:08,280 It's just if God makes his decision. 1163 01:17:08,360 --> 01:17:09,680 - We don't fight him. - Yes. 1164 01:17:09,760 --> 01:17:12,760 And I think that's really we've been fighting God... 1165 01:17:12,880 --> 01:17:14,640 - I think, for quite some time. - Yeah. 1166 01:17:14,720 --> 01:17:16,840 - And I think... Yeah. - You've been fighting a good battle. 1167 01:17:16,920 --> 01:17:21,800 But I think he'd, I think this time God really wants him. 1168 01:17:22,000 --> 01:17:26,200 All of us have kind of felt that Khan's just not there any more. 1169 01:17:26,280 --> 01:17:28,400 - Yeah. - Okay. 1170 01:17:28,480 --> 01:17:32,360 And I just don't feel that he's going to be. 1171 01:17:38,320 --> 01:17:41,560 Should I continue? Yeah? 1172 01:17:41,640 --> 01:17:44,800 You put your thumb up if you want me to continue. 1173 01:17:45,960 --> 01:17:47,280 This one. 1174 01:17:48,200 --> 01:17:50,280 Try really hard. I know. 1175 01:17:50,640 --> 01:17:54,760 I know you're trying. C'mon. 1176 01:17:56,160 --> 01:17:57,720 Move this one. 1177 01:17:58,560 --> 01:18:03,440 I'm very discouraged about the therapies being cut. 1178 01:18:03,520 --> 01:18:07,400 What I'm hearing's you're giving up. That's what I'm hearing. 1179 01:18:09,000 --> 01:18:11,600 And of course, I don't want to hear that, but... 1180 01:18:13,080 --> 01:18:15,560 if you're not trying anything new... 1181 01:18:17,200 --> 01:18:20,120 what else are you doing? I don't have that option. 1182 01:18:21,520 --> 01:18:23,040 Look at me. 1183 01:18:24,320 --> 01:18:27,760 Open your eyes more, c'mon, and look at me. 1184 01:18:27,840 --> 01:18:31,080 Do you wanna look at some pictures from a couple years ago? 1185 01:18:31,280 --> 01:18:32,480 Look. 1186 01:18:34,440 --> 01:18:36,240 Do you see Brendan? 1187 01:18:38,080 --> 01:18:41,880 And Sean. Both of you guys, what're you doing? 1188 01:18:42,920 --> 01:18:46,880 I think you're playing PlayStation, right? Yeah. 1189 01:18:51,200 --> 01:18:53,800 I just miss him so, you know? 1190 01:18:59,720 --> 01:19:03,360 Sean has to get better. I... better than this. 1191 01:19:03,440 --> 01:19:07,000 He has to improve. This is just an unacceptable state... 1192 01:19:07,280 --> 01:19:09,720 to expect anyone to be in. 1193 01:19:11,280 --> 01:19:13,840 This is stuck in the middle of nowhere. 1194 01:19:16,360 --> 01:19:19,920 I've often said he has to get better or he has to get worse. 1195 01:19:21,880 --> 01:19:26,200 When we were at Kessler, I remember there was a young girl across... 1196 01:19:26,280 --> 01:19:29,600 the hall from Sean who died one night. 1197 01:19:29,720 --> 01:19:32,920 The doctor told me the next day, I said, "I feel so bad for the mom". 1198 01:19:33,000 --> 01:19:36,560 And he said, "Well, you don't know who the lucky one is here". 1199 01:19:37,040 --> 01:19:39,320 And it didn't makes, that comment didn't make sense... 1200 01:19:39,400 --> 01:19:41,480 but I knew it stuck with me. 1201 01:19:42,000 --> 01:19:43,800 It's a lot harder. 1202 01:19:44,960 --> 01:19:47,000 I have no doubt about it. 1203 01:19:50,800 --> 01:19:52,920 See what happens. 1204 01:20:02,200 --> 01:20:04,520 Been like this forever, right, Sean? 1205 01:20:07,360 --> 01:20:10,840 Sean, talk to me. Sean! 1206 01:20:12,680 --> 01:20:14,160 I love you. 1207 01:20:56,800 --> 01:20:58,840 Hey, you want to get up and walk? 1208 01:21:01,440 --> 01:21:03,240 Tom, what's wrong? 1209 01:21:20,000 --> 01:21:23,160 We'll try the parallel bars. 1210 01:21:28,240 --> 01:21:29,720 How are ya? 1211 01:21:30,800 --> 01:21:32,680 Tom, are we walking? 1212 01:21:33,440 --> 01:21:34,960 Are we gonna walk? 1213 01:21:35,920 --> 01:21:37,280 Maybe? 1214 01:21:37,880 --> 01:21:39,320 Alright, we'll try. 1215 01:21:47,720 --> 01:21:50,240 - Do you wanna do something different - No. 1216 01:21:50,320 --> 01:21:52,560 - Do you want to do exercise? - No! 1217 01:21:52,640 --> 01:21:55,400 Okay! 1218 01:21:58,760 --> 01:22:01,600 Tom, this is so we strengthen your legs. 1219 01:22:03,600 --> 01:22:07,000 I can't. I can't try. 1220 01:22:17,640 --> 01:22:19,520 - Do you wanna do anything? - No. 1221 01:22:19,600 --> 01:22:22,680 - Then you can go if you want. - Fuck off. 1222 01:22:30,560 --> 01:22:33,520 It's a brain injury. We just, we don't know. 1223 01:22:33,600 --> 01:22:38,000 We don't know if he's stuck, if he's gonna keep going the way he's going. 1224 01:22:38,080 --> 01:22:42,160 It's a whole new world. 1225 01:22:42,480 --> 01:22:44,160 Herb and I talk about it. Tom was going to take... 1226 01:22:44,240 --> 01:22:47,240 the business over next year. He was going to retire. 1227 01:22:48,840 --> 01:22:50,240 We don't know. 1228 01:22:52,440 --> 01:22:56,400 He's certainly not retiring. Not for him. 1229 01:22:57,920 --> 01:23:00,280 So we don't know. 1230 01:23:00,680 --> 01:23:03,960 As well as Tom is doing... 1231 01:23:04,320 --> 01:23:06,480 is he gonna recover completely? 1232 01:23:06,600 --> 01:23:11,000 It's in God's hands, and Tom's. We don't know. 1233 01:23:11,080 --> 01:23:15,800 They have to. That's how you're gonna get better and then come home. 1234 01:23:15,880 --> 01:23:17,960 Okay? No? 1235 01:23:18,040 --> 01:23:19,880 How're you gonna get better? 1236 01:23:20,520 --> 01:23:22,760 Are you gonna get better on your own? 1237 01:23:30,360 --> 01:23:32,200 Can you talk to me? 1238 01:23:33,600 --> 01:23:38,160 They tell us that we have to let him do it. And we know that. 1239 01:23:38,560 --> 01:23:41,320 But when you see him struggling... 1240 01:23:41,400 --> 01:23:44,000 the first thing you wanna do is pull him along. 1241 01:23:44,720 --> 01:23:48,480 It helps us, but it doesn't help Tom. 1242 01:23:49,920 --> 01:23:53,240 I've had a couple of my friends say, "Well, why don't you bring him home?" 1243 01:23:53,320 --> 01:23:57,160 I want to. It's not gonna help him, because he needs to be here. 1244 01:23:57,240 --> 01:23:59,040 He needs the therapy. 1245 01:23:59,120 --> 01:24:02,560 He needs to learn how to deal with... 1246 01:24:02,640 --> 01:24:05,520 any type of disability that he may have. 1247 01:24:06,840 --> 01:24:10,000 But I'd love to fix up his room at home and bring him there. 1248 01:24:10,160 --> 01:24:11,960 What mother wouldn't? 1249 01:24:24,640 --> 01:24:27,400 This is a pretty rare syndrome, period. 1250 01:24:30,120 --> 01:24:34,400 So he, diagnosis is central deafness? 1251 01:24:34,520 --> 01:24:37,840 It's peripheral as well as central. 1252 01:24:41,000 --> 01:24:43,040 Is there a possibility that can heal? 1253 01:24:43,120 --> 01:24:46,480 I mean, are we too far along that at this point you could say... 1254 01:24:46,560 --> 01:24:48,560 - No it's not gonna get any better? - This here's where I think... 1255 01:24:48,640 --> 01:24:52,400 you fall back on, behavioral changes that he's showing. 1256 01:24:52,480 --> 01:24:56,280 - And he's showing changes. I mean. - We've to find a way to help him. 1257 01:24:56,360 --> 01:24:57,800 Be willing to work with that. 1258 01:24:57,880 --> 01:25:01,480 But I'm thinking that that's the positive. 1259 01:25:02,760 --> 01:25:04,280 So. 1260 01:25:07,560 --> 01:25:12,120 You know Lynda. You know how private she is. She's probably exhausted. 1261 01:25:12,200 --> 01:25:15,600 She's an incredible, amazing young woman. 1262 01:25:15,680 --> 01:25:20,440 She loves my son, and he loves her. So. 1263 01:25:29,520 --> 01:25:33,160 It's upsetting because, you know, he's not... 1264 01:25:33,920 --> 01:25:38,200 gonna hear music tomorrow, or you know, things like that, but... 1265 01:25:40,800 --> 01:25:44,640 I just don't see it as the end of the line. 1266 01:25:51,600 --> 01:25:56,880 I just feel like there will be some way to, you know, help him. 1267 01:25:57,720 --> 01:26:00,520 I just... I don't accept it as the final word like... 1268 01:26:00,600 --> 01:26:05,160 "This is it. You're gonna've to live with this for the rest of your life." 1269 01:26:30,920 --> 01:26:33,480 - Where's your calendar? - It's right over there. 1270 01:26:33,720 --> 01:26:36,320 What're you gonna do Saturday when you get home? 1271 01:26:36,400 --> 01:26:38,200 - Hug you. - And? 1272 01:26:38,280 --> 01:26:42,000 - Sleep in my bed. - Yeah! Look at me, Roxy. 1273 01:26:42,080 --> 01:26:44,680 When you go home, you're not gonna see that nice handsome boy... 1274 01:26:44,800 --> 01:26:46,400 who works here. 1275 01:26:46,640 --> 01:26:48,840 You're gonna have to come and visit him. 1276 01:26:48,920 --> 01:26:51,320 - No. - Remember you've to get his number. 1277 01:26:51,400 --> 01:26:53,680 Roxy, are you gonna get his number before you leave? 1278 01:26:53,760 --> 01:26:56,400 - I want to. - What's his name? 1279 01:26:56,480 --> 01:26:59,560 - I don't know. - You better ask the nurses to get... 1280 01:26:59,640 --> 01:27:01,880 the phone number for you. 1281 01:27:01,960 --> 01:27:04,480 Are you gonna call him from the house? 1282 01:27:04,560 --> 01:27:06,680 What're you gonna say to him? 1283 01:27:07,000 --> 01:27:08,800 Hi, cutie! 1284 01:27:11,360 --> 01:27:13,240 - Move here. - Okay. 1285 01:27:14,240 --> 01:27:17,000 And we're here, right? She tends to shoot back. 1286 01:27:17,080 --> 01:27:19,200 - But I love you. - Okay. Listen. 1287 01:27:19,280 --> 01:27:21,040 - I love Shannon, and I love... - Can you look at me? 1288 01:27:21,120 --> 01:27:22,840 - You've to hold her legs like that. - I need you to lay down... 1289 01:27:22,920 --> 01:27:24,920 - That's it. - let mom try that, okay? 1290 01:27:25,000 --> 01:27:27,400 I know not everybody can do it. 1291 01:27:27,480 --> 01:27:34,320 I just rounded up enough people and support that I can do it. 1292 01:27:34,920 --> 01:27:37,280 - And now pushing... - I stopped working. 1293 01:27:37,440 --> 01:27:44,640 I'm living off money that my mom and my brother gives me... 1294 01:27:44,720 --> 01:27:47,080 and some money that I had. 1295 01:27:50,040 --> 01:27:54,800 I can hold on for another five six months on my own. 1296 01:27:54,960 --> 01:27:56,240 - I love you. - I'm gonna make it work! 1297 01:27:56,320 --> 01:27:59,040 We're not going to go anywhere, we're just gonna lift straight up... 1298 01:27:59,120 --> 01:28:00,680 - let's see if you have her, okay? - Okay. 1299 01:28:00,760 --> 01:28:03,960 - You count for me. - One, two, three. 1300 01:28:04,200 --> 01:28:05,920 Oh, my god! 1301 01:28:06,000 --> 01:28:07,520 - No way, mama. - Okay, you're doing all back... 1302 01:28:07,600 --> 01:28:09,360 - Right. - and you're gonna end up either... 1303 01:28:09,440 --> 01:28:12,200 being very sore or you're gonna pull a muscle out or hurt yourself. 1304 01:28:12,280 --> 01:28:14,800 Do you've many family members taking patients home at this stage? 1305 01:28:14,880 --> 01:28:17,000 Not at this stage. 1306 01:28:17,760 --> 01:28:20,600 She really feels she needs to do it, and I just... 1307 01:28:20,680 --> 01:28:23,520 it's hard to get the intensity of therapy... 1308 01:28:23,600 --> 01:28:26,880 that she needs right now, but it's doable. 1309 01:28:27,600 --> 01:28:31,840 Many ways to skin a cat, as my mother used to say. 1310 01:28:32,440 --> 01:28:35,240 This is just a very tough way of doing it. 1311 01:28:47,560 --> 01:28:49,920 Okay, I'm just loading things up, we're all set to go. 1312 01:28:50,000 --> 01:28:53,440 Alright, Steve, I think we're okay here. 1313 01:28:53,520 --> 01:28:57,920 We just passed our two-year anniversary date of his injury... 1314 01:28:58,000 --> 01:29:00,720 It's just time is starting to weigh a little heavy on us. 1315 01:29:01,640 --> 01:29:04,680 Three, two, four... 1316 01:29:07,360 --> 01:29:12,160 So you can see all this black is loss of tissue... 1317 01:29:12,440 --> 01:29:15,720 This is the very damaged portion... 1318 01:29:15,800 --> 01:29:18,520 of the left hemisphere, which happens to overlie... 1319 01:29:18,600 --> 01:29:20,440 the language area of the brain. 1320 01:29:20,520 --> 01:29:23,640 We're looking for red and yellow activations... 1321 01:29:23,720 --> 01:29:25,160 to show up around this area... 1322 01:29:25,240 --> 01:29:28,000 'cause these are the temporal lobes where language lives in the brain. 1323 01:29:28,080 --> 01:29:29,600 We don't see it. 1324 01:29:29,880 --> 01:29:35,040 So whatever residual tissue for language processing he might have... 1325 01:29:35,120 --> 01:29:38,200 is not activating when he's listening to your voices. 1326 01:29:38,800 --> 01:29:44,800 So the, what's the best way to do this now? 1327 01:29:51,240 --> 01:29:54,840 So again we're at the same spot. 1328 01:29:55,720 --> 01:30:00,520 And we should be seeing activation here and here essentially. 1329 01:30:00,600 --> 01:30:03,640 But we don't. So in fact, there's agreement... 1330 01:30:03,720 --> 01:30:05,880 between the two analyses that he's not... 1331 01:30:05,960 --> 01:30:09,520 activating the language area in response to the voices. 1332 01:30:09,600 --> 01:30:12,280 The right remains a mystery. 1333 01:30:12,360 --> 01:30:14,560 That's that. 1334 01:30:15,400 --> 01:30:18,000 So I mean, I think it's good that we did it. 1335 01:30:18,080 --> 01:30:20,880 I mean, it does give us information about that left side... 1336 01:30:20,960 --> 01:30:26,360 you know, that it is really down. You know, it is really down. 1337 01:30:26,720 --> 01:30:28,280 Beyond that... 1338 01:30:29,320 --> 01:30:33,000 you know, I think it's just speculation. 1339 01:30:33,840 --> 01:30:35,520 So where does this leave us? 1340 01:30:35,600 --> 01:30:41,080 You know, I don't I think it changes our impressions up to this point... 1341 01:30:41,160 --> 01:30:44,800 which we know have been... 1342 01:30:44,880 --> 01:30:49,760 most consistent with vegetative state. 1343 01:30:50,960 --> 01:30:52,320 So... 1344 01:30:54,200 --> 01:30:55,840 what are your thoughts? 1345 01:30:58,680 --> 01:31:00,320 I have none. 1346 01:31:01,320 --> 01:31:03,040 I think this is... 1347 01:31:03,320 --> 01:31:05,720 probably the best we could've done at this point. 1348 01:31:07,200 --> 01:31:09,320 - Alright? Okay. - Thank you. 1349 01:31:10,360 --> 01:31:11,840 - Alright. - Thanks, Joe. 1350 01:31:11,920 --> 01:31:13,480 - Yeah. - Thank you. 1351 01:31:13,560 --> 01:31:14,760 Sure. 1352 01:31:18,480 --> 01:31:19,800 Alright, have a good evening. 1353 01:31:19,880 --> 01:31:21,160 Thank you. 1354 01:31:22,160 --> 01:31:25,560 Do you mind if we stay with you guys for like fifteen more minutes. 1355 01:31:25,880 --> 01:31:28,720 I think I sort of want to be alone. I'm sorry. 1356 01:31:28,800 --> 01:31:32,040 I think it's the first time I've ever said that to you. 1357 01:31:32,120 --> 01:31:34,000 So if it's okay. 1358 01:31:34,160 --> 01:31:35,320 - Thank you. - Thank you... 1359 01:31:35,400 --> 01:31:37,440 - Alright. - for the care. 1360 01:31:37,520 --> 01:31:39,360 - Bye-bye. - Bye-bye. 1361 01:32:08,960 --> 01:32:13,160 You know, with going this long without showing clear evidence of... 1362 01:32:13,240 --> 01:32:15,160 conscious behavior... 1363 01:32:15,240 --> 01:32:18,800 he's a traumatic injury, so he gets a longer window for recovery... 1364 01:32:18,880 --> 01:32:22,640 but that window starts to close... 1365 01:32:22,720 --> 01:32:25,400 starts to close, you know, at a year. 1366 01:32:25,480 --> 01:32:28,440 So, and he's past a year, and we still can't show... 1367 01:32:28,520 --> 01:32:31,320 clear evidence of conscious behavior. 1368 01:32:31,440 --> 01:32:33,720 And then his scans don't help that picture. 1369 01:32:33,800 --> 01:32:38,720 So I mean, I think it's a definite possibility that... 1370 01:32:38,800 --> 01:32:41,920 you know, he is at the end of the line now. 1371 01:32:42,160 --> 01:32:43,520 But, you know. 1372 01:32:49,840 --> 01:32:52,400 You know, so, and again, I think they're doing... 1373 01:32:52,480 --> 01:32:55,200 - as well as they can do with this. - Yeah. 1374 01:32:55,280 --> 01:32:57,680 You know, what do you do? If you come to that point... 1375 01:32:58,520 --> 01:33:02,320 you know, and you just decide that's it forever... 1376 01:33:02,800 --> 01:33:04,560 then what is your next step? 1377 01:33:06,400 --> 01:33:07,560 So... 1378 01:33:19,040 --> 01:33:22,200 We're going to the wake for Al-Khan. 1379 01:33:24,720 --> 01:33:27,680 It seems very strange to be going to his wake... 1380 01:33:27,760 --> 01:33:30,800 even though it was certainly time for him. 1381 01:33:31,000 --> 01:33:36,320 I just was feeling guilty that perhaps I had instilled... 1382 01:33:36,400 --> 01:33:40,520 some sort of false hope that they couldn't let go. 1383 01:33:41,680 --> 01:33:47,400 And that they were misinterpreting perhaps things that... 1384 01:33:48,560 --> 01:33:53,760 I had originally been quite positive about as things... 1385 01:33:53,840 --> 01:34:01,360 that were maybe meant more than I think they did in the end. 1386 01:34:11,480 --> 01:34:14,640 I just want to let them know that we cared and... 1387 01:34:16,160 --> 01:34:18,120 I hope they don't think it's... 1388 01:34:19,000 --> 01:34:21,520 sometimes I think that families think it's a little bit strange... 1389 01:34:21,600 --> 01:34:24,000 when I come to their services. 1390 01:34:30,280 --> 01:34:32,760 - Al'Khan Edwards. - Yeah, he's right down here. 1391 01:34:32,840 --> 01:34:34,200 - Okay. - Are they expecting you all? 1392 01:34:34,280 --> 01:34:35,280 - Yeah. - They are? 1393 01:34:35,360 --> 01:34:36,680 Yes. 1394 01:34:43,360 --> 01:34:46,680 - You most beautiful. - He looks so handsome! 1395 01:35:05,640 --> 01:35:07,120 I know. 1396 01:35:19,560 --> 01:35:22,160 - Can I do anything for you? - No. 1397 01:35:22,240 --> 01:35:23,600 Bless you. 1398 01:35:23,680 --> 01:35:27,880 It's been a privilege. 1399 01:35:28,320 --> 01:35:30,680 You're a wonderful person. 1400 01:35:31,400 --> 01:35:36,640 I'm sorry you've had this outcome. Thank god he's peaceful now. 1401 01:36:04,040 --> 01:36:06,240 Wanna go backwards? 1402 01:36:06,320 --> 01:36:07,560 Yeah. 1403 01:36:08,800 --> 01:36:11,440 - Thank you so much! - You're welcome! 1404 01:36:14,680 --> 01:36:17,320 - What happened to me? - You know what happened. 1405 01:36:17,400 --> 01:36:20,520 - Why today? - The truth is you already know. 1406 01:36:20,600 --> 01:36:22,760 - You know what happened. - The truth is we... 1407 01:36:23,760 --> 01:36:25,520 Alright, Roxy, we're gonna pull you over. 1408 01:36:25,600 --> 01:36:26,640 - Don't be scared, okay? - Don't be scared. 1409 01:36:26,720 --> 01:36:28,680 - One, two, three. - Three! 1410 01:36:28,760 --> 01:36:30,720 - There we go. - Okay. 1411 01:36:30,800 --> 01:36:33,960 - Alright. Thank you, guys! - You're welcome! 1412 01:36:34,040 --> 01:36:36,240 Aren't you gonna tell him... 1413 01:36:41,080 --> 01:36:43,240 - Thank you. - You were looking at his eyes... 1414 01:36:43,320 --> 01:36:45,640 when you go, "You've pretty blue eyes." 1415 01:36:45,720 --> 01:36:47,440 You see the balloons? 1416 01:36:47,520 --> 01:36:49,040 Welcome home for good! 1417 01:36:49,160 --> 01:36:50,520 Do you see your name up there? 1418 01:36:50,600 --> 01:36:52,440 Welcome home, Roxy. 1419 01:36:52,560 --> 01:36:54,280 Boy, you have good eyesight. 1420 01:36:54,360 --> 01:36:57,240 - Can you, how about that one? - I think it got better. 1421 01:36:59,760 --> 01:37:02,400 They coming for Roxanne. 1422 01:37:02,560 --> 01:37:04,720 We love you very much. 1423 01:37:05,040 --> 01:37:08,000 - You're doing really good. - Am I home for good? 1424 01:37:08,600 --> 01:37:10,600 I can't walk yet. 1425 01:37:10,680 --> 01:37:13,080 No, but you're gonna walk soon. 1426 01:37:14,720 --> 01:37:16,720 And what do you want for dinner? 1427 01:37:17,080 --> 01:37:18,880 Chicken Parmesan, pizza, or... 1428 01:37:18,960 --> 01:37:23,040 Or she, I have that, too, but I've got to get it in the oven. 1429 01:37:52,080 --> 01:37:56,160 - Alright? - Don't be stingy with money though. 1430 01:37:56,840 --> 01:38:01,520 Don't' be like every other part of, and you're so sweet. 1431 01:38:05,160 --> 01:38:08,600 Pretty soon it'll be nice and warm, and then we can walk. 1432 01:38:09,080 --> 01:38:11,240 Such a nice tree, isn't it? 1433 01:38:38,880 --> 01:38:40,400 C'mon, Sean.