05/24/2026
May 23, 2024. A lot happened this day.
The trach was capped. He was off the vent completely. After weeks of machines breathing for him, his lungs were working on their own.
Dr. Metcalf came in and he passed the cognitive tests. All of them. He could spell world backwards. He knew the days of the week—forwards and backwards. A week before he couldn't name two days. Delirium resolved. That's what the chart said. I'd been waiting to read those two words for a long time.
He was also accepted into acute rehab. Aetna approved it after some back and forth between me, the hospital, and the insurance company. He needed a private room because of the trach infection risk—which meant there was no bed available yet. Monday or Tuesday they said. He was excited. He understood what rehab was for now. He wanted to get strong, learn to walk properly, get his fine motor skills back. That was a different person than the one who thought rehab meant drug rehab a week ago..
He had another EEG and he had stage 1 heart failure. Sepsis-induced cardiomyopathy—that's what they called it. His EF was 45-50%, where normal is 55-70%. Honestly it was unexpected even after everything we'd been through. I immediately went into information mode—what do we watch for at home, what are the symptoms, what do I need to know. I wanted to learn everything from the doctor before we left. Considering where we'd started, we'd take it.
He also started talking about what he remembered from the coma. He thought he was getting tattoos. He remembered his hands being replaced with claws. We just let him talk. I was fascinated honestly—it's the brain making sense of what the body is going through. The restraints became claws. The procedures became tattoos. He wasn't wrong about the feeling. Just the story his brain built around it.
At home that day Clare almost crawled for the first time. I was so afraid he'd miss that milestone. He'd already missed so much. And then, because apparently this was just that kind of day, Frankie started coughing. My dog. Who already has a heart condition. I made a vet appointment.
My husband. My dog. Both with heart issues. On the same day.