katie berke: survivor of traumatic brain injury

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ktb :: history

[10.22.2005] day 814

It’s same old story: time slips away before I can record all the historical every-day moments of ktb’s journey. Days turn into weeks; weeks turn into months. The ktb up-date has been on my to-do list for so long. So long that I even asked a family friend to do one, but I am still waiting on that one as well. The upcoming ktb fundraiser (santa susana cantina in simi valley on the 23rd of october from noon to 5pm, thanks to the powell family, brycbox productions, mrsd, six different ways, and many others) and the prompting from mr. moccia for an update, put this update on the forefront of the must-get done list, so here is a synopsis:

• kt has finally healed well from her hip-to-jaw bone graft, after several bouts with infections in the graft site requiring screw removals. The good news is that half of the graft took well; the bad news is that half of the graft was lost due to the infections. This means she will need another bone graft surgery.

• as we have been informed, the process for kt to have permanent teeth eventually is a long and winding road (about 2 more years). However, we keep our eyes on the goal and encourage her to not lose heart. one example: it has taken four months just to get the next appointment: meeting with orthodontists for the next step in the treatment plan. Although i do not understand how, they will put on braces to straighten the jaw [remaining] bones. This needs to happen before the next surgeries. then her maxillofacial surgeons will team up and do both surgeries at once: re-align [break] her lower jaw and do another hip-jaw bone graft. I am not sure if they will tackle the skin graft at that time as well, as they need to reconstruct her gums also [jaw bone loss = gun loss].

• a BIG THANKS to CINDY KELLY, the best hygienist, for caring for kt’s teeth and for connecting us with dr. shore.

• the best news is that thanks to Bernie, the press and lead with activism/fundraising efforts originating with mr. moccia, kt has ended up with and “all star team”(according to dr. Redmond, the surgical orthodontist] of specialists to help kt achieve the end result: teeth to eat with. According to dr Redmond, drs. arnell/Tamborello [pioneers in their field as well] /Gunson /Bienstock are the best jaw surgeons in the world! And thank to Bernie, we got connected with them ☺. OUR DEEPEST GRATITUDE AND HEARTFELT THANKS TO DRS: TAMBORELLO, GUNSON, BIENSTOCK. ZWEIG, CHAN, SHORE, and REDMOND. All these outstanding professionals are donating their services to help kt, and doing so with the utmost care and kindness. Our cost for kt’s teeth is now minimal by comparison. I know without any doubt that the universe will repay their kindness and compassion ten-fold.

• these specialists are working together designing kt’s treatment plan, something that fifteen years ago would not have been possible, according to dr. redmond. currently decisions have to be made about teeth #23 and 24. due to the bone loss, they may need to extract those and decide whether a bridge is needed. Once there is a consensus with this, the next step is to begin orthodontic treatment of the mandible, a 6 – 10 month process.

• kt’s neuropsychological testing around her 2 year anniversary/birthday reveals the neuropsychological functioning abilities and challenges. It must be acknowledged that, as with any test, this is but an imperfect tool that serves as a gage. regardless, it helps to understand the strengths and weaknesses, while shedding a light on the rehabilitative needs. the damage to her front lobes is revealed by her compromised executive functioning. This translates into lack of judgement, appropriateness, sequencing, focusing and stamina. These difficulties make it hard for her to engage in life-enhancing activities at this time. Short-term memory is another problem. In addition, her mood affect is labile, meaning it changes suddenly from one end of the spectrum to the other. She can be laughing one minute and crying the next. Or her being sweet as can be nature one minute, to being the rudest, crudest the next [such as sitting in the car honking for 10 minutes]. Btw, this pattern/behavior changes are very common among brain injury survivors.

• her neuropsychologist said that kt having three of the five senses (sight, smell, taste) impaired is significant as every day and every moment she has to compensate for the loss. While she is blessed to have half of her visual field, she is still adapting to that loss.

• In addition, her neuropsychologist explained to me that kt now has transitioned from being a ‘patient’ for the last two years to being a person learning to live with her disabilities. That explains her status of being in a ‘clearing:’ a place of disengagement on one hand, content being home doing a simple, yet structured routine. On the other, moments of realization of lost abilities and physical traits turn into gut wrenching devastating squeals along with desperation.

• the residual swelling and fluid that remains in her brain may explain for some of her other impairments.

• when I finish my thesis [hoping before thanksgiving] I will pursue neuro-rehabilitative treatments for kt, such as hyperbaric and interactive metronome to improve her cognitive/behavioral abilities using her special needs funds, as none of it is covered by insurance. Yet, it is essential if she is to have a rehabilitated quality of life.

It is without a doubt that we are very grateful for the progress kt has made, particularly the physical one. I am thankful for what she can do. I am thankful to those who have helped us along the way. However, I would not consider us lucky, as no one who enters the world of brain injury is lucky as such. Undoubtely, we have learned and grown much. There are many families who struggle with the aftermath of brain injury, each unique yet complex and exhausting. And only those who have walked that path can truly understand, appreciate, and empathize with the daily challenges for survivors and their caregivers. We adapt and do the best we can for our loved ones, but we cannot deny the dramatic metamorphosis of our survivors and how small their world becomes.

ktb status :: [07.31.2005] day 730

it is a bittersweet day. In a fraction of an instant I am in that surreal moment of the first sight of kt’s transformed/mangled/lifeless body. For my other children, my friend Sioux and me july 30th translates into one of those unforgettable, painful, lifelong experiences. For kt, she’ll only know of it through our lenses and senses, except for her realization of her transformation.

I can only speak for my experiences and observations of the effects of this tragic event. My other children have struggled ever so painfully, each in their only way of coping, each differently and in their own time; yet ever so devastating. It becomes one of those events that one avoids talking about the experience itself, as if touching a fire. It turns into something that hurts every time you touch it. specially we don’t tell kt the agony, the struggle we survived along with her, as she laid lifeless and then incoherently life-filled yet trapped in a cage.

I cannot get through this day without thinking about Damion [the driver] and his mother. The hardest thing to swallow is her callous, irresponsible and deceptive conduct with this tragedy. to date, she has failed to give kt the note Damion left for her and the money he had earned to pay towards her restitution [according to both of them, $40,000]. If she’s taken this long, I doubt she’ll ever come forth. It is despicable behavior in my book, and I cannot comprehend how she can live with herself knowing all the lies she told me and then wash her hands off and walk away. Ironically, through the press one of damion’s ex-girlfriend’s contacted us. We have learned [a bit late] that he was a reckless, abusive guy who destroyed anything that came into his life. Yet the mother who controlled and protected him claimed him to be a saint who “would not hurt a fly”. That is a worse injury than living with the effects of tbi and all of kt’s challenges and transformation. I can forgive, but cannot forget.

On the upside, I look at kt on this day, and I am so grateful for the remarkable progress she has made. Some 20 months ago I brought her home in a wheel chair, and she was unable to do anything for herself. She could not walk, could hardly speak, could not feed herself, simply could not do anything for herself. Now she can walk, talk, groom herself, and now [finally!] she is even ‘potty trained’ again. I know that when this happened [may] it was a great sense of relief for her as well. Imagine being 23 and needing diapers [and being aware of it]. she loves playing scrabble, likes sending and getting emails, and enjoys our daily walks.

We celebrated her second birthday surrounded by new friends/acquaintances, except for her siblings and dr. donna, who we have met through the brain injury support group [h.u.g.s] I started with shawn f. it felt good to be among caring people, who understand the ups and downs of brain injury. While all of our stories are unique, the similarities bind us together for the common good. And while all, except for a handful of kt’s friends have disappeared, I take comfort in knowing that those who are around us are loving and caring people.

Better days are ahead. This I know. Magic moments exist amidst frustrated ones. And welcomed, warm surprises, such as buddy, are upon us. The best is yet to come…we will rise triumphantly and for the good of all.


[06.14.2005] day 684

june 12, 2005
this saturday, my other friend, ryan a., (ryan n. is my boyfriend who is away at casa colina near victorville!) could not make it to my house sadly, but i am a survivor of crap by the dozens so i am alright. i now know that i will see my elder sister, amie, and her nice boyfriend, burke, for my birthday next month on july 9th @ 6 p.m.i will be turning 24! this year. my boyfriend will be gone this one year for my birthday and his own in december. my man is pretty much two years older than i am, so there! i am currently listening to an album i entitled, "post bjork." it is so dang great! she has a song that goes, "shhh! shhh!" i just think it's perfect! pure talent!

june 10, 2005
smile was said to mend. i'm thinking everything's a feeling. thank you for always staying.
i won't give up on you. thank you for always staying. i think that maybe i'm in love.

june 8, 2005
my afternoon was not the usual great sadly. i had a mini-drama. i was at, "life skills" in thousand oaks, a whole town away from me, then my dial-a-ride lift did not show up! so then i called my home to ask my dear mama what i should do! she suggested that i called dial-a-ride, so i did. here's where my trouble started. i spoke with some gentleman who told me that my ride was there 15 minutes prior to then. i said, "no; i am still where i am; where i need to get away from." he said, "we can't give you a ride for another 45 minutes." i said, "no thank you! i have to go now!" i wound up getting my ride home from terry, from the department of rehabilitation. this afternoon, she taught me how to walk with my cane where there is dirt and gravel. i learned to raise my cane an inch from the ground. my boyfriend left thousand oaks yesterday for lucerne valley, which is 2 1/2 hours to 3 hours away from where i am. he will be gone for 6-8 months! he is in residential living at casa colina. he will be gone for my birthday, his birthday, christmas, and new year's. i am such a drama queen! i have just experienced a bad afternoon.

~katherine the qt

[06.07.2005] day 677

» ktb article 006: ventura county star 004
» ktb article 006: the acorn 002

ktb's poems
i don't need to focus on what i do;
i'm lucky not to :)
i was sent from heaven just for you.
i believe in love.
i sure feel lucky when i'm next to you.
don't i deserve a visit from you?
tell me when i've said too much.
you couldn't ask for anything more.
you've got what you need.
you are so special to me.
you mean the world to me.
thanks for what you've done for me.
it won't always be easy.
i wish i could take back the cruel things i've done.

do you see what i see?
why do we live like this?
i’m sorry that we do this.
it’s magic time, isn’t it?
come closer.
be yourself.
enjoy sweet sensations.
respect others.
survive all the damage done.
know the right way.
acknowledge the wrong way.
everything has ups and downs.
how good do you think you can feel?
do you need to be touched?
love is what living is for.
love moments like these.
you need just to be held.
can you?
are you whole?
what do you want the most?
the past is gone.
tomorrow may never come.

april 23, 2005
earlier today, my mama and i were supposed to go sailing; but at the last minute, berney (the man with the boat) calls us up and tells us he cannot take us sailing because of boat storage problems. i rode a horse earlier, like every saturday. riding was very nice. i still have horse hair all over my legs. l ryan, my main man, is not doing so well because he just started zyprexa, which makes him very tired.i miss going to punk rock shows, which made me feel like i belonged more. i even miss going to parties where i would hear a d.j. mix records. those parties made me feel so hip. ryan keeps not going to these things i invite him to. i invited him to ride horses at ride on; and i invited him to go sailing earlier today. i also invited him to spend the night at my house last night, but he was a no-show.

april 28, 2005
i am going to literally get unscrewed next week at my jaw surgeon's office; apparently a screw is causing me to have a terrible upper gum infection, which causes me to get bad breath. i am now on antibiotics thankfully. i am going to get my haircut this saturday in thousand oaks, california.
~kt the q

april 30, 2005
my little sister, christina, drove my brother, shaun, and i to zuma beach because years ago, we scattered my dad's ashes in the ocean at that beach. christina gave us "big league" bubble gum, gummi bears, "junior mints," and peppermint tea bags because all of those treats had something to do with our dead dad. we also rented, "the simpson's" because every sunday at my dad's house we all would watch, "the simpson's." we also ate at the firehouse in the san fernando valley because, you see, we all used to live in the valley.
~kt the qt¹

 

[03.21.2005] day 600

» ktb article 006: ventura county star 003

[03.08.2005] day 587
my ktb update note has been moved from to-do lists for days, weeks, and into months. while it appears to be harder to keep up with all the to-dos, actually it is just the reality. so much has gone on, so much to record, so much to tell, yet time seems ever so slippery. and then again, the context of what is contained in the day–to-day activities, some appear as not-so relevant time-consuming exercises. all boils down to perspective. i try to keep in mind that we are but terminal human beings without a guaranteed expiration date. thus if this were to be my last day, what would be most important? the ordinary can suddenly be the profound- the beauty of a cloud, the softness of a hand, the let’s play a game, and the proverbial i love you.

the last couple of moon cycles of 2004 were filled with waxing and waning of emotions: ktb teetering in darkness as she grasped some of her transformations, discovering some of her scars, realizing some permanent limitations [as the ability to drive]; one moment would be fraught with despair, while the next would be met with a gut-wrench squeal of sheer excitement, then unexpectedly there would be those stabs of rudeness leaving others pondering where that came from. those of us who see her in the comfort of our home day-in day-out know this all too well.

november was exuberant indeed. we were in awe of the community support that mr. moccia, her 6th grade teacher, rallied up. the banyan family certainly knocked our socks off wrapping their arms around us, as did the press and the mail from the community at large. when ktb speaks of wishing to die, i read her a note from someone whose life she has touched just by sharing part of her story. momentarily there is a different perspective. we are all connected indeed. and yet while feeling so alone, so betrayed, so abandoned, the revelation that our community cared was a welcomed shock. it felt ethereal. people whom we had not been in contact for years, suddenly called akin to paying respects, tough this was something like paying ‘sorrow.’

then of course, there has been my schooling- my masters- which has taking a new life for its purpose i no longer know, but i must complete it after such an extensive investment. however, there have been the relentless demands and deadlines, exercises and at times, apparently pointless activities. i fight to keep an open mind, wishing someone could only understand where i am coming from [a ktb daily line]. there is that perspective again. one thing i do know beyond a shadow of a doubt is that my calling is not to be an academician. i am too much of a pragmatic, hands-on activist to enjoy the mental masturbation called for in the so-called higher education. that said, i thank all those who facilitate my masters pursuit. that piece of paper will be of value someday.

the reprieve, joy, reward, and excitement arrived in december: our tickets to chile [thank you angels j]. it had been 16 years since ktb had interacted with her chilean family. back in 2003, the phone lines quickly had connected us at the onset of katie’s premature departure: the wearisome journey of coming back from the dead. as time pased, i needed the comfort of the once-familial and wished to fullfil katie’s failed plans: to go to chile in september 2003 for a few months to get to know her chilean family and celebrate her grandfathers 80th birthday. knowing we cannot ever go back in this earthly realm, at least the desire was making that connection, and yes i looked forward to some much needed time off ktb-care. that trip/journey was magical and thought provoking indeed. the physical distance that has separated this bloodline appeared eternal, then suddenly one appeared and it was real that one existed in that realm, even if in a seemingly temporary fashion. thoughts, attitudes, reactions are all too numerous to mention, all the while the memories are priceless. and yet there was that undeniable need for connection and belonging. each being with its own history, while a part of the fragmented whole.

january 2005. a new year ushers new possibilities, hopes, and dreams. back in the usa, we arrived to good news of our house/home struggle having won a battle to secure our housing needs, at least for the time being. the next focus was ktb’s long-awaited and fought for first surgery towards the goal of her teeth implants. january 26th was the milestone day, and we encouraged ktb through her fears and doubts. the five-hour, seemingly eternal, hip-to-jaw bone graft surgery was another excruciating experience, while christina and i awaited the results in the agonizingly familiar hospital waiting rooms. the sounds, the smells, the discomfort within the hospital walls create an experience that brings up much too much pain and sorrow. meeting the doctors in their scrubs and seeing her limp body whisked by us took us momentarily to that deep, dark place. neither one of us could speak. all we could do was to sit and wait in that god-awful uncomfortable room, chocking back the tears, each trying our hardest to be strong. who in the hell designs those back-breaking chairs?
and then comes the long awaited moment when we could actually see her, and the oh-my-god feeling upon seeing her. at least she was still groggy and feeling no pain. later as the meds wore off and the pain kicked in, it was back to that mode: chasing after hospital staff to ease the pain of your loved one. the doctors warned us it would get worse before it got better. indeed they were right. her face swelled and swelled, as the pain increased and increased. that unwelcome feeling of helplessness revisited, and all i could do was to do my best to be patient, caring and kind, while being a hawk to see to her care. my dear friend berney was a gentle source of prudent, caring comfort (ktb thanks you for the 8 dozen red roses j). i am eternally grateful. her surgeons and their staff were/are heavenly sent indeed. never in my life have i encountered such compassionate and diligent care. those who contribute to ktb’s quality of life are my heroes. once home again, the diligent post-op care was on. ktb continued to be quite the trooper, followed doctors’ instructions diligently, overcame the infection and has healed in a remarkable way again. many thanks and kudos to ktb’s visitors as you always brought out her cheer.

spring is in the air and i rejoice at the coming blooms. robert schoenhofen pulled off a remarkable fundraiser at the alamo in newbury park helping the ktb special needs trust blossom. thank you j. we are so touched by stephen and robert vasquez [alamo’s proprietors] for their willingness to help an individual. in today’s corporate world, businesses only help organizations making it very difficult to fundraise for ktb’s needs. we thank you j. we were in awe once again with the turn out of community support. we thank you j. we are grateful for the bands that came out in support of ktb’s cause. thank you, each and every one of you who participated in this event j. particularly amazing, is/was the support from the motorcyle community. a thing that i once loved-motorcyles- i vowed to never be a part of as ktb lay in a coma. i came to realize that the thing itself was never at fault for katie’s demise. rather it was the driver himself whose fault it was to have driven so recklessly, while taking my daughter’s life, leaving the wreckage behind, and ultimately choosing to abandon any responsibility.

regardless, we continue to push forward, knowing that today is our most valuable day. to that end, each day is filled with ktb life engaging activities, the acknowledgment that i still have three other ‘children’ to care for and who still need me [even if i feel barren], and that for what it is worth, i have got to get my thesis done this year. finally, i’d like to thank each individual who has contributed/helped with ktb’s cause. with your help, we will rise and shine, and we will triumph over this tragedy. we cannot do it alone. i pray for the time when we can create happy memories and the days of sorrow are but a distant past. yes, there will still be the cycles but none as severe as the past decade as brought us. and we will become a voice for this silent epidemic: traumatic brain injury. namaste.

[03.07.2005] day 586
okay… yesterday (sunday), i saw the movie, “constantine” with my friends, shawn and ryan. this weekend, i made several thank-you cards for others who donated money to my good cause, my smile. during the week, i saw my caregiver, lalioni, and i defined the words that she chose and i wrote sentences for each of them. i also played tons of “scrabble” with her and my good friend ryan. i also went to h.u.g.s. (heads up group support) for my normality and for fun. currently, i am listening to a band’s music. the band is “overnight lows” and they are so good! they are somehow from ucla because i’m copying this cd from my friend ryan and he went to ucla.

[03.06.2005] day 585
today katie was making thank-you cards. she said, "i would like to paint a smiley face on the front because they are helping me get a smile, you see." then she said, "its kinda sad, you know, that i lost my smile.. i cant believe i trusted damion." she paused before she spoke his name, as if were too painful for her to utter it.

[02.27.2005] day 578
yesterday was my night at the alamo restaurant here in newbury park. they raised so much money for me happily. christina spent the night last night in the guest room. my old 6th grade teacher, mr. moccia, gave me a greek book this weekend as well.

[02.13.2005] day 564
i am still on my liquid diet. a friend of mine is going into a hospital for brain surgery soon. i did all of the warning that i could. tomorrow, i will go with my mama to camarillo to pick up a pair of new glasses at an optometrist’s office. i still have a difficult time sleeping past 4 in the morning. i panted a bare-root purple rose bush in a pot. purple is my favorite color. not much else is going on in my life currently. i play scrabble in my spare time.

[02.13.2005] day 564
i am currently fighting an infection on the roof of my mouth. i got a prescription to rinse out with for one minute to help me out. i am currently listening to bjork's latest album. it has such good beats. she has such a groovalicious voice to sing with. i am so not looking forward to my lower jaw operation in 4 months. i still admire bjork's voice. ciao!!! -katie bee

[01.31.2005] day 551
katie is back from her first reconstructive surgery. the operation was successful, and she is hanging in there with high spirits. congratulations ktb!!

[01.21.2005] day 541
greetings to all, this is to inform/remind you of our big event coming up next week: on wednesday january 26 at 12:15 pm katie will have her first hip-jaw bone graft surgery performed at goleta valley cottage hospital in santa barbara, california. she is scheduled to be in the hospital two nights. i plan on staying out there. we are most grateful for our community [near and far] support and her oral surgeons for making this step possible through their contributions. needless to say, this is a major surgery. katie has been feeling quite scared, naturally. yet i am helping her focus on the eventual outcome: her top teeth. in addition, she has been feeling very depressed, even suicidal. i reckon in a way it may be due to her progress as she is beginning to acknowledge her transformation. for the time being, she is stuck on the 'i am an ugly freak and my life is pointless' mode. i encourage her to view the remarkable progress she has made, that she is not ugly, and that in time she will feel better. then again, her rehab counselor reminded me that i do not have a clue what it is like to be in her shoes, and to allow the space for some set-backs. i had to humbly acknowledge this truth.

we request your prayers and moral support through whatever means. i am not sure what it will be like post-surgery. i pray for healing and the strength for yet another remarkable victory. i also know that we will need to continue with our fundraising efforts, as in six months she needs the second bone-graft surgery, later the lower jaw surgery, orthodontic treatment, and eventually the teeth implants. we wish you good health and peace :)

with a grateful heart and relentless perseverance,
veronica and ktb

[12.21.2004] day 510
it amazes me how much community support we are receiving. people from all over ventura county-- newbury park to moorpark and california to colorado-- are contributing and it is so unbelievable! every thing counts and nothing goes without gratitude. thank you for your support and sweet words! -christina

[11.28.2004] day 487
recently, family friend and elementary school teacher, raymond moccia brought the newbury park community togetther for the commencment of the smiles for katie fundraiser. the event to gather fiscal support for ktb's jaw surguries was held at our elementary school, banyan, on the morning of november 19th. news reporters attented the event to compose articles in an effort to spread the word of ktb's medical needs. the entire community has been amazingly supportive.

» ktb article 003: ventura county star 002
» ktb article 004: daily news 001
» ktb article 005: the acorn 001

 

[09.23.2004] day 421
against damion's mother's request, i attended damion's memorial service because i needed to do it for myself and my family. since the night he killed himself, i was having haunting dreams about his service, with the urgency that i did not miss it. it took some resourcefulness to find out the where and when as his mother declined my request for the information.

since this whole surreal tragedy took place [july30 2003], as my kids have said, it has all been about damion and his mom. they have neglected the ramifications and impacts for the survivor and family of severe traumatic brain injury. for over a year they have promised to help kt. i am still waiting. meanwhile, i am the one who continues to care for the remains of damion's recklessness. damion's actions imposed excruciating pain, devastation, and hardships upon my family and those close to kt.

i struggled with my choice to attend the service out of concern for leanne, his mom. then i realized that i have been too overly concerned about her and her son's trials, and it was time to make a stand for what i needed to do for myself and for my daughter's memory. i needed to know who was this man who ruined our lives, what was he remembered for? i needed to do what i needed to do to allow me to cope and persevere through this devastating, life altering experience. it was a need that did not justify rationalization.

i shook and trembled walking towards the service; my heart was in my throat. i was scared, angry, and filled with pain. i remembered that i was there because of the effects of the collision damion caused: kt flying off his motorcycle traveling at some 100 mph landing on her face on the 101fwy. i cannot fathom her freight; her anatomical response was urinating in her pants. damion, convicted of multiple crimes, chose his own death instead of the possibility of going to prison. and yet, i felt so awkward as if guilty of something.

i sat at the very end of the chapel, next to the door, in case i had the urge to bolt from there. of course all the speakers said how much they loved damion. they shared how loving he was, how his smile would light up a room, and how he loved to help others. others spoke of knowing he was a troubled soul. but their consolation was that now he was at peace. i wept in silence. my body shook and trembled more. i felt as if i was being stabbed in my heart. i resented not having had the opportunity to have a memorial service for kt. what would her friends and loved ones have said of her? we never got that chance because we have been too busy to care for her remains.

dr. gloria montgomery, a recovering alcoholic who runs the sober living house where damion was this year and officiating the ceremony, said how much damion liked helping troubled youth and that they [who?] would be starting a foundation in damion's name to help other alcoholics. i wanted to get up and shout what about kt? what about helping the victims of alcoholics? she read leanne's statement saying how fitting it was that she would be the to first find him [he was hanging in her garage when she came home]. for years he had told her that he did not belong here on earth and that she had to let him go. leanne wrote that when she found him and took him in her arms, he had the most peaceful look on his face. then she pressed him against her bosom and offered him up to god; she saw him open his arms and receive her son. it was the most peace-filled experience she's ever had. of course i thought, what about kt? was she the sacrificed and forgotten victim for him to have eternal peace? then there was his aa sponsor talking about how he will dedicate things he his doing in damion's memory and how he wished he could have done more. what about accountability for his actions? what about his victim and her family? his step-mom got up and spoke of how much his dad and she loved him; tommy [his dad] just did not approve of his behavior, and they really did not know how bad things were. really? leanne told me she begged his father last october 2nd to call damion for his birthday, as he was really depressed at promises [elite rehab]. she implored that he acknowledge his son existence. tom magglos replied to her, “as far as i am concerned i only have a daughter, and her name is kimberly,” then hang up. i wonder what his dad would want from the perpetrator and his family, if his daughter was in kt's shoes?

to all those who honored his memory and wished they could have done more, i say the only way to repair the damage done is to look after kt's welfare: provide the finances to meet her medical, rehabilitative, and 24/7 caregiver needs, and cover all of my out-of-pocket expenses.

leanne told me that damion left her a note and katie one. she said the one thing damion asked for was to see to it that kt was taken care of. that was his dying wish. i found it peculiar that there was no mention of this [his dying wish] at the service. maybe it is because, as leanne put it, i am/we are too close to the tragedy; she said she cannot bear to see me now because “you remind me of the beginning of the end.” i can easily interpret this as their desire to just forget about kt. in their eyes, she does not exist. she becomes an unpleasantry.

then there is what i remember about damion. about a year before the collision, kt told me she was going out with this chef, grandson of one of the founders of the baja fresh. she seemed smitten by him, particularly because he professed his love for her and wanted to marry her. i cautioned her, “give it a year…” couple of months later, kt had to be rescued from his condo as damion was drunk and became abusive. kt had been recovering from a terrible assault that led to her losing her job, car, etc. thus she either rode her bicycle or was dependent on others for transportation. a family friend drove from the san fernando valley to get kt out of the situation. we spoke of the event at length. i had divorced her sober alcoholic father and had broken the chains from domestic violence. my mantra is, “do not get involved with addicts, recovering or not. the ‘ism' always remains; it takes on various forms. and if you have been abused once, never go back, no matter the promises made.”

kt lived on her own, but would spend weekends with me. she needed the nurturing. yet, regardless how kt was/felt, her mo was always giving the shirt-off-her-back to help others. she was very/naively trusting, kind, and giving. the first time damion called kt at my home, i asked her who that was as i did not understand his name. she replied, “damion.” i said, that sounds more like demon to me.” their relationship had cooled, and then one weekend leanne called kt. she asked for her help as damion was binge drinking in a hotel and would not open the door for her. she had no one else to turn to because damion had no friends left. in a heartbeat, kt agreed to go to his rescue. she knew she could help. i warned her to not go. “he needs help mom, and i know that i can help him.” shortly leanne arrived and whisked her away to rescue her son. as it became evident, for years leanne had been rescuing her son from his self-destruction, while enabling him.

then i recall the last day i saw the kt we all knew and loved. it was saturday july 26 2003. we had a busy day. she had been helping me, and she was bummed because she had not been able to get tickets to go see radiohead. she had tried to see them since high school. it was late afternoon, and we had settled down to watch a movie. the phone rang; it was damion. she had him on speaker-phone, thus i could hear their dialog. damion wanted her to come over to his mom's house where he lived now [after a fire in his condo]. kt declined saying that she was in a bad mood and would not be good company. he persuaded her until kt finally said “fine.” when they hang up, i asked her what was going on between them. she said, “nothing mom, i am just trying to help him. he is working on his sobriety and wants some company. he has no one else. don't worry about me; i'll be fine.” kt had been clean and sober for sometime, after her own battles with addiction. leanne and damion arrived shortly. we had no idea damion's license was revoked because of a recent dui. i walked katie out to the car, and asked her if i was picking her up at their house on sunday, because we had plans to go sailing in santa barbara. leanne responded, “i think she wants to spend time with her boyfriend.” i did not reply. kt cared and loved damion as a friend. i told kt, “call me in the morning if you want to go sailing.” and that was the last time i saw her. usually sunday evenings she would go back to her place, and we would touch base during the week. i am not one to keep daily tabs on my children when they live on their own.

the next time i heard about kt, was that infamous night, july 30th 2003 at 11:45pm, when an officer informed me on the phone that kt was in a collision, and she was in critical condition. i was staying in northridge with a friend as i compressed my work-week to avoid the commute. she offered to drive me. i declined. all i knew was that i needed to get to los robles hospital in a jiffy. i changed into my clothes and took off. i drove fast praying that i would get there fast and safe. i arrived to find two of my kids in the waiting room. then my friend, and later my other daughter arrived. we huddled in despair. the team of doctors informed us of her severe, critical condition, and the uncertainty whether she would live. they allowed us to see her, only by twos. we wailed beside her disfigured and lifeless body. we had no idea what surviving traumatic brain injury entailed.

our lives have been permanently impacted since that horrific night. that day leanne arrived at her house exhausted from coping with her sister's alcohol poisoning aftermath. she had placed her in the sober living house damion would later go to. she told damion to take kt home. kt asked if she could stay another day. leanne needed time alone. i reckon she forgot? her son, even if he did not appear under the influence, was not licensed to drive. she had bailed him out of jail weeks earlier for evading the police and a dui. damion told me that day he had gone to a friend's house by himself where he drunk alcohol. i wonder who that person is? he said that kt had no idea he had been drinking. the aftermath is that the kt we knew and loved is no longer among us. damion magglos and leanne moje returned to me a permanently disabled woman/child who has unmet medical and rehabilitative needs, and requires 24/7 care.

after some fourteen months of promised financial help by both damion and leanne, it has yet to materialize. i remember the many times he promised, “i am going to have a check for you in two weeks. i talked to my grandmother to get the money my grandfather left me in the magglos family trust early. i am not supposed to get it until i am 35, but i want the whole thing to go to kt. she is my kt bear and i love her. i am telling you, i am trying to get you $100,000 for kt's care. just be patient. it is coming, i swear.”

right. i am still waiting.

leanne told me how much damion loved kt, “what 32-year old would sleep with his bible wrapped in kt's boxers? he needs to get sober before he can help her. all he wants to do is to work to take care of kt for as long as she needs it.”

the tragedy is not over because kt's needs still exist. traumatic brain injury lasts a lifetime.

i implore to damion's family and friends to do the right thing by honoring damion's dying wish, step up to the plate, and contribute to the financial means to care for kt.

~veronica

[09.20.2004] day 418
the rollercoaster continues. i knew last week would be a busy one, yet i never fathom another tragic one. the conference with kt's oral surgeons last tuesday was emotional, for me at least. first, the infamous stereo-lithic model ‘worth it's weight in gold' revealed that one of the treatment plans was ‘not feasible due to the severe bone loss.' the caring doctors informed us that ‘the good news is that we know what we can do.' this translates into two hip-maxilla-bone-grafting surgeries: one for height and one for width, each painful process may take about 6 months. then there is orthodontic treatment, lower jaw surgery [re-breaking and re-aligning], eventual implants and finally crowns to bite/chew and eat with. another ‘good news' is that ambitious dr. bienstock figures the treatment plan can be done in 2 years, versus cautious dr. gunson in 3. for me this translates into get the fundraiser in gear now! i need help. please check: ktb needs.

wednesday was a lousy day in small claims court as i attempted to make kt's slumlord accountable for her security deposit. i am not one to defend myself verbally naively believing that my actions are who i am…i do therefore i am….i was not prepared to be personally attacked by both the slumlord and his ex-wife. kt stood by speechless. once again, i am reminded that our so-called justice system is not about truth and justice, rather who can lie and twist facts most assertively. in the end, i was sorry i made the choice to stand up for kt's rights before a court of so-called law, even if i have yet to receive the judge's so-called ruling.

thursday was a day filled with angst; kt was oblivious to it. we were supposed to get a check from leanne, damion's mother, at a doctor's office. it is claimed to be the funds that damion had earned thus far from a movie he was working in plus his private chef fees. the cell phone message informed me that leanne had been delayed, thus the 4pm planned meeting could not take place. she had been called back to the hospital for further testing. around 6:30pm, while kt and i picked up her rx @ longs, leanne called in distress wanting to make sure i had gotten her messages. i confer. she apologized, while crying, as i inquired. she begged that i do not tell her son. i obliged. she had just been diagnosed with malignant breast cancer. thirty years ago she'd beat ovarian cancer. she did not want her son to know because he ‘is so scared [of going to prison] and depressed. i had to give him a couple of xanax and leave him sleeping while i went back to the hospital for further testing. i knew something was up when they wanted me back immediately.” she offered to come to my house when she was done at the hospital to drop off the check, unless i could wait until the next day in court. after nearly 14 months of waiting, i figured what difference does a half-day make? besides i felt so badly for her. the past year alone, her best friend died, and some 6 weeks earlier her brother died. how could i impose? we agreed that i would get the check in court.

around 10pm at night, while i was writing a new court statement for the judge, the phone rang. leanne was crying. she informed me that there would not be a hearing on friday, so do not bother showing up in court. she said that when she got home from the hospital and opened the garage door, damion was hanging and dead. i could not believe what i had just heard, and in stupor, i replied, “you have got to be kidding me.” she repeated her statement while sobbing saying he left her a note and one for kt; the one thing he asked for was for kt to be taken care of. i wonder by whom and how?

i have been in a state of shock and devastation since. i feel simply awful. i cannot ‘function.' reality is surreal; the ‘other' haunts me and taunts me; i am living in a surreal sphere. please oblige me.

i ache for leanne because as a mother i cannot imagine surviving such a scene. while pity is never a comfort, i do feel so sorry for this woman and all the pain she has had to bear. of course, i cannot negate the pain my family has suffered, because kt chose to continue to see damion, and my assumed duties to care for her remains. kt lost her life while trying to ‘save' damion from his alcoholism. according to his mother, this was the first time damion was sober since he was 17 [now 32]. ironic, is it? that kt was the child of an alcoholic, and each of them fought their own battles with addiction. kt now is a ‘strait edge'. the claim is that damion was sober for about a year. the great spirit knows the score. and i am relieved to not have the ‘judge' role. there are those who believe that damion's suicide was a cowardly act. i believe it was a desperate act beyond reason. having become familiar with damion's personal history, i understand why, even if it does not rationalize the act or its consequences, nor does it appease my/our pain, agony, and frustration. he was not capable, nor equipped to cope. i understand the anger and frustration of those impacted by is action. i also understand the act itself. maybe it is only those who have been at suicide's gates who can comprehend the power of pain, devastation, and detachment. since, i have been told that he was a young soul unable to cope. our soul's journey is beyond our limited human comprehension/logic. i can take on some of my children's fury out of sheer devastation, and yet i know i am not here to judge.

as tragic as things are, i hope to eventually see the purpose of it all. the one thing i do know, beyond a shadow of a doubt, is that there is an ultimate purpose. may i know it, understand it, and fulfill it. of course, i cannot do so without you. thus, i ask for your help. do you know someone who can facilitate/coordinate a fundraiser? do you know of someone who can helps us with our needs? can you make a donation? (payable tothe ktb special needs trust pob 827 newbury park ca 91319). my reality is that it is just my kids and i, and i am the one who needs to make things happen.

there is a silent epidemic –traumatic brain injury- killing/injuring our youth. please help us stop the silence, and please help our family.

the good news: friday i finally received approval to use the room at the behavioral health clinic in thousand oaks to start the brain injury support group. our first meeting is september 30th (www.ecofotos.com/hugs).

in anticipation, with much gratitude.

~veronica

[08.02.2004]
it has been 367 days since that infamous night that changed our lives.

around 5:45am i heard kt in the bathroom. then i heard, "mom i need your help." it was way too early for me to even lift my head off the pillow. the intense pressure and roller coaster of the anniversary week and the sentencing trial left me with sheer exhaustion. i felt like i could sleep for weeks.

shortly again i heard, "mom help!" i jumped from my bed in an instant and went to her assistance. the odor permeating from the bathroom gave a clue as to what i might encounter. "shit, what happened kt?" literally, feces on the floor, the toilet, her behind, back.

still not quite awake and overcome with tiredness, "what the hell happened?" i demanded. "i had an accident in my diaper and i got poop all over me," she replied innocently. i switched into task mode. "ok let's get you cleaned up. i'll start a shower, but you cannot sit on your bench because your bottom is covered with it." she had already taken her soiled bottom pjs off; i helped her take her top off and get her into the shower. she is used to using the shower bench when she showers, so i urged her to be very careful. "hang on to the grab-bar with one hand, as i hold the other, lift one leg up and over the tub, ." once she was in and washing herself, i told her, "i need to get something for you to clean up the mess. remember that we have talked about that the only place that it is ok for you to go #2 is in the toilet. i am not cleaning the mess this time." i returned with the cleaning supplies and informed her, "after you shower, dry, and put clean pjs on, then you need to clean this shit up."

she agreed.

it was about 6:45am, she was almost done cleaning up, flushed the toilet, and of course, it overflowed. i tried hard to keep my composure, and after assessing the situation, i told her to get in my bed. she was really cold by now. i was filled with frustration and informed her, "we'll deal with that later." we snuggled in bed, and quickly i managed to drift off to sleep. in what felt like an instant, kt woke me, "mom, how will you know when to get up."

"don't worry kt, the alarm will go off. please let me sleep!"

i woke up. it was 9am; her therapy was at 10. "kt, kt, wake up! we have to get ready for therapy." she was already dressed, but there was only time for a quick breakfast- liquid yogurt to take her meds with.

we were only five minutes late to speech therapy. afterwards, we were informed that occupational therapy had been cancelled. the therapist was sick. we decided it would be a good day to finally go to the courthouse and file the small claim against her previous slime-landlord for refusing to return her security deposit. on top of that, her friend had spent nearly $1,000 in labor and costs fixing up the crummy room she had rented. frankly, i have had enough of people taking advantage of my daughter. no more. they'll have to walk over my dead body to do it. two and half hours later, we were finally leaving the courthouse after successfully filling the claim; both of us were famished with hunger.

she begged to go to daphne's for lunch, and i promptly obliged. on our way home, we stopped at trader joe's for a quick grocery run to get her weekly sushi and other rituals. then, it was a stop at the post office to mail the aerogram she had written to her grandmother in chile. the aerogram was so old, i had no idea how much more postage it needed these days. we stood at the long post office line with just the mission to mail her treasured letter. every day that went by without being mailed, kt would write on the envelope "i miss you" and date it. the back of the envelope was covered with her sentiments. we learned that aerograms had been discontinued two years ago.

we got home around 4pm. i suggested that she rest, if she felt like it. meanwhile, i tended to some medical bills. first, she got her bathing suit on preparing for her class. "good initiation ktb," i praised. soon, she laid on the couch curled up with the down blanket. from my office, i could see her in heavenly rest.

before i knew it, it was 5:00pm. "kt it is time for your swimming classes!" she opened her eyes and appeared puzzled. she squinted her eyes, and i repeated myself. without delay, we were both in the car on our way to her swimming class. we had waited for months for this opportunity, as physical therapy had stopped until she made more cognitive progress. in the meantime, i had to continue to do physical therapy with her to encourage improvement. it is like that saying, ôif you are not moving forwards, you are moving backwards'. and with tbi survivors, it is imperative to keep pushing forward to avoid regression.

no sooner we were pulling out of the driveway, and kt informed me, "mom i have a terrible headache." i looked at her. she looked pale and had that look of pain. i suggested that maybe she try swimming a little bit. maybe it would help with the headache. she disagreed. i continued driving towards the class, and she was looking whiter. i said, "i will go tell miss holly that you have a headache." she nodded.

"my headache is killing me mom."

"hang in there sweetie, as soon as we get home i'll get something for your headache." as if there were some magic potion to make the ailment go away. the last several times of her headaches had not been pretty sights. i ran to inform miss holly, and tried to get kt home asap. she was looking worse and worse by the minute. we got home, and she was disoriented. she implored, "help me mom." she couldn't get out of the car by herself. she was weak and wobbly. i told her to be careful, as i guided her by the hand from the car to her bed. i helped her lay down, and kissed her forehead.

"mom, my head hurts so bad."

"hang in there honey; i'll get you some medicine." she moaned some more. quickly, i went to get some liquid yogurt for her "take with food" headache magic pill to work. back in her room, i asked her to sit up so she could swallow her cure. slowly and aided, she obliged and partook her treatment. she laid her head back on the pillow, and i turned to put the remaining liquid yogurt on her vanity. in a split second, the familiar sounds of projectile vomiting prompted my immediate attention. i turned around, and her bed, as well as she, was covered in a pool of red and green vomit. she gasped for air. i reached for the trashcan, held it over her face, while holding her head. tears were streaming down her cheeks. i attempted to comfort her, while wiping the heave off her face.

once the purging subsided, she implored, "mom, help! yuck! i am covered in this puke! mom, my head is killing me. mom, help me please."

"ok honey, just lay down on your pillow. i need to get some towels to clean you with; then i'll get a shower going. do not worry honey; everything will be ok. you will feel better soon."

i scrambled to get the supplies needed for the massive clean-up job. i started by wiping the yuck off her body to be able to get her into the bathroom without spreading the mess any further. i moved her to the clean corner of her bed, and helped her get up and walk to the bathroom. i already had the water running. she requested a bath, instead of a shower.

the bathroom is small, and it is hard to take the shower bench off, with kt and the commode in all at once. i helped her back to the room to remove the apparatus and prepare the bath. meanwhile, the stench intensified making me nauseous. i had to ignore it, and get her into the tub pronto. again, i urged her to be careful. she was light-headed and very weak. i instructed her step-by-step: hang on to this grab-bar here, then lift one leg, while holding onto to this with the other hand. take it slow. safety is first. slowly, yet surely she managed to get in with my aide. i reminded her: keep your feet against the tub so you do not go under water. then, i instructed her: i need to get the linens out of your room, so just stay put in the tub.

i had to drain the acrid puddles in the trashcan before removing her down comforter to the back yard to hose off. then i removed three chuck pads and two mattress covers. the third one was dry. i learned quickly after i brought her home that layers of bedding were needed if i were to protect her new bed from being permanently soiled. i had already been forced to throw out her new comforter after getting it excessively soiled from her projectile vomiting. her down comforter would have to be washed at the laundromat, and without christina or shaun home now, i would have to drag kt in there with me. it works out when she is well, but on a day like this, she cannot go and i cannot leave her alone.

no sooner i had walked to the yard to rinse the comforter, and i hear "mom! help."

i ran inside, and kt had slipped in the tub, while laying on her back. her feet were in the air, she had one hand on the grab bar, and the rest of the body under water. i reached in and pulled her up. she was scared as was i. "i want out get out mom."

once again, i went through the safety drill, and slowly, but surely, she made it out, got dried, and into another set of clean pjs. pale as a ghost, i suggested she get in my bed. i tucked her in, after putting some migrastick on. she said, "my head is still killing me mom." i tried to comfort her for a bit, and then got back to the cleaning. her room reeked. i paged dr horton, our g.p.

this is just one of the many days of caregiving for my tbi survivor 23-year-old daughter. there are no magical cures, and there is little help for us. and for now, i am utterly exhausted desperately wanting help with our every-day lives.

~veronica

[09.07.2004]
time continues to whirl by, except in ktb world. for her the main concerns are her meals, her meds, and who will play what game with her. that is when she is not thinking about ‘guy' and relationship subjects. whatever pops into her mind, she acts on it immediately, without forethought of appropriateness. socially appropriate behavior is something most tbi survivors are challenged with.

no one doubts the remarkable progress she has made. as one said, she is doing real good for a dead person. no pun intended. while her progress as brought about more mobility, self-initiative, and some independence, there is the other side of the coin as with every child testing the waters. as sweet as she is, in split second, she can be right down ruthless. teaching consideration, kindness, and appreciation are no easy tasks. i have had some quite unpleasant moments in public with her outburst, and have been quite offended in private with her rudeness.

this week marks a milestone as her therapies end. it leaves her in a state of confusion and disorientation as the next phase is not yet in place due to the bureaucratic nature of the department of rehabilitation and our lack of access of rehabilitative services. she is confused as she does not know what is ‘happening,' in terms of structure to her day. she most definitely needs constructive structure to her schedule, along with the one-on-one work setting. not to say she could not do something independently, still she needs that eagle eye to steer her away from trouble/mischief. i witnessed her myself today as i tried to study, while she was just in the other room.

so it is some 13+ months since “t” day, and we are down to practically no assistance. no therapies, no social worker, no psychological therapy, a pending $100,000 reconstructive surgery that i must figure out how to fundraise for so she can have teeth to eat with, and her constant needs and demands. yes, i m exhausted. and in all my wallowing, i must recollect and thank all those who have made and given time to help out. i am too tired to name names, but you know, and the great spirit knows who you are. i am most thankful for your kindness and generosity.

next week is a big one for us. tuesday we finally have the conference with the surgeons involved with ktb's oral surgeries for the final probable treatment plan. many consultations, months, test, models, and thousands of dollars we can begin the quest to champion for the means to get ktb teeth to eat with. hopefully, that day we can schedule the first surgery, as it is a 3 +- year process. then i have got to put into motion the fundraiser.

wednesday we go to small claims court to get an order for ktb's security deposit from her slumlord. may the force be with us!

friday we return to court for the sentencing hearing. i can only hope and pray for restorative justice: make the driver accountable for his actions, make him pay for ktb's needs as long as she lives. thus far, i am the one left with the burdens of her every day care.

i have gone back to continue with my grad school courses at csun. ktb's care is still on trial and error. i tried taking her to school with me hoping to inspire her, but it backfired. in fact, these days it is hard to get ktb interested in doing much of anything besides play games and eat. how can one teach enthusiasm for learning, if not by doing?

as its been said, do not give up hope.

we are still waiting –started the process in june- on the approval for a room to use for a brain injury support group in thousand oaks. i have contacted every official in the chain of command, including our county supervisor. we are still waiting. tbi survivors and their families are no priority to anyone else ?.

~veronica

[06.28.2004]
dear judge clark:

this letter is regarding the impact that the motorcycle collision on july 30th 2003 has had on the passenger, my 22-year old daughter katherine berke [aka katie], and our family due to damion probert-magglos' recklessness and negligence. your honor, i request that restitution is ordered on this case, as we have no possibility for a civil case.

it is most difficult to put into words the impact that the defendant's irresponsible behavior has had on my family and all those who truly cared for katie. it requires much more than a few pages to be read quickly among a plethora of other pending cases. this is merely an abbreviated synopsis. katie is an innocent victim in the course of these events. her blood tested negative to drugs and alcohol. that infamous evening, damion drank alcohol when he had gone to see some friends by himself. and when leanne, his mother, told damion to take katie home, katie had no idea he had been drinking, nor that he was an unlicensed driver. yet, both damion and leanne knew his drivers license had been recently revoked. from a mother's perspective, damion killed my daughter on that tragic night. part of me died too, as well as our upcoming plans. even worse, he left me with a ghost of her persona to care for the rest of my life, without the ability to bury and mourn the katie we all knew and loved; and worst yet, tragically without the funding for the medical and rehabilitating care to provide a quality of life for her.

katie's very severe traumatic brain injury (tbi), numerous facial fractures and multiple bodily abrasions have permanently transformed her into a very different human being, physically, mentally, and emotionally. physical effects: her once china-doll-like face is disfigured due to the multiple jaw fractures and facial cuts as her face landed on the 101 fwy, while the helmet crushed into her face ripping off her teeth; her once proud and perfect $3,000 smile with bright white, perfectly-aligned teeth transformed into an odd one due to the loss of her 11 top teeth, severe bone loss of the maxilla (dr. bienstock), crooked bottom teeth due to the severe jaw break, and with most of the remaining teeth damaged due to the corrosion of the enamel from tube feeding while in her lengthy 45-day coma; her once perfectly shaped, minute nose transformed into a broken nose with blocked airways; her once delicate tone of voice now is now a different one; her once perfectly shaped, smooth and pointed tongue that comforted her daily since babyhood (a tongue-sucker), now an awkward, lumpy tongue to suck on after being lacerated into pieces and deformed; she has permanently lost her left field of vision ("left homonymous hemianopia from right-sided brain injury"-dr hymas), making her permanently unable to drive, even unable to ride her bicycle, and what remains of her vision classifies her as legally blind as it is blurry; her gait/walk is frankenstein-like; she has incontinence and needs to wear a diaper at bedtime; her speech is distorted due to her injuries; her sense of smell and taste are impaired; she has neurological disorders, such as delayed mental processing, agitated rubbing of her hands on her thighs and daily, sudden ôshivers;' she lacks coordination, balance, and muscle tone; her weekly headaches are managed with medication; her skin abrasions throughout her body have required daily (3x) treatments of ointments and oils, with the first several months requiring wound care, later scar care, including injections.

mental and emotional effects: before the collision she lived independently and managed her own health care, now she requires constant supervision and i have to manage her health care and every aspect of her life; she has sleep disorder, anxiety, agitation, inability to self-monitor, poor emotional control, and sexual dysfunction; she lacks executive function, the ability to organize thoughts and work, to create plans and successfully execute them, to manage her administrative functions; she suffers from the common tbi effects: amnesia, both retrograde and post-traumatic, and the organic behavioral manifestations: adynamia, disinhibition, and flooding. she is no longer the dynamic, energetic person she once was, she has apathy, loss of drive, slowed mental functioning with evident decrease in ideas, while exhibiting repetitive behavior (i.e.: calling her brother -literally- 10 times in a day to tell him the same thing); and activities are rarely self-initiated. she struggles knowing socially appropriate behaviors, gets frustrated very easily, lacks ability to work independently and judge safety. her cognitive impairments include changes in thinking and reasoning skills, diminished learning, attention, concentration, planning, problem solving, and abstract reasoning abilities; and impaired long- and short-term memory.

this is where she stands after eleven grueling months fighting for her medical care.

to begin with, the horrific, nightmarish, dreadful night of july 30th: when my children and i were finally allowed to see katie, only two visitors at a time, we quivered and cried in dismay of the sight. katie's face disfigured, bloody and swollen beyond recognition with blood running from her ear, nose and mouth, blood oozing from abrasions on her left shoulder, arm, hand, knees and feet; her partially shaved head, with tubes running in and out of her limb, lifeless body, and machines recording every one of her vital signs. a team of doctors informed us that katie had suffered a severe head trauma (no clue what that meant at the moment), was unconscious and in critical condition, had severe, multiple jaw fractures, had lost several of her teeth, had broken her nose and had a complex lacerated chin, her tongue had a stellate laceration about 10cm long, which they hoped to repair it as best they could. they had already performed an emergency tracheostomy. although in critical need for surgery to stabilize her jaw and hopefully control the bleeding, the doctors waited for the results from the ct scan and the evaluation from the neurosurgeon to determine if she was stable enough to undergo surgery. dr chan, the neurosurgeon, decided it was too risky to perform the extensive, needed jaw surgery. her glasgow coma scale was 1-1-trached, the lowest possible. he performed a ventriculostomy to measure and monitor the intracranial pressure, critical to her survival. dr tokuyama, oral surgeon, and dr. wareham, e.n.t., performed an emergency team surgery placing a metal plate on her chin and circumdental wire to stabilize her jaw, and sutured her facial lacerations. in addition to the jaw fractures, x-rays revealed that she had inhaled teeth and bone fragments shown in her right lung and mid esophagus, as well as in her stomach; furthermore, she had bilateral interior pubic fractures and a fracture at the base of the skull compromising the brain stem and medulla. in fact, she began posturing (effect of brain stem injury) at the scene of the accident.

notably, it was dr. wareham who saved katie's natal life as he was on the 101 fwy that infamous eve and witnessed the collision. he stopped to help. when he got to katie's side to assist, she was already unconscious, blue, and not breathing. his instincts told him that he needed to cut her throat to make an airway. he was willing to assume responsibility for my daughter's care, as paramedics do not allow such intervention out on the field. the problem was that he did not have an air tube. fate was that a respiratory therapist happened on the scene, and he had the life supporting tube. dr. wareham obliged his medical oath by intubating katie at the scene of the accident, something unheard of. had it not been for his intervention and willingness to assume responsibility for katie's life in her darkest hour, damion would be facing murder charges.

the first seven days, a group of seven doctors did not think katie would survive. i was so impressed with the medical care my daughter was receiving from the team at the intensive care unit (icu) at los robles medical center. my other children and i camped in the icu waiting room, taking turns to be with katie when allowed. those were the longest days of our lives as we monitored each heartbeat and her intracranial pressure, while she lay lifeless and distorted. her severe tbi meant she had cerebral contusion and edema. dr. murthy, the neurologist, explained to us that her entire brain matter was swollen and bruised, while bloody and flooded with excessive fluids.

after the seventh day, when doctors believed that she would live, her medical care slowly and surely began to decline. by the sixteenth day, the burden of her care fell on my shoulders, as her medical insurance would not cover her range-of-motion exercises. to prevent permanent damage to the use of katie's hands, arms, feet, and legs from her "bilateral decerebrate posturing" for such a long time, i had to set up a schedule to exercise katie's limbs three times daily. this was needed so that when [and if] she woke up from her coma, she could have full use of her limbs. it was no easy task. it required our training and daily balancing act to perform the needed limb-saving exercises amidst her critical care. katie was in intensive care 26 days.

through katie's 31 days of acute and intensive care at los robles hospital, 46 days in sub-acute care at topanga terrace, 30 days in acute rehabilitation at northridge hospital, and since her homecoming on november 11th, i have had to struggle and fight to get katie the necessary [and desperately needed] resources for her continued medical and rehabilitative care. my relentless efforts to provide the care that katie needs have been a key factor in her miraculous progress. the trials and tribulations i have had to overcome, while fighting for katie's care, are too numerous to mention in this space. all the while, foolishly i trusted damion's and leanne's claims that they were "going to do anything and everything they could to help katie." the $1,000 check leanne gave me for katie in january led me to think that they were willing to assume responsibility for the damage done. it was the tantalizing carrot that had me believe in their promised help. for almost one year, they have been telling me, "in two weeks i will have a check for katie." the amounts quoted have been $10,000, $20,000, $40,000, and even $100,000. damion told me that he was working with his grandmother to give katie his entire $100,000 trust fund his grandfather left him. all the while, i have been asking for their help and waiting. for instance, well before i resigned from my positions at csun due to the high cost of caregivers, i asked damion and leanne to pay for a caregiver so i could keep my jobs. the standard answer was, "we'll have some money for katie in two weeks." we are still waiting for their restitution. their negligent actions show no remorse over the impact that the collision has had on katie and her entire family.

katie now waits for funding for her much needed extensive, lengthy, painful, and very complex reconstructive inpatient surgeries of both the maxilla and mandible (upper and lower jaw), and eventual teeth implants. to start with, she needs two maxilla surgeries for bone implant and growth. this process takes between 12 to 18 months. next, she needs orthodontic treatment to repair and align the remaining teeth. this process takes between one to two years. then, she needs the mandible surgery, in which they have to re-break her lower jaw in three places to re-align the bones. this process takes about 12 months of healing. and finally, she would be ready for the necessary implants of her missing teeth. months ago, i told damion to do a fundraiser to get the approximate $70,000+ that katie needs for these surgeries and teeth implants alone. he "promised to help katie." even with the extended sentencing hearing, damion has continued to avoid his responsibility towards katie, myself, and our family.

during all this waiting, katie's speech intelligibility was deteriorating due to her missing teeth. she was forming the sounds in her throat, a habit that once formed, according to her speech therapist, is impossible to rectify. in desperate need to get katie the medical care she needed, i began charging the expenses for her treatment plan consultations and variety of test at the center for corrective jaw surgery in santa barbara, and temporary partial dentures from ucla's maxilofacial ctr. on my visa. the local oral surgeons, who had done the emergency care, said they had done all they could due to lack of funding. while her temporary partials assist katie with her speech, they are useless for eating as they constantly fall off because of the lack of bone and teeth to hold on to. she cannot even suck on a cough drop with them on.

to bring katie home in november, instead of institutionalizing her, my son shaun moved out in october to make room for his sister. this permanently interrupted his affordable plan to live at home while he pursued his associate in arts degree. additionally, in january shaun had to be hospitalized due to major depression and major anxiety disorder affected by the added financial burden and his fragile mental state experienced since katie's tragedy, as it compounded his familial losses. following his hospitalization, shaun lost one month of work, and worst yet, his desperately needed medical insurance on my plan, as he could no longer be a full time student. this exacerbated his frail mental state, and at the same time delayed his career opportunities as a graphic artist.

having katie home took a toll on christina, her younger sister. a senior in high school, christina had difficulty coping with school, work, and every day life with her now ôbaby' sister, a tbi survivor. to manage her life, christina needed to move out, unexpectedly, during her last semester of high school. the ripple effects of this tragic collision forced christina's premature departure from home.

personally, damion's actions ruined my career plans that i was diligently working on since 1994, forced me to resign from positions at cal state university northridge (csun), turn down job offers, and delayed my master's degree to care for katie 24/7. being a single mother since 1989 and raising my four kids on my own, i was eager to put my parenting ôon a backburner.' my plan was that by 2005 i would be working abroad as a documentary photographer in ecotourism, having my master's degree completed and with christina, my youngest one, in college [she starts this fall]. my curriculum vitae [attached] is an indicator of my career pursuits. in addition, having already received one fellowship, i was confident that my last two years of graduate school would have been fully funded. this opportunity was taken away through damion's actions, as i can no longer meet the criteria, not even have the time to compete for the much sought-after fellowships. not only did i lose the opportunities for the fellowships and the recognition, but also i was forced to extend the duration and cost of my master's degree. this translates into $45,052 of additional expenses ($15,684 annual graduate student budget x3), for me to complete my degree and the loss of about $20,000 annual income from my part-time positions at csun as campus photographer assistant and part-time lecturer, and my freelance work, while being forced to decline teaching two 12-week photography courses to at risk youth paying me $18,000+. furthermore, the massive financial impact that damion has burdened me with due to his irresponsibility has been compounding since july 31st, from missing work, to having my mother fly in from abroad, to moving katie's belongings into storage, to buying a storage unit, to moving her belongings again, to purchasing clothing for her various stages of recovery, to the cost of alternative medicine and practitioners, to the expenses for preparing the room for her and transform the house into a handicap-friendly and therapeutic environment, as katie came home in a wheel chair from a veil (enclosed) hospital bed. now we are in jeopardy of losing the home we have lived in for thirteen years due to financial strife.

tbi experts claim that tbi does not happen to an individual, it happens to a family. indeed this has been our case. they also claim that the support nucleus of the family becomes smaller and smaller as people in general have a difficult time being around disabled individuals. this effect has been experienced by every one of us, and worse yet by katie. out of the numerous friends katie had just one year ago, only two come around occasionally. tbi experts also claim that the average cost per tbi survivor is 4.5 million dollars. the perpetual and ripple financial impact this tragedy has had on the family is enormous. this year alone, i have driven over 9,000 miles taking katie to therapies, doctors, and tests. to date my out-of-pocket expenses alone total about $37,000 (see attached list), in addition to the pending funds needed for the surgeries, my loss of income and teaching job opportunities. meanwhile, her los robles hospital bill alone came to $294,000+, and to date medicare as paid over $163,000 (see attached list), for her medical care.

in summary, katie's loss extends far beyond the physical, mental, and emotional lifelong disability caused by tbi. she is now a child trapped in an adult body needing diapers and someone to supervise her 24 hours per day, seven days per week, with no chance to ever drive again in her life. no week goes by without me having to get up with katie in the middle of the night. her life now consists of mostly mom, doctors, medications schedules, and therapies to work hard on her progress daily. the disastrous ramifications of this collision have permeated our family, forever affecting the dynamics, while imposing extreme financial burdens. although i am a believer in restorative justice, damion's lack of responsibility and remorse towards katie and her family during the first year of this tragedy are appalling. he needs to be made accountable, as katie will have the effects of tbi for the rest of her life. to this extent, he should be ordered to make financial restitution comparable to the losses our family has encountered thus far and its lifelong burden. also, he ought to do community service helping tbi survivors and their families so he becomes aware of the impact of his actions. i wonder if he has bothered to learn about what it means to be a tbi survivor? "brain injury is forever, get involved" www.headinjury.com.

your honor, i hope this letter helps you understand the severity of the effects of damion's actions on katie and her family, and why i am asking for restitution. i ask for the restitution payments to be ordered into a special needs trust, so that katie does not lose her much needed benefits. i request to have his wages garnished as long as katie lives, because we will live with the effects of her injuries on a daily basis for the rest of our lives. finally, i wonder if there is a possibility of having a lien placed on damion's trust from the magglos family trust that is payable to him when he is 35 years old?

sincerely,

veronica martain-haverbeck

ps: your honor, i would like to share with you a quote we have had on our refrigerator since august 2003: "true justice never punishes for the sake of punishment, but instead seeks to provide the experiences that will educate and reform." ~john robbins

[09.07.2004]
time continues to whirl by, except in ktb world. for her the main concerns are her meals, her meds, and who will play what game with her. that is when she is not thinking about ôguyõ and relationship subjects. whatever pops into her mind, she acts on it immediately, without forethought of appropriateness. socially appropriate behavior is something most tbi survivors can be challenged with.

no one doubts the remarkable progress she has made. as one said, she is doing real good for a dead person. no pun intended. while her progress as brought about more mobility, self-initiative, and some independence, there is the other side of the coin as with every child testing the waters. as sweet as she is, in split second, she can be right down ruthless. teaching consideration, kindness, and appreciation are no easy tasks. i have had some quite unpleasant moments in public with her outburst, and have been quite offended in private with her rudeness. impatience, impulsivity, and short temper are also common among tbi survivors.

this week marks a milestone as her therapies end. it leaves her in a state of confusion and disorientation as the next phase is not yet in place due to the bureaucratic nature of the department of rehabilitation and our lack of access to rehabilitative services. she is confused as she does not know what is ôhappening,õ in terms of structure to her day. she most definitely needs constructive organization to her schedule, along with the one-on-one work setting. not to say she could not do something independently, still she needs that eagle eye to steer her away from trouble/mischief. i have witnessed this while trying to study with her just in the other room.

so it is some 13+ months since òtó day, and we are down to practically no assistance. no therapies, no social worker, no psychological therapy, a pending $100,000 reconstructive surgery that i must figure out how to fundraise for so she can have teeth to eat with, and her constant needs and demands. yes, i m exhausted. and in all my wallowing [or venting space], i must recollect and thank all those who have made and given time to help out. i am too tired to name names, but you know, and the great spirit knows, who you are. i am most thankful for your kindness and generosity.

next week is a busy one for us. tuesday we finally have the conference with the surgeons involved with ktbõs oral surgeries for the final probable treatment plan. many consultations, months, test, models, and thousands of dollars we can begin the quest to champion for the means to get ktb teeth to eat with. hopefully, that day we can schedule the first surgery, as it is a 3 +- year process. then i have got to put into motion the fundraiser(s).

wednesday we go to small claims court to get an order for ktbõs security deposit from her slumlord. may the force be with us!

friday we return to court for the sentencing hearing. i can only hope and pray for restorative justice: make the driver accountable for his actions, make him pay for ktbõs needs as long as she lives. thus far, i am the one left with the duties of her every day care.

i have gone back to continue with my grad school courses at csun. ktbõs care is still on trial and error. i tried taking her to school with me hoping to inspire her, but it backfired. in fact, these days it is hard to get ktb interested in doing much of anything besides play games and eat. how can one teach enthusiasm for learning if not by doing?

as its been said, do not give up hope.

we are still waiting ðstarted the process in june- on the approval for a room to use for a brain injury support group in thousand oaks. i have contacted every official in the chain of command, including our county supervisor. we are still waiting. tbi survivors and their families are no priority to anyone else 
::veronica

[05.14.2004]
today was supposed to be a day of celebration of sorts. nine and a half months in the waiting, akin to the birth of a child. except the expectancy was that of katie’s front top teeth- the ‘temporary partials.’ as i drove her through stop and go traffic in the heat of the concrete jungle, i asked katie how she felt, she responded, “anxious.” anxious as in happy or anxious as in worried i implored. anxious as in happy she quickly replied. for some unknown reason to me, i felt an underlying disturbing current. consciously i knew that i was so happy for her to finally get some upper front teeth, thanks to my visa. it pisses me off that ucla’s dental clinic- a state institution- does not accept either medicare or medical [both state and federal health care programs], the only access to medical health care my brain-injured, disabled daughter has. capitalism at its worse.

interruption. as i sit here trying to cope with the pain, despair and rage i feel, i hear a motorcycle start up right in front of my house. when katie and i pulled up and i saw it, it had that post-traumatic symptom effect on me: the horrific night. the life altering phone call. the apparent eternal drive to er. the first sight: a disfigured face in hues of purple and red, blood oozing out of every orifice, bloody hand, shoulder, knee, feet. a product of her body’s encounter with the 101 fwy at 100 mph. tubes running through her withering body. death was in the air. the motorcycle revs up again. i intellectually understand it is a public space. i cannot bear to hear the sound that in a distant past was a turn on and a thrill to ride. i walk outside and ask the innocent bystander to never park in front of my home again with the brief explanation. it was the only thing at that moment that i could do something about the devastation and pain i feel. he apologized and promptly left. i return to my home. katie asks what is wrong as the red patches on my face reveals my crying. “i just need time alone.” i quickly tuck her in, put her diaper on, and kiss her good night.

back to ucla and our big event. i had anticipated how wonderful it would be for katie for finally be able to eat artichokes, bite into foods, to have a more decipherable speech, and most important in her eyes – to ‘have a smile.’ i always answered to that comment, “ you do have a beautiful smile, even without your top front teeth. hindsight, as trendy as ‘big, bright, white smiles, became, in her previous life katie took great pride in her $3,000 smile (braces her paternal grandparents paid for), and then the bleaching treatments she paid for to get her teeth ‘fashionably’ white.

we arrive at ucla somewhat late to our appointment after hustling friday traffic. once in the parking lot, i suggest to katie to practice her ‘speed walking.’ she willing obliges holding on tight to my hand. we get to the maxillofacial clinic. my heart is beating fast with anticipation. we check in. quickly we are called in. katie sits on the dental chair. soon dr ting-ling chang appears. the long awaited moment is here. within a few blinks, katie’s temporary partials are in. she smiles. i cannot believe my eyes. wow! beautiful top, front teeth. but, who is this person before me? i snap a few shots. she experiments putting them on and taking them off. tears well up in my eyes and i cannot contain them. dr. chang states, “momma is crying. are those tears of joy or…” not wanting to tell, i say “joy and…”

while i have adapted very well to care for katie in this altered life, and adapted to her transformed image, the sudden blunt visual of the irrevocable transformation had me speechless. how can i explain, or put into words? i have said that my daughter died. the katie we all knew died on that tragic night, she left this earthly realm, and in her place we have a resemblance, a new being for better or worse. and maybe it is still too soon to understand why it was that dr wareham and the incognito respiratory therapist would revive her and forge her into a new destiny. what in the bloody hell gave them that right unless they were going to care for the remains? why is there such heroism in saving lives, yet such killing-me-softly unspoken abandonment? i know i write out of sheer pain and agony because the truth is that only those who have walked this forsaken path can comprehend.

interruption 2. the driver’s mother just called. we spend a good hour or so on the phone. as usual, i mostly just listen. i have had a very hard day and i am trying to at least process some of my pain and sorrow through the written word. that is irrelevant apparently. her concern is her son’s pending prison sentencing and their efforts to make him accountable in their terms. no doubt that the driver’s pending prison time will not help katie. i have told them from the beginning that what they can and need to do is to be paying for katie’s care now. ten months later, well over $500,000 in medical costs alone, not counting job loss, time and energy spent driving to/from while being in medical institutions; exponential pain and suffering, and so on, i have received $1,125.
meanwhile the mother tells me that she has spend close to $100,000 trying to save her son’s life. lucky for him. i can understand and empathize how alcohol has destroyed her family’s life. it has run rampant. it is a disease that kills, if not, maims. it cripples and debilitates and god only knows the cost inflicted unto society. and why is it that the alcohol industry has never been made accountable for their harmful product as the tobacco industry has? i know that they are powerful, and apparently have all the politicians drunk in stupor to do anything about it. all the while, our society is rapidly deteriorating with one addiction after another. so much for ‘progress.’ as mothers, we have both suffered a great tragedy and loss. however, truth be told, i was not the one to tell the drunk son to get on the bike and drive katie home. that is a heavy cross for her to bear. meanwhile, she marvels at the progress her son has made in his sobriety and tells of how much better equipped he is now to ‘assume responsibility for katie financially, if only he does not go to prison.’ i am not the one who will be judging this case, and apparently whatever i have to say as the mother of the victim has little meaning as the probation officer has already made her recommendation, without any of my information that i have been gathering. after my own personal setbacks with dis-easses and ‘finals’ in graduate school, i asked for a continuance of the case. i reckon the deputy da was right on the money when he informed me that they were not there to represent katie’s interest. they were there to prosecute a crime. to get katie’s interest represented in court i need to hire a civil attorney for which i have no funding. besides lawyers are the only ‘winners’ in this so-called justice system. the bottom line is that i am alone in this struggle. day in and out, hour after hour, meal after meal, therapy after therapy, i must keep fighting for katie’s well-being and her hailed ‘progress;’ yet i feel utterly barren.

right this all started with our long and awaited trip to ucla. so why would i be crying upon seeing my daughter’s brand new temporary partial dentures on her innocent face? as she said, “they are straight and white!” what more could i ask for? the only way i can explain it is: imagine someone taking your young, beautiful child, and in return receiving a frankenstein sort-of version. it is similar, but with a different gait, a different head on, a transformed face, different sounding voice, legally blind, without a sense of smell, with a different way of thinking and cognitive skills, yet above all as loving can be. frustrates easily, mostly content with eating, sitting and sleeping, playing uno and go fish, and occasionally visiting. why should i cry? what is the pain i feel inside? it is the bloody honest truth staring me in the face: desperately needing to accept what is. she is with no doubt still my child, just a different one. i can accept a different child much easier if it did not have to be in the shadow of her very own past. still, i cannot change, nor choose what is. acceptance. may it impregnate my being.

what i desperately need is the space to mourn my child lost. i have been so busy caring for the remains of her ghost that there has been no such luxury. at least this is the luxury i am allowing myself: to bare my pain and expose it to the world in hopes of healing. may the angels and great spirits guide my path to redemption from this nightmare. may i find the way to make the good happen in our lives from all of this misery, for this is the only purpose i can fathom. may we be vessels of peace and inspiration and comfort to others.

without a doubt, i am most grateful for the great ‘progress’ katie has made. seeing those bodies trapped in limbo for years was sheer horror. i am most grateful to those triumphant souls who have accompanied us in this tragic journey; one i do not recommend nor wish on the worst of human beings.
 
[04.21.2004]
kt told me today that she cannot taste. she said she regrets seeing damion, "i lost my teeth for that fool."
::shaun
 
[04.14.2004]
kt is making progress everyday. she is walking with out a cane or walker.
::shaun
 
[04.02.2004]
kt had an appointment with a dentist for the initial assessment for new teeth.
::shaun
 
[03.27.2004]
it almost feels as though we have been in this abyss, far in the depths of the tbi world where eventually it gets smaller and smaller, or is it bigger and bigger?

our family currently has a resemblance to a house of cards that falls apart easily and is quite difficult to put together again....and i never forget that i am a survivor indeed...

truth is we are all struggling, yet we all appear strong before ktb. in her world, everything is great. and as a mother, i am grateful for that feeling of reality for her. heaven knows i am working hard to provide the safe haven kt needs for her journey, or could i really call it recovery? frankly, i do not think it is a recovery process, rather a birth along with its continual growth. those who are near her see the distinction: we marvel at her progress, yet are keenly aware [i hope anyway] of the transformation. even if at times kt's previous life's characteristics surface, one knows it is of another lifetime. serendipity has it that i would have saved a birthday greeting from kt on my answering machine from 2002. that voice tone compared to the current is a stark reminder of what was and what is. then i remind myself: life is change, always and continually....

for those, if any still...., wonder how kt is doing: she continues to make progress. it has been her m.o. all along. and as the mantra goes...polé, polé [slowly, slowly...i dream of kilimanjaro's summit.. and the lesson learned] all the the way to the top. outpatient therapy 3x per week has been wonderful. kt blossoms continually. she loves cooking with cheryl in occupational therapy [maybe most of all?]. she baked a grrreat vegan chocolate cake for shaun's 21 bday [yes w/ help, but oh well..]. takes great pride in her homework for ashley in speech therapy, and willingly complies with physical therapy [even if she gets "exhausted" ... picture those sad puppy eyes]. pushed her we have and with great results: kt's stability has improved a great deal [went from a wheel chair, to a walker, to a walking stick], initiates many of her self care needs [bathroom and grooming], not to mention the more-often-than-not getting-up-in-the-middle-of-the-night-to-have-cereal. yeap, how can i forget that task of feeding ourselves! yeay kt, you rock! she has accomplished many of her goals already, such as picking out her clothes, dressing herself, brushing her teeth, washing her face, putting away the silverware, walking around the block, and even walking on the beach! it has been my pleasure and delight to be part of all these milestones and much more. just wish that all the other nuisances of daily rat life would leave alone and let us focus on just what truly matters on this earthly existence: our quality of life. the obstacles i/we face are so great that i do not even have the energy to express. the rat race goes on, yet my daughter's life does not wait. every moment is precious/a milestone/a miracle.
::veronica
 
[02.16.2004]
kt is improving with her writing. she made a pizza yesterday. more shortly.
::shaun
 
[01.16.2004] day 179
it has been a good week for ktb. we started with outpatient therapy, and i am encouraging kt to work harder. as of wednesday, we have been walking all the way around the block, at least once per day. the next goal is to try to do it faster little by little.

this morning she was kind of quiet on our walk, and i asked her why she was so quiet. with a very low voice, she replied, 'there are bad people out today.' when i asked what she meant by that, she said, 'there are just bad people today.' i sense the times when she 'checks out' and visits other spheres. each day with kt brings various surprises, and at times it borders on the surreal, while others provide good hearty laughs. the great news came: the glasses are ready! tomorrow kt will see the focal plane that she does see much better. it caused us to celebrate. tonight we were watching the movie frida at home, and when frida's sister, christina, was giving her a shot of morphine, i turned to kt and said, 'hey you were on morphine 45 days!’ she turned to me an gave me the biggest grin, and we both broke out laughing, knowing all too
well the underlying meaning. i said, 'guess you don't remember any of it.' kt, 'nope.'
::veronica
 
[01.15.2004] day 178
kt reached a goal of hers to walk all the way around the block. she is working very hard to recover. her speech has noticeably improved.
::shaun
 
[01.11.2004] day 174
slow progress. motor skills are rough, there should be an improvement once kt has her glasses. it seems that she cannot control voice inflection. kt and i played  halo on xbox; i had here follow my character around. she did well, and enjoyed herself.
::shaun
 
[01.09.2004] day 172
mr lehmann [shaun's friend's dad] posted an ad for us today in a local paper for a caregiver for kt. the phone was ringing off the hook. guess we shoulda/coulda done that much sooner, but as i have said, i cannot keep up with all i need to do. all will not be lost as i will interview these callers to have someone to hire when i do get a job that pays me a wage comparable to my skills.

ironically, today i resigned from job at the university as campus assistant photographer [with student assistant classification] as i could no longer afford to pay for kt's care more than what i made. i could no longer wait to find someone private to care for kt. i simply could not afford to keep paying the agency gal. the funds were not there. it was a very difficult decision for me to make as i really enjoyed my job [how many people can say that?], even if i had 'outgrown' that position. i have been a nervous wreck, the headaches have been really bad, and today i had to medicate myself [truth be told, with all the meds i could], between trying to manage my ripping headache, and basket case condition with my nerves and crying. i cried all the way to work, and even as i told my boss, lee, my news. not only was it hard to let go of a job i liked, but also, the fear factor of the uncertainty was huge. while i am very busy with kt's care, i will need to manage to make time to write proposals for a brain injury documentary, to develop my freelance photography work, to make greetings cards to sell, to re-launch my web site, and to look into joining a photo agency to start selling some of the stock photos i have, and to find a real estate investor. i will need some magic potion to give me the energy as i am so tired all the time. i wake up tired and go the bed exhausted.

but enough about me, kt has a cold and feels 'crappy.' she just got it yesterday. so i guess i'll be letting her just rest, recoup and heal. however, tomorrow i'll be taking her to the optometrist to pick out her glasses, so than in about two weeks she can see better.

the sobering concluding consideration of the day: according to chapter 1658 of the welfare and institution code [usa?], brain damage/injury is defined as 'the significant destruction of brain tissue with resultant loss of brain function. 'this affects a person's behavior, personality and the ability to perform daily activities of caring for oneself. we witness this on a daily basis.
::veronica
 
[01.06.2004] day 169
today was one of those days we have been waiting for months: finally got some need diagnosis. kt and i went to see dr. hymas, the ophthalmologist. he was very kind, with great bedside manners, and very compassionate and optimistic. we were there 2.5 hours, they did many tests, and we waited for the results: left homonymous hemianopia from right-sided brain injury, which means she is legally blind, but unquestionable that with glasses she will see much better. also, she does not see left side at all. it is very important for those around her to be aware of this for her safety and that of those and things around her. "this is a permanent deficit. everything is static, nothing will change." he also observed that she has mild optic nerve damage due to the traumatic injury to the brain compromising the optic eye. he emphasized that glasses will help her tremendously, so we will be off to see dr star, our optometrist [who takes medical]. as medicare does not cover glasses.

it was quite a day. one of those very full days: kt woke up at 7am, and wanted me to be up with her. i had stayed up late reading, and i was soooo tired. i got her up and to the bathroom, then helped her sit down in her bedroom chair. i laid beside her, in her bed without a hope to snooze no matter how i tried. i was trying to keep her entertained by having her sing, yet i had to keep prompting her. after a breakfast of yogurt and papaya, we were off to her room to get her dressed. we were just about done, and suddenly i saw the face and quickly grabbed the trash can just in time to catch the vomit. i felt so badly for her. quickly grabbed a wash cloth while christina held the bucket by her face. rinsed the cloth with cold water, and placed it over her head, as tears rolled down her red cheeks. after some 8 mouthfuls of vomit, she could finally catch her breath. i said maybe you better just lay down and rest. she had been eager to go outside, in spite of heavy winds, for our morning walk. while at the dr's office, 5 minutes after me asking if she needed to go to the bathroom, she had an accident on the dr's chair. we both just started laughing. i said good thing i carry an extra set of pants for you in case this happens [a wise tbi survivor, lois, had advised me]. this is a very common thng with tbi.
::veronica
 
[01.04.2004] day 167
kt has been taking longer walks outside [previously a few houses up the street, now just around the corner]. she is progressing with feeding herself. soon kt will be going to a specialist to assess her vision. later this month kt will have an endoscopy to see about her frequent vomiting. we have acquired the name of a psychiatrist as well as a psychologist that accepts medical, so they will be contacted soon.

we are looking for a compassionate and reliable caregiver to help out 20 to 30 hours a week [$9 an hour for the first month, $10 thereafter]. please contact veronica at 805-498-6851.
::shaun

[12.30.2003] day 162
yesterday, december 29th, ktb and i had a very busy day checking out outpatient rehab places for her, as her in-home therapies stop tomorrow. she did so well, as we had a lot of driving to do. we checked out the out patient facility in oxnard and one in santa barbara. then i took her to my friend's [berney] place to let her take a nap. on our way home i asked her, if you had just one wish, what would that be? ktb: 'i would get on a plane and fly to chile.' so i told her, 'that's great, we can make it our goal: spend next xmas in chile.' she had a big smile on her face and said that would be wonderful. so now you know; you can help us make it happen.

happy new year! we trust that this will be a much better year for our family, and pray for peace and good health for all.
::veronica
 
[12.29.2003] day 161
kt lost her balance when trying to sit on the toilet. her hands were on the chair, but she swayed and hit the tile floor. after going potty, she was feeling extremely dizzy, she couldn't stand on her own, so i took her to her bed. she had a small contusion above her right eyebrow for a short while, and said that she her hip hurt. soon after she said she was feeling better and wanted to return to the movie she was watching. she asked me if i was ok, as no doubt i was very worried.
 
...kt asked me if i was ok.
::shaun
 
[12.23.2003] day 155
today, tuesday, december 23, was our big anticipated appointment with dr murthy, kt's neurologist. christina came along, and took kt back home, so i could get to work. robin, an agency caregiver was coming to care for kt. dr. murthy, in his usual cool, clam, and collected manner, begins by informing us that the eeg was ok, although the electrical activity is a little slow [8 cycles per second, versus the normal 10]. time will tell the progress, but it should improve. there was no indication of seizure activity, however she is on anti-seizure meds. then he said that the brain scan 'showed that there was no brain.' ‘bad attempt at a joke’ i replied. then, he stated the brain scan was ok, there is no hemorrhage now, but she has mild hydrocephalus [fluid in the brain]; this will be monitored with another mri in 6 months. there is sinus inflammation. she is coming along, slowly, but surely. he referred us to a psychiatrist [was shocked to realize that she has been abandoned by the medical system with her psyche needs]. she needs to be under someone's care, because he cannot help with that. when i mentioned kt's projectile vomiting episodes, he referred us to see a gastroenterologist. when i inquired about kt's double vision and dizziness, he referred us to see an ophthalmologist. he was ready to let us go, and then i said what about the treatment plan for kt. he ;looked at me a little dumb founded, saying something like: well what she needs and what she can get are two different things. i need to find out what programs she qualifies for, check out st john's in oxnard. what about the incontinence? 'in time, it should improve.'

ok, so in addition to me keeping up with kt's daily care, i need to get a gastroenterologist, an ophthalmologist, a psychiatrist, and a psychologist - all willing to accept 'medi-medi', which were we live, they are a rare breed. but this is not all, the list goes on. the in-home therapy she has been receiving is coming to an end this month. i have to find an outpatient treatment facility. choices are limited, but gotta make the effort to check them out: st john's in oxnard, solutions in santa barbara, or there is northridge outpatient, but honestly, the experience was so bad there, that the idea of going back there, even if it is a different program, makes me cringe.

we did finally get to see a dentist yesterday. of course, one who accepts 'dentical', the state funded program. every one knows that you can only get very minimal care. when they saw her, and yes i did take one of her photos of who she used to be so they could see the beautiful teeth she used to have, and they are apologetic because they tell me that all they can do is request for the crowns, gum treatment, dentures [etcetera] that she needs; but we will have to wait and see what they will authorize. we should know in two months or so! never mind that her missing teeth are quite essential for her speech and eating.

and yes i cannot forget that i still have to find a caregiver. rocio is gone, and i only have robin through an agency, which i cannot afford. of course i am grateful for the great progress that kt has made. what a miracle she is. i have no doubt that the loving care she gets at home is making a great difference. imagine how much further along she might be had she received the care she needed all along. the images of the people i saw in sub-acute care at the goleta hospital are imbedded in my brain, and i give thanks that kt is not in that vegetative condition.

however, i always try to avoid comparison: there are always more fortunate folks, as well as less fortunate. the bottom line, is the reality of our lives as no one walks in our own shoes, except ourselves. i echo the sentiment of a tbi survivor who titled her article ‘don't tell me how lucky i am.’ shaun is right indeed; i scream into space: ‘please help!’ i will not deny my anger, frustration, and angst. day to day, i focus on what must be done: kt's most immediate needs: the basics.