On the night of September
27, 2005, Charbel was driving
home from Halifax after writing an exam
to become a personal trainer, when he
had a terrible vehicle accident. By
the time he was freed from the vehicle,
he was unconscious and had very shallow
breathing. It was reported that he was
deprived of oxygen for an unknown period
of time. He was intubated on the scene
and then moved to a local hospital to
be stabilized. He was later transferred
to the city hospital, QEII in Halifax,
Nova Scotia (1hour away).
Charbel
suffered severe traumatic brain injury
with a subdural hematoma and required
an immediate surgery to remove the blood.
The brain continued to swell and the
ICP (Intracranial pressure) kept dangerously
rising. His chance of survival was becoming
very slim at that time so they induced
him into a barbiturate coma to help
and control the ICP. After that attempt
failed, they had a bone flap removed
from the left side. His brain continued
to swell because of subdural collection
of fluids, which also caused an infection
in the brain. They surgically evacuated
the fluids several times but it kept
recollecting, so finally at four weeks
post trauma a peritoneal shunt was put
in place. He developed many infections
while in ICU (pneumonia, etc…).
CT scans showed damage to the brain
and the doctors didn’t give us
much hope for recovery.
Weeks passed by and Charbel remained
in a coma and on a feeding tube. One
eye initially opened at around seven
weeks and then later both his eyes fully
opened. Charbel’s tracheotomy
tube was removed nine weeks after the
accident. He had abnormal posturing
and severe spasticity in both upper
and lower limbs. He responded to painful
stimuli and sometimes to loud noises,
which was very exciting to see and gave
the family hope and belief that these
were positive signs for recovery. Charbel
received physiotherapy 4-5 days a week
on average and OT put casts on his legs
to prevent further deformity. The casts
are now removed but he has splints for
his arms that he wears for several hours
a day to help with his spasticity. Charbel
continues to receive physiotherapy several
times a week, and other treatments such
as massage and acupuncture that help
to relax his muscles.
Back in February, while still in QEII,
Charbel underwent another surgery to
replace the shunt due to a blockage
which caused swelling of the brain.
This problem produced a set back in
his recovery. He was later sent to Windsor
hospital, close to home where he is
still receiving the care he needs. He
also gets physiotherapy, sensory and
body stimulation every day from a friend
who has donated his time and energy
to helping Charbel. Charbel sits in
his wheel chair now for 4 – 5
hours a day. Usually during this time
we like to bring him home so that he
can be close to the family and in familiar
surroundings.
It has been nearly one year since Charbel’s
accident. Charbel remains in a minimally
conscious state until now. It is difficult
to determine whether or not he recognizes
his family and friends, or whether he
understands what we are saying to him
because he cannot yet verbally or physically
respond to commands. But we believe
that he can feel our presence even if
he can’t tell us yet. The rigidity
in his limbs has been reduced, and he
seems to be more aware of his surroundings
and he reacts to certain stimuli. Charbel
often reacts to light, loud noises and
other sounds and smells. (Compare
this with his current capabilities on
the other news pages.)
On Monday September 18th, Charbel underwent
another operation, this time to put
back the bone flap that the doctors
removed last September. So far, everything
seems to be going well, although he
is a little swollen from the surgery.
Charbel is now back in the hospital
in Windsor recovering from the surgery.