Hi, I am sorry to have to read your story. Glad you have found this board. The people here have been very helpful. I'm sure you'll find the same as time goes by. My mom had a ruptured aneurysm on March 31 (6 weeks ago). It was a grade 5. What grade was your MIL's?
My mom also had a repair done and was on a ventilator for about 10 days. She was in the ICU for 14 days and then moved to a regular room for about 4 days before being discharged and moved to an acute rehab facility, where she has been ever since. She will be transferred to a sub acute rehab facility on May 20, where she will stay for about 4 weeks before going back to the hospital for a second surgery on the aneurysm. The first surgery coiled the annie and the second surgery will either be a stent with more coiling or a total clipping of the annie. After her 2 night hospital stay (assuming all goes well) she will be sent back to the sub acute rehab center for more time there. We are anticipating she will then be sent home some time after that.
As for how she is and what her milestones were thus far:
She was on a ventilator for about 2 weeks. It was a necessity for about 9 of those days. The rest of the days they kept her on it because they thought she might "forget" to breathe. She was very lethargic, and not very alert.
When they took her off the ventilator they kept the feeding tube in for about 5 days after that. Even now, 6 weeks later, her appetite isn't terrific, but she's not starving. There was a time when she went a few days in a row only eating a little apple sauce.
She is still eating finely chopped foods only because with TBI folks chewing can sometimes go on FOREVER. And they have to be coaxed into swallowing. My mom is getting better at it but she still wears herself out at every meal with the inordinate amount of chewing she does with every bite. She can feed herself a few bites but not much more. I think it's too exhausting for her.
My mom is moving all parts of the body but she can still not independently roll over in bed or sit up. She is not walking. The therapists put her into a weight bearing sling on wheels which supports her as she takes up to 100 steps int he hallway. They have her sitting up at the edge of the bed for 40 minutes a day unassisted, and sometimes she tips over. It's a work in progress.
She is speaking pretty normally now, but half of what comes out of her mouth makes no sense. By that I mean, for example, she thinks my brother had an aneurysm in January and will also need surgery next week. She thinks her 7 year old grandson is really an older boy who is engaged to be married soon. On the flip side, she asks very pointed questions about the upkeep of her house and other family affairs. Complete with detailed hard-to-pronounce names.
She was put on a neuro stimulating drug last week that helps improve initiation, alertness, and memory. It has made a world of difference for her. Before that she was only on her game maybe once a week for an hour or two . Now she can concourse for several hours at a time and is completely alert for a good portion of the day.
I agree with the medical staff's assessment of one step forward and one and a half back. It is a test in patience and endurance that I have never before had to endureā¦and I have twin children =)
Good luck to you and your MIL. If I haven't addressed a specific area you're interested in, please just ask. It's a long road but you will be amazed at the milestones when they do happen.
CJ