Sunday, January 28, 2007

LISA TODAY - January 28, 2007

St. Joseph Medical Center
Select Specialty Hospital
Phoenix, Arizona

Hey gang, Richard here from Lisa’s room, it’s a beautiful Sunday here in Phoenix. After a chilly (by the standards here) couple of weeks we’re back into the upper 60’s and low 70’s and are able to all go outside again. Making the best of it during the “cool snap” we found a large carpeted lobby fronted with windows that is mostly empty on the weekends. It was here that Michael stood on his own for his mom and dad, memorialized with my phone/camera, and just yesterday took a number of enthusiastic, if not graceful, steps.

Lisa started hyperbaric this past Tuesday; I drove up early to sign the paperwork and be with her as she had the first of 20 treatments. The chamber is about 10 feet long and 3 feet in diameter, the top half is clear Lexan ( the stuff jet cockpits are made of) music is piped in along with updates from nurses and interested observers. Lisa, under the watchful eye of Dr. Fracica, handled the treatment with flying colors and has been green lighted for daily sessions.

So for the rest of the week, Lisa spent an hour in the chamber and her early afternoons in therapy, speech, physical and occupational. Later in the afternoons, Lisa is visited by Yolanda, who ranges her and adjusts her splints, early evening with visits from her rangers, Sandy, Bruce and Laura, Bill or Suzanne (depending on which one isn’t in trial or sick from the bug they keep passing to each other but won’t risk passing to Lisa) and Ken, Vince and Lynn (who’s taken up the calling and leaving her civil practice for prosecution). At night Lisa is visited by her favorite rehab tech from neuro rehab, Heather, who after her day shift, studies with Lisa.

How’s the hyperbaric doing for Lisa? Well, it’s too soon to tell, but so far she had an impressive week in therapy with good nods and a thumb wiggle in response to requests from Maureen, her speech therapist. Lisa’s stiffness due to her spasticity is usually most pronounced in the mornings, I’ve come to expect to have to use all my strength and weight to be able to bend her legs slowly up to relieve cramps and to help her fit into her wheelchair. When Lisa is in pain, or fighting an infection her stiff muscle tone (these folks just refer to it as “tone”) really kicks up.

Yesterday morning (Saturday), when I came to range Lisa’s legs, I found that they were stiff, but noticeably, less than they have been in… well, months. This was true through out the day and into the evening. I tell you that my heart was racing a bit, Lisa was even less stiff this morning. Is this just a good week? Maybe. Could I just be seeing or feeling what I desperately want to? Certainly. So, I took it as a good sign. Last night, Lisa’s nurse’s aide, Jay, who has cared for her regularly since last March told me that Lisa’s tone was much better the last two nights than it was last week. Jay asked me if the medicine in her pump had been adjusted. He said he didn’t know that Lisa had started hyperbaric! Here’s the bottom line, this is the first of four weeks in Lisa’s evaluation period. If these good signs are from the hyperbaric sessions, than we should maintain the improvements and see more. While Lisa was approved for 20 sessions, is she shows measurable (by her therapy team) improvements, Dr. Fracica will continue them. We’ll keep you posted.

On the home front, I want to echo Dad’s thanks to everyone who literally kept a roof over our heads and available for Lisa’s by donating leave time to get us past the time the federal Office of Personnel Management (OPM) need to approve Lisa’s disability retirement. I’d been told in December when I called OPM that we were looking at 3-4 months, and I just about, well, broke out in a cold sweat! But all of our family’s guardian angels weren’t going to let us down.

One of the many calls I got was from an old friend (fearing that a good deed may go punished, I’ll leave him unnamed) who had worked at the Department of Justice and later at the National District Attorney’s Association. We hadn’t spoken in a while and he told me that in the intervening years he’d come to know folks at OPM and offered to see if anything could be done to expedite a review of Lisa’s case. No promises other than the effort. Guess the effort paid off for Lisa, she was approved in half the time I’d been told!

While these angels were at work, so were others. Our friend at NDAA, Jim Polley put the word out of our need for more leave time and many responded. One of those is an Assistant United States Attorney from Missouri, Michael Reilly, who put the word out on the DOJ network. Lisa ranger Suzanne Cohen reached out to a local judge who’d worked in the federal system in phoenix, he spread the word. I received many calls and e-mails from federal prosecutors all over the country many refusing to give their names, just wanting to let us know they were going to help. And of course DEA Special Agent Rich Kivi and my other “homies” in federal law enforcement in southern Arizona at our drug task force and in the DEA Tucson District Office proved again, DEA takes care of its own.

Folks helped even when they didn’t have leave time to give. A former Pima county prosecutor, now working as an AUSA in Tucson, Chris Cabanillas and others sent enough unbelievably generous help that we’re now able to pay for the large portion of the costs of the genetic testing Lisa and Michael needed that insurance didn’t cover.

The combination of donated hours and a 2 month process instead 4 months means we made it over the hump. Fortunately, donated time we don’t need will go back to the folks who offered their leave. Now, Lisa will receive “interim pay” (about half her current salary) until OPM finishes processing her “approved” application, (another couple of months we’re told) before her retirement officially begins.

I’ve pretty much been in trial constantly since before thanksgiving, and was scheduled to start another 3 week racketeering case next week. As it turns out, the defense lawyers got the case continued so I’ve got a week or so to concentrate on the logistics of bringing Lisa home, oh, and I’ve got a birthday party to plan for my favorite saint, Michael.
michael
mlwintory@msn.com

Friday, January 26, 2007

Lisa Today - January 26, 2007


St. Joseph Medical Center
Select Specialty Hospital
Phoenix, Arizona

Michael gives us all kinds of looks throughout the day. I’m not sure what they all mean, but I have a pretty good idea what the one on the left means. “Do Not Disturb! I am busy with the duck!” I was trying to capture a pose from him for a Valentine Card, but what do I know?

Lisa will as be coming home as soon as she completes the hyperbaric therapy that she began 3-days ago. Everything else, all of the other treatments, I mean, (physical, occupational, and speech therapy) will continue throughout her hospitalization at St. Joseph’s Medical Center in Phoenix. “So when, you ask?” We are anticipating, by late February-early March. Blue Cross/Blue Shield approved her receiving the hyperbaric treatments and the necessary hospitalization time to have them admin-istered. The prescription called for 20, Monday-Friday sessions or 4-weeks time.

I want so very much to have you feel uplifted, about the magnanimous response we received for leave-time for Lisa. Hours flooded in! Enough hours to get Lisa and her family where they needed to be, in order to save the farm-so-to-speak! It was a “Guide Post,” moment for us. May G_d Bless You!

Richard heard from, Betty Willis, Lisa’s Human Resources Specialist. She said that Lisa’s application for retirement was approved by the Office of Personnel Management, and Richard also received a copy of the notification. Clarified this means that Lisa will be separated from the Office of Homeland Security 03 February 2007, and her leave-donations will cease on that date as well. Ms. Willis then noted, “That any excess leave-time must be returned to the donor.” Richard then asked Ms. Willis, “… about the leave-time that came to Lisa by folks facing a, ‘use-it-or-lose-it’ situation? Will they get the opportunity to give it to someone else in need, or would the time just be lost?” To which Ms. Willis replied, “[Unfortunately] we have no control of what will happen with the leave once it is restored to the employee. If it results in leave that they may possibly lose, they will individually have to take that matter up with their agency.” At this time I’m thinking, “No good deed goes unpunished.”

This picture of Bathtub Boy gives you an idea of how Lisa and Richard’s son (11 month old) Michael can melt ones heart! Are all grandchildren capable of this, or is it just me?

Michael (mlwintory@msn.com)

Lisa Today - January 23, 2006

St. Joseph Medical Center
Select Specialty Hospital
Phoenix, Arizona

It will be a year, February 23, 2006, that Lisa was relaxing in her living room in Oro Valley-just 13-days after giving birth to Michael--shown on the right in a picture I took yesterday, that her tragic saga began. We could look back in Lisa’s BLOG Site Journal (http://www.lisalatest.com/) to get the date when first the idea of hyperbaric therapy was mentioned, but frankly, it doesn’t matter because it is water under the bridge, what does matter is the answer to a question, “… what have you done for me lately.”

This morning at 8:00 A.M., Lisa was transferred from her hospital bed to a narrow, but comfortable gurney. This particular gurney more narrow than most, is to permit it to easily slide into the hyperbaric chamber (tube) that was waiting for her a couple of floors beneath her hospital room. It wasn’t a long trip in the sense of distance… just a few floors and corridors away, and it was easily reached by the sure, steady hands that guided her chariot through the hospital labyrinth. I asked Richard, who left for Phoenix before 6:00 AM this morning to be there with her, “How did she take the ride?” “Lisa appeared comfortable,” he said, “… dozing in fact” – as she waited for all the medical players to arrive. Today, of all days, the Joint Commission on Hospital Accreditation was at St. Joseph’s on a surprise inspection. The inspectors never give a hospital an exact date—it’s more like a range. I compare the Joint Commission to the military’s inspector general (no stress there J). Anyway after a tolerable delay, Lisa was rolled into the chamber, which turned out to be a perfectly-clear Plexiglas tube. She was dozing at the time, but awoke to the sound of Richard’s voice. He, Richard, explained to Lisa what was about to happen, and for Lisa’s listening pleasure country & western music was being sent to her during the oxygen therapy she was about to receive. One of her doctors arrived then to turn off the Baclofen pump during the time she receives the oxygen therapy. The doctor said she will arrange to teach the technicians who operate the hyperbaric chamber how to “turn the pump off and on,” as it will facilitate Lisa’s care. Every precaution was taken during the 1-hour therapy session as the necessary life support equipment was on hand for Lisa should there become a need. The chamber’s therapeutic level was calculated to 1.75 atmospheres that would be like descending 41.25 feet in the ocean. Let me ask you to recall what happens when one’s inner ear when a person submerges in a swimming pool and reaches the bottom at the deep end. Well, to protect Lisa’s ear drums, tiny tubes were inserted painlessly into her ears. I mention this to express the thoughtful care she continues to receive from the staff at Select Specialty Hospital and St. Joseph’s Medical. Here is a factoid that might interest you, Lisa’s trach is held into place with a Velcro strap, Velcro can generate a spark, and a spark inside of a pure oxygen tube is not a good thing, so it had to be taken into account as was Lisa’s cigarette lighter and flint. (Just kidding!)

Blue Cross/Blue Shield is very supportive of the new therapy for Lisa. In fact, they have been beside her every step of the way.

The rest of Lisa’s day was quite busy. She was with Marty (speech therapist) and Connie (physical therapist) at 1:00 p.m. In fact for the next few weeks, her regular PT, OT and SP therapy will continue as well as the hyperbaric. Lisa’s hands, wrists, and ankles are significantly under the control of her Spasticity. And, recently finding a splint to countermeasure its progress has been difficult.


Michael (mlwintory@msn.com)

Saturday, January 20, 2007

LISA TODAY - January 20, 2007

Now for something different, here is a personal letter meant for you from Lisa's brother (David) and his Family...

From my wife Suzanne, my son Collin and my daughter Rylee we would would like to take this moment and say thank you.

Thank you to those of you who have made a donation to my sister's leave.

Thank you to those of you who stop by and visit with my sister daily.

Thank you to the doctors, caregivers, nurses and friends who help her in her rehab and constantly remind her that she is a fighter and she will win this battle.

Thank you to those of you who keep Richard going so he can help fight with my sister. It is truly amazing what everyone has done in this time of need. You have given Lisa so many days to continue her fight and also have helped ease some of the pressures from Richard so he can focus on working on that which needs to be done to help Lisa. It is a battle that they can't fight alone. It takes all 3 of them to help her. It takes all of us to stop and remember that it is our responsibility to do what we need to do so that Lisa can someday be an active part of their lives again. Michael gets crazy when he sees his mother and remember that you are a part of Richard, Lisa's and Michael's life. You are doing amazing things. Even a simple positive thought can move mountains.

Many of you we will never meet. But please understand this...you will never be out of our thoughts and prayers. Good things happen to good people and I believe in my mind and heart that you have done something simply awesome and truly incredible. I pray and hope that your lives will be touched and blessed in the way that you have touched and blessed Lisa, Richard and Micheal "the wild one" Wintory.

I am truly grateful for what you have done and I hope that I can carry on the spirit of doing what is right for other people when they or their family is in a time of need such as ours. I think everyone that has been affected by this tragedy has learned a lesson. I have learned many. I have learned lessons that I will pass on to my children and hopefully carry on what has been done here. I have learned that I can't be selfish and try to get Lisa better for my own needs...it's for her and her family. It's for Richard. It's for Michael. I had the best 35 years of my life with my sister. Now I start the journey of the next 35 + years of my life with my sister, not in a way I would have thought it would ever be...but I still have my sister. That was the deal I made. I told her to stick around and I will do the best that I can for her, Richard and Michael.

Your generosity, donations, thoughts and prayers have made it possible for Lisa and Richard to make it partially through yet another hurdle in their time of need. There may never be a chance for us to sit down and individually thank each and everyone of you who have done so many things for Lisa, Richard and Michael but please understand this once again...We appreciate all of the support and love for this family. I can't begin to thank you enough from the bottom of our hearts.

And once again....thank you for your unconditional support. It will never be forgotten.

David, Suzanne, Collin and Rylee Goodspeed

Michael (mlwintory@msn.com)