History:
Information below is OUR interpretation of Jess's condition, as obtained through observation and talks with hospital staff. It in no way represents any guarantees or conclusions by attending medical professionals ... May 25, 2002 2:30 am, Saturday for those of you who don't already know, Jess was hit by a car causing a leg fracture and severe blow to the lower left back of his head. He was quickly transported to the trauma unit of San Francisco General by Tod who was first on the scene and instrumental in getting Jess the immediate care he needed, and getting him quickly to the trauma unit via ambulance. Charles, a social worker at SF General, immediately contacted us, greeted us at the emergency room, and provided comfort and information. At the trauma unit, Jess was immediately taken into surgery by Dr. Larson, a neurosurgeon, who removed part of Jess's skull, a normal procedure to release the pressure building on his brain. He was then transferred to I.C.U. where he is now in critical but somewhat stable condition. He is in a non-induced coma, on life support, with a private nurse at his side 24-hours a day. Julio is his first nurse. Inspector Jim Ramsey from the night investigations unit of the San Francisco Police Department, and members of his staff, were on the case immediately (3 am), and were able to locate the hit-and-run car. Jim, along with Inspector Hall, and officer John Mulkern are all following up on the event. We are thankful for their professional and thorough efforts. May 25, 2002 6am +, Saturday May 25, 2002 7pm, Saturday Doctors advised that the next three days are very critical in his recovery. We understand that during this period of time the brain will respond to the trauma by swelling and will then hopefully begin returning toward normal. As he begins to come out of his coma, they will know more about the extent of his injuries. We will post this information daily. May 25, 2002 6 -9pm, Saturday May 26, 2002 6:45 am, Sunday Cranial (brain) pressure has remained at reasonable levels throughout yesterday and throughout the night. This is the goal everybody is now working toward to maintain quality of life for Jess and pave the way toward reasonable recovery. We appreciate all your prayers and thoughts ... Personally, in the short term, We are trying to visualize keeping Jess's brain pressure low ...
May 26, 2002, Sunday morning visit ...
May 26, 2002 10pm, Sunday We are in the middle of the 72 hour critical period where Jess's brain is expanding on its way toward hopefully contracting. Seems to us this evening through tomorrow is a critical period. Please help us visualize keeping the brain pressure low... we have a ways to go ... We just talked with Diane, his night nurse, and his brain pressure has gone up slightly, and she has had to drain the fluid twice in the last two hours to keep the pressure at an acceptable level. If it gets to high, they may have to do another operation to remove more skull bone to allow for expansion, but this is only after other options have been exercised. Visualize the brain pressure low ... allow for the expansion ... Please keep the journal email entries on the website coming, the Journal is expanding as we speak... Jess is going to love it. The man driving the car that hit and run Jess, has turned himself into the police. No details yet... Sweet dreams Jess ... we love you and miss you ...
May 27th 3 am, Monday
May 27th 6:40 am, Monday Let us know what you need Jess ...
May 27, 2002 8:41 pm, Monday The day started with a report from Diane that Jess had a stable night, but experienced a collapsed lung (lower area) in the night and was developing a little pneumonia in the lower part of one of his lungs. Upon arrival at the hospital Julio pointed out to us that the sedentary nature of a person on life support sometimes leads to an infection in the lower part of the lungs due to a lighter than normal circulation of air in that area. He said they were removing the resperator periodically and blowing (bagging) air deep into his lungs to help the situation. All seemed well with Jess by the time we arrived. He was also developing a bit of a sinus infection. The day unfolded well. Jess had made it through another critical period, and Julio was kind enough to allow visitor after visitor as he took over the orchestration of life support from Diane. Quite simply put, they are pros. We all felt a hint of Jess's unfolding presence and talked about how he has always been very cautious about how he approaches situations. We concluded that he would appear when he wanted to appear, and would probably be a bit expressive upon arrival. We talked about future BBQs. Last night, Sam and Mollie brought Jess's 1978 Chevy Truck to our house for temporary storage. As we were moving it this morning, we took a picture of it and captured the sound of it starting up as we moved it to another location in the driveway. We put the picture and sound up on this webstie (see "Jess, here's your truck" link above). We took our laptop computer into his room and played it for him. His new dual exhaust mufflers, installed just weeks earlier, rumbled in the room. Suddenly his shoulders moved and eyes fluttered to a larger extent that we had seen previous. Before long, we realized that the short starter motor and rumbling audio sequence was playing over and over. It seemed he was suddenly aware and concerned about what we were doing to his truck. Needless to say, we were elated... Lot of fun, alot of laughs ... Anyway, the consensus is that Jess's trend is positive. His pupils are still not reacting satisfactorily to light, but his aura is quite apparent. All the numbers seem stable and reasonable. No persistent negative turns. We feel a turning point ... He is scheduled for an MRI tomorrow (Tuesday) morning. After the MRI is evaluated, we will be talking with his primary doctor and will let you know. He is also stable enough to be scheduled for surgery to set the bone fracture in his lower right leg on Wednesday. This was put off due to the priority nature of his head injury. Jess's youth, and the professional environment he is in are his saving graces. We were told quite frankly that the situation is serious, and for an older person would have most likely been fatal.
Can't express how thankful and lucky we are,
Kyle is OK with it,
Leo has not been to the hospital yet to see Jess.
A little optimistic? Yes!
The online journal is really growing.
More tomorrow ... May 28th, 2002 6 am Tuesday Just got a call from Tina his new night nurse and Jess had a stable night with some great news - there is some reaction to light in his pupils!!!! She emphasized "slight" but enough reaction that she noticed it!!!!!!!!!!! This is the sign we (and they) have been waiting for ... They are pushing more fluids as he is "dry" and is scheduled for MRI sometime today.
We read the journal entries from you to Jess
each day.
May 28, 2002 9:53 pm, Tuesday Marvin was told back in January that his brother Marco was not going to make it. The odds they gave were 99 to 1 he would shortly no longer be with us ... Marvin's religious beliefs and some other significant conversations proved that the death of his brother was simply not an option. Marco, four months later, is alive, well, and was a source of inspiration to us all today. Jess's doctor today said that discussions
are not longer about death, Nick and Colburn were calling him out
today, Within a few days some roads will begin
to diverge in the woods, Please keep in mind as you read the detailed report following from Kristin Jadrnicek, that nothing was said by the doctor today about death, actual irreversable destruction, or other actual negative happenings. It was all about needing evidence of the process of recovery. Kristin Jadrnicek's report Spoke to Dr. Quinones who is the chief resident surgeon at the
hospital. He said... The staff is looking at Jess on a minute by minute
basis. Things are changing daily and it is impossible to predict what will
happen next. What is true for today may not be true for tomorrow.
Jess has many things going for him... All his vital organs are fine and unharmed from the accident.
Jess can now breath without a ventilator (He is still on one to keep lots
of oxygen going to his brain to help his brain heal). The pressure
in his brain is now, and has continued to The Doctors are working very aggressivly to make sure that Jess's body
is fully supported to give him every possible chance to recover. At the level of three (3) the patient is non verbal, has no eye response, and has no moter response, it is the lowest on the scale. The level of fifteen (15) is a normal, healthy person. This gives the Docs a universal measure to estimate how tramatized the head is. At the time of Jess's admission to the hospital, his number was 4. He had no verbal, no eye movement and only a little motor response. They also found that, upon arrival, he had Hypoxia, that is the level of oxygen in his blood was very low. Given that blood is needed to carry glucose and oxygen to feed the brain, Jess's brain was limited to receiving oxygen for an undetermined period of time. This could have created what is called a secondary brain injury due to the brains lack of oxygen. This they do not know for sure, but consider it a possibility due to the Hypoxia. Typically a brain cannot go more than 6 min. without oxygen. Another concern for the Docs is a condition called Axonial injury.
Until they can perform an MRI they will not be able to tell if Jess's
brain has sustained As for those of you wondering about his leg injury he recieved a broken
Tibia and Fibula bone. The break occured in the middle of his lower leg.
There is a clean break and a deep fracture in the Tibia bone with only
what looks to be a break in the Fibula. The Docs are not going to do
anything to his leg at the moment. They do not want to create a condition
for Jess that could drop his blood pressure and possible create a
secondary brain injury (An injury due to lack of The final outcome of the meeting was that the Doc's said that the odds
were not in his favor. They said that the longer he takes to wake up and
the longer he They did emphasize that they are working on limited information at this time, that they cannot give any predictions good or bad and that anything could happen. They said to NOT GIVE UP HOPE! What they need to see from Jess is more complex movements in his body.
They need him to become responsive to the pain that they give him as a
tester. What is going on is Jess's brain is reconnecting and the Doc's just need to see the signs of response from him and his body. A few more things tomorrow as I want to ask Rivka a few questions for clarity purposes. I love you Jess!!!!!! Hey Jess,
May 29th, 2002 6:30am, Wednesday It's a new day ...
See end of history below for Kristin
Jadrnicek's detailed report of yesterday's conversation with the doctor
and a late night report ...
We need sound bytes in the short run to play
in Jess's ear,
Jack Dakin ... the OMP rising above is the
grafitii you did at our house ... Please
everybody rest assured that ALL email or hardcopy messages you
send, and ALL the journal entries you enter at this website are
presented (read / played for now) to Jess at his bedside daily the morning after
they arrive ... and this will continue ... Off to
the hospital with Jess's Grandma MacLeod and Winifred ... May 29, 2002
6:00pm, Wednesday Upon return the team of doctors and nurses wanted to have a family conference. Basically the CAT scan revealed that 3/4 of his brain appears to be non functional ... and it appears that there is nothing they can do about it. The part effected is the dominant part of the brain. Kristin will provide details in awhile. The bottom line is they feel they can keep him on life support for a few days with the possible aggravation of continued brain swelling, at which time they may have a difficult time controlling the situation. Short of a miracle, there appears to be a fork in the road of recovery. We will be heading up to Bolinas Ridge with friends to see if we can get some hint of Jess's intentions ... If you hear from him, please let us know ... Kristin Jadrnicek's Update:
Hello everyone, here is the update.... Basically it is as
if Jess had a major stroke and it permanently injured the left side and a
quarter of the right side of his brain. The last 1/4 of his brain is functioning
alright. The Docs were not optimistic about his prognosis or his hope for a
recovery. They feel that he will not wake up. KEEP UP THE GREAT PRAYERS AND ENERGY AS WE ARE ALL CONFIDENT THAT JESS IS GETTING THEM What we need to do now is support Jess in the decision that he makes about whether or not he wants to stay with us or move onward. May 30, 2002 7:30 am, Thursday
X-ray picture is top view cross section showing left / right sides of the
brain ... We can remember when Jess fell and got a little cut under his chin (see pic). He got three stiches. He was climbing up the bleacher steps at Tam High and went straight for the ONLY little hole in the bleachers and fell 2 - 3 feet on his chin. We were devastated, and felt like the worst parents in the world ... Among his friends on Bolinas Ridge
last night, Off to be with Jess ... May 30, 2002 11:30 pm Thursday Jess,
Kimo and Elise Jadrnicek felt your presence yesterday, Sweet dreams Jess ... www.t-unnel.com Pool Room Link here's your truck ... (need flash) here's Leo ... (need flash) May 31, 2002 8:00 am, Friday She talked to
Jess's nurse Liz, Off to see Jess ...
May 31, 2002 8:05 pm Friday, Cranial pressure still under medical control, internal injuries still keeping the pressure forces temporarily on hold and waiting to continue when given a chance that Liz will never allow ... Karl and Elise Jadrrnicek revisited Jess and found his life force moving in and up into his chest and head area. They felt a movement also toward the undamaged part of his brain ... Luke and Gregor arranged a mid morning visit from the Tibetan Rimpoche living in Mill Valley, California. He knew Jess and shared barbecues with him. They performed a ceremony for Jess and told us they will be praying for him and would assist him in his journey. It was very comforting to have him there. He confirmed the life force moving into the upper part of Jess's body. They told us to call him when Jess passes and to stay with his body for half a day and he would assist Jess on his journey. Jess's friends: What more can I say, their strength and love continues to grow minute by minute, hour by hour, day by day, 24/7/365 and no doubt, forever ...
May 31, 2002 2:00 pm Friday,
Kristin Jadrnicek's update along with the
roads of decision Jess has before him follows as her time permits this
evening.
Sweet dreams Jess,
Kristin Jadrnicek's Update. The news is short and simple this evening. Since the news about Jess's brain on Wed. there has only been one change. Jess's ICP (cranial pressure) has stabilized to some degree and may not be completely dependent on the Manital (Salt to decrease brain swelling) to keep his ICP down in the future. However, Dr Manley stated that there is no change nor will there be any change for Jess's brain to have any functionality. It is damaged beyond repair or recovery. Given this information the family had a private meeting to discuss the options that were given to us all and what we all think Jess wants for himself . The outcome of that meeting was the peaceful decision to discontinue the ICP medication and to allow Jess's brain to do what it was going to do, either survive working at minimal brain function or to herniated and die due to uncontrollable brain pressure. The decision of what will happen when the Manital is discontinued is now up to Jess. It is the families decision to let nature take its course and be there when Jess decides stay with us or pass onto his next journey. We all believe that Jess would have wanted to donate his organs so when his body functions cease his organs will be donated. Thank you all.......................... June 1, 2001 7:50 am, Saturday
See yesterday and Kristin's update at end of
history below... Off to see
Jess ...
June 1, 2002 10:01, Saturday Jennifer, his nurse was talking to us about getting Jess's dog Leo in for a visit. Deb was saying Leo likes to sleep with Jess, so brining him in would require Leo getting up into the bed with Jess. She seemed to think that might even be possible. Can you believe the support we are getting from this medical team? Jess is heading toward being put on his own physical resources as early as tomorrow afternoon, and as late as Monday afternoon... Friends are visiting, and talking to him, and touching him, and being with him ... contstantly. Jennifer is allowing this, Lori took over from Jennifer at 7pm for the night. Thank you, thank you, thank you for giving Jess every chance to experience the tremendous love that surrounds him right in the middle of a busy I.C.U. Karl and Elise Jadrnicek left for Hawaii,
Sweet dreams Jess ... Right now we have a fire going in the yard with the kindling that Tito cut this summer. What a flame ...
June2, 2002 1:12 am, Sunday June2, 2002 10:24 pm, Sunday Jess is OK!
Mascara streaming down some cheeks,
A touch, a kiss to Jessie’s face,
Is in & out of body Jessie’s plan?
Where do we start, when will it end,
Jess is OK, we have nothing to fear,
Thank you Lord for Your wonderful Beings,
Kimo ( 5/31/02 SFO-HNL) Off to see Jess ....
I was looking for pictures of Jess the other night and came ......Chuck Ford Chuck taught Jess, and us, about "Full Circle" ... Recommended by Nurse Rivka (a truly remarkable Woman)man): SMOTTY\Y
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June 2, 2002 10:26,
Sunday
This is Jess's mom and
somehow I need to express how you all have given us the strength and
courage to go on ...... Kristen left yesterday and I miss you so
very much - you were such a calming force in all this chaos and were able
to make things happen - my sister had to go home to Boston to her girls
and my Mom leaves tomorrow. There are no words..... you have given
us a gift in your presence... Life goes on and I know you all need
to attend to your lives. Kevin carried a picture of Jess into the
sweat lodge yesterday - Mathew ( you will always be Pib to me) graduated
and we stopped by to spend a moment with you all and we are so very proud
of you and what you have done. To have you all spend time on the
mountain with us and hear all the stories and laugh and cry and be
together in the space Jess loved so much is the greatest gift to us.......
We love you all so very much - please be safe in your journeys home and
hold us in your hearts. Jess April 15, 1978 - June 3, 2002 10:10 pm In the latter moments,
Alan P. All of the
emails sent by all of you,
June 7, 2002, Friday
by
Al, Enola, & Matt (Pib) Pond
The feather has flown over
the Big Horn Mountains,
Matthew knows the sacred
meaning of the eagle feather within his Native American Heritage and
respects it.
Deborah slept like a baby in
the blanket
The Eagle Feather was passed
over Jess
We are planning an Indian
Ceremony
We felt so honored ...
June 7, 2002, Friday
afternoon
notice the "crystal carrier"
canvas on the ground,
Thanks for the inspiration
of this wheel of life Chris ...
I was sharing some rice wine
with locals at the tree line,
forever ...
Cremation 6/7/2002 about 9:40 am
June 7, 2002 8:30 pm Jess, I heard you blowing up the valley through the grass before the sun set, as you caressed your parents, giving thanks and honor. There was a calm to your voice while you told them how much you loved them and thanked them for a joyful life And then with the sun about to hit the water, you gathered yourself. For the next hour we got to see you as you have always been and the being you will always be, an angel of light. You filled the sky with your presence with a seldom seen brilliance. Your face in the clouds, your body as yellow blue green light stretching through the clouds to other worlds. The sun long set, you rose up to the oncoming night sky, refusing to cower, refusing to step down. You made the sky a sunrise in a higher horizon. The pulse of your light danced in the smallest of movements, colors shifting until yellows gave way to orange, blues to purple. As you left you sent a deer to your mom and bob's "natural mystic" to your father. Warm winds kissed your parents, telling them you were fine, that the wild mountain time was still alive in your sweet loving heart. And I stood proud to have you as family, and to be taught about how courage and strength that comes with generosity of spirit and love. Thank you dear Jesse, I will look for you often. Kippe - Heather's Father
ftThe sunset lasted over an hour,
June 8, 2002 Saturday
Link to: Chris Searles Site
June 10, 2002 Monday
June 11, 2002 Tuesday
June 11, 2002 Tuesday pm
Earthlings
June 11, 2002 Tuesday am
A raven landed in our
cypress tree,
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