Pulmonary contusion and ARDS from trauma in teenager. Recovery ??
My 16 year old was hit by a car 6 months ago. She was on life support for abt 2 weeks and spent 8 weeks under medical care. She sustained broken bones head to toe. She had aspirated and developed ARDS and also had pulmonary contusion and had both lungs collapse while on vent. She is a miracle and is back at school part time 4 months later. She still needs some surgeries for fractures in her ears and she lost all her top front teeth. All other broken femur and arm and skull fracture and facial fractures have healed. She is a miracle. However her lung recovery is something we can’t quit figure out. Pulmonologist says her last X-ray looks 100% normal. A pulmonary stress test does show pulmonary issues. She was in great physical shape and trained 6 days a week for her sport which was basketball year round since 5th grade. Her physical condition is one of the reason she survived. It’s is now six months after the accIdent and she can lift weights and train but nothing with conditioning or she has no oxygen reserves. Finding research on teenagers recovery with ARDS is almost non existent. She was improving at a steady rate and was able to do more and more. Started to basketball train again but has hit a wall and plateau for abt 2 months with no visible gains. Still can easily get out of breath. Though to someone who wouldn’t know her you couldn’t tell. Is leveling off normal? And should we see improvement again? Since she is young will she heal over time? No significant cough, no bringing up phlegm, just shortness of breath when she tries to do too much. She weight trains for an hour 2x per week. Her oxygen level always stays in 90s. When we push to hard and try some conditioning it sometimes will drop high 80s but recoveries within seconds after she stops. Within seconds (like 15) she is fully recovered w heart rate and oxygen back in mid to high 90s. Is that a positive sign? Or could she have long term irreversible damage. Accident was 6 months ago. In rehab she would get out off breath sitting up in bed and trying to stand to go to bathroom. She wasn’t able to walk down hallway very far without wheelchair behind her. Now she can hit layups and shot 3s and take stairs easily. So we have seen great improvements should we expect more. Pulmonologist didn’t want to do scan yet because she has been exposed to so much radiation as long as she was improving he felt we were heading in right direction. Sending us to Children’s Hospital in Rochester Ny (Strong) for help. Since it is a miracle she survived such injuries (car was going 40mph) she was walking our dog and she recovered at a rate that astonished the medical community it is hard to find research or baseline information on recovery. That is what our pulmonologist is struggling with. There are not many survivors like my daughter. I read you still produce new alveoli sacs until you are 25 yrs old. Is six months still early in her recovery to totally figure it all out since she is young.