Now that Ray is beyond the transitional phase since being home, his therapies have become all outpatient. This coming week will be Ray’s first full week of these therapies at Brooks Rehabilitation in St Augustine. He has been approved for speech, occupational, and physical therapies three times a week. Nursing and respite aid are still available for home calls on a limited basis as needed. Physician follow-ups for medical and neuro needs are also ongoing to ensure Ray stays healthy. The transition to the outpatient environment is a positive sign that Ray is still on a path of progress. It is also much more likely that his recovery will continue at a good pace with the outpatient resources that are available.
We are seeing that Ray is able to do more by himself in his daily tasks. He is able to tolerate all types of food now and no longer requires water intake through a feeding tube. With luck he should be able to have the tube removed soon. While his tremors are still frequent, they are not a constant and we are doing what we can to work around them. His primary care physician will help us to re-evaluate what is needed to better control the shakiness. Muscle control and movement with the walker are also improving slightly. Ray has kept himself busy with muscle control therapy items and even yoga at the house led by a friend. We were even able to get Ray a bike so that he can ride around the neighborhood.
With the nine month post-accident mark this Thursday, we should start to see Ray becoming more grounded in his situation soon. Depression is inevitable when so much has changed. We are still working to keep Ray uplifted and away from depression. Several of Ray’s friends have done a great job with this by keeping him company and engaging him in positive activities. It will be great friends and a supportive family to help guide Ray when he needs it as he continues his journey through TBI.