Wednesday, January 14, 2015

Neurologist followup

Monday we had to go see the neurologist at IMC. We thought we were following up with one of the doctors we saw there but it ended up being a different one. This one was a specialist. He had Chris do a few tests with his arm to see where it was at. He said the deltoid muscle was still weak and affected but he had more strength and range of motion than prior. He looked at a few things, went out and checked Chris's chart and CT scans and came back in to see us. He started talking about the BBs in Chris's body and asked when they were taking the one of out of his eye. We kind of looked at each other funny and said never. He will loose his eye. The drs exact words to us were "bullshit! You wont lose your eye. Who told you that?" We kind of looked at each other funny again and said well the 3 eye specialists we have seen. They told us that the BB was in the optic nerve and it would destroy the eye to take it out and none of them were even willing to do it. He told us again bullshit and that it wasnt true. He wrote Chris a prescription for physical therapy and then said come with me.
He showed us Chris's CT scans. He explained how they work and showed us where the BB was in the eye. According to the scan its in the muscle to the side of the nerve. He said the BB in the muscle is what has caused Chris's double vision and until the muscle learned how to rework basically thats why he had the double vision. He told us the Drs probably just weren't that comfortable with an inter orbital surgery and he has done hundreds of them and can see no reason why the BB couldn't be removed with out causing any damage. He told us we were more than welcome to get a 5th opinion of we would like and highly recommended the Moran Eye center where he was positive the Drs there would agree with him. 
It was kind of surprising to hear him disagree so much with what we had been told by 3 eye specialists. But hes a neurologist so he should be more familiar with nerves. We were happy to know at least if he ever needed to have it removed that it may actually be a possibility and let him keep his vision. 
He also showed us where the BB was in his forehead and on the side of his head by his temple. We knew they were there because you can see the bumps and feel them but it was cool to get to see them on a  CT scan. Then he showed us the one in the back of the nasal tissue and told us he was pretty positive that one would never come out and it wasnt in a place to go in and remove. 
Then he moved down to the one on his neck. That was more than what we had expected. He showed us in where the BB was at (its not hard to see its a huge white ball) He explained that there are two big arteries in the neck
The carotid artery and the vertebral artery. 
They run parallel in the neck and are kind of offset from each other at a slight angle.
I put an arrow where the BB went into his neck. You can see how it went between the two branches of the carotid and between the vertebral and carotid artery. It went RIGHT BETWEEN the arteries. It had just enough room to move through there and somehow didnt nick either one.
Heres another view to give a little more insight. The BB stopped resting against the cervical spine. This was as of the very first CT scan they took in Logan and why they decided to fly us to IMC


He had to have been at the perfect angle for it to enter his neck how it did and miss the arteries and came to rest against his spine with out damaging anything but hurting a few nerves. I still just cant believe it. The arm issues are a tiny price to pay for as lucky as we were.

They are still going to do an electrical test to see how healed the nerves are. Im honestly not even worried about the outcome of it because I know no matter what the test says he will work until his arms is back to normal capacity if not exceed it. 

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