Alex Salcedo -- Updates

Scattering Alex’s Ashes
Alex’s all time favorite place was in West Virginia where the “Sweaty Boys” had been going with Dan and Bob (owner and Alex’s best friend’s dad) to spend weekends a couple of times a year since they were little kids. It has a rustic cabin and a beautiful small river with a classic swimming hole. Being a major nature, Alex was always at home exploring, finding new creatures, swimming, climbing on the cliffs, eating junk food (that the women would never let us eat if they were along), and generally being free in the great outdoors. So when we were trying to decide where to scatter his ashes, we knew right away that Alex would want it to be in WV.

We waited until the weather warmed up a bit and on the last weekend in May, a group of more than 30 of us (Midvale Sweaty Boys, school friends, Bob/Judy, Opa, Nadya/Adriana/friends, etc) set out on was one of the most moving experiences for all of us that have played a role in this Alex drama. We arrived there on Saturday in the early afternoon as thunder storms were threatening all around. We quickly changed into shorts and swim trunks and hiked down to the river where we had to wade about half a mile in cold water up to our waists in places to reach the swimming hole. There we did what the “Sweats” had always done - splashed in the water, skipped stones, snacked on watermelon & junk food, threw rocks at a tree that Alex was best at hitting, and generally had a great time. We could all feel that Alex was there with us, watching, smiling and approving. This is exactly how he would have wanted us to do this.

Finally we held hands in a circle, sang Amazing Grace, recited a couple of poems, and bade him farewell. The Sweaty Boys took turns opening the box and then Dan & Marijke scattered his ashes into the water. Everybody took a handful of the flower petals that we had saved from his celebration and tossed them into the water where they floated on the surface, spread out, and some even came upstream to where we were hanging out. The sun, that had been hiding behind what we were afraid were rain clouds, came out just at that moment and bathed us in a warm glow. It was a classic Alex moment - a picture of natural beauty, human bonding, and serenity.

That evening we all hung out in the cabin and listened to music, played games, barbequed hamburgers, and finally took the traditional midnight stroll in complete darkness, through the Paw Paw tunnel. The energy in the group was incredible – everybody was getting along, joking, laughing, and having a really good time. We all agreed that only Alex could get such a large, diverse group (aged 10 to 80) to experience such harmony. The whole weekend was filled with our shared love for Alex. That night, we built a bonfire in which we burned Alex’s box and all the cards that all our friends had sent.

The next morning we had a pancake breakfast, took some group pictures, and came home – exhausted but with the warm feeling of knowing that Alex will continue to be with us and inspire us with his example of friendship and humor.

And so, the community of Alex has reached another phase. Please, please, please do keep in touch. You are all welcomed to visit anytime and, if you can’t, please call or write (this Web site is no longer the best way). We have something special in common – we were all touched, in one way or another, by the love inspired by a boy/man named Alex.

Sunday, July 1, 2001 -- 02:19 p.m.
The Spirit and Community of Alex
The visiting family has gone, the girls are back in school and the flowers from Alex’s Celebration have dried up. We are starting to get adjusted to a “new normal” without him and, at the same time, get some perspective on what has happened to this family.

It's interesting to note that, with all the people that spoke both publicly and privately to us about Alex, very few mentioned the usual idea that, “it’s a shame that he passed so young because he had so much promise.” Instead we have heard again and again how our son accomplished so much in building a loving, sharing community among his peers before the accident as well as with the larger circle that formed after it. We take great comfort in the chorus of confirmations that Alex gave more to the world in 13 years (was it 15?) than most of us will in 80.

Alex remains in the hearts of the scores of individuals that he touched with his generous charm. He was a man of peace, beauty and humor. If we follow his example and teach it children to our children, they too will pass it on to their children and their children’s children......... and Alex’s spirit will live forever.

This will be the last update on this Web site until May when we scatter Alex’s ashes at his favorite creek in West Virginia. Please call or stop by our home for a visit. And thanks again for being part of the Community of Alex.

Tuesday, February 13, 2001 -- 05:34 p.m.
Hi res prints of Alex
Many folks asked us for copies of the photos some friends enlarged for the Celebration of Alex. We've picked three of the best and included them in the images on the Web page. We've also uploaded high resolution scans to http://photos.yahoo.com (use ID = alexsalcedo2001 - password = alex). You can either download them to your computer or you can order nice photographic quality prints from Yahoo that don't cost so much and will be mailed to you.

We'll be doing a couple more updates so stay tuned.

Sunday, January 28, 2001 -- 05:33 p.m.
Images from Celebration of Alex
For those of you who were not able to join us in person for the Celebration of Alex, we have just uploaded several new images to show the outpouring of love and respect that he inspired. Salsa’s friends sat on the floor in front, the family and friends sat on chairs but the majority stood and packed the hall way beyond capacity. We were overwhelmed not just with the number but with the range of participants.

It’s hard to explain the full extent of the emotions swirling around us. Marijke and I waited for 45 minutes for everybody to settle down before we arrived with Alex’s remains (in his now famous box). Joe Eldridge, father of his first best friend and chaplain at American University, set the tone and then guided us through mostly upbeat reflections on Alex by his family and friends. We closed with a cathartic sax/voice rendition of “Amazing Grace”. About half of us then took a nice long walk through Alex’s favorite parts of Wheaton Regional Park, scene of many weekend outings and birthday parties. Afterwards we crowded into our home for food and drinks with many people that had come from far and near.

Just as with this entire experience, except for one horrible detail, this has been a very inspiring and positive experience. We are comforted that Alex’s spirit will live on through the many people he influenced with his affection, humor, and example of non-violence.

Tuesday, January 23, 2001 -- 10:36 a.m.
Alex's legacy
This whole event has been classic Alex. Transforming a suppreme tragedy into a positive inspiration for all of us. The real measure of a person is the love and admiration they inspire and, by that measure, Alex lived a very full life that just happened to be only 13 years long. As I said at the celebration, his spirit will live on every time we look out for someone less fortunate or crack a joke instead of arguing.

One of the negative aspects of this has been how hard it hit Alex's caretaker, Eugene, who had become practically a member of the family. We are grateful for the the way he took care of Alex, took him for walks, and played a range of music for him. Besides home health care, Eugene has a side business cleaning houses/offices and doing yard work. He also has a heavy duty van, perfect for moves in the DC area. His phone is 202-398-2794.

Stay tuned to this site for our posting of some images of the celebration. We will also post instructions of how to obtain prints of pictures of Alex (for those who asked).

Sunday, January 21, 2001 -- 08:37 a.m.
Thank you all from Marijke
Words can not express our gratitude to all of you for your heartfelt support during Alex's illness and his celebration. During Alex's illness you strengthened us with your prayers, care, diners and visits. After his passing you helped us celebrate Alex with your presence, cards, phonecalls from all over the world, flowers, food and drink, visits and your continued spiritual messages. What a celebration of Alex! Thank you all.

Our special thanks to Alex's friends who hung with their Salsa through his coma, helped us plan the celebration, provided support to our family, wrote beautifull poems and messages for the celebration, on school marquis, banners and boards, put up a memorial on the street corner where Alex was hit, and showed up in hordes during the celebration. Your numbers and dedications gave us so much peace and joy. We open Alex's room anytime, with all its memories, music and memorials for your grieving.

We thank our families who traveled in full force from all over to be with us, as well as our dearest friends from highschool, the Dominican Republic, the godfathers and fairy godmother who dropped all to fly or drive long hours to be at our sides.

Thank you always Midvale for your renown support and love for us, your logistics, making of the box, bringing us food, drink and cheer, and managing the celebration. What would we have done without you!

Alex's wonderfull caretakers in the three hospitals and at home, who without ever having seen our boy's dazzling smile, gave him and us their best care, prayers, and whatever new and amazing therapy or treatment we asked for. Also to the behind-the-scenes folks who braved insurance companies, hospital and state bureaucracies to get the best continued care at home. What challenges you overcame for us!

To our dearest friends from so many of our past and present lives. Those from our lives in Central America who preached, arranged Alex's shrine with its beautifull pictures, and comforted us; the friends of our daughters and their mothers who jumped in; the PTA moms who kept our extended family fed; etc., etc.

Thank you colleagues and instructors for supporting us during these tragic and difficult 18 months and for joining us in celebrating our amazing boy!

A week ago today our dear boy passed on to a better place. We grieve the loss of our amazing son, friend, relative and Midvale Sweaty Boy, but continue to celebrate Alex, his humor, creativity, inclusiveness and his love for all kinds of people, of animals and of peace.

When Eugene left us after Alex's passing, the metro passenger next to him noted his grief and sent us this poem by an anonymour author.

Do not stand by my grave and wheep- I am not there, I do not sleep.

I am a thousand winds that blow, I am the diamond glint on snow. I am the sunshine in pouring rain, I am gold on summer grain.

When you awake in the morning hush, I am the swift uplifting rush Of quiet birds in circling flight I am the soft starshine at night

Do not stand by my grave and cry- I am not there. I did not die.

And so, my dear son, you will continue to be with us. We shall celebrate you today and every day thereafter!

Wednesday, January 17, 2001 -- 09:03 p.m.
Celebration of Alex
Again, thanks to all the individuals that turned what could have been a dark and deeply depressing moment into an inspirational gathering of souls. We were overwhelmed at the turnout from Alex's and our family's life and are deeply appreciative to the folks that made it happen (click here for the program). The heartfelt expressions from “Salsa’s” friends were the most precious tribute to how much our boy gave to all of us in that room and beyond, both before and after his accident. We take great comfort from knowing that Alex would have – no, actually did – appreciate the flowers, music, humor and, most of all, love that we all shared for that moment and will treasure for the rest of our days. The walk through the park and gathering at our home afterwards were a cathartic icing of a beautiful spiritual cake.

We’ll post images and other details, possibly transcriptions of some of the presentations, in the coming days. We are emotionally exhausted and the physically fried after orchestrating the logistics of this event, so please be patient for the next updates.

Tuesday, January 16, 2001 -- 01:04 a.m.
"Hey Alex,........."
This evening 4 dads and Opa took Alex's beautifully finished box and drove to the funeral home to pick up his ashes. The trip was a nervous, solemn affair punctuated by somewhat humerous attempts to lighten the mood. When we arrived and rang the doorbell, the funeral director peered out the tall double doors with a distainful look because we weren't dressed like most people that come to a funeral home. He ushered us into the "well appointed" library and left to get the ashes. Without realizing it, each of the five of us gravitated to a far corner of the room while making small talk to pass the minutes that seemed like hours. One of the dads nervously turned the box over to peer at the dozens of signatures and started cackling at what he read. "Hey Alex, nice room, Trevor." We all practically fell down laughing till tears rolled out of our eyes at what had been intended as a last private joke between adoring cousins. We're certain that Alex also had a good chuckle over that one.

When the funeral director came in with the ashes we were still trying to compose ourselves. We quickly calmed down and each cradled Alex's remains in our hands - he weighs about what he did when he was born. I gently placed him in the box and we took turns screwing the base on and then turned it upright. We held it between us while we hugged in a circle and shed a few tears. A perfectly perfect moment.

And so, Alex continues to bring us together with humor. We are all remarking how wierd it is that we expected to feel a whole lot worse about this. But Alex would prefer it this way.

Saturday, January 13, 2001 -- 07:32 p.m.
A box for Alex
Because the family feels that Alex's spirit has always been much more important than his body, we decided on cremation. We weren’t sure how to handle his ashes and the funeral home “directed our attention to” urns that were much more ornate (not to mention expensive) than Alex would have wanted. When we asked them to show us something simpler, they looked down their unctuous noses and pointed to a crappy stained wooden crate for $175!!! The Midvale neighbor that drove us to the funeral home leaned over and whispered, “Hell, we can make something better than that.” So the idea of a box for Alex began to take shape.

That evening, three of us Midvale dads and Opa (Alex’s grandfather) went to the lumber section of the local hardware store. We debated and compared dozens of boards to find the right one of the proper dimensions that was not warped and had a beautiful grain. The next evening more Midvale dads and Opa assembled, with a case of beer, at one of their basement workshops. In between lots of beers, hugs, toasts to Alex, and belly laughs to “men’s” jokes, we took turns using a joiner/planer, radial saw, belt sander, router, nail gun and drill set to construct a beautiful box (see the new images).

The next day Opa was in charge of directing the many visitors on sanding and polishing Alex’s box. Everybody (even ladies) who participated got to sign it on the inside. This was wonderful for all of us to collectively channel our grief in a constructive and upbeat way.

We all are also starting to realize the full effect that Alex had on so many people. What a powerful example! This has really helped us, to a surprising degree, to turn our mourning, for now anyway, into a celebration of Alex.

Saturday, January 13, 2001 -- 02:47 p.m.
Invitation to Celebration of Alex's Life
You are all invited to join us in a lively but informal "Celebration of Alex's Life" this Sunday, January 14 from 2 to 4 PM at the Visitor's Center of Brookside Gardens in Wheaton Regional Park (click here for directions).

We are asking Salsa's friends, or anyone else who knew him, to write and bring a brief note about a detail or incident that illustrates his character that we can tape up for all to see. During the "Celebration" they will have an opportunity to read these notes out loud and anybody else who cares to participate will have a short time (one minute max please) to share their reflections.

Afterwards we will go out to stroll around Alex's favorite parts of Wheaton Regional Park. Finally we will all gather again at our home (11112 Midvale, Kensington MD 20895) for food, beverages, and further celebration of Alex well into the evening. (Anybody interested in bringing food - to our house not Brookside - please contact Judy at 301-942-6554.)

One of the most touching memories I have of Alex is when he was about four and covered in dirt from sweating and playing with his friends in the front yard of our house in the Dominican Republic. When he heard Marijke driving up, he ran around the garden, quickly picking a bunch of flowers, and then stretched his grimy little hand out through the iron gate to offer them to her. We know he would apprecite some of you bringing a handful of flowers to the celebration - something simple, not a store bought arrangement - if it weren't winter, wildflowers or something from your garden would have been ideal. We'll have vases there to put them in.

Friday, January 12, 2001 -- 02:45 a.m.
Donations in Memory of Alex
Many people have been asking about where to send checks notated with "in memory of Alex Salcedo". Here are a few suggestions:

Brain Injury Association of Maryland
2200 Kernan Drive
Baltimore, MD 21207

National Rehabilitation Hospital Foundation
102 Irving St, NW
Washington, DC 20010-2970

Children's National Medical Center Foundation
111 Michigan Ave NW
Washington DC 20010-2970

However the posting we made more than a year ago (see below) asking for blood donations is still valid.

"Our family is trying to generate positive outcomes from this terrible crisis. All of you who know Alex know that he also wants this. We are very grateful to Children's Hospital for saving our son's life and therefore urge all of you to donate blood. For more information please call Children's National Medical Center, Blood Donor Center at (202) 884-5437. If you live out of the Washington DC area please donate to the nearest blood bank."

Thanks from Dan, Marijke, Nadya, Adriana and Alex

Friday, January 12, 2001 -- 02:27 a.m.
Your expressions of support
You can't imagine what a source of strength your messages of support are to all of us in this household. I couldn't sleep and so I've spent the last half hour pouring over the latest missives, especially the ones from Salsa's friends. I take a huge ammount of comfort in knowing that Alex, even in the 13 years before the accident, earned more love and respect from his friends than most of us will in a full lifetime.

And that's the type of person he always was. I remember when he was 5 years old and crazy about his collection of Ninja Turtles, if one of his friends liked one in particular, he'd just give it to him without making a big deal about it. It never was a matter of trying to get people to like him - that was never a problem for Alex the way it is for some of us. Even when I took him on the month long trip to South America, wherever we would go, he would invariably make friends with one or a bunch of kids, even when he couldn't speak the same language. They would just start throwing a nerf boomerang or ball around and eventually run and laugh themselves into exhaustion - pure and undiluted joy of sharing an experience with another human being - that was the beauty of Alex that we can all learn from.

Yesterday, the guys on Midvale decided, rather than spending a fortune on some tacky urn from the funeral home, to make it ourselves and keep things upbeat at the same time. Opa Velzeboer went with us to the hardware store last night to buy some nicely grained No 1 pine. This evening at 7 we're going to assemble down the street where a neighbor has plenty of power tools to craft a nice but simple box for Alex's ashes. Any guys who want to help are welcomed - just bring a six pack and a new joke.

We also need input from Alex's friends for ideas/details on the memorial on Sunday. Please check in with Nad and Adz.

Thursday, January 11, 2001 -- 05:50 a.m.
Alex at peace
After the initial shock of Alex's departure has started to subside, with the help of so many wonderful folks we are realizing that he is in a better place. He looked really peaceful this morning for the first time on a long, long while. We can't begin to understand what this is all about but we are starting the long journey toward acceptance.

We now have most of the logistics in place and our families are starting to gather from all over. We are now open to receiving more phone calls and visits.

Also we are planning a memorial celebration of Alex's life for Sunday from 2 to 4 at Brookside Gardens in Wheaton Regional Park, followed by a stroll through the sections of the park that were Alex's favorites from the time he was a little kid. Afterwards we'll gather here at our home for a bite to eat. Of course you're all welcomed. We'll post additional details. In the meantime don't invest in expensive flower arrangements.

The short answer to everybody's question is, "Alex coughed himself into his pillow sometime last night and suffocated."

Wednesday, January 10, 2001 -- 10:44 p.m.
Alex's great heart has stopped
I'm very sorry to have to spread the news that Alex passed away last night. We are devastated with grief and dealing with the logistics of what we have been avoiding thinking about for so long. However everybody in the family is OK under the circumstances.

Please check back on this site for updates. Until we are able to get things stabilized we would prefer for you'all to communicate through this Web site. We'll be posting details as we know them. Tentatively we are planning a service for Sunday.

Please pray for our son.

Wednesday, January 10, 2001 -- 10:50 a.m.
Happy 2001!
Well we sure are looking forward to 2001 being calmer and more upbeat than 2000. On New Year's Eve we took Alex to a Midvale party where he and everybody there was quite at ease. Before the actual stroke of midnight however, Alex, Marijke and I gathered at home for a quiet little celebration. The girls, of course, were out on the town but called us right at 12.

Folks continue to show us the greatest of kindness and support. Tonight we have our Salvadoran friends bringing over "pupusas" and tomorrow other friend are bringing an Iranian feast.

The only slight problem is that several of us have colds from being cooped up inside all these days. Marijke and I both have had headaches and we hope we don't pass it on to Alex.

We mailed out a New Years e-letter to everybody that posted to this site. If you changed your e-mail but want to receive it, let me know at alex@peoplink.org

Friday, January 5, 2001 -- 05:59 p.m.
Christmas
We've all been together for Christmas and it's a whole lot better than last year. The girls are home from college and my mother even came from Texas for a week. We've ben having lots of visitors so stop in if you are anywhere nearby. Trouble is we're eating way too much.

Alex is fine and has even enjoyed the outings in the cold.

Sorry if you tried to post a message - it was broken for a week but is now fixed. We'll do another update soon.

Wednesday, December 27, 2000 -- 11:18 p.m.
Paris or Rome
Alex and I are here together - the two of us, just chillin'. Over these 16 mmonths, we've had prayers and words of encouragement from many of our loved ones and they have all been of great help in coming to terms with Alex's situation. One story in particular has stood out for me and has been extremely useful for gaining a healthy perspective. It compares life to taking a long awaited trip.

Suppose that you have been planning for years to take an extended trip to Paris. You've been studying French and reading all about the famous paintings at the Louvre. You've packed all the right clothes for romantic spring strolls along the Seine winding up with a nice dinner at a quiet little restaurant on the Left Bank. You board the plane and it takes off smoothly as you settle into your seat. Suddenly the captain comes on the speakers, "Welcome aboard our flight to Rome".

"Rome?!", you shout. "What's going on here? I'm supposed to be going to Paris, it says so right here on my ticket! I never signed up to go to Rome!! I don't speak Italian and I don't even like spaghetti!!" You rant about how when you land, someone is going to have to fix this screw up and get you to Paris right away. But when you get there you're told that you simply can't go to Paris. At first you're bewildered and angry. You explain to everybody who'll listen that it's not fair and that you're not going to put up with this, but that doesn't change anything.

After a few angry, sullen days, however, you start noticing that Rome is a little bit warmer and slower paced than Paris. The people are more friendly and less arrogant. Italian is actually easier to learn than French and you've developed a taste for Chianti. You look around and begin to realize that, while it's not the destination you had planned, it has charms that you never imagined. Once you let go of the "injustice" of it all you begin to realize that living in Rome is OK.

So it is with Alex. Naturally, at first we reacted vehemently that this simply could not be, that this situation had to be corrected. We did everything possible to get us all back to the destination we had assumed for so long. When it didn't work we were confused and pissed off - we couldn't accept it. But now that Alex is home, we can start to appreciate that this situation has its up sides. Alex is stable and we've had the loving support of a huge circle of friends and family. While we don't get out as much, plenty of folks stop by and visit. And we're reading more than we used to when we were always on the go. We've gotten to know more about Alex and what a truly wonderful person he is than we ever would have under normal circumstances. Yes, it's a different destination than we had ever imagined and certainly not one that we chose but, all in all, living here is OK.

Thursday, December 14, 2000 -- 10:30 p.m.
$5000 mattress
I had forgotten that in the scramble to get Alex home, we were once again blessed with extraordinary luck. All the time in the hospital Alex had been on a deluxe mattress filled with air in computer controlled chambers which kept him from getting bed sores (common in patients who don't move much). However the insurance company did not authorize one for home use. Fortunately some friends we met in Galveston, whose son had been in a coma but had emerged, had this type of mattress that their church had given them and they sent it to us free (we only had to pay for the shipping!).

Marijke is feeding Alex more and more in keeping with the gluttonous spirit of the season. The girls and my mother will arrive next week and we're looking forward to a relaxing Christmas at home this year. Please stop by anytime - we're always here and open for visits.

Saturday, December 9, 2000 -- 01:41 p.m.
Thanksgiving blessings from Marijke
Better late than never. We had much to be thankfull for this Thanksgiving: The girls spent the time home and we ate, laughed, ate, had lots of friends around, ate and gave Alex megadoses of love and attention. We are also thankfull for Alex's caretaker Eugene, who makes us think we won the lottery from heaven. He is cool, enjoys all kinds of music, takes Alex for walks, is a great advocate for our boy, and provides loving care. To all the wonderfull nurses who took care of our boy for so long and who made our lives in the hospitals so bearable. And my colleagues who encouraged me to take flex leave to get our lives on track. Then there are our friends and neighbors who continue to support us in anything from running Price Club errands, building ramps, rewiring the house, to managing all of Alex's supplies with several agencies. And to you who write us regularly with your uplifting messages and prayers. You keep us strong. For Alex's friends who continue to write and pray for him and stop by to visit. Thank you beautifull girls for your nice presents from Germany. You are ALWAYS welcome to visit. And to our dear boy, Alex, who is once again at home with us. We now continue our lives with our new routines; Alex is much more relaxed on Midvale. We're almost always home, so come visit. We pray, sing, message, oil, play music for Alex to leave his coma and on to healing. That is our Holiday and everyday prayer.

Friday, December 1, 2000 -- 09:39 a.m.
Alex's new girlfriends
For the last week we've been visited from San Fransisco by David (Alex's Godfather and Dan's best friend from junior high school) Laura and Leah. We just uploaded some images of the walks they took with Alex. They were joined by Raven, Eugene's 3 year old girl. The girls are real beauties, don't you think?

Last Friday we had some excitement. Alex's stomach tube (for feeding him) fell out at 3:30 AM and we freaked out thinking it was serious so we called the doctor (and David is also an MD) and were assured that it was no big deal and could wait until the morning. They don't last but a few months and have to be replaced. What none of us knew is that the hole closes very fast - completely in 24 hours!! By the time we got an appointment to replace it at 1:30 PM the expert nurse-practicioner couldn't get the original size in and had to put in a baby sized tube. She said, "Next time that happens, get something in there right away so the hole doesn't close up any - it doesn't have to be sterile - a macaroni will do just fine."

Tuesday, November 21, 2000 -- 08:22 p.m.
Salsa's Friendship
A good way to judge a person is by the number and quality of their friendships. Through this ordeal we have come to realize how rich Alex is in the wide variety of people that love and respect him. Besides the usual guy buddies, Salsa has many close friends that are girls. As you can see from the new image, even now 15 months after the accident, the bonds of friendship endure. Very few of us could make the same claim.

Wednesday, November 8, 2000 -- 08:47 p.m.
Adz's Birthday
Thursday was Adriana's 20th birthday so yesterday we invited a bunch of friends and celebrated it with one of Marijke's fabulous Indonesian feasts which she hadn't cooked in a long time. Adz kept us "entertained" with all the stories she hadn't told us like the one about the huge party she threw in high school while her parents were away - classic teenage stunts, right out of a movie script. But she's not a teen any more!!

Having Alex home is wonderful all the way around as we can get back to a more normal life that also includes him. We're here most of the time so stop in for a visit.

Last weekend Marijke and I took Alex for a long walk at Brookside Gardens which is in Wheaton Regional Park not far from our house. The sun was shining bright and it was absolutely beautiful - sorry I forgot to take a camera.

Monday, October 30, 2000 -- 05:33 p.m.
Eugene
We have, once again, gotten very lucky. We've found Eugene (or maybe he found us). Anyway, he will be taking care of Alex while Marijke and I are at work and we couldn't be happier with the arrangement. Eugene is a seasoned professional and takes an active interest and responsibility in Alex's well being, not only physical but also spiritual. If you see him anywhere in the neighborhood when he takes Alex on his long walks, stop and have a chat - he's interesting to talk to. We've just uploaded a new image of Eugene feeding Alex.

Marijke returned today from Geneva.

Friday, October 20, 2000 -- 10:37 p.m.
Life back on Midvale
It sure feels good to be home again with Alex. The neighbors have come over to build a ramp, reposition some shelves, intall a dimmer switch, rewire some plugs, and join us for Sunday morning pancakes. That evening, Alex and I went over to dinner at one neighbor and, after I put him in bed, I took the baby monitor with me across the street for a piece of pie with another neighbor.

This afternon was beautiful and we went for a long walk and wound up near Einstein High School where we heard a lot of commotion. When we went to check it out we realized that it was a field hockey game in which a bunch of Salsa's friend girls (not girl friends) were playing (and winning) their last home game. Afterwards they all came over and chilled with Alex a bit before we went home.

In all but one way this is all very positive and deffinitely a big improvement over the last 14 months in the hospital.

Marijke is in Geneva for the week.

Monday, October 16, 2000 -- 11:36 p.m.
Glad to be back home
We're all happy that Alex is finally home. This is better for everybody, especially Alex. Things are falling into place and we're on a more relaxed routine. After the initial bustle of the move, Alex is more laid back and seems to be enjoying it. The beautiful weather helps too.

I've uploaded some new pictures and more will be forthcoming in the next few days. Stop by for a visit and you might be in one of them.

Friday, October 13, 2000 -- 06:20 p.m.
Alex is home!!!!!!
This morning Alex left NRH in a whirlwind of paperwork and also hugs/tears from all the wonderful staff, especially the nurses. After more than a year there they had all become quite attached to Alex and were sad to see him go. But we're very excited to have him home.

We're also happy to have Eugene in our lives who will be Alex's main care giver.

So stop by anytime to visit.

Thursday, October 12, 2000 -- 04:39 p.m.
This week for sure (almost)
It looks like Alex will be coming home this week, probably Thursday. We think all the pieces are in place and tomorrow we have a big meeting at NRH to make sure. He's over his cold/ear infection and we've found a nurse to look over him so there's nothing standing in the way. Props to Judy (neighbor, experienced nurse, and Alex's second mom) who has tirelessly worked the numerous agencies involved to make it happen.

Marijke has to go for a week to Geneva on Sunday so we want to get Alex home and settled as soon as possible - stay tuned.

Tuesday, October 10, 2000 -- 07:21 p.m.
Ear infection
Even though Alex is quite healthy, he still goes through all the usual stuff we all do. He's had a cold (still scares the new nurses with his vigorous cough) and finally showed up with an ear infection. Not a big deal but uncomfortable, I'm sure.

We are almost certain that the long awaited homecoming will happen next week, early we hope.

Friday, October 6, 2000 -- 08:46 a.m.
Pepita found!!!!
Just an hour after I posted the last update, I got a call from the dog pound informing me that they had Pepita!! $55 and a good lecture (which she ignored) later she was home. Hallelujah!!! The only scary part is that she was picked up at the shopping mall accross the street where Alex had his accident. Loosing her would have been bad but if she were hit at the same spot as Alex.............

Anyway we're all happier now - just anxious to get Alex home.

--
Pepita missing!
Alex's dog that has been his friend through thick and thin since he was 3 years old is missing. On Sunday she was lounging in the front yard the way she does most days and later, when I went to check on her, she was nowhere to be found. We've searched/called everywhere and put up signs but so far, no luck. And just days before she could start stimulating Alex when he comes home. What a bummer!!

Other than that things are fine - just working on the minor (though frustrating) administrative details to get Alex home, hopefully sometime this week if not next.

--
Not this Saturday - rats!
Today everybody working on Alex at NRH plus folks representing the insurance companies and a MD state agency as well as neighbor Judy all met for what was supposed to be a "discharge meeting" for Alex's coming home this Saturday. We still have one minor bureaucratic holdup that should be cleared up in a few days so we can BRING ALEX HOME!!! It's frustrating but at least we know what needs to be done so it's not so intimidating.

They docs have been running all sorts of tests on him before he leaves and he is very healthy.

Just one request - does anyone have a baby monitor they don't need anymore that we could use to keep an ear on Alex at night?

Thursday, September 28, 2000 -- 09:04 p.m.
Target date next week
The reason that we haven't done any updates recently is that we are working on the many details to get ready to bring Alex home for good. Right now we are aiming for next Saturday!!

At first we were a bit frightened by the responsibility but now, with the help of friends and the hospital staff, we feel more comfortable about it. Besides this will be a much better arrangement, both for Alex as well as our family. It will be much easier for friends to stop by and visit and we can put our lives back on a more normal track. We'll still be counting on all of you out there for support though.

Sunday, September 24, 2000 -- 11:39 a.m.
Happy Birthday Alex
Today is his official 15th birthday but we brought him home for a party yesterday and celebrated with neighbors and friends. They brought lots of cakes and cookies - enough to share with the nurses at NRH. Check out the new image of Salsa with his friends.

This was the first time he had been home in 13 months and it was very emotional for everybody. We look forward to having him home permanently by the end of the month.

Monday, September 11, 2000 -- 08:07 p.m.
Sunday Home Visit & Birthday
This Sunday we're going to bring Alex home from 2 to 4 PM for just a short visit. You are all welcomed to stop by to see him. Since his 15th birthday is the next day we're going to celebrate it on Sunday. Don't bring gifts but if you want to bring a cake/cookies/chips that would be fine.

Thursday, September 7, 2000 -- 08:49 a.m.
Girls came and went
Adriana arrived from her trip this past week and then Friday morning she accompanied Nadya on her drive back to Rice University in Texas. They made it in 32 hours and Adz will fly back Monday to move to an appartment near University of Maryland. We sure will miss them - they are the best sisters/daughters in the world. Before they left we had some nice sessions with the entire family and took some pictures which just got uploaded.

Alex is doing fine - we're taking over more of the tasks of caring for him in preparation for his homecoming in a few weeks.

Sunday, August 27, 2000 -- 06:42 p.m.
New Images
We have some new images of Alex up. The first is one of him with a cast on his arm that all his friends signed. The next is one of the physical therapists showing us how to easily transfer him into our car. We also included a shot of some of the many folks that joined us for the one year gathering. Because it was outside in the dark, this was the only shot which came out.

Alex is doing well - no change. We're still going crazy with the details (insurance, equipment, nurses, therapists, etc etc) necessary to bring him home some time late in September.

Adriana travels have taken her to Beirut but she'll return here on Monday and then will drive down to Texas with Nadya on Saturday before flying back the following Monday to start again at U of MD.

Friday, August 18, 2000 -- 05:55 p.m.
One year gathering
Thanks to all the dear neighbors and friends who showed up last night to our home as well as all those who lit a candle, said a prayer or otherwise joined us long distance in remembering the ups and downs of the last 12 months. This community has kept us and Alex moving forward and we can't thank all of you enough.

We were expecially pleased that so many of Salsa's friends showed up and stuck around afterwards to reminded us of his wonderful qualities that make so many of his peers love and repect him for all the right reasons. They assured us that at Sligo Middle School he was a peace maker and everybody liked him, including, remarkably, the teachers. He was not at all arrogant about his popularity and never "dissed" anyone. They also told us the stories of the many pranks he played (my personal favorite is surrepticiously dropping vegetables into the principal's pockets). Most parents seldom get such an intimate window into the lives of their teens.

--
Details for Aug 9
As you all know, August 9th is the one year anniversary. Several folks have told us that they wanted to have a gathering to reflect on Alex and the past 12 months. It will be a very simple affair with a few prayers and folks just saying what's on their minds. So anyone who wants to join us is welcomed at 8 PM at our house (11112 Midvale). Those of you who are out of town or can't make it can add your input wherever you are, however you prefer, at that time.

Alex is doing fine with all his old friends at NRH. The only difference now is that the family is paying closer attention to all the procedures since we will be in charge when he comes home. We will get somebody to help us during the day but this will be largely (gulp) our responsibility. Of course Alex will be easier to visit once he's home.

Sunday, August 6, 2000 -- 06:02 p.m.
Alex back at NRH
Alex is back among friends at NRH (in room 304 - phone 202-877-1330). He's already had a bunch of visitors this weekend and is sporting two new Rage Against the Machine T-shirts.

The trip back was smooth, for Alex anyway. I was a nervous wreck. I travel all over the world with my computer in a backpack and have never misplaced it but both going and coming I temporarily forgot it at the airport (duh!).

Now we're going to take the next month or so to get ready for the long haul and bring Alex back home.

August 9 is going to be the one year anniversary and we're planning some sort of simple gathering here at our home that evening around 8 PM. You're all invited. Stay tuned for details.

Sunday, July 30, 2000 -- 08:51 p.m.
Alex coming home tomorrow
We're all excited about returning to DC tomorrow even though we have to get up real early. Today we had a parade of folks coming through to say goodby to Alex - doctors, nurses, therapists, his Godfather, Dan's high school & college friends, family etc etc etc.

On the downside Alex's last Rappaport test came in at a very disappointing 26!!

Tomorrow is going to be very hectic and Alex is going to arrive at NRH tired and hungry so perhaps it would be best to delay any visits until Wednesday.

Monday, July 24, 2000 -- 11:10 p.m.
scaring everybody
Alex has developed a couple of tricks that are pretty effective a scaring everybody new that begins working on him. The first is a vigorous cough that he will let loose sometimes when he's sound asleep and lying peacefully. All of the sudden his knees and head pop up and, if he's near the edge of the bed, he is liable to spring right off. He's bumped his head on the railing several times this way. The other one is just holding his breath for no reason. The nurse/therapist will bang on his chest and yell "Alex, breath!!" and when he's ready, he will (way before he stops being a healthy pink). Just Alex's way of keeping all of us on our toes.

It's HOT here - near 100 degrees and also near 100% humidity. We take our walks in the late afternoon about 6:30 PM when things start to cool down a bit and we have a nice sea breeze.

Friday, July 21, 2000 -- 05:32 p.m.
Salsa's Restaurant
You know how Alex loves Mexican food, right? Well here in Galveston they have a Tex-Mex restaurant called "Salsas" and I went there for lunch. I tried to buy a T-shirt from a waiter but they only had mediums left and I know Alex would consider anything smaller than X-large very uncool - but they are getting a new batch in a week or two and my high school friend is going to pick one up and mail it to us.

Today we dove solo - the other fellow in the hyperbaric chamber couldn't clear his ears so he left and we were in all alone with the technician. It's the closest either one of us has been to a chauffer driven limousine.

Everybody in the hospital has been dropping by and raving about how amazed they were with Adriana. She really deserves props for been so cheerful about spending most of her summer vacation taking care of her little bro. The down part is that the docs that have been stopping by are not very encouraging about Alex.

Tuesday, July 18, 2000 -- 05:33 p.m.
All Salcedo dive
What a coincidence. Today when I took Alex to hyperbarics the only other patient that dived with us had the same last name!! (Actually he spells it "Salcido"). We went down to 60 ft.

The good news is that Alex has his new ($5000!!!) wheel chair. He looks just great except, believe it or not, he is developing a little gut. The bad news is that his Rappaport scores are going back up, which has everybody baffled. One therapist thought he's just doing it to be difficult. Wouldn't surprise me.

Monday, July 17, 2000 -- 04:57 p.m.
Eleven months
Last week brought us into the 12th month of this saga. Alex is doing well with his sister, Adz, who leaves Galveston as I arrive this evening. She has been great and made many friends in the hospital. Yesterday the therapists and nurses baked her a cake and threw a party for her.

Alex dove to 60 feet this week. Thsnks to all of Salsa's friends who have been posting messages and are looking forward to his return to NRH on the 25th.

Friday, July 14, 2000 -- 08:23 a.m.
Hello from Galveston
Alex spent this afternoon with both Adz and mom after Adz returned from 3 days of being spoiled by Oma and Opa. Adz has star fame here for being the MOST loving and caring sister most folks have ever known. She's been here since Mother's day!!

The week has been hectic getting into the routine of a new hyperbaric schedule, doing an EEG and meeting with docs re MRI results. The MRI results remain the worst case scenario with lots of dispersed scarring due to the injuries and some major damage on the right and center brain. These are permanent, but the neuroradiologist and the pediatric neurologist don't know the prognosis, given the brain's enormous plasticity and ability to regenerate connections. So we keep working, stimulating, playing music, singing, reading, loving, talking to our boy waiting for that great day when he will respond. Keep your prayers up for that day!

The 40 ft dives do get a reaction out of Alex. They wear him out and he returns flushed and with increased heart rate. Hopefully they'll affect his brain as well. We keep our hopes up. We sure have seen some amazing affects on our fellow divers.

For the 4th of July Alex and Mom went for a beach walk and it was a madhouse. Alex loved the music - rock, headbanger, rap, latino - blasting out of a steady line of cruising and parked cars. Lotsa gorgeous folks in all shapes and colors celebrating Independence day. Alex was so relaxed during this walk.

It's mighty HOT here so we save the walks for after 6PM and then we have to hoof it to keep the mosquitoes from eating us up. We can't linger in the rose garden anymore since it has turned into sucking zone for these lil critters.

Mom's off to Costa Rica on Sunday, Adz will take charge until the 14th, when Dan comes down to spend the last leg of Alex's stay in Galveston. On the 25th of July Alex and Dan will be homeward bound, to NRH for a while, and then to Midvale.

We read your messages to Alex, or tell him about them, so please keep them coming. Also the prayers and vibes.

Saturday, July 8, 2000 -- 11:43 a.m.
Marijke with Alex
This morning Marijke and I got up real early to take her to Baltimore for her 6:30 flight to Texas. The flight was over booked so she volunteered to go one the next flight, 2 hours later, in exchange for a free ticket which will get Nadya home for Thanksgiving. She is happy to be there (as I'm sure is Alex) after a six week separation which seems like an eternity.

Tomorrow, all of Marijke's siblings (and assorted nieces) will converge on the Velzeboer household in Houston to celebrate Opa's 80th birthday (a little early).

I'll be holding down the fort here and continuing with the fun and games of dealing with the insurance companies, hospitals, airlines, etc etc etc etc - hey, but it's all worth it - Alex is coming home later this month.

Saturday, July 1, 2000 -- 05:56 p.m.
If a little is good, more is better
Alex started on his last series of 20 "dives" and they decided that instead of taking him to the equivalent pressure of 16 feet underwater for 60 minutes, they're going for 40 feet for 90 minutes. This will ensure maximum oxygen saturation for brain healing.

Adz is doing great but will be relieved to be able to sleep in late for a week while Marijke stops in. For teh rest, all is well - just getting things ready for Alex's return to DC.

Thursday, June 29, 2000 -- 08:50 a.m.
First shower in 10 months
Today Adz and the nurses transferred Alex into a waterproof wheelchair and gave him a good shower. He was tense while they were moving him around because he didn't know what was going on. Once they turned on the water he relaxed and enjoyed it.

My cousin Julian from Colombia is visiting in Galveston with his wife and daughter.

Our family is all over the map this summer but we finally have some firm dates for who's going where/when:

  • Marijke will go to Galveston on July 1 and then on to Costa Rica on July 9, returning to DC on July 15
  • Adz will return to DC on the 16th and leave for Europe on the 24th
  • Nadya will return from Mozambique on the 20th
  • Dan will go to Galveston on the 15th and return to DC with Alex on the 25th and go straight to NRH


Friday, June 23, 2000 -- 06:53 p.m.
Alex's homecoming plans
Since the 80 "dives" were approved we can now plan Alex's return to MD. Marijke will stop off for a week July 1-9 on the way to Costa Rica and I will go down on about July 17. Adz will come back and get ready to go on her well earned trip to Italy and Spain. I'll bring Alex home on the 24th or 25th. He will go back to NRH for about a month so we can get everything ready to bring him home at the end of August.

Adz and Alex are in a routine in Galveston of therapies and walks and visits with friends. All is going smooth.

Yesterday's Father's Day was a bit sad without any of my kids here but we're very happy and proud of them all.

Monday, June 19, 2000 -- 07:21 a.m.
Ten months already
Last Friday marked the 10 month anniversary of the accident. How time flies even when you're not having fun.

Alex has been moving a little slow because of a fever but he seems to be over it now and is more alert. We have been approved for the full 80 "dives" so he'll be in Galveston untill the middle/end of July.

Please keep up the prayers and positive thoughts.

--
Alex sitting up
Don't have an image of it but on Sunday the therapist and I sat Alex on a mat and turned him to the right and placed his elbows on a raised mat and he supported his weight and held his head up all by himself for about two minutes without anybody touching him!!

Thanks to all his friends for the continued postings. They are a help to both Salsa and his family.

Wednesday, June 7, 2000 -- 08:20 a.m.
Report from Galveston
I'm happy to be in Galveston spending 4 days with Alex. He is moving more than last time I was here and still responding to sounds, touches, etc. Adriana has done a fantastic job of keeping im stimulated and loved on. It's good that she's getting a few days break and getting to sleep in.

Yesterday Alex and I took a very long walk on the seawall. It was sunny, breezy, and not too hot. We had a good time. A funny thing happened on the way back. I stopped off to visit a friend from junior high school and just as we wheeled up his driveway, Alex's right wheel locked up. As it turns out my friend's family owns the main bicycle shop in Galveston and he has all kinds of tools that we used to fix the chair. It was just a bolt that had worked its way lose but we sure were lucky that this happened where it did and not way out on East Beach where we had been walking just before!!

Alex's left eye was a bit puffy from the encounter with the bed railing last Wednesday but it's practically back to normal today. He looks great actually - has some color on his face, arms and legs from the outings.

--
Can't wait to see Alex
Tomorrow morning (very early) I'm going to fly down for a 4 day weekend with Alex and to give Adriana some time off (she deserves it). Alex is doing good. He turned his head toward a baby that was crying and the night nurse wrote down that he was saying something like, "Mama". All very exciting.

The only bad news is that he coughed so vigorously he bumped his cheek on the bed railing and has a small bruise. Oh well, that's life, even in a hospital. After all he's been through, that's not such a big deal.

Thursday, June 1, 2000 -- 09:04 p.m.
HFStival
A bunch of Salsa's friends stopped by yesterday on their way to the rock festival that has been a centerpiece of his social life for the last few years. Several of his favorite bands including Rage Against the Machine were featured this year. Everybody knows how important this event is for Alex and so they all rallied together in solidarity. Alex/Salsa appreciates it.

It's really hot in Galveston so Adz has been taking him out later in the afternoon. Today they were going to go on the ferry that is close to UTMB.

A couple of new images show Marijke visiting with Alex during a walk on the sea wall and another shows his huge (and frequent) yawns, followed by, "nia,nia,nia,nia,nia,nia...."

--
Pictures of Alex & Marijke
Alex is now drinking Pepsi (thickened) when it is dripped into his mouth with a straw. This is good because he is handling more liquidy substances which tells he's getting better and safer at swallowing.

Adz continues to be at his side and has even cut way back on her partying. What amazing sisters Alex has!!

Today we uploaded a couple of new images that show Alex's face and how he's looking good. Another shot is one of his favorite places, the rosa garden at UTMB, where Marijke spent many hours talking to him.

--
Sweet 16!!
Alex's Rappaport Coma test scores continue to improve. Today he was at a 16 (or a 14 depending on how they interpreted one section)- steady, documented progress - that's what we want to keep seeing. 28,24,22,20,18,16, (14?) - not bad for 8 weeks.

I'm going down next weekend (June 2-5) so if Salsa's friends want to send some music or an HFS poster or anything else I can take it.

Yesterday the wierdest thing happened. When I got back from taking Marijke to the airport, our dog Pepita wasn't around. I thought she had just spent the night next door with the PEOPLink interns, like she sometimes does. However today I had to go to Connecticut real early and I couldn't find her. She didn't show up all day and had everybody in the neighborhood quite alarmed. This evening we got a call from the dog pound in Washington DC, a long way from our house but not too far from NRH. We have no idea how she wound up there but I'll go pick her up tomorrow. When we got Pepita as a puppy in the Dominican Republic, she really helped Alex get past a difficult stage before he learned Spanish or made any friends. We are counting on her affection again to stimulate Alex when he comes home. The thought of loosing her at this point had me plenty worried. But this was a false alarm.

Monday, May 22, 2000 -- 09:53 p.m.
Scattered clan
The Salcedo-Velzeboer fam is all over the map. Alex and Adz in Texas, Nadya in Mozambique (interning for two months with the World Food Program), Marijke winging her way to Chile for 3 days, and Dan holding the fort down.

Alex had a good weekend. Adz reports that he is moving more and more and even the hyperbaric technician noticed that he seemed to be trying to respond to her.

Sunday, May 21, 2000 -- 08:07 p.m.
Alex holding his head up!!!
Today the therapists stood Alex up like they do most days and he held his head up for 2 minutes, completely unassisted!!! This is a first and indicates that his sense of bodily orientation is improving which is another response to his environment.

Yesterday Adriana peeled an orange under his nose and he raised his hand up to his face in reaction. She's working him hard in between trying to finish off two final exams to wrap up her semester.

--
Documented progress
Alex continues to improve not only in the eyes of his family but in the tests administered by the experts. Every week the Occupational and Physical Therapy team administers a "Rappaport Coma Test". Alex was at 28 the first time they ran it when we arrived in Galveston and then he progressed to 24, 22, and last week to 20 (the lower the better). Just got an e-mail reporting this week's score of 18!!!. We understand that these things take time and that what we all look for is sustained progress - which is exactly what we're seeing. The aggressive OT/PT & hyperbarics coupled with lots of love from his mom and all our friends out there are moving things forward.

Marijke arrived last night after being stuck in the Chicago airport for 5 hours (ugh). She is exhausted and I'm letting her sleep in this morning (in fact she still hasn't heard the good news).

One minor down note is that Alex did vomit yesterday for the first time on a long time. But the good news is that he's beyond the risk of aspiration (breathing it in) so it's not such a big deal. Just a bug going around as we all experience every now and then.

Tuesday, May 16, 2000 -- 09:24 a.m.
Changing shifts
Three weeks flew by for Mom in Galveston, and Adz flew over yesterday (Saturday) to take over guiding Alex back into the conscious world. And is he ready to have his mama out of his face after 3 weeks of obsessive love, complaints about his music, Mozart, too much order, old lady gossip, email sounds, etc. Adz will be a nice relief. She'll work her bro as hard as Mom, but the music will be better and she's more fun! .

Today we celebrated mother's day by letting Alex sleep late, and doing lunch with Abuela. Last night we celebrated over a tasty diner with Opa, Oma and Kees. All that good eating while Alex chows down on fruity mushes, frozen pudding, mashed potatoes and blended Applejacks (his favorite cereal). He's getting into moving the food around his mouth and swallowing lustily. During my 3 weeks here he did not once aspirate (= food going down the wrong hole) .We keep tempting him to improve so he can drink milk from the gallon jug, and eat pizzas, candy and arroz con curry.

Adz came into our Galveston scene while we were at the rose garden. She immediately noticed the changes in her dear brother: more alert, more relaxed, eating, mouth movements, conscious arm and leg movements, both eyes open, turning head to her, etc. She was happy to be with her bro after 7 weeks and Alex was even more happy about the changing shifts.

So the hyperbaric treatments continue and we are actively lobbying for another 20, especially with a documented success record. That'll put us through end of June. We do believe, as do the nurses, that the hyperbarics, zinc, Reike, therapy, loving care and prayers are moving Alex towards consciousness. We are keeping them all up. All you friends and loved ones, please keep up the prayers and vibes. I leave here at peace with Alex's progress, support and Adz in charge. I am also grateful to our wonderful support network here that will continue for Adz and Alex. Thank all, especially Alex and Adz.

Sunday, May 14, 2000 -- 09:07 p.m.
Mother's Day
Today Marijke stayed one extra day to be with Alex for Mother's Day, as well she should have. She's been working very hard with Alex to get him to respond more. Nothing is more powerful than a mother's love.

Yesterday Adriana arrived in Galveston after a canceled flight in DC and getting stuck for 5 hours in the Atlanta airport - all after cramming a summer's worth of partying into 3 days. Marijke's sister and her parents and brother also went down for a family gathering.

Today Marijke and Adz took my mother out for Mother's Day brunch and Nadya and I went to the Million Mom March. So we hope that Alex felt all that focused mothers' energy and continues to heal.

Sunday, May 14, 2000 -- 07:37 p.m.
9 months!
Yesterday marked the 9 month anniversary of the day that everything changed. Can you believe that this baby is taking so long to deliver? Alex, as usual, is taking his sweet time - doing things at his own pace. But he continues to improve and we are still hopeful.

We are also very grateful for all the support from Midvale, DC area, Texas and the rest of the world. We love you for loving Alex.

Wednesday, May 10, 2000 -- 06:58 a.m.
A NEED FOR FRIENDS
Can you imagine Alex spending all his days being poked at, stretched, rolled, fed, stuck, cleaned by adult women? He has not chilled with kids since he left NRH, and I know he misses his friends. I sometimes find him shutting his eyes on purpose when he is tired of being messed with by another "old" woman (over 18).

So Alex's friends, can you do Alex a favor and send (give or lend) favorite CDs so we can play them for him. He would love some of the new tunes y'all listen to. You know what he likes, we really don't. Adz is coming down on Saturday (5/13) to be with Alex for the rest of the month. You can give them or anything else to her before Friday or you can send to abuela/grandma (2920 Pine Street, Galveston, TX 77551).

Saturday and Sunday are recuperation days from a busy week of therapies, hyperbarics and hospital routines. Alex sleeps late, has only one therapy, a visit from grandfolks and friends, we take a walk to the beach, and Casey, the REIKE healer gives him two hours of healing energy. The sea was kinda rough so we did not see the 14 skiing frogs, and thanx to mom's incomplete sunscreening Alex has a red ring around his collar. During the week the therapies drain him and he sleeps much of the time in between. He does stay awake for our afternoon head exercises in the rose garden where we do occasionally see some very strange polka dotted birds. I'm sure the lazy moments are the healing times.

And while Alex is taking his healing moments and mom tries to catch up on e-mails and work, dad, the girls and the Midvale neighbors have knocked down walls and painted others to make a beautiful space for Alex when he comes home. We're aiming for lots more hyperbaric treatments, but our days in Texas are numbered. Thanx , Midvale!!

Alex is eating well, moving his legs a lot, but not enough to keep skinny. He is filling out with the yummie tube liquids, frozen fruit and vanilla pudding, but is also metamorphizing into a man's body. He weighs 154lbs and is becoming hard to lift, especialy since we guess that he's about 6 feet 2 inches long. He sure towers over everyone here when they stand him up.

Tia Betsy sent Alex a headset cordless telephone so that he can be plugged in in comfort (409 722 6812), he received a fluffy handmade blue blanket from a Linus Lady of Forrest Hill, MD, and a very stuffed goodie basket from a cute patient's grandma. People are so amazing for us. Wherever we go the networks stretch to support us. Thank you friends for these kind acts, your prayers, messages, lunches, hospitality, generosity and love.

A special thanx to all of Alex's wonderful nurses. It's national nurses week; please hug a nurse and thank them for Alex.

Tuesday, May 9, 2000 -- 06:54 a.m.
Best score yet!!
Every Monday, the folks at UTMB give Alex the Rappaport Coma Test to see how he's coming along. They do a bunch of stuff like pinching him, tapping his shoulder, ringing a bell, putting amonia under his nose, giving him instructions to follow, etc. Today he scored the best he ever has, which is documentation that he continues to improve. Hooray!!!

Also we had a glitch with the messages on the Web site this weekend. Greg fixed it so you can post again and in a couple of days we'll put the old messages back up.

--
For Salsa's friends in MD
One thing Alex doesn't have in Texas is anybody his age to hang with. So the next best thing would be for his friends to put together a casette of your voices that we can play for him. Doesn't have to be complicated. His sister Adriana will go to Texas this Saturday so if you can deliver something to her on Friday she'll take it. Cards and fotos to put on his walls would also be good.

Thanx.

Monday, May 8, 2000 -- 10:18 a.m.
More pix from Tex
Today we uploaded some more images. The first is Alex on a pier that goes about 100 ft into the Gulf of Mexico. The wind blowing, waves crashing, salt spraying, and birds sqwaking just have to be reaching him.

The second image is of Alex eating his apple sauce. Yummmm!!

The folks at UTMB take good care of him, even though he doesn't always like them messin' with him all the time.

He's up to 154 pounds which is 10 more than before the accident. This isn't surprising with him eating and growing.

Tuesday, May 2, 2000 -- 06:54 p.m.
Moving with a purpose
Today was a good day. It started with a beach walk with lots of wind, blowing sand, salty and seaweed smells, crashing waves off the pier, and a ruined wheel chair (sand got in the gear and messed up the tilt mechanism).

With my help, Alex moved both his arms up and down at the elbow very consciously. He's also beginning to for his legs. Once I bend it he moves each leg towards his body and then out…with my guidance. What is great is that he is making these moves very consciously.

Also he is really using his mouth and tongue much more. He's eating 2 good sized jars a day of frozen fruit puree and pudding, and moves the food from the front of his mouth to the back, to gulp it down in a flash. Even when he's not eating he's moving his tongue and lips more and is beginning to make interesting sounds.

There's a difference and he's making it!

The prayers, caring nursing (Children's, NRH, UTMB); the docs; the dogs; aggressive therapy; calls, messages and visits from friends (mom's 3 soccer buddies from college days of her youth showed up), hyperbaric therapy, in-your-face-therapy from dad/mom/nad/adz, reike are all making a difference.

Go Alex, go! Adelante, Salsa!!

--
Another dog day
This time in the negative sense, although a beautiful doggie "Shadow" did strut her stuff to Alex today and even got some pets in. By the way, scratch the dog therapist aspirations, all doggie owners volunteer their and their canine's time.

The dog day started with stuff dripping out of Alex's ear, which was diagnosed as a nasty ear infection. Worst case scenarios about loosing his eartube within the ear channel and not being able to dive drove me to tears. The Ear, Nose, and Throat doc checked him, declared it nothing serious, prescribed more antibiotics and declared him ready to dive.

While Alex dived, I had a meeting with his care team. All are on board on extending his stay and increasing his dives. They agree that he's doing well and are happy with his progress. Now we have to convince the insurance companies!

Alex stood up today, for the first time cooperating with the 3 therapists that held him up. Today and yesterday he held his head up for a moment. He loves pudding and frozen peaches and eats whole jars of it. He's able to move these delicacies from the front of his mouth to the back. His tensed arm is now relaxed, after 18 botox shots and lots of family and therapist work. So the dog day that started as a nasty, junk yard dog ended more like a warm puppy.

And we have another Texas REIKE healer in his life. The Galveston support network remains activated, with daily lunches with Phil and friends, flowers, loving care by Tom and Sandy, visits from family (all 3 grandparents) and friends, calls from friends back home (thanx Chris and Robert, Alex enjoyed your message), cards, wonderful care of the UTMB clan. I even ventured across the street to take in a talk by Molly Ivens about Texas women in Washington. She recharged my battery!

Keep all the love/prayers/thoughts/cards/calls/messages coming!

Sunday, April 30, 2000 -- 04:00 p.m.
DOG DAY
Dog therapy - now here's a profession you've never heard of! Well today the 5th floor of UTMB Children's Hospital crawled with 4 legged friends all out to lick and snuggle the kiddos. Little softhaired Foxy Lady sat on Alex's wheelchair table, rubbing against his chest while the animal therapists took Alex's hand to pet Foxy and to be licked. Alex moved his mouth a lot, like he does when he likes something.

My 3rd full day here, and the days are FULL. After the intensive therapies, hyperbaric and eating sessions, both Alex and I are wiped out. And they work him hard, on balls and rolls and standing tables. I also went into two dives, with all the other moms and kids. Today we were 4 patients and 3 parents. The kiddos sit like spacemen with plastic bubbles over their heads with attached hoses. The parents sit and pop their ears as they go down. There is camaraderie and also video movies.

Then we take walks: to the beach, the harbor, through the oleander shaded streets lined with funky Victorian homes, and to our favorite rose garden. The weather is still bearable, but the humid heat is around the corner. Alex is getting quite a tan. We also sneak in some eats, applesauce, mango, peaches and pears.

And we have networks here too. My family, friends from Houston and Dan's mom regularly visit. The folks who rustled Alex into hyperbaric, have allotted a space in their beautiful Casa Caracol to the Salcedo clan. Dan's old high school friend has drummed up all their old cronies to lunch with us. We know all the good places in town. One of the foremost researchers on nutrition and brain injury, a personal connection, is putting Alex on zinc. Zinc is known to play role in neurological connections. And we are even lining up a reike healer.

We are still trying to regulate Alex's sleep patterns. Sunday and Monday he woke up well into the afternoon, to the frustration of the therapists. In the morning he was a noodle man through all acts and had no interest in eating. Tonight I'm camping out at the hospital to check out his sleep.

We are all delighted about how nice and competent the folks here are, though we do miss those NRH mamas (and meals). Well that was the first yeeehaaw from Mom in Texas. Keep your prayers, good vibes and messages up, we still have long road ahead.

PS SALSA'S FRIENDS, you can call Alex at 409 772 6812 so he can hear your voices, or leave a message on the machine. We keep reading him your messages. We love you for hanging with our boy!!!

--
More hyperbarics
Today was Alex's 18th dive in this first series of 40. I uploaded a couple of new images. The first shows the technicians wheeling Alex into the chamber and the second shows the them controling the "dive". You can see the blue rubber collar with the plastic ring onto which they connect a plastic bubble into which they pipe in 100% oxygen. This, with the pressure equal to being 16.5 feet underwater, drives extra oxygen to the deepest part of Alex's brain which still needs to heal for him to wake up.

Today was a sleepy day for Alex. I guess he realized this was the last day of spring break for his friends in Maryland so he did what any good teen will do when given a chance - sleep all day. In the Rappaport Coma test they give him every Monday he did react to a strong amonia smell for the first time today.

Marijke already made it to the beach with Alex yesterday and is settling into the routine at UTMB. Feel free to call them at 409-772-6812.

Monday, April 24, 2000 -- 09:06 p.m.
Tough Texas ladies!
Those occupational and physical therapists are tough operators as you can see from the new images. First they strap Alex to a tilt-board and for vertical torture. (They did give him a break and wheeled him around the halls so that he could approximate skateboarding.)

Then, with a series of botox shots, serial casts, and this professional lady arm wrestler they managed to get his left wrist completely relaxed and even able to bend it back some. I didn't think that this would happen so quickly but....

Finally they showed me how one person can pick up and transfer a patient to/from a wheelchair to/from a bed. They claimed to be educating me on the proper procedure but I know that they were really trying to intimidate me to not cross them.

However all that stimulation seems to be working. This week when they tested his alertness with the Rappaport test, Alex again showed improvement and went up to the next category.

Marijke and Nadya swap places tomorrow.

--
Aggresive Texans
Today I uploaded some new images of Alex and all the treatments he's getting at UTMB. The first is occupational and physical therapists exercizing him by bouncing on a big red rubber ball. I don't know how they don't drop their patients but they assure me they haven't lost one yet.

Alex's left arm that had been so tightly cocked is now almost "neutral" thanks to a series of casts that they put on him plus the 18 botox shots that relax the muscles.

The docs have run a bunch of tests on Alex's eyes and at first worried us that he might have some major optic nerve damage but, as it turns out, that one is fine. His "third nerve" has been affected which means that he might have to wear sunglasses and reading glasses. As long as we can get him some cool shades, this is one that we can live with, right?

Nadya is doing fine looking over her bro and will be replaced by Marijke this weekend.

--
Nadya in Galveston
Hi everyone, this is Nadya...Just a quick update. Alex is over his cold...He ate a full jar of applesauce again. His left hand is at neutral right now, after a series of serial casts. This means that it isn't as tense and cocked as it was. He is turning his head more when his name is called, to both the right and the left. That's all for now. Keep those good vibes comin'. Nadya

Saturday, April 15, 2000 -- 08:55 p.m.
Alex & Nadya
Yesterday Nadya took over with Alex in Galveston. He's a bit under the weather with a cold but otherwise fine. Nad is settling into the routine of the therapy and the other many details. She's a real trooper since this is not the easiest assignment in the world. You can call them both at 409-772-6812 to let them know you're thinking of them.

Wednesday, April 12, 2000 -- 10:50 p.m.
Alex & Nadya
Yesterday Nadya took over with Alex in Galveston. He's a bit under the weather with a cold but otherwise fine. Nad is settling into the routine of the therapy and the other many details. She's a real trooper since this is not the easiest assignment in the world. You can call them both at 409-772-6812 to let them know you're thinking of them.

Wednesday, April 12, 2000 -- 10:50 p.m.
8 months today!!!!!
What a trip these 8 months have been! Alex is now in Galveston and we're all moving forward. Today, for the first time, he ate a full jar of almost frozen peach sauce. Yesterday we went for a long walk on the beach and he even managed to get his legs a bit sunburned. His Aunt Pat (the bee lady) and cousin Jennifer (+ boyfriend) came to visit today.

Tomorrow evening I'll leave Galveston to pick up Nadya who will replace me here on Tuesday morning. Any of you who want to visit are welcomed at any time (Room #5322 of UTMB's Children's Hospital, 9th and Market). (Next weekend is not a good time - it's Beach Week when the island gets taken over by rowdy college partiers.)

We have an answering machine in Alex's room with a speaker phone so he can hear when you call him even if we're not there (409-772-6812). We play his messages to him several times so he can keep up to date with his buds and fam. If you want to mail something to him please do it c/o Dorcia Salcedo, 2920 Pine, Galveston TX 77551.

Sunday, April 9, 2000 -- 05:44 p.m.
Trip to the beach
Today they cancelled Alex's hyperbarics because they had an emergency case, still on a ventilator, and they needed to fill the chamber with nurses/technicians. So we took the unexpected free time off to wheel/walk 10 blocks up to the seawall. We strolled along the "boulevard" and went out on a pier. The waves were crashing, wind blowing, birds shrieking, and the sun was shining brightly. I'll post an image next week.

Alex is reacting to more, smaller sounds. For example, today when his grandmother put her keys in her purse, the sound of the tiny snap made him open his eyes wide and turn his head.

Friday, April 7, 2000 -- 08:25 p.m.
Busy days (daze)
The folks at UTMB have kept Alex and me very busy. He has physical/occupational therapy at 9, speech therapy at 11, PT/OT again at 1, and hyperbarics at 3. By the time we get back we're both pooped. And in between there's always other stuff going on. For example today Alex got another round of botox shots (18 to be exact - very aggressive - we like that). Yesterday they tested his optic (and auditory) nerves by gluing electrodes all over his head and then putting on special goggles with blinking red lights (and earphones making wierd clicks) and then measuring his brain waves in response. The technician told us the doctor would have to read the results but that his initial impression was that the nerves were OK.

And the network of support is growing here in Galveston. Besides my mother, we have long time friends, Tom and Sandy, who provide nourishment and entertainment to keep me from stressing out. High school and Pueblo to People buddies have also weighed in with meals, a bicycle, chain and just general good will. Today one of my earliest friends in Galveston (actually I had a crush on her in junior high school) offered to lend me a car with a parking space thrown in. This morning, one of the mothers with another child in for treatment, remembered me from when we were kids growing up in the same neighborhood 35 years ago!!

Will post new images in the next day or two.

Wednesday, April 5, 2000 -- 08:15 p.m.
Compassionate competents
Perhaps the folks at UTMB are taking their cues from their boss, the governor, on the "compassionate" bit but "competents" is a better way to end the phrase describing them. Believe it or not, we have a lot of fun in therapies but, at the same time, these are very serious work sessions. For example, of the three folks that I described last time as "physical therapists", two are actually occupational therapists and this morning, when we couldn't wake Alex up enough for therapy, they joked about him being a lazy teenager, wet noodle, etc, etc, but also took advantage of the opportunity to quickly whip a "serial cast" on his left arm to begin working out the tightness.

The same goes for the hyperbaric therapy folks. Yesterday, when a mother showed up with her two year old after the dive had begun, one of the therapists took the child in through another "emergency" entrance and held her in the chamber while she cried for almost the entire hour. He didn't have to do it - but decided to go for it anyway.

We continue to be excited about Alex's progress. He is reacting to more, smaller noises. Today I dropped a tiny plastic medicine cup, not much bigger than a thimble, and he opened his eyes wide and turned toward the sound.

Alex is eating more vigorously (and sloppily). Tomorrow the speech therapist will probably allow me to do a second afternoon feeding by myself. Any suggestions on what I should give him?

Today (yesterday actually) is Nadya's 21st birthday - sorry your bro and dad weren't there to celebrate it with you, sweetheart.

Tuesday, April 4, 2000 -- 12:42 a.m.
Saturday in Galveston Isle
Today was a slow day. Alex had some physical and speech therapy. They stood him up on a tilt table and the therapist had to get on a stool to work with his head. He's still eating green beans and pear sauce.

This morning Marijke's parents and brother came and we had a picnic lunch with Alex in a nice rose garden here at UTMB. In the afternoon we took a long stroll (about 12 blocks) to the Strand which is a tourist area with nice shops and restaurants. All in all a nice, relaxed day.

Saturday, April 1, 2000 -- 05:50 p.m.
Pix from Tex
By now many of you have seen the images that we posted today but a bit more explanation is in order. The flight (first class, thanx to neighbor Mike) from Baltimore to Houston was comfortable - Alex slept and snored loudly the whole way. We arrived to UTMB and my mother and Marijke's parents were there to greet us and we hustled Alex into his room which still needs to be decorated.

The biggest new thing that he's doing new is eating more and more very day. He's really getting the whole process down and, with practice, they'll be able to give him more different stuff. Today he had a full meal - apple (sauce) as an appetizer, green beans as the main course, and chocolate pudding for dessert.

The therapists are working him hard and they aren't even letting him have a day off for the weekend. Twice a day three physical terrorists attack him and force him show them his many moves. They're all sweaty when it's over (from emotion I'm sure) and very encouraged that he handles it so well and does not seem to get tired at all.

And I've got wheels! Today a friend lent me a bicycle but the therapists didn't let me use it untill I went out and bought a helmet. Tomorrow the Velzeboers will deliver a car - so Galveston, watch out - here we come.

Friday, March 31, 2000 -- 09:16 p.m.
Modified barium swallowing test
Sounds terrible but it was great! Yesterday the speech therapist took Alex to a high tech X-ray facility where they fed him apple sauce with radioactive barium in it. Then we all watched his head from the side on an X-ray video screen to see if/how he would swallow. After almost 8 months with no food in his mouth, he was a bit uncoordinated on getting the sauce to the back of his throat but once it was there he gulped it down quite briskly, without any hint of going down the wrong tube. This means that they can feed him a bit every day during therapy for now and when he gets a little more coordinated they will start feeding him for nutrition.

The physical therapists got him a wheelchair so we're mobile now and have started cruising the many gardens around UTMB. The beach is about 10 blocks away and we're looking for the chance to escape and check out some sunbathing babes (for therapy purposes for Alex, of course).

Alex took his second (my first) dive in the hyperbaric chamber and all was normal. Kenton, the 13 year old kid from the video (and 6 others) came with us and he was chattering the whole ride about the virtues of George W. Bush. Maybe the hyperbarics will cure him of that affliction too.

Thursday, March 30, 2000 -- 09:54 a.m.
Report from Galveston
Alex and I arrived yerterday and were met at the plane by two burly paramedics in shorts that whisked him off to a waiting ambulance for a comfortable ride to the University of Texas Medical Branch (UTMB) Children's Hospital. We've met about 463 nurses, doctors and therapists so far and 462 have been wonderful - a Texas combination of competence and friendlyness. The head of pediatric rehab reminds me of everyone's grandmother - if she had an IQ of 200.

Already the speech therapist has decided that Alex is ready to start eating and spooned a dollop of pear sauce into his mouth which he swallowed quite nicely. Tomorrow they'll do a swallowing study which consists of feeding him some mildly radioactive pudding and taking an X-ray video of him swallowing too see if it goes down the right pipe. This is a big step 'cause we've seen that, when the other patients in NRH started eating, they soon started waking up.

And most importantly, Alex took his first dive in the hyperbaric chamber today. The 13 year Kenton who was on the video, was in with him along with about 8 other folks. (I couldn't go in because there was not enought room but I'll be in tomorrow) It's too early to tell anything but his left arm, which is often cold, came out quite toasty. Tomorrow evening I'll process some of the images that I've taken and I'll try to post them to the Web site.

This was deffinitely the right move.

Tuesday, March 28, 2000 -- 11:29 p.m.
ON TO HYPERBARIC
WHEW! Alex and Dan safely arrived in Galveston, after a smooth flight. A Midvale dad, Mike D, arranged first class seats, a personalized lift off and soothing of Alex's mom, dad's and Adz's nerves. Alex remained calm throughout the van ride up, the flight and the ambulance ride to Galveston.

Once in Galveston, Alex and Dan were smothered with love by all three grandparents. The docs gave Alex a meticulous every-inch-of-his-body checkout, while Dan checked out the comforts of Alex (and Dan's) private room with a view.

Packing up Alex's little NRH haven was a job. Bidding all the wonderfull nurses, therapists, docs, social worker, other NRH folks and Carlos and his parents (who showed up early)was tearfull. Missing our intense, but comfortable routine will be tough. But we have oh so high hopes for this next phase. Please keep up your prayers!

We never cease to be amazed by the inspiring support we continue to get while we all struggle with Alex's healing. Thank you again to all you wonderfull friends and family who visited, wined and dined us, arranged diners, brought flowers, gifts and too many goodies (to the point of the nurses boycotting our handouts and going on scarsdale diets), made and sent cards, created posters and drawings.

A special thanx to Salsa's friends who kept up the visits and messages through the seven months. Please keep the messages coming; we'll read them to Salsa daily.

We love all of you for strengthening all of us and for loving and praying for our precious boy. Keep it up all you wonderfull people. What would our lives be without you!

Monday, March 27, 2000 -- 09:52 p.m.
High anxiety at high noon
Alex and I leave NRH in only 11 hours and will be in the air in 14!! I'm very excited and also just as nervous. We had a ton of visitors today to see the boy off and the nurses are all getting watery eyed out of the same mixture of sadness and excitement that we're all experiencing.

Ready or not - Texas here we come!

Sunday, March 26, 2000 -- 10:15 p.m.
Countdown for Texas
It's about 65 hours to blast off. Everything seems to be in order at both ends. In dealing with the folks at the University of Texas Medical Branch in Galveston, I'm reminded that folks in Texas are really nice - not to say that you guys up North haven't been great but down there they don't even know us and you get the feeling on the phone they really are genuinely looking forward to receiving and healing our son. We're touched and grateful already. Alex will be in good and loving hands. He'll probably wake up and come back to Maryland with an accent ya'll.

Got one new image just up of Alex with his new cool sunglasses that he'll need for Floatin' G (what we used to call Galveston Island when I was in high school). Got a call from one of the nurse supervisors who after a pleasant chat, we found out that she went to high school with my sister 30 years ago!! Another star has fallen in place and confirms our suspicion that this was really mean to be.

Still, I'd be lying if I told you I wasn't a bit anxious about the transition. Just as when we left Childrens Hospital, leaving NRH is like moving away from a neighborhood we grew up in. We've come to know and rely on all the nurses, therapists, doctors and other patients and their families that we saw day after day. We shared the same anxieties and celebrated the smallest progress in kids we felt we belonged to all of us in a way that is hard to comprehend if you haven't faced it directly.

So the wonderous journey continues - floating on your prayers and good wishes. Of course we'll miss the folks that have brought us the steady stream of dinners. We've actually gotten spoiled with the non-stop pampering. Please replace them with frequent posts to this Web message board.

Friday, March 24, 2000 -- 09:51 p.m.
Topping things off
Again, even though it was rainy and generally lousy out there, Alex's close friends came today and his nurse remarked how he was moving his hand more than ever before (check out the new pix). They also brought him a "cool" baseball cap - a big improvement over the dorky one his father had lent him - and very necessary for sunny Galveston Island.

Counting down now - just 5 days more till blast off to Texas. For those of you who missed it, check out the article on hyperbaric therapy by clicking here. If you don't have real audio, the video clip ends with the exciting summary "out of 18 patients in a coma, 14 woke up, 2 had moderate improvement and only 2 didn't improve at all".

Tuesday, April 4, 2000 -- 12:45 a.m.
St. Patrick's Day
Last Friday, practically the entire Midvale gang (with Sweaty Boys and Girls) came down to NRH to celebrate St. Patty's Day Dinner with Alex. Tomorrow I'll post pictures of the festivities with cabbage, potatoes, corned beef and the works. We continue to be grateful for all the support even after seven months. Afterwards we all came back to Midvale for our traditional neighborhood SPD bash. Nadya and Adriana brought their friends and us geisers taught them some of the finer details of heavy duty partying.

Sorry I haven't done an update - I've been real busy with all the thousands of logistical details (wheelchair, flight, van, neck brace, insurance companies, etc etc etc). I have to say that, of course, I hope this works for Alex. Yet it already has been great for me to feel like I'm doing something besides just standing by and watching a very slow process.

The loyalty of Alex's friends is touching. I'll post pix tomorrow of a visit by two of his close friend girls (as opposed to girl friends). For the hour they were talking to Alex, his right hand moved more than it has the entire past week.

Yesterday, Alex pulled a typical teenage stunt, just to make sure Marijke and I had our quota of grey hair. His heartbeat was a little high - no big deal. We (and the nurses who know him well) could tell that he was fine but the docs ordered a blood test to determine if his oxygen level was OK. As it turned out the tech drew blod from his vein rather than the artery and so his oxygen was low and they made us go over to the Washington Hospital Center emergency room to check it out. It was, of course, a big production, and everybody was quite concerned. Turns out to be a false alarm - as soon as they redid the blood test everything checked out OK. So that was how Alex raised our blood pressure for this Saturday night - which has always been one of his favorite weekend passtimes anyway.

Sunday, March 19, 2000 -- 01:51 p.m.
Monday, March 27 blast off
Alex and I are flying to Houston in less than two weeks!!! We have lots of details to take care of before then but the major pieces are in place. He will start hyperbaric therapy the very next day. We are very excited that we are moving forward on this new phase.

Alex continues to do new things. Yesterday, when the nurses were dressing him, he helped raise his arm to put his T-shirt on.

Tuesday, March 14, 2000 -- 09:03 a.m.
(Lucky) seven months
Yesterday marked month 7! What a venture. We're starting to gear up for the trek to Galveston. His wheelchair has been ordered (it is dark metallic blue) and we're contacting airlines.

Alex has been moving quite a lot and he has a couple of new facial expressions. It'll be good to spend the weekend with him. Hope the sunny weather holds up.

Again thanx to the 6 friends that visited yesterday. Keep it up - 'cause he'll not be available for 8 weeks soon.

Friday, March 10, 2000 -- 11:46 p.m.
Sunshine everywhere
Can you believe the beautiful weather today??? Alex was in shorts and we took him out in the splendid sunshine and the breeze was blowing and the trees are budding. (I even had to change from the sweater I wore to NRH to Alex's Korn T-shirt.) It's all a reminder of just how beautiful life can be. Especially with the new hope that the hyperbaric treatment has given us. If any of you missed the last update, be sure to check out the Web page and the video on the dramatic recovery for brain injured coma patients. We just have to work out the (many) details on wheelchair, air transport, insurance, ambulance etc etc but those are just details in the grand plan. The folks at University of Texas Medical Branch have been very open and cheerful and besides being accomplished scientists, they sound like real nice folks. We can't wait to get there and are aiming for the end of this month.

Thanks for all the many visits. Even some of the girls' friends did dinner last week, which we really appreciated. And of course Alex's friends keep coming which is so awesome. However you only have two weeks before Alex takes off for two months.

I'm having to go to New York for a couple of days so I'm not too happy about that but I'll be back for the weekened.

Tuesday, March 21, 2000 -- 10:58 p.m.
Fantastic possibility!!!!!
On Wednesday my mother called from Galveston and told me about a TV news report on an experiment at the University of Texas Medical Branch using hyperbaric therapy on patients with brain injury. You can see details by clicking here and even follow the links to a more detailed 4 minute Web cast TV program (if you have RealAudio).

They put patients inside a chamber and pressurize it with a high concentration of oxygen. The results are absolutely amazing - out of 18 patients in a coma, 14 woke up, 2 had moderate improvement and only 2 didn't improve at all!!! We understand that this is experimental and it's too early to be sure etc, etc, etc, but it's certainly worth a try, don't you think?

Moreover we have have all sorts of other factors going for us. My mother lives in Galveston making logistics easier and Marijke's brother Kees (in Houston) just bought a new car and hasn't traded in his old one so it's available for us to use. Her other brother Piete is a pilot and is investigating the best way to get Alex to Texas. The docs at NRH are 100% behind it and we have a good friend who works at UTMB and is talking to the scientists and administrators there to make sure they have all the information needed to admit him. So it looks like the stars are almost lined up and just need one more push from the extended network of loved ones out there - SO GET TO IT (please).

We are humbled and grateful for the role that each of you continues to play in the Alex saga. Stay tuned for the next (exciting we hope) episode.

Sunday, March 5, 2000 -- 11:35 a.m.
Alex among champions
Yesterday three burly, well dressed guys suddenly stopped in and announced that they were from the Florida State University football team. They came into the room and talked to Alex for a while and had their picture taken with him. They gave him a T-shirt and an autographed picture. After they left we found out that they were the National College Football Champions and they were in town to visit the White House and talk to President Clinton. Or should we say that they came to visit Alex and dropped in on Bill while they were in town.

We also have some BIG NEWS that we're working on but I don't want to talk too much about it before it's real. I'll post something soon, I promise.

Friday, March 3, 2000 -- 10:35 p.m.
Alex finally had the botox
Today the doctor finally came and gave Alex the 4 botox shots in his bicep and forearm to relax his left arm. Adriana was there and noticed that he shed three tears as they were injecting him. It was a bit sad but the benefit to him is more than worth it and even the emotional reaction to the pain is positive. After that he slept very soundly.

Wednesday, March 1, 2000 -- 10:31 p.m.
It's time again
to roll out the prayers, incense, good vibes, chants, candles and anything else you've all been using to help Alex heal. Today we were told that on Thursday the insurance company is coming to evaluate Alex. We don't know for sure but our worst fear is that they might try to cut short his stay at NRH (to save some $$$). However we're not going to let that happen. We can do it the hard way by hiring a lawyer and fighting like hell. Better yet, we can all pull together in one concerted effort to get Alex to prove to them decisively that he is improving. You've done it before when Alex faced some real critical challenges so we're not going to let some bureaucrats get in the way of his healing, right?

We'll keep you posted. In the meantime - thanks.

Tuesday, February 29, 2000 -- 10:42 p.m.
Alex standing tall
On Friday the physical therapist put Alex on the tilt board which is a contraption that looks like it came straight from a torture chamber. It is a padded cot with a footboard and straps all over. You cinch the patient in good and tight and then start tilting it to stand him up. Alex got up to 55 degrees just fine. The first time they had to hook him up to a blood pressure monitor to make sure his heart would stand up to it, but he did just fine.

Alex is up to his fighting weight - 146 pounds, which is more than he weighed before the accident. They've cut back on his feedings so he maitains his slim physique. His health is excellent.

Sunday, February 27, 2000 -- 09:37 p.m.
More and more
Alex got his second acupuncture treatment yesterday. It really relaxed him except for the needles in the eyeballs (not really - just kidding). The doc did put them in his ears, wrists and legs and then attached a small electric currrent to them that made his skin twitch.

Today the physical therapist will put Alex on the tilt board so that he can put some weight on his skeleton, which is important for a growing boy. Also they still need to do the botox injections to relax his left arm.

With the beautiful, warm weather we're having Alex is spending more and more time outside in the NRH garden. Also the nutritionist is going to cut back on his feeding because he's actually getting a little fat, which is a first ever for Alex.

Marijke's parents are in town for the weekend.

--
More and more
Alex got his second acupuncture treatment yesterday. It really relaxed him except for the needles in the eyeballs (not really - just kidding). The doc did put them in his ears, wrists and legs and then attached a small electric currrent to them that made his skin twitch.

Today the physical therapist will put Alex on the tilt board so that he can put some weight on his skeleton, which is important for a growing boy. Also they still need to do the botox injections to relax his left arm.

With the beautiful, warm weather we're having Alex is spending more and more time outside in the NRH garden. Also the nutritionist is going to cut back on his feeding because he's actually getting a little fat, which is a first ever for Alex.

Marijke's parents are in town for the weekend.

--
Days and Alex getting better
It seems like the worst of the winter is over and the days get longer and warmer. Likewise Alex is getting stronger every day and moving more. Yesterday I took him to the atrium at NRH and tossed a large green ball up and down into his line of sight and he was blinking - from 20 feet away! And he looks great - stronger and healthier. We just need for him to WAKE UP.

We take comfort and inspiration in a 23 year old friend that visited and told us how he was in a deep coma for almost 5 months in which he did not react to anything at all. Slowly, with the extensive support and prayers of his family, he started coming around and now, 4 years later, he's back practically all the way.

We're all glad that Marijke's travels are over for the time being. Her parents are coming later this week and Alex will have lots of company.

Monday, January 7, 1980 -- 09:00 p.m.
It's still Valentines
Yesterday a big group of Alex's friends came to visit and wish him a belated Valentine's Day or something like that. Today a fat envelope arrived with a big stack of Valentines from kids in the Sunday school class taught by Alex's fourth grade teacher.

He continues to get stronger and move more every day and his left arm seems to be somewhat more relaxed. When he's awake his eyes are wide open and he's alert but when he's asleep he's really zonked out. All in all he's moving forward.

Wednesday, February 16, 2000 -- 09:18 p.m.
Valentine's visitors
Alex spent a good Valentine's day with his new "sweethearts" , the wonderful nurses that look after him at NRH. Check out the new image of him with two of them by clicking here. Also, Rosa Martinez of the Kuna Mola Cooperative in Panama (see http://www.peoplink.org/kuna) stopped by to visit, sing, and pray over Alex.

Marijke called in from Honduras, where Alex was born, where she's exhausted but glad that this is the last week she has to travel for a long time.

Tuesday, February 15, 2000 -- 06:10 a.m.
Heavier and lighter
It's great that we are not waking up when it's dark any more and we've had great luck with fantastic days of sunshine - like today. Alex, however, is getting heavier as the days get lighter. His face is real full and he's reached the ideal weight for lying around in a bed all day long. But he needs the extra nourishment for all the movement he is doing now and will be doing more and more of in the coming days.

Marijke is in Peru but not very happy about it at all. She was supposed to leave there tomorrow at 8 AM but found out that there was a red eye flight leaving at midnight and so she will be boarding it soon and will be here early tomorrow (Friday).

Thursday, February 10, 2000 -- 11:25 p.m.
Six months today
It's hard to believe, isn't it? On one hand every day has seemed like a year and on the other, time has flown by. We've come such a long way though we have a long way to go. Still it seems like things are turning around. Alex is moving and responding more as the days are starting to get longer and warmer.

But we couldn't have done it without the groundswell of support and prayers from all of you out there. Again yesterday three of Alex's closest friends trudged through the slush to visit him. We're grateful.



Wednesday, February 9, 2000 -- 06:05 a.m.
Sneeze and movement
For the first time, Alex sneezed on Saturday and he's moving all over. His right hand is coming up from his side all the way to his shoulder repeatedly. His physical therapist told him to move it and he did just what she said.

And he's gaining weight. He was at 145 in August and dropped to 115 but now he's back to 133 which is just fine for lying around in bed. Of course we don't know how much he's grown.

Marijke was back for a whirlwind 24 hours before flying back overnight to Bolivia. She brought sea water from Alex's favorite beach in the Dominican Republic. She'll be back for a whole 48 hours this weekend before she blasts off again for Central America.

Monday, February 7, 2000 -- 07:22 a.m.
Alex on pins and needles
Today Alex started a series of acupuncture treatments. The doctor was very nice and explained everything to his friends who were visiting and even let them try it out. He stuck needles up and down Alex's legs and arms and on his ears and hooked up a small electric charge to "boost the flow of energy". It's too early to say if it's working but Alex was more relaxed tonight than we've ever seen him.

His therapists are also very happy with his improvement. Yesterday he moved his arm when his physical therapist asked him to and today he held his head up quite well. Small steps but definitely forward.

Carlos, Alex's buddy who has been in NRH almost as long, has started making great strides in the last week - moving, talking, eating, etc. It gives us great joy to see him coming back and renewed hope that our boy will be following his footsteps soon.

Thursday, February 3, 2000 -- 08:58 p.m.
Alex has spirit
This is "Spirit Week" at Sligo Middle School and five of Alex's best friends came by yesterday and left him with a blue and gold spirit ribbon on his wrist (he has quite a collection of bracelets going). However he was very lazy and didn't want to wake up to see his friends. Later though he was quite animated for his sisters.

We have befriended a Guatemalan family who don't speak English and had been at NRH for a month, but didn't have a clue about what was happening with their 21 year old son. By now we are old hands at this and when they ask the doctor a question, I resist the temptation to answer it before I translate the doctor's response.

Marijke phoned from her beach resort where she is actually in bed, sick. She claims it was something she ate but I can't help but think that the anxiety of being away from Alex didn't contribute to her feeling lousy. Please direct a few prayers her way too.

Wednesday, February 2, 2000 -- 07:57 a.m.
Rage Against the Machine
Yesterday I dropped Marijke off early at the airport (she's spending a week at a beach resort on the Caribbean - "working" she says)and went straight to NRH and spend the whole day with Alex. It was good to see how he wakes up little by little just like before the accident.

When his roommate's family took him for a spin, I closed the door, put on one of Alex's favorite bands, Rage Against the Machine, on the boom box and cranked up the volume real loud. He loved it. He was moving all over and picked up his right hand all the way up, more than I've ever seem him move it!

--
Nothing stopping those friends!!
Today Alex had a whole crew of his friends brave the snow to come visit. They all had a great time. What a great bunch of kids.

A funny thing happened after they left. I came in and Alex was in his wheel chair and the room was full of nurses trying figure out what was wrong with his bed. The power had gone off and it was completely deflated. His sister pulled the plug and made sure it was OK and the rest of us poked every button we could find on it and nothing. One nurse was muttering something about all those kids hanging out on the bed while they were visiting and we didn't know what to think. Then, after about 15 minutes, I looked again and we realized that we had checked the wrong plug. The real one was loose from the wall. We just pushed it in and everything was fine. We all had a good laugh over that one.

Thursday, January 27, 2000 -- 09:06 p.m.
Alex in the snow
Alex has always been a big snow lover. When it starts falling he immediately goes out and sleds, snowboards, tosses snowballs and generally thrives in the fluffy stuff and never seems to get cold. Last year came home one afternoon completely exhausted and got as far as the couch before he fell asleep with $80 in his pocket he had earned shovelling driveways and walks.

So, in spite of the protestations of the nurses, we take him out for short spins in the snow whenever it's not too bad. Check out the new image in the "Thanksgiving" link from when his Godmother visited a few days ago.

He continues to do well - following more commands (that's a first not just since the accident but for all his life) and tracking with his eyes. He even follows with his head a bit sometimes!

Wednesday, January 26, 2000 -- 09:25 a.m.
New foto
A good friend sent us a great shot of Alex and Marijke in the Gulf of Mexico last summer while we were on vacation in Texas. You can check it out in the "Thanksgiving and after" link and see that Alex is taller than Marijke even with her big hat. And he keeps on growing. He was 6 feet tall in August and no telling how much he's grown since then.

Alex continues to improve. He is deffinitely tracking with his eyes and today he was even moving his head toward the picture. He is following more orders and is more active all over. His right hand is starting to move a lot.

Yesterday, when Marijke came to the hospital, she saw tracks in the snow in the garden and immediately knew that Adriana had taken Alex out for a ride. All the nurses though she was crazy but Alex loves the snow. They built a snowman and she had him feel the snow on his hands.

The snow also kept Marijke's parents' plane in Houston.

Friday, January 21, 2000 -- 10:47 p.m.
Alex is tracking!!!
Today his speech therapist was sure that he was following a foto with his eyes when she moved it back and forth. This is a very good sign and often a prelude to "waking up"! He was also moving his entire legs (not just his toes) when we massaged/tickled his feet.

We need to keep our hopes in control because too many times already we have let ourselves get all pumped up just to be let down but.........we're excited!!

The doctor also told us that they will probably inject his left arm with a substance related to botulism (not to worry, it's safe and risk free) that will relax it.

Marijke's parents are visiting tomorrow from Texas - that is if tonight's snow storm doesn't get in the way.

Wednesday, January 19, 2000 -- 08:33 p.m.
Best day yet
Alex continues to get stronger by the day. His therapists are excited about his following their commands to "open your mouth" and "look down at your feet" and even think that he is beginning to track objects with his eyes. Yesterday he was "talking" so loudly he could be heard out in the hallway.

This weekend one of his nurses came in with her preacher husband (on her day off!!!) just to pray over Alex. Alex has this amazing power to expand the cicle of love that surrounds him.

Alex and I visited a neighboring teen (here at NRH) and his father to watch the Redskins blow their shot at the superbowl. Can't wait till we can do this at home with the neighbors.

Monday, January 17, 2000 -- 02:56 p.m.
Alex on the move again
Today they moved Alex again to the room next door, 302 East (phone 202-877-1323). He has a window again and we're happy. He's doing just fine - completely off oxygen. Yesterday the speech therapist was very excited because he was following her instructions to open his mouth and he's making lots of sounds.

We have more Metro cards so we hope that his friends will keep coming.

Several new families with sons have come into the unit and we have become the resident "experts".

Thursday, January 13, 2000 -- 05:00 p.m.
Pushing the sun (son) to rise
This morning I couldn't sleep so I got up while it was still dark and went for a run as I do many mornings. As I circled the track at Einstein High School the sky in the east started getting lighter. Somehow this inspired me to run two miles instead of my usual one. I then realized that I was associating the effort of pushing my fat, 50 year old body around the track with the sun coming up. It seemed to be working because the more I ran the lighter it got. The clouds even collaborated by clearing the eastern horizon and the trees helped by not presenting too many leaves to get in the way. It took longer than I expected but the sun did rise.

I further realized that this is what we are all doing together for Alex - pushing like hell for my son to rise. And rise he will. We just can't predict what the weather will be like when he does.

Finally I sat on the curb where the accident occurred, and, bathed in the morning sun, had a good cry. It was comforting.

Sunday, January 9, 2000 -- 04:19 p.m.
Three kings
In Honduras, where Alex was born, today, January 6, is the traditional celebration of the arrival of the three kings who brought gifts to the newborn Jesus. We are hoping for just one gift and we all know what that is.

At least we're getting great weather this winter. I took Alex out to the NRH gardens yesterday and last night he was vocalizing more than ever. He seems to be back on track with his therapies and moving forward.

Thursday, January 6, 2000 -- 08:29 a.m.
(again)
Alex seems to move two steps forward and one step back. This morning he had a high fever (again) but nothing showed up on the X-ray (again) so the docs don't know what is the source of the fever (again). He's sharing a room with a fellow who was there first and got the window. The biggest problem we have is where to hang all the cards, posters, decorations, drawings, fotos, etc that have been filling up the rooms Alex had by himself. Also since his current room mate is an older gent we have to go easy with Alex's wild music.

While the fever saps his energy, he's making more and more sounds and new facial expressions. As we all know, it's all part of a very long process.

We continue to be surprised and very grateful for the continued support for Alex and the rest of the family.

Tuesday, January 4, 2000 -- 08:57 p.m.
New year - new digs
After spending the last few weeks in the Diplomatic Room by himself, Alex has been moved to Rm 301 East (phone 202-877-1320). He's 98% over the head cold and is back to his old tricks and doing more new ones, especially facial expressions. He had a lot of visitors over the holidays and received many gifts - thanks.

Let's all work together to marshal the cosmic spirits necessary to get Alex moving forward in the year 2000.

--
Thanks to all in 1999-2000
1999 is behind us. The year that changed our lives!

Alex remains in the hospital, and will be there much of 2000, slowly recovering from his massive brain injuries. But he made it beyond the 5% prospects of living, has survived some cliffhangers, and is responding to the tsunamies of love and prayers that constanly barrage him. We are gratefull for that.

The worst nightmare! But the cloud that darkened our lives does have a silver lining. Placed there by the many of you who have reached out to us and our son, with your love, prayers, attention and healing. None of us can imagine passing through this without your incredible support.

As we start the new millenium, we want to take this opportunity to thank all of you:

Salsa's friends for ur loyalty and perserverence, your visits, posters, presents and messages on the webpage. Who says teens are superficial and have short attention spans???!!!!!!! (I know few adults who are such troopers!!) Many of ur fans ask us about the regulars on the message board. UR stars. A special thanx to Alex K, Steven R. and Colm for the weekly visits and keeping all the friends involved on Salsa's progress. Keep it up, ur are the ones Salsa will wake up for. We will always have goodies, can provide rides and metro cards.

To Janetta and Judy and the prolific diner club. People are amazed that members still provide the wonderfull diners, almost six months after the accident! Truly you can not understand what a source of strength this food and company is for us all. Our lives are reduced to the hospital, jobs/school and essential tasks, so that these moments provide us with the nourishment, laughter and love that replenish our souls and strength. The post or pre diner sessions with Alex are loving, filled with joy and healing. Thank you Janetta and Judy for coordinating this. And thank all of you for your wonderfull vittles, candle light, spirits, company and support.

To our Midvale neighbors for their role in Alex's survival and healing. For getting him to the hospital and for their powerfull communal prayers during the critical times. For creating the strong safety net that we always feel beneath us. Midvale...what a neighborhood!

To Alex's angels/nurses. I can't help but think that Alex gets a little more than the excellent pofessional care these competent people provide. We can recount many an act that was not prescribed in text books and protocols. Carol's harassing, Pauline and Lorriane's loving care, and the attention of many others at NRH keep Alex comfortable and healing. His Children's Hospital angels Lisa, Becky, Stephanie, Michele and others can take some credit for Alex beating the survival odds.

To the doctors, respiratory and other therapists for keeping Alex on track and addressing the complcations that keep us on our toes.

To the other healers (Rike, Aromatherapists and others) who have concentrated their energies on Alex's recuperation.

To the support of our colleagues, who have faciltated our time and concentration on Alex and healed our pain during working hours.

To those in faraway places who send their prayers and well wishes through electronic postings, cards, sweets and other channels. In spite of the distance, we feel your prayers.

To our inner circle of dearest friends who dropped all to be at our sides when the going was rough, whose love and attention have been constant, who have fed our souls and thighs, and sung and prayed with us to keep our spirits up. We can not thank and love you enough.

To my fantastic family. To my strong and beautifull daughters (and their friends) who have backburnered their wild college ways to be at their Bub's side. To Dan, the best daddy of all, for his powerfull upates and for connecting us all to Alex through the message board. To our parents and siblings who have been here and keep the prayer candles lit.

To ALex for surviving a mortal injury, for his strenghts and progress that keeps us inspired. For his bringing us all together. For the lessons we have learned about what is important in life. For what his friends have taught us about Alex - his values, strength of character and compassion.

We love you for helping us through 1999 and starting 2000 with renewed hopes and faith that Alex will come through. Our family sends to all of you our best wishes for a good new year.

With much love and gratefulness, Marijke, Dan, Nadya, Adriana and Alex/Salsa

Friday, December 31, 1999 -- 03:24 p.m.
Alex back on track
We're happy to report that Alex has whipped the cold that had him feeling lousy and out of energy. He is almost completely off oxygen and this evening his heart rate was down in the 60s for the first time in weeks. He is back to yawning, swallowing, "talking", moving his head and his pupils are constricting more than ever.

Tonight one of his favorite nurses came running in to tell us about a news report of a woman who went into a coma while delivering a baby who is now 16 years old - and the woman just woke up the day before Christmas!!! It's a great story but we don't expect for it to take that long with Alex. Marijke and the nurses are convinced he's on the verge of waking up.

Wednesday, December 29, 1999 -- 09:49 p.m.
Alex back on track
We're happy to report that Alex has whipped the cold that had him feeling lousy and out of energy. He is almost completely off oxygen and this evening his heart rate was down in the 60s for the first time in weeks. He is back to yawning, swallowing, "talking", moving his head and his pupils are constricting more than ever.

Tonight one of his favorite nurses came running in to tell us about a news report of a woman who went into a coma while delivering a baby who is now 16 years old - and the woman just woke up the day before Christmas!!! It's a great story but we don't expect for it to take that long with Alex. Marijke and the nurses are convinced he's on the verge of waking up.

Wednesday, December 29, 1999 -- 09:49 p.m.
Christmas with Alex
The family had a quiet Christmas mostly at NRH. My mother is in town and we spent the day with Alex and then Marijke and the girls joined us and we opened his presents including a vest, music, ornaments, spirit bracelet, and a beautiful book about the "sweaty boys". On Christmas eve all went to 10:30 PM mass at the National Shrine - quite a beautiful production. The girls made a wonderful Christmas dinner which we had at home late last night.

Alex is practically over the head cold that had him feeling rotten for the last week or so. What that means it he's ready for visitors. We've got plenty of Metro cards for any teems that want to come. Also call us at home (301-949-2481) and maybe we can arrange to have you'all ride with us. Another piece of good news is that Alex is blinking when you thrust a hand in front of his eyes which means that they are starting to work.

Sunday, December 26, 1999 -- 12:40 p.m.
The power of the moon and your prayers
Alex needs them. We are hoping that the very full moon of this winter solstice coupled with all of your prayers and good wishes will work their magic on our boy. It's been a rough day. Earlier tonight they were close to sending him back to the Intensive Care at Childrens Hospital. He's been fighting an infection that the docs just can't seem to pinpoint and today he his breathing was labored, his oxygen saturation sagged to 92 and his heart rate soared to 140. Because he now has more facial expressions, his discomfort was obvious - he's now generating tears. They put him on oxygen and intravenous antibiotics which finally seem to be working. I was with Alex all day and Marijke is spending the night. She called a few minutes ago and he's finally settling down to sleep and all his numbers are inching back where we want them. We thought we were past this sort of anxiety a long time ago.

On the positive side, an old friend bought a whole stack of Metro cards to make it easy for Alex's buddies to continue visiting. Any teen that drops in should remind us and pick up a card.

Thursday, December 23, 1999 -- 12:09 a.m.
Alex has been moved
For reasons we can't quite explain, Alex has been moved to another room (305 East - phone 202-877-1316). It is a very nice private room so he won't have any roommates for the Holidays and therefore he can host lots of visitors.

The fever is finally under control and he's responding more. Today he had his eyes open all day. When he yawns he follows it up with a long, loud, "Nyah, nyah, nyah, nyah, nyah".

Check out the new image of me spinning him around. It's not a great shot but you get the idea. Alex loves it.

Tuesday, December 21, 1999 -- 12:23 a.m.
Alex looking good
Alex has a new short haircut and his trache has been out for a week (even the bandage is off and there is only a small indentation and a scab about the size of the top of a pencil eraser). Today we walked over to visit our friends at Children's Hospital and drop off Christmas presents to the nurses and docs. Wasn't the weather beautiful for a week before Christmas?

This past week has, for the most part, been a good one for Alex. His eyes are starting to blink when you wave your hand close (which indicates that he can see) and he is moving his hand toward his belly when they give him a shot there (indicating that he can initiate voluntary action). The other good news is that they identified the infection that is the source of the fevers and have started giving him the appropriate antibiotic. However the fever and medicine wiped him out and he was asleep most of today.

Saturday, December 18, 1999 -- 08:54 p.m.
Fevers continue, dammit!
We had hoped that when they removed his trache, that Alex would stop having those pesky fevers. However for the past 3 mornings he's ranged from 100 to 102 today (normal is 98.7). They are checking all his cultures (urine, blood, spittum) but they actually suspect sinusitis. The fever makes Alex tired (like it does all of us) and not as responsive - so we really want to track it down.

The docs have ordered a new MRI for this week which will pick up activity in the sinuses and also tell us something about how the brain is healing. Stay tuned for the results.

Thanks to the friends that got Alex a magnetic pillow and a little Christmas tree.

Wednesday, December 15, 1999 -- 08:34 a.m.
Getting to know Alex
One of the positive aspects of this whole affair is that we are learning many details about Alex that most parents of teens never get a glimpse into. Just listening to his friends talk about him makes us realize again just how wonderful he is. He is widely admired for all the right reasons - his warm personality, outrageous sense of humor, strict adherence to principles, commitment to non-violence, modesty, unassuming leadership, loyalty to friends, etc, etc, etc.) We are very proud of him and, in a sense, understand him better now than before the accident.

Last week the weather was so beautiful that we wheelchaired him over to visit his friends at the Pediatric Intensive Care Unit at Children's Hospital. They were all happy to see him especially his favorite nurse, Lisa.

Monday, December 13, 1999 -- 08:17 a.m.
hours, days, weeks and months.....
It's hard to believe but yesterday was the end of month four. At first all the changes came fast and furious - the pace then slowed to day-to-day. Here at NRH it's been a week by week affair and we're settling in to a journey that will move forward in time marked by months and maybe even years. But it is moving forward and we have faith that it will turn out well.

With the trache out Alex is deffinitely more relaxed (wouldn't you be?). His speech therapist was very happy with his following orders and vocalizing when she told him to. It's still not as consistent as we would all want but it's an undeniable improvement.

We are humbled and thankful that, even now during the holiday crunch, people continue to take the time to provide support - the latest example is Marijke's soccer teammate from 23 years ago sending candy to the nurses and contributing the meal effort. Can you believe that Alex has had teen visitors already three afternoons this week (a large bunch on Thursday)?

--
The trache is out!!!!!!
This afternoon, Nadya was with Alex when 2 doctors came in and started poking around. She got distracted and then heard them say something about the trache. When she asked when they might pull it out, they replied, "Oh, it's already out!" We didn't expect this for another week at least!!

This evening he was resting more peacefully than I've ever seen him. I'm sure having that nasty metal tube stuck in his throat was pretty uncomfortable and annoying. We're all breathing easier!!

Wednesday, December 8, 1999 -- 09:35 p.m.
Offer from the Kuna
A friend just returned from Panama where he had a meeting with our friends in the Kuna Mola Cooperative which is an all Indigenous cooperative of women who sew "molas" that we sell on PEOPLink. Since Adriana and Rosa (to see them click here) have stayed in our home, they are extremely concerned and invited us to San Blas so that the Kuna traditional healers can cure Alex. I'm seriously considering taking them up on their generous offer when he is strong enough to travel.

Alex is yawning a lot these days. His nurses tell us that this is a good sign and often indicates they are waking up. Yesterday I took him back to the oral surgeon to look at the tooth that had been knocked loose and we were happy to hear that it's fine now - the root has grabbed hold and it is firmly in place.

We've been warned that tomorrow a large (and probably rowdy) bunch of his friends will come to visit. Fantastic!!! They are starting a group video project for Alex at Sligo Middle School as a Christmas present.

--
Alex spinning around
Yesterday the weather was so good that I was able to to take Alex out to the NRH garden most of the day. We discovered that he really likes action - I started spinning him around and around really fast in his wheelchair and his eyes were open wider than I've ever seen them. When I stopped his eyes darted back and forth like when we're dizzy from spinning around. As a little kid, Alex used to beg me to spin him around all the time - even by one foot. He was absolutely fearless.

Today he had all sorts of visitors including four nice looking girls who were all over him. He loved the attention and our neighbor is sure that he said, "Hi Bob."

Sunday, December 5, 1999 -- 08:33 p.m.
More Washington Post
Thanks everyone who brought over the dozens of copies of last Friday's Post with the story about Alex. All the nurses at Childrens and NRH wanted a copy and this way we're able to keep them all happy.

Alex is doing great. He's moving his head much more and is very alert. He especially responds to his friends (see new images) and one particular nurse, Loraine (holding the pie).

Also if you missed it in the messages from friends, below is an annoucement about a fundraiser for Children's Hospital that we think is a good idea and endorse it 1000%, especially for those who can't give blood. ---------

Happy holidays, everyone! I thought I'd alert Alex's network to a wonderful fundraising opportunity for Children's Hospital. Many of you probably know that Washington Post columnist Bob Levey spearheads an annual fundraising campaign on behalf of Children's every December/January. The Washington Post has done this for 51 years. This year's goal is an ambitious $650,000. The money raised goes to pay the medical bills of Children's patients whose families cannot afford to pay. As Bob said in today's paper, "Our success doesn't depend on big-bucks philanthropists or foundations. This is a little-guy campaign--always has been, always will be. Every check gets us closer to where we need to be. No amount is too small to make a difference." I thought that perhaps some of the many visitors to Alex's website would be interested in supporting the hospital that provided such amazing care to Alex this summer. To contribute: Make a check or money order payable to Children's Hospital and mail it to Bob Levey, The Washington Post, Washington, DC 20071. If you want to pay by Visa or Mastercard, call Post-Haste at 202-334-9000 on a touch-tone phone. Then punch in K-I-D-S (or 5437) and follow instructions.

Saturday, December 4, 1999 -- 08:32 p.m.
Update from Seattle
Once again I'm not happy to report that I have to be a couple of thousand miles away but I'm staying with Alex's cousins and we're looking at his site right now. As you can imagine, since the Washigton Post article ran on Friday, the reponse has been overwhemlming. The site got more than 10,000 hits on Friday till 3 PM when it overloaded and partly shut down (that's why some of you couldn't post messages). Several friends, old neighbors, etc. who hadn't heard about Alex's accident, rushed down to NRH.

Alex continues to improve and respond more and more. He keeps gaining weight and strength. When his nurse comes to clean his mouth and asks him, he opens it real wide. And he's moving his mouth and making more sounds, all rebuilding the brain patterns he needs to talk to us. It's slow but we have faith that he will get better. And the support and prayers from thousands of family, friends, and, now even strangers, continues to keep our hopes high.

Sunday, November 28, 1999 -- 10:38 a.m.
We have much to be thankful for
Tonight was a time of celebration. We had 20 loved ones, including Alex, sitting around a long table in the cafeteria at NRH. There was plenty of turkey, pumpkin soup, sweet potatoes, apple pie, wine, music, laughter and intimate gossip - and yes there were a few tears too. We'll be posting pictures soon so keep checking.

We have so much to be thankful for. Alex is with us and improving thanks to his stubborn strength, the professional skill of the staff at Childrens Hospital and NRH, and your prayers and good wishes. Please keep it up.

Another piece of good news is that my sister recently beat back a nasty case of advanced breast cancer. I'll visit her next week and we are buoyed by hope.

Thursday, November 25, 1999 -- 11:44 p.m.
Alex in the Washington Post
Please hold onto tomorrow's (Friday) Post because it will feature an article on how this Web site has galvanized our extended network of loved ones (you all). We are not seeking publicity for Alex and only agreed to do the story in order to stimulate blood donations for Children's Hospital and to promote the new (free) www.medicalstatus.com service for other families facing a similar difficult situation. You should be able to see an on-line copy at http://www.washingtonpost.com

Alex is doing fine. We are taking it easy with him today because we want him to join us for Thanksgiving. Janetta and Ann and their families, plus assorted friends will bring a feast to the cafeteria at NRH later this afternoon. We're all looking forward to it. We hope that all of you are gathered with your families celebrating all that you have to be thankful for.

Thursday, November 25, 1999 -- 02:54 p.m.
The women in Alex's life
Alex is one lucky guy - he has the most amazing women imaginable doting on him. For starters there's his mom. Besides the huge ammount of healing affection she showers directly on him, Marijke has totally charmed the nurses and commanded the respect of the doctors to provide the utmost level of care for her baby. And somehow she's maintained a sense of graciousness and even wit throughout the ordeal. To all of us who know Marijke, her towering strength in the face of such adversity is just what we'd expect - but it's impressive as hell anyway.

Nadya and Adriana have been an unimaginably important source of strength and just plain hard work. Ever since we found them and they returned from their backpacking trip to Europe, they've both jumped right into the plan and have played their role to the hilt. They didn't consult us before deciding to move home from their college dorms and Nadya has decided to take a second semester off from Rice to stay close to her "lil Bubs". She'll be spending time at NRH but also doing an internship on the Hill next semester with Congressman George Miller from California. Adz's humor continues to lighten up the dinners and the long hours at bedside. It's really touching to hear the beautiful song that she sings to Alex every night before she leaves. The two girls have shown a level of unselfishness that makes us proud to be their parents.

And then the nurses and therapists are all women with a powerful combination of professional capability and maternal tenderness. What a tribute to the power of estrogen.

Tuesday, November 23, 1999 -- 10:20 p.m.
Thanks for the dinners!!
You can't imagine what a continuing source of energy they are for us especially as the winter days get greyer, colder, and shorter. Marijke's father dropped in on his way back from Holland and remarked that "People there are amazed that this is still going on even now three months after Alex's accident." We don't know how we will ever be able to reciprocate this cascade of warm generosity.

We also understand that the end of the year is a time of added social obligations for all of you. So please continue to coordinate your availability with Judy at 301-942-6554 and Janetta at 301-588-9394 but don't feel that you are under any sort of pressure. (We also send special thanks to J & J for scheduling these daily feasts.)

The continued mild weather has allowed us to take Alex out to the garden on most days this week, which he just loves. His eyes are open non-stop and he continues to make noises and move his mouth. He's gained 3 and a half pounds in the last two weeks and seems to have grown at least a couple of inches.

The head doc stopped by again yesterday and noted Alex's progress and again raised the possibility of removing the trache maybe, perhaps as soon as next week. Wouldn't that be something to be thankful about?

Saturday, November 20, 1999 -- 10:18 a.m.
Alex is a rich man
Yesterday was a half day at school and about dozen of Alex's friends came to visit. The came bounding into the hospital with all the bubbling vitality of teenagers and took him out to the garden for wheelchair stroll. He loved it and was "talking" to them - making sounds while moving his mouth. The girls did most of the chattering and the boys did the pushing. When I got to the hospital, the first thing I noticed was Alex's arm all marked up with their signatures. This is the sort of interaction that will make a difference long after the doctors have done all they can. We are grateful to Alex's friends for their love and support and are counting on them for the coming months. These great kids show us that there is hope for the future, both for Alex and for the world.

Friday, November 19, 1999 -- 07:52 a.m.
New images of Alex
Check out three new images of Alex at NRH. They are from Saturday when he started making sounds and moving his mouth trying to form words. The first image is of Alex phoning home and talking to Marijke and his sisters. The second is with his friends in the NRH garden and the last is visiting in his room with his 4th grade teacher. Looks good, doesn't he? Come see him for yourself.

I'm sending this update from Haiti where I've been all this week. Thank goodness I'm returning tonight.

Wednesday, November 17, 1999 -- 08:23 a.m.
Alex is "talking"!!
Today Alex had a great day. We plugged his trache early this morning which makes it easier for him to move air through his voice box. Two of his most loyal friends took him for a spin in the garden and he kept making sounds for them which he would not repeat for another visiting adult and me. Finally this afternoon he really started up again. He was making noises at the same time he moved his mouth as if he were trying to form words. Very exciting! I phoned Midvale and held the phone to his mouth to let him talk to his Mom and sisters and neighbors. They all shouted back (through tears of joy) and he moved his mouth even more!! Images of all of this will be up on Monday.

I'm off to Haiti in the morning for three days (but not happy about it).

Saturday, November 13, 1999 -- 11:47 p.m.
"I think Alex is starting to wake up"
This was today's quote of the day by Dianne, Alex's physical therapist. He held his head up completely unsupported by himself for more than a minute. Also we started plugging his trache and he did just fine - kept his oxygen saturation up around 99 - 100%. We heard his voice again too!

Alex's main doctor compared the first MRI with the latest one and announced that it was much improved. "I've seen patients with far worse MRI's do just fine." All in all we're encouraged.

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Three months
Yesterday Alex passed the three month mark. And there is both good and bad news. The bad news first - yesterday a new nurse was cleaning his mouth when he bit on the tube and she panicked and jerked it out, loosening a tooth. He probably won't loose it but it's loose and will probably need braces later to fix - and it bled a lot.

The good news is that he is off oxygen and doing quite well. Tomorrow they'll start plugging him again with the hope of pulling the trache out next week. His doctors and therapits continue to document small improvements almost daily.

A large batch of friends showed up on Monday and Alex enjoyed that.

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13 weeks
Alex has been in Childrens Hospital and NRH for a full 13 weeks now!! What an experience!!

This weekend Alex had his usual throng of visitors. On Saturday morning 4 of his school buddies (guys) took him for a wheelchair spin around the NRH gardens. It was really interesting to see how it compared to last week when 4 girls took him for a spin in the same garden. Right away the girls parked in a quiet spot and proceeded to talk to him energetically about all kinds of topics and touch and stoke his face. The guys were much more kinesthetic, they zoomed all over the place, taking turns pushing the wheelchair at full throttle, bouncing Alex along. He responded to both approaches much more than to his boring adult parents and therapists nagging him to wake up.

Our goal for this week is to get him off oxygen so that next week we can aim to get the damned trache out. Please focus your mental energy toward making this happen. Thanks.

Monday, November 8, 1999 -- 12:27 p.m.
Week in review
The week has been one of reaffirmation that the process is moving slowly but deffinitively forward. Alex is responding more and more. The only trouble is still a Catch-22 situation - his heavy secretions are probably caused by the trache but before he can have the trache removed he has to get rid of the secretions. The docs are trying antibiotics and we're moving Alex as much as possible which also helps.

Come visit NRH this weekend if you live in DC - otherwise telepathic visits are also welcomed.

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Good news from NRH
Yesterday we had a family meeting with the NRH staff including the doctor in charge, the case manager and the physical, speech and occupational therapists. They all agreed that Alex was making slow but steady improvement, consistent with his brain stem injury which takes months to heal. While there can never be guarantees in these cases, everybody was optimistic about Alex starting to wake up and they even talked about going back to full time "acute" therapy in a week or so. They did another MRI scan which clearly showed that his brain was indeed healing. With his stubborn strength, the great care at NRH, and all your prayers and good wishes, Alex is moving forward.

Yesterday he held both eyes open quite a lot and also moved them. He's holding his head up almost by himself for 10-15 minutes at a time and his mouth movements are active and appropriate. He really reacts to oral stimulation. For example, every day they give him a medicine that tastes yucky and he really shows how much he hates it by clamping his mouth shut, scowling, blushing, and tensing up his whole body. The speech therapist is pretty sure that on good days he responds, not consistently however, to commands such as "Alex, open your mouth". His pupils are definitely not fixed any more and he moved his feet quite a lot. He seemed to try to look at and follow his friend that visited him.

When he wakes up Alex will really need to be stimulated by his friends so please plan to continue to visit him even as the days get shorter and colder. On the weekends we or a parent can organize a ride for a group of you so please try to coordinate your plans ahead of time. We can't tell you how much we appreciate these visits and Alex does too.

Wednesday, November 3, 1999 -- 04:39 a.m.
12 weeks and gaining
Can you believe it's been that long?!! This weekend we found out something important. We had thought that Alex had been gaining weight but it seems that he had actually been loosing. When you have a fever, such as Alex has had for the past few weeks, your body burns up extra calories. However since the fever is finally under control and the doc/nurses started feeding Alex 300 calories a day more, he's gaining weight and strength. They expect to take him off oxygen this week and then start plugging the trache up again. He also has more facial expressions which is bad because some of them are quite negative - frowns, pouts, etc. On the other hand the therapists assure us that it's just a sign of more circuits being turned on. So before I got pleasure from Alex's gagging and now from his scowling. This has taught us to appreciate anything and everything that comes our way.

Nov 1, 99 -- 9:45 PM
Back from India
Finally got back from India and rushed straight from the airport to see my boy. Alex's right eye is opening as much as his left and his pupils are reacting much more to light. Can't wait to spend all day Sunday with him especially since he's goig to have friends over to celebrate Halloween.

Sunday, October 31, 1999 -- 05:14 a.m.
TWO EYES OPEN
Goodmorning Salsa fans. Sorry I did not update last night.

Alex had a good day yesterday, because a lot of his friends showed and he had a swinging party in his room. It was the talk of the nurses. They don't get this action with the older folks on the floor. After the friends left, he looked very happy. Keep it up kids! (If you need a ride we can probably take you around 5 PM, just call the house and leave a message).

And Alex's favorite and loyal teacher also showed, this time without the Wendell. A dear neighbor brought her love, a good meal and her feisty daughter, who provided the early evening entertainment.

Alex's right eye is opening wide now, so he looks pretty good, especially with his cool haircut. There's movement in his leg and we are doing all we can to have him kick back. He loves his outings in the cold.

But he's still on oxygen. Still trying to whup that cold and the secretions. We haunt the respiratory people to stay on their chest therapy schedule so that these nasty secretions won't plug his lungs. Can't wait for his lungs to clear so that we can plug the trach and be on the way again to removing it. With patience and love...

Thanks to all for your prayers, comfort meals, support and other offerings, Marijke

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Update from India
This is Dan again reporting from Delhi that I too have joined the ranks of Alex Web page addicts. Every chance I get near a computer with Internet access I find myself checking to see if there is a new update. I was thrilled with the reports of Alex holding his head up and squeezing hands. And I was bummed when the site was down last weekend. It's a real source of comfort knowing that so many of you are there providing the support to Alex and our family while I'm so damned far away. I can't wait to be back on Saturday.

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A message from Marijke
Hello everybody. It's a beautifull fall day that shimmers into Alex's room. We have to wrap him up now when we take him for walks outside. We will keep taking him out. You all know how much he likes the cold and fall (though never raking leaves). Alex is still on oxygen, but we hope to start weaning him next week. He's is having a hard time kicking the cold so the process may take a while. It'll be good when he breathes through his nose again and we can start dreaming about trachless days. Yesterday Alex moved his arms when we asked him. His eyes are also flickering all over the place. He may be starting to focus a bit. He sure checks out all those wonderfull posters, halloween decorations, cards, chimes, dreamcatchers, flowers, plants, balloons, charms that everybody has given for healing and love. If you've been up to his room, you know the beauty and energy that all these items give off. Thank all of you for these gifts, your steady prayers, your visits, your healing strokes, your meals, cards, energy, dogvisits. They keep us strong and contribute to our boys healing. TO SALSA'S Friends. Alex is lucky to have such loyal and funny friends. Your messages and visits are inspiring to him and us. I read the messages to him everyday. Your visits change him. Please keep them up. If you need transportation we can even take you on Saturday or Sunday mornings. Also your posters brighten up the room. You guys make the difference! Keep up those awesome visits and messages. Go teamrocket and all the friends who love our boy "Salsa". (Also please thank your parents for driving you and faciltating your visits. Parents, you have great kids!) AUNT PAT'S class We strung up all those great, funny, pretty, crazy and goofy pumpkins and hung them across the window. I even see Alex checking them out. We're going to keep them up untill he can really see them. Thank you AUNT PAT'S 4 th grade class, for making Alex/Salsa's room such a great place to be.

Sunday, October 24, 1999 -- 02:08 p.m.
Acting as Dan...
Alex had a good day today. He had several voluntary hand sqeezes for the occupational therapist, and moved his head from a forward position all the way back to his head rest. We took him outside twice today, the last time to visit with Wendell, Jackie Moore's dog, and Alex seemed to like it as he was opening his eyes when he felt or heard the dog. Alex also recieved the pumkins from his Aunt Pat's class and are now strung across his window. They are really cool, thanks you guys for thinking of him!!!! Other than that, things are moving slow and steady. Keep up the good vibes.

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No news is good news
Not much new to report. Alex is keeping his eyes open more and and his right hand is stronger. They changed his feeding to a formula with more calories to fatten him up a bit.

Thursday, October 21, 1999 -- 02:22 p.m.
Heart Rate
Yesterday Alex's heart rate soared to 135 which is higher than I've seen it in a while. The docs and nurses were worried at first about possible reasons including infection and a blood clot in his lungs. However this "spike" coincided with a visit by 4 of his friends and, as soon as they left, it settled back down to 75. What does this tell us? That Alex is reacting to the visitors talking, joking, and singing. They are touching him in many ways. He talks back by moving his eyes, squeezing hands and increasing his heart rate.

Tomorrow I'll very reluctantly have to take off to India for 9 days (so the updates might slow down a bit). Please do me the favor of visiting Alex, especially while I'm gone. Thanks.

Wednesday, October 20, 1999 -- 04:56 a.m.
Ten weeks
Can you believe it's been 10 weeks already? On Sunday Alex had a ton of visitors and he has a whole new batch of customized posters on his wall. Marijke actually took him out to the garden while it was starting to sprinkle and he got a few raindrops on his face. All these forms of stimulation are reaching him in many different ways - and Alex is responding more and more. Today he held his head up very well for the physical therapist and he had both eyes wide open a lot - and they are moving from side to side quite a bit. The pupils are reacting to light, somewhat sluggishly, but visibly.

I feel guilty that I have to travel to India on Thursday for 9 days. With the girls home, we have plenty of bodies around to be with Alex but I'm still bummed. There's no way out of this one.

Marijke's parents are due in for a visit starting tomorrow.

Monday, October 18, 1999 -- 11:51 p.m.
More details
Alex continues to develop new tricks - an arched eyebrow, knee bending, eye moving to the side, etc. All are indicative of brain circuits switching back on. We're watching every little development with fascination. He's also doing well physically - stronger and stronger.

This morning I got out for some exercise for the first time. To start getting rid of the gut I've developed I ran a mile but not very fast. This is the only down side to the wonderful dinners that keep showing up every evening at 7 PM in the NRH cafeteria.

The message board is back up so post away.

Saturday, October 16, 1999 -- 10:32 p.m.
Message board
Alex is fine. Today he opened his eyes quite a bit and we think that he might be tracking a bit. His speech therapist seems to agree.

The message board has been temporarily shut down. I'll let you know as soon as we get it back up.

Friday, October 15, 1999 -- 11:59 p.m.
Reassuring
Yesterday's mini-crisis has an upside. This was basically the same situation we faced leading up Alex's last lung collapse when he was on the floor at Childrens. This time, however , the crew at NRH handled it beautifully - so that's very reassuring.

Otherwise Alex is just fine. He's had a steady stream of visitors and we look forward to more this weekend. These really seem to perk him up.

Friday, Oct 15 -- 10:30 AM
Mini-crisis
We thought we were through this phase but got another reality check although not nearly as traumatic as the first weeks. Yesterday when Nadya came in at noon to the nurse announced that they were taking Alex to Connecticut Ave to a dentist to fit him for a mouth guard to keep him from grinding his teeth - so off they went in his wheelchair in a van. Adriana came in a hour later and the room was empty and, at first, no one could tell her where Alex was. Anyway the whole thing took most of the day (and they weren't able to work on him 'cause he wouldn't open his mouth) and by the time he got back he was breathing hard. That evening his breathing got more difficult, we was flaring his nostrils, his oxygen saturation started slumping, and doctors were getting concerned (not worried). They really started working aggressively on him giving him Physical Therapy on his chest and hooking him up to oxygen and special inhalants to loosen the lung secretions. At one time there were 6 docs, therapists, nurses in his room. Last night they monitored him very closely and even allowed me to spend the night.

By this morning he is just fine again. The good part about this is that I was there for a glorious sunrise flooding in on Alex that we didn't realize before that he gets to witness every day. Also because they had monitors hooked up continuously, we could see that his heart rate deffinitely rises when you speak to him which means something is getting through to him, even if he can't answer - yet. So keep up the communications!

Thursday, October 14, 1999 -- 09:48 a.m.
Luck?
Less than two weeks before Alex's accident I was remarking to Marijke how fortunate we had been on the health front - none of our children even needed braces. This is one of those silly thoughts that keeps running through my mind as I try to sort out the meaning of all this. Is it karma? Part of some grand design? Or simply a case of devastatingly bad luck? We'll never know for sure. But we have faith that, if Alex has made it through all the challenges he's faced up to now, he'll pull through the rest OK. Everybody's prayers, good wishes, meals, and visits help Alex and give us strength in this time of tortuously slow progress. Thank you'all for hanging in there with us.

Alex went 12 hours with his trache plugged yesterday and had his eyes open most of the day. He went outside to the NRH garden with Marijke. His visiting friends tell us that his eyeball turned toward them when they talked to him.

Wednesday, October 13, 1999 -- 09:06 a.m.
The sound of Alex's voice
For the first time in two months we heard Alex. Because his trache was plugged (for 5 hours) he was able to force air through his voice box. It was a low moan - sort of an "mmmmmmmmm". And his fairy Godmother Janetta was sure that he responded to her "Hi Alex" when she walked in the room. Very exciting stuff!!

Today he had his eyes open quite a bit and they are going to keep him plugged all night long. If he keeps going this way he'll have the trache out in a few days.

Monday, October 11, 1999 -- 09:42 p.m.
Visitors
This was a great weekend for friends visiting Alex. Check out the new images at NRH of just a few of the folks that stopped by. The reporter and photographer from the Washington Post also dropped in. This stimulation really helps him, so keep it up.

Those of you who know Alex know that he has always desperately wanted dread locks. Take a close look at the Townsend image and you can see that he finally got his wish. They brought him a knitted cap with dreads already built in. For Halloween Alex is going to Bob Marley, which is one of his favorites. Actually the song "Everything little thing's, gonna to be allright" has become an anthem to us we play and sing it a lot.

Alex had his trache plugged for 5 hours today and did just fine even with the steady stream of visitors. His eyes were more open than ever before.

Monday, October 11, 1999 -- 12:21 a.m.
Two months
Alex crossed the two month mark and he's getting stronger by the day. The docs started plugging the trache off for an hour, three times a day, and he's breathing just fine through his nose. If he keeps it up they might pull the trache out altogether as early as late this week. This is our goal anyway.

The only slightly negative development is that they downgraded his status from "acute" to "sub-acute" meaning that, instead of 6 half hour therapy sessions a day, they'll only give him 3 or 4. This is OK because his family and friends can pick up the slack and it also doesn't count toward the limit of time the insurance will pay for acute care. As soon as the therapists can document more signs of purposeful reactions, they'll bump him back up to 6 sessions.

On the message board you might have noticed the note from the Blood Bank at Childrens Hospital thanking all of us for the donations that are still coming in in Alex's and Sarah's name. So if you were worried that you'd missed your chance.............

Sunday, October 10, 1999 -- 07:00 a.m.
Awesome day
Besides changing his trache, the doctors also removed Alex's PIC line today. I took him out to the garden again and got more sun on his face and skinny legs. This afternoon he opened his eyes, both of them, more than ever. He was actively sucking and swallowing for the speech pathologist. All in all he was responsive yet relaxed most of the day.

Thursday, October 7, 1999 -- 11:12 p.m.
Plastic trache is out!!!
This morning the doctors replaced Alex's plastic trache with a metal one. It was a simple procedure at bedside but it's another step forward. Next they'll start plugging it for a few minutes and then a few hours until he is ready to pull it out altogether in a week or so. They're also planning on removing the PIC line (semi-permanent intravenous connection) in his arm so that, except for his feeding tube, his body will be free of invasive tubes.

That pesky fever is still around although it is lower today. The docs are checking every source of possible infection but it also might be that Alex's internal thermostat out of adjustment for a while (it happens with brain injuries).

Do come visit this weekend. Sunday afternoon would be best.

Thursday, October 7, 1999 -- 08:55 a.m.
8 weeks
Can you believe it's been that long? We were pleasantly surprised today to know that the docs are talking about changing Alex's plastic trache for a metal one in a couple of days. Then they'll start plugging it off for a few minutes at first and then build up to a couple of days. If all goes well, they hope to remove the trache altogether in a week or two!! That's much faster than I had expected but it's a reflection of how well Alex is doing.

He still has a bit of a fever and seems to have bitten the inside of his cheek and therefore it's a bit puffy - but that's no big deal. Just part of what's expected at this stage of the game.

Tuesday, October 5, 1999 -- 11:14 p.m.
Great day for Alex
When Nadya walked into the room this morning and said "Hi Alex", his eyes popped wide open. Then she asked him to open his mouth and he let her clean his tongue real good for the first time. His therapists were pleased at how well he was doing compared to last week. Part of it was the fact that his fever seems to have finally come down. They worked him real hard and by the time the rest of us got there this afternoon he was worn out. Still, he was moving quite a bit this evening. So I guess this makes up for the lousy weather, right?

Monday, October 4, 1999 -- 11:25 p.m.
Visitors
Alex had lots of visitors this weekend. Several brought souvenirs from the HFStival including a "Get well Alex" autograph from another of his favorite bands, SEV. On Saturday we put his new HFStival T-shirt and shorts so he could soak up some of that beautiful sun. His friends Alex and Colm took him for an extended spin in the NRH gardens. The fresh air, sun and sounds really stimulated him. He was opening his eyes every time he hit a bump or went around a corner. Sunday he had another good batch of guests but his nagging fever kept him from going outdoors.

The docs and nurses have seen hundreds of patients like Alex and say he is right on track and is improving according to schedule. For us however the progress seems glacial - definitely forward but oh, so slow. This is really hard to get used to after the PICU where it was more like a raging river - splashing over its banks, flooding the countryside, changing courses, crashing into rocks, forming dangerous whirlpools at every bend, etc etc. I guess we became addicted to the adrenaline. When we turned the first 5 - 10% estimate of survival to 100% in just a few days, it felt like a huge accomplishment. Now we have to wait for weeks for tiny improvements. It sometimes gets us down but your constant support makes it begin to flow again. Thanks so much.

Sunday, October 3, 1999 -- 11:26 p.m.
Getting stronger
Alex continues to get stronger every day. He has a super firm grip, especially with his left hand, and he's getting some tone back in his muscles. In the pictures from NRH from last week you can see that he had lean his head back on the physical therapist to get it to stay up. Yesterday he held it up completely by himself for "a couple of minutes"!

Last week Nadya and I went to the funeral of an 11 year old girl that entered the PICU at Childrens Hospital the same day as Alex and left also on the same day. As you can imagine, in those six weeks we formed a bond with that family that is undescribable. The mass for Sarah was a beautiful ceremony that was packed with their family and friends - standing room only. We were blown away by the fact that, on the way out of the church, we were the only people the family stopped to hug. Even though the outcomes were distressingly different, we had shared every family's worst nightmare. I'm wiping tears off this keyboard even now thinking about the irony. We were also touched at seeing several of our friends from the staff at Childrens Hospital there. Please keep those blood donations going in memory of Sarah as well as for Alex.

Looks like this weekend will be beautiful. If you come to visit and and we're not in room 308, look for us in the garden.

Saturday, October 2, 1999 -- 06:09 a.m.
Alex is cruising
Today the weather was so beautiful that I plopped Alex in his wheel chair and took him for a spin in the beautiful garden at NRH (see new image). He got a little sun in his face that seemed to energize him. Two of his friends showed up and he was real active with them and even started moving his whole legs. We're seeing more facial expressions too. Don't know what they mean but there are more of them!

Thursday, September 30, 1999 -- 10:26 p.m.
Washington Post
The editor that did the story on Alex when he traveled with me to South America a few years ago has been following the Web site and a very nice reporter came over to NRH last night to share a, once again, wonderful dinner and check out the scene. She wants to do a story on how the Web has galvanized our extended community in this time of intense human crisis. A few of you might get calls or e-mails from her. We told her that we weren't looking for publicity on Alex but rather were willing to do the story if it served another constructive purpose. We want it to generate more blood donations and to publicize a free service for other families in crisis that is being set up by the generous folks at pitas.com, modeled on our site.

So from his bed at NRH Alex, true to form, is making good things happen and returning some of the love and support he has been receiving from all of you. This is very comforting.

The weather is beautiful today and I hope to get Alex in his wheelchair later and wheel him out to the garden. I'll post a picture if I do.

Thursday, September 30, 1999 -- 08:32 a.m.
8 months
Yesterday the doctors gave us their first estimate for the length of time Alex will probably have to be at NRH. They are upbeat about his recovery but we are concerned that we might have to battle the insurance companies to keep him in that long.

Things are pretty steady and Alex is regaining the strength of his grip. Both hands have been moving a lot and his left eye is open more and more. Today in therapy he did better at holding his head up.

Please keep up the prayers, good wishes and visits. Our friends and neighbors have continued the flow of evening banquets even after the move to NRH. Strange as it seems, these are precious moments to recharge and reconnect. Can't begin to tell you how much that means to us. If you want to join in, please call either Judy (301-942-6554) or Janetta (301-588-9394).

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Back on line
Sorry for the gap in postings. There was a technical glitch with the service that is helping us host this but they finally fixed it. The good news is that in the process of communicating about the problem, they learned more about the Alex page and enthusiastically agreed to set up a free service to help other families living a similar nightmare.

Anyway, Alex's slight fever is down and he's doing fine. Besides his regular sessions in rehab, we have been able to get him into a wheel chair to take him for a spin outdoors in the beautiful garden just outside his window. If you haven't already, check out the new images at NRH.

All for now, more tomorrow - I promise.

Tues. Sept 28 -- 3:10 PM


Please direct correspondence to alex@peoplink.org -- Thanks to Pitas.Com for hosting this site