Dave ...

I was out of town when this happened, and joined your updates midstream. 
Been praying ever since. Thismorning after reading your latest post, I 
became curious as to what really happened, did a web search, and in the 
process found a picture of Adam and his friend that you had posted. May 
God restore that fine young boy completely.

Tom






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catalina27-talk: Adam Tierney Update 11/06/08






Dear Friends:

     Adam had a good day but it was emotionally draining, too.  Several 
things went very well today.  First, they wanted to take him off the 
ventilator for four hours; however, he did so well that they left him off 
for nine.  So, he breathed on his own with only an oxygen mask loosely 
placed over his tracheostomy opening.  The oxygen level was set at 48% (a 
lower setting) and Adam's oxygen saturation readings stayed consistently 
at 100%. 
     The second exciting thing was Adam's case manager gave us four names 
of physical rehabilitation centers as possible next steps to bringing Adam 
home.  Once Adam is completely weaned from the ventilator and he remains 
medically stable he will probably be transferred to a rehabilitation 
center in about 48 hours.  After getting advice from our friends Donna, 
Cheryl and Rick, and a couple of the nurses at Shock Trauma, we have 
decided to send Adam to the Kernan Hospital.  They are an orthopaedics and 
Rehabilitation Hospital that is used to handling patients from Shock 
Trauma.  So we are getting closer to the 48 hour window before a transfer.
     Third, Adam, so far, has passed his swallowing tests.  He has enjoyed 
blue applesauce and has not enjoyed blue puréed chicken and gravy, 
potatoes, and squash.  Puréed to make it easier to swallow (if not for the 
taste).  Blue so they can make sure he is not aspirating any of it. 
     Fourth, they placed a speaking valve on Adam's tracheostomy and he 
was able to whisper.  It will take a little bit of time for Adam to use 
this without adding to the stress of breathing on his own.  There are 
several reasons why Adam only can whisper from the vocal cords having been 
irritated by the previous breathing tubes to a consequence of his aorta 
surgery.  Everyone feels Adam will probably overcome this.
     Fifth, all drain tubes have been removed from his chest and abdomen. 
His blood gasses were "fantastic."  His strength continues to grow. 
     It has been an emotionally draining day because Adam is very 
agitated.  He has the ICU's version of "cabin fever."  As he continues to 
wake up he goes through stages of dealing with the reality of his 
situation.  Today has been the strong desire to "go home."  It is a very 
common stage that you can hear other patients go through.  However, it is 
hard to look into your son's eyes and tell him, "no, you have to stay 
here."  It was a day of trying to keep him calm.  When the nurse came in 
with a needle and syringe, Dave asked, "What is that?"  "It is for 
anxiety," was the reply.  "Great!"  Then Dave rolled up his sleeve but it 
turned out to be for Adam.
     Over the last several days we have gone over the accident with Adam 
including the death of his dear friend, Jonny.  The medicine he is on for 
pain has kept him in a fog, though we can have conversations with him 
sometimes he does not remember them very well.  Again, a very common 
problem as patients "wake up."
     Pleas continue to pray
          • Adam will not develop any infections
          • He will continue to be successfully weaned from the ventilator
          • His body will grow stronger and his "numbers" remain good.
          • His vocal chords will regain full function
          • For Adam's siblings, Aryana, Ian, and Conor as they deal with 
Adam's absence and the frequency of us being gone.
          • God will bless those attending Adam, especially his nurses 
over the last couple of days: Roy, Brian, Julie, Colette, Ashley, and 
Tasha.
          • That we will represent the love of Christ well to those we 
come in contact with during this journey.
          • For the Bailey's and those at Stevenson University as they 
plan Jonny's memorial service on Thursday, November 13.  Below we have 
included information regarding this.

A verse we shared with Adam is John 14:1 (NIV) where Jesus said, "Let not 
your hearts be troubled, Trust in God; trust also in me."  We share it not 
just to remind Adam about Christ's words but ourselves, too.  It is easy 
to sink into the anxiety of circumstances and we remind ourselves to keep 
our faith focused on Christ.

We thank God for Adam and for each of you.  And thank you for your 
prayers, and kind words and thoughts.

Dave and Lisa


>>On Wednesday, October 15, 2008, Jonathan Bailey, a junior Information 
Systems major, was tragically killed in an automobile accident.  During 
his time at Stevenson University, Jonathan left a positive and lasting 
impact on so many of the students, staff and faculty.  To honor his memory 
and celebrate his life, the University has planned a "Memorial Service & 
Celebration of Life" for Thursday, November 13, 2008 at 12:30 p.m. in the 
St. Paul Pavilion on the Greenspring campus.   Please join the Stevenson 
University Community as we reflect and remember the special way in which 
Jonathan impacted so many of us.<<


     


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