Daily Diary of Joyce's Progress

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Saturday, November 10:
    Yesterday was Joyce's third day of treatment at HealthSouth Rehabilitation Hospital (HSRH) in Austin.  During these days, the medical staff at HSRH has been (1) attending to her medical needs and comfort, and (2) evaluating her potential and readiness for rehabilitation, mentally and physically.
    To date, the medical team at HSRH has not given the family a definitive prognosis.  Both neurosurgeons who performed the earlier surgeries expressed the view that Joyce will survive her injuries but that her recovery will be limited.
    The family respects the surgeons, but has no doubt that God can restore her to whatever condition of health and activity he chooses.  "Ground Zero" in Austin and Salado (Joyce's hometown) is that God can do anything.  No one can tell God what he has to do; but he knows the desires of our hearts and hears the prayers of the thousands of his children who are praying for her, and is not limited by what Joyce's conditions "appear" to be.  
    Right now, Joyce is conscious and alert.  She is articulate and recognizes her family and friends, both in person and on the phone.  Her sense of humor is absolutely the sharpest it has ever been.  However, she is very weak, and tires quickly at only a few minutes of mental or physical activity.  There are only a few hours in a typical day that she has the strength for interchange.  This is why, for now, her visits and phone calls are very carefully limited.
    Joyce's family is so grateful to God for bringing her this far back into their lives, and are trusting him for his very best in the days to come.  And there's no way they can begin to express their gratitude for the urgent and heartfelt prayers you have pled for Joyce and her loved ones, and the countless other ways you have shown your love and concern.
    Please pray today that God will relieve Joyce of pain, discomfort, and restlessness--and give her the strength and drive to do the things that will be helpful in her recovery.  Pray also for all who are attending her and for the patients who are around her, both for their own sakes and because Joyce immediately takes on all their adversities.

Sunday, November 11:
    Saturday was a day of highs and lows for Joyce.  Her level of pain and discomfort was unusually high, resulting in low physical and mental energy.  The degree of alertness that she has achieved is remarkable.  That's, of course, good;  but it also means that she is very aware of it when the depletion of her strength makes the recall of certain words and chains of thought difficult.  And those are both frustrating and fearful experiences as she thinks (and talks) about her possibilities for the future.
    Some of Joyce's highs were: 
For the first time since the accident, looking at pictures of the children, grandchildren, and of her and Doc.  There were some beautiful tears of joy and patting of the chest. 
Talking on the phone with Rick (son) and Teresa (daughter-in-love) and then Laurie
(daughter) and Terry (son-in-love) and Jennifer (granddaughter). 
Very brief visits with a couple of her close friends. 
Eating solid food by mouth for the first time since the accident.  If she can continue this for a few days, another tube can be removed--and that's always a victory.  It's also possible that the trach can be removed within the next few days.  
    Joyce's reliance on the Lord, sense of humor, love for family, friends, and everyone around her, and her real-life earthiness show through dramatically (and that's the right word) in all her waking minutes and hours.

Monday, November 12:

   Sunday was a much better day!  Joyce was able to visit and to speak on the telephone with family members.  The doctors even removed the trach this afternoon!  She is beginning to eat some solid foods, but will have to be able to increase her ability to intake food on her own before the doctors will remove the feeding tube to her stomach.
   Joyce continues to work with the Speech Therapists and a small amount of time with the Physical Therapist daily.  As her energy increases, so will her time with the Physical Therapist.  Joyce is able to use the walker (with assistance) or get around a little bit in a wheel chair; however, she saves up most of her energy to talk...her sense of humor has been so sharp...the doctors and nurses really love her!  However, after a short visit or conversation, Joyce needs a good rest!

Monday Evening November 12:  
    As is often the case with a serious injury, there are advances and there are setbacks.  Monday was a day of setbacks for Joyce.  All of your continued prayers are needed. 
   
During morning physical therapy, Joyce could not muster much strength; she was also nauseated. Joyce was able to eat some lunch, but the nausea worsened and a headache caused her extreme pain.  The pain seemed to be centralized on the left side of her face . . . . the same side she had surgery on for an aneurysm on October 26th.  After consultation with this surgeon, a MRI and CAT Scan were ordered.  The pain was so intense that Joyce had to be sedated for most of the afternoon and evening. 
    The results from the tests were mixed.  The small aneurysm behind the right eye actually showed some improvement over the past two weeks.  However, the one on the left showed some irregularity…which could be cause for concern.  The doctors’ plan at this point is to move Joyce back to Seton Hospital Tuesday morning for another Anteriogram.  If the surgery finds that the aneurysm looks ok, Joyce will probably be back to re-hab later in the day; however, if it reveals more cause for concern, they will keep her at Seton and schedule another surgery to help protect Joyce from risk of a stroke. 
    Our prayers today will focus on God giving Joyce the strength and courage to pull her through surgery and get her back on the road to recovery.  We also ask for prayers for her husband, Francis Heatherley.  He has been by her side day-in and day-out for the past month . . . through the critical times and through each baby-step toward recovery.  It has been quite an emotional roller coaster that he could not have survived without his faith in God and all of the prayers that have come in from all of you.  Lastly, we will also rely on God to provide Joyce’s children and extended family and friends with the peace of knowing that He is an awesome God whom watches over all of us during these difficult times. 

Tuesday, November 13 at 5 pm: 
    Prayers have been answered again!  Joyce had the Arteriogram this afternoon and the doctors were very pleased with what they saw.  They got a clear look at the aneurysm behind her left eye and determined that it looked like they would have hoped it would based on the results of the previous surgery on October 26th.  They couldn’t determine any specific reason for the large amount of head pain Joyce experienced on Monday, but felt confident that the aneurysm was not the cause of it.  
    Joyce is resting comfortable at Seton Hospital for now, but they will transfer her back to Health South Rehab Hospital later this evening!  Francis was again very thankful for all of your thoughts and prayers.  He was rejuvenated by the doctors’ comments and was also pleased that Shawn (his daughter) visited briefly this evening and brought a smile to Joyce’s face! 

Wednesday, November 14th:  7 pm
   Joyce got back on track to continue progress toward her recovery today!  She continued to have some head pain, but the medical staff now has it under control with medication.   Joyce’s lead doctor in charge of her rehabilitation came by to visit today.  The doctor had just returned from Colorado Springs where she had attended a seminar for Christian doctors that was sponsored by Focus on the Family.  Joyce made a wonderful connection with the doctor and feels as though she is in very good hands!  The doctor reassured them that Health South is one of the best rehab centers in the country. 
    Joyce had some speech therapy today, and hopefully the physical therapy will resume soon.  She continues to be lucid for four or five hours off and on during the day, at which time her recall of people and events prior to the accident is very clear.  However, much activity or visiting takes its toll and can really wear her out.  When she is tired, she can sometimes get disoriented
as to where she is and has some problems with short term memory and disorientation… It’s no wonder, she’s been moved back and forth between hospitals and to several different rooms.   Joyce continues to progress with eating and swallowing food, but still not quite enough to sustain her.  Having the feeding tube taken out is a goal she would like to reach next!  

   Joyce’s husband, Francis Heatherley, is sharing the many cards, e-mail, and messages of well wishes and prayers with her…and she is very grateful! 

Thursday, November 15th, 9:00 pm:  
   
Joyce’s husband, Francis (Doc) Heatherley, met with her rehabilitation team today and is now more certain than ever that Joyce is in the best of hands. They use a “team approach” to rehab including three doctors, a psychologist, a physical therapist, a speech therapist, an occupational therapist, and the case manager. Following is a summary of their findings at this point:
    They feel it is likely that Joyce’s fall can be attributed to peripheral neuropathy. This is a condition that the doctors believe may have been brought on by the chemotherapy that Joyce was treated with for breast cancer. Peripheral neuropathy can impact your sense of balance and would explain why she fell backward onto her head. Considering this information, the rehabilitation team is concentrating on both injury to her brain caused by the fall AND damage caused by the chemotherapy.
      The doctors are fascinated by how brilliant Joyce is…and her sharp mind continues to speed her recovery.  However, Joyce’s level of intelligence also makes it very difficult for her to be content with where she is…she gets bored…she wants to rush her treatment…actually, when it gets down to it, she wants to go home!! 
      The rehabilitation team concurred that through recovery and rehabilitation, Joyce is now about 75% back to her pre-accident levels of speech, understanding, and abilities.  They use the term “miraculous” when the describe her progress so far, and they are striving for a full recovery; however, they cannot promise what percentage of the remaining 25% she will regain…could be only 2%…could be all of it! 
      The biggest news that came out of this meeting was the doctors’ predictions for Joyce’s rehabilitation schedule.  They said that if Joyce doesn’t have any further setbacks and she progresses forward as they expect her to, they hope to let her out of the hospital for Thanksgiving dinner!  The doctor went on to say that they would hope that Joyce could go home for a few hours in the first week of December.   And, even more awesome news…they indicated that with continued progress, they would like to send Joyce home for good on December 13th! 
J  It would require that she come back to HealthSouth three days a week for out-patient rehabilitation therapy for as long as they feel she could benefit by it…but it would get her home before Christmas!  These are only the doctors’ predictions, but they are the most positive prognosis that have been received to date; and Joyce could have only made it this far with the strength that God has given her.  
    With all of the GREAT news listed above, the reality is that Joyce still has a long way to go to get to that point…and her progress must continue to move forward without setbacks.  She worked with the Physical Therapist this morning, but the efforts drained her of all energy and caused her to be in quite a bit of pain.  One of the primary concerns right now with her rehabilitation is that her energy level is very low.  Visits and calls must be limited to a very short period of time to allow her to focus all of her strength and energy toward her recovery. 
    There is one other area of concern that we need to focus our prayers on.  Joyce is encouraged by the doctors’ reports, but is still quite troubled by her difficulty with short-term memory.  Joyce knows family and friends and remembers details from before the accident, but she continues to have problems with recall from recent events and conversations.  This is very frustrating for her!  However, the doctors have assured her that they expect this condition to continue to improve over time.  

Wednesday, November 21, 2001 
    Joyce’s continues to make progress with her rehabilitation at HealthSouth in Austin.  She is especially grateful this Thanksgiving for the strength God has provided for her to take daily steps toward her recovery.
    Some of the highlights of Joyce’s recent progress are:

¨
     
In physical therapy, Joyce is walking with a walker down to the gym, going through the exercises, and working toward building up her strength and endurance. 
¨
      In occupational therapy, Joyce is working on her fine and major motor skills.  The occupational therapist put her through a battery of tests last Friday and later reported back to Joyce that she had “passed” all tests, with the exception of needing some additional work in the area of depth perception.  This is where their focus will be over the next few weeks.

¨
     
Joyce meets regularly with the speech therapist with amazing results.  Joyce is speaking clearly, both in person and over the phone to her children.  After the time in the coma and then the additional weeks of not being able to talk due to the trach, this is truly a blessing! 
¨
      Joyce is getting all of her nourishment by eating meals on her own.  The feeding tube is still in place, but has not been needed for some time, and should be removed within the next few days. 
    Some of the areas in which Joyce still needs prayers to be focused on are:

¨
     
Joyce continues to experience severe head pain after exerting effort for therapy, eating a meal, or a short visit with a family member or friend.  The doctors surmise that the pain should continue to diminish over time, but currently rest is the best way to try to minimize this pain.
¨
     
Problems with short-term memory have been an issue over the past few weeks; however, Joyce is showing distinct progress in this area every day.
    For Thanksgiving, Joyce will be having a special catered dinner with Doc and two of their Texas children, Shawn and Shar.  They plan to take her for a brief outing on that day, if she is up to it.  Joyce is also looking forward to upcoming visits from her son, Rick, and her sister, Marilyn.  
    Joyce sends her thanks out to all of you who have sent your prayers, e-mail, cards, and calls of concerns during this difficult time!  She is determined that she will prove with God, all things are possible!
   

Sunday, November 25:

As we look back on this Thanksgiving Holiday, we have much for which to be thankful!  Primarily, Joyce's continued recovery! 

Joyce, Doc, and two of their Texas children, Shawn and Shar, enjoyed a catered lunch from Katz's in a private conference room at the rehab hospital.  Then, as the doctors had promised, Doc was able to take Joyce on an outing away from the hospital.  Joyce didn't consider any other options except a drive back to Salado to visit their home that she hasn't been to in over 5 weeks.   She slept most of the way there and back, but completely enjoyed walking through the downstairs rooms in their home...seeing and touching her own things...and sitting for a few minutes in their den.  After about 15 minutes, Joyce said she was ready to go back to the hospital.  The trip pretty much wore her out, but it was one she was adamant about making! 

Friday, Joyce was not up to seeing or talking to anyone...she had another bout with severe head pain.  However, one of her doctors used a different form of treatment than they had tried before, which seems to have been very effective.  The doctor determined three "trigger points" in the back of Joyce's neck/head that seemed to be deferring pain to her head.  Then small shots of mild sedative were injected into these trigger points.  By Saturday morning, Joyce no longer had the head pain, and actually had her first pain free day since the fall!  The hope would be that if the pain can be controlled, Joyce can focus her efforts more toward the rehabilitation exercises to continue to build up her strength. 

The other area that has been of concern over the past few weeks has been some problems that Joyce has had with retaining short-term memories.  It's hard to say for certain, but she also appears to be making strides with this issue.  Saturday, she seemed to recall the major happenings of the previous 3-4 days.  There are still periods of time over the past few weeks with gapes in her memory, but the recent signs of progress are encouraging.

In the upcoming week, Joyce will continue with her physical, occupational, and speech therapy.  The doctors have indicated that they should be able to remove the feeding tube from her stomach on Tuesday...much to Joyce's pleasure.  She has not needed the tube for some time now for feeding and it is quite uncomfortable.  Joyce also is looking forward to visits from her son, Rick, and her sister and brother-in-law, Marilyn and Paul, over the next 10 days.  Her daughter, Laurie, will then be coming back down to spend some time with Joyce and Doc as soon as
Joyce goes home from the hospital.

Joyce has seen results from all of your prayers!  Please continue to focus your prayers on giving Joyce the strength to make progress in her rehabilitation.  

Monday, November 27:
   

After having her first pain-free day since the accident on Saturday, Joyce had some head pain return on Sunday.  However, the pain was less severe than in the past few weeks.

God brought Joyce another good day on Monday!  Her head pain was intermittent and at a relatively low level.  Another positive sign was that Joyce remained awake for the better portion of the day.  In recent weeks, she spent any free time when she was not working with a rehab therapists resting to try to relieve the head pain.  But without the continual pain, Joyce enjoyed listening to Doc read dozens of cards and e-mail from many of you!!  Until this time, she had only been up to hearing a few at a time before needing to stop for rest.  She looks forward to being able to read on her own again, but at this point her left eyesight is still blurry…this is the eye that the aneurysm is behind and on which they have performed surgery.  With God’s help, and that of fine doctors, there is hope for a recovery of her sight.

 The decrease in both intensity and frequency of the head pain has been very encouraging to Joyce!  She is anticipating and counting on going home before Christmas!  Toward that goal and with the relief from the pain, Joyce is spending most of her day working with her rehabilitation team (speech therapist, physical therapist, occupational therapist, psychologist and four doctors!).    She usually eats dinner between 5 and 5: 30 pm and is most often asleep within an hour or so after dinner.  With such a full schedule, Joyce is pretty tired by then! 

 Many prayers continue to be answered with the progress Joyce is making!  Blessings go out to all of you for kind words, prayers, and concerns.

Friday, November 30:    
This has been another week of progress and continued blessings for Joyce.  

Tuesday, the feeding tube was (finally!) removed!  It was quite a painful process, but Joyce is very relieved to be rid of it!  Joyce’s sister, Marilyn, arrived on Tuesday for a few day visit…she had been in previously when Joyce’s condition was still quite critical, so she was very pleased to be able to see Joyce now that she is doing so much better.  Although there are still wide swings in Joyce’s strength, endurance, and pain level, the difference from then until now is nothing less than miraculous!   Also on Tuesday, Joyce and Doc met with the lead doctor on her case and were excited to hear that they are now expecting her to be released by or before December 11th!!  The doctors are still aiming for a 100% recovery by Joyce.  They even expect that she will be able to navigate the stairs at her house.  Once at home, Doc will be taking care of her as he did while she was going through Chemo for breast cancer years ago. 

Joyce had her first therapy session in the pool on Wednesday.  The pain continues to be intermittent, but greatly reduced in severity as to past weeks.  The doctors are working on a pain management program that can be followed at home for after she is released.  Joyce still has some pain, swelling and blurriness in her left eye.  As soon as she is out of the hospital, they will schedule her to see a neuro-ophthalmologist to get a better fix on these problems.  Her current doctors indicate that they still expect that the sight in this eye will continue to get notably better.  One of the highlights of Joyce’s day was watching a home video of all of their California kids and family that Terry sent!! 

Thursday was another day of progress and rehabilitation for Joyce.  She is working on building her strength and endurance.  Friday morning she even took a short walk without a walker…although her therapists got on to her for doing so, Joyce was REALLY excited about it!  Her sister Marilyn went home Friday morning, but her son Rick will be coming in on Saturday morning.  Getting to visit with family now that she can really be awake and remember the visits has really meant the world to Joyce!   

Monday, December 3, 2001:  
Joyce continues to make progress in her rehabilitation.  She gets a little better and a little stronger every day!  The pain behind her eye is still fairly constant, but it is much less severe than in past weeks; and her general head pain is intermittent and also much reduced.  Joyce’s left eye is still somewhat swollen and her vision in that particular eye is blurry, but the eye is starting to open more naturally.  Doc hopes to meet with the doctor early this week to solidify a home pain-management plan…and to firm up the date that they anticipate releasing Joyce from the rehabilitation center.  

After a great visit by her sister, Marilyn, Joyce’s spirits were again lifted high by a visit over the weekend from her son, Rick.  It was a joyous time considering that the last time Rick had come in from California was just after the fall when his mother was on life support.   Some of the Texas children (Shayne, Donna, and family) were also able to come for a visit on Sunday!  

Joyce is working hard with all of the rehab therapists to reach her goal of going home some time by or before December 11th!  She has sure enjoyed hearing Doc read the many cards and e-mail that have been sent with prayers and notes of encouragement…they are all much appreciated!  She continues to be quite busy throughout the day with her rehabilitation and looks forward to her rest at night…but her endurance is increasing over time…slowly but surely! 

Please continue to keep praying for Joyce’s strength and rehabilitation as the day comes closer for her to leave the rehabilitation hospital. 

Friday, December 7, 2001:   
Praise be to God!  Today, almost two months after an almost fatal fall, Joyce will be returning home!  She, Doc, and all of their children and families appreciate all of the prayers that had a direct impact on her recovery and continued rehabilitation! 

Joyce has been anticipating this day for some time now and looks forward to the comfort and peace of being in her own home.  She has been experiencing what they refer to has “hospital fatigue”…this is where the schedule, commotion, noise, etc. of a busy hospital begins to wear one out.  The doctors agreed that the peace and comfort of her own home, coupled with 3 days of
out-patient rehab treatments per week, 4 hours each day, will promote faster progress at this point in Joyce’s rehabilitation program.  Joyce has decided to continue with her outpatient therapy at HealthSouth in Austin because the team of doctors, therapists, and nurses has worked together with her so effectively thus far.  

The doctors also feel confident that the pain behind Joyce’s eye can be successfully managed at home.  Joyce has an appointment with a neuro-ophthalmologist on December 19th.   In addition to the pain, she continues to have some double vision in this eye.  She is able to read or focus for short periods of time, but not for sustained period.  Please focus prayers on the restoration of her full use of both eyes. 

It is anticipated that Joyce will continue to need lots of rest over the next several weeks as she adjusts to being at home and traveling back and forth to Austin for rehab.  We also request prayers for Joyce’s increased strength and endurance as each day passes! 

We rejoice at this time and give thanks to God for the many blessings he has bestowed upon all of us…but especially today for the miracle he has worked in Joyce’s recovery over the last two months! 

Monday, December 10, 2001:   

How incredible it is for Joyce to be home…at last!  After almost two months since her fall, Joyce is experiencing such peace to be in her own surroundings with her husband, Doc!  With the help of a few friends, they even have a few Christmas decorations out…Keith and Andrea Miller set up a small, lighted Christmas tree…and another small tree from a neighbor…sure brightened up their home…along with lovely flowers, poinsettias, get-well cards, etc.!  Joyce and Doc have also been blessed by meals being delivered from some of the members of their church, their neighbor (Randy) offering to do grocery shopping and fixing their streetlight, and the many kind e-mail responses…the list goes on!   Theresa will be coming in on Friday to spread even more holiday cheer!
J
 

Some recent things to be thankful for: 
    
Joyce continues to get stronger every day.  She goes up and down the stairs (with Doc’s assistance) several times a day.
    
Her level of activity is steadily increasing…slowly but surely!
  
 
Joyce’s short-term memory continues to improve.  She not only remembers most things that have happened over the last couple weeks, but seems to even be remembering things from a few weeks before that she had seemed previously to have forgotten. 

Requests for continued prayers: 
     
Joyce currently is relatively pain free about half of the time; however, the other half of the time can still be quite painful!  Please continue to focus prayers toward the increased effectiveness of her pain management.  The pain is most often centralized behind the left eye where she has the aneurysm and/or in the area of her head where craniotomy was performed. 

      Please also continue to pray for the healing of the sight in her left eye.  

She had her first out-patient therapy session back in Austin today…she will be going to therapy 3 days a week for around 4 hours a day, until further notice.  Today’s session was mainly taken up by getting all the paperwork and procedural things taken care of…but by Wednesday, she should be back on track with therapy!   

 
December 14, 2001:    
Upon her first week at home, Joyce counts her blessings as she continues her recovery.  She is getting into daily routines both at home and with her 3-day a week return to Austin for rehabilitation therapy.  

Joyce had an appointment with her family doctor for the first time since the fall and he was pleased with her recovery.  He even suggested that a good test of her progress would be to try to play the piano…she had not done so since she’d been home.  Joyce sat down at the piano as she has been doing all her life and played beautifully!  It was an emotional “shot-in-the-arm” for her to take this step and be successful!  Her voice is also sounding less muffled than it has been over the past weeks; she even was able to sing a few bars with Doc!  

Even with the many strides Joyce has taken, there are still some problems she continues to struggle with:

Joyce is still relatively weak and has some dizziness, but getting stronger every day.

She still has days with considerable pain behind her left eye, but those times continue to be fewer and less severe.

She still has some concerns in the area of short term memory, but this also continues to improve.

Joyce’s left eye is still a little swollen and her sight in that eye is still blurry, but she has an appointment with the neuro-ophthalmologist next week and hopes to get a better prognosis on the potential for recovery at that time. 

After a few days early in the week with some pretty severe head pain, Joyce and Doc met with the lead rehab doctor to try to improve her pain management plan.  As they continue to reduce the levels of pain medication, they are now prescribing home therapy with hot and cold treatments alternating on the pain trigger points in her neck.  She hopes to see continued improvement with this new therapy.

 Theresa (Joyce’s daughter-in-law from California) comes in this evening for the weekend…Joyce and Doc really look forward to the visit!  God continues to work through neighbors, friends, and family to provide support in many different ways…all of which are greatly appreciated.  

Wednesday, December 19th:  
As we celebrate the birth of our savior, Jesus Christ, this year, we also rejoice for the many blessings that have been bestowed upon us.  We are thankful for Joyce’s continued recovery…she takes steps each day that are very encouraging.  In addition to the 3-day a week rehab in Austin, Joyce performs pain management therapy at home that has proven to be very successful.  She has been combining a program of massaging the pressure points in her neck with alternating hot and cold rice pack treatments.  The pain she experiences now, although quite constant, is at a much lower level of intensity as in even the recent past. 

Our prayers focus on the following areas:

Joyce still has a small amount of swelling in her left eye.  The pain she experiences is mostly centered behind this eye where the aneurysm is.  Its vision is also still somewhat blurred.  Wednesday Joyce will be going to the neuro-ophthalmologist to obtain a prognosis.  We pray for encouragement from this doctor.  

Although her sense of taste is intact, since the accident Joyce has had no sense of smell at all. 

Joyce continues to gain strength and build endurance; but, relative to her pre-fall condition, she is still quite weak. 

Joyce and Doc will be meeting with the rehabilitation team at HealthSouth in Austin this week.  They will be discussing Joyce’s status in detail and projecting future needs and goals in her rehabilitation program.  

Joyce is in good spirits this holiday season.  Her keen sense of humor is as sharp as ever.  She and her entire family are ever so thankful to be at the point in her recovery at which she is.  At some points this fall, we could have never hoped for so much!  But with faith and prayer, all is possible.  

Blessings and good tidings to you and your family!

January 4, 2002:    
Joyce and Doc are grateful for the blessings they received this Christmas holiday season!   Some of their Texas kids brought Christmas dinner over for them to enjoy while others stopped by for a nice visit on their way through town.  Friends and neighbors visited and expressed their thankfulness for Joyce to be home for the holidays!  Joyce's daughter, Laurie, and granddaughter, Jennifer, came for a visit from California just after Christmas to bring in the New Year!  They were all even able to go out to dinner on New Year's Eve and then came home for an early celebration.  This year, instead of resolutions, they celebrated by lighting a candle and saying an individual prayer for each member of their California and Texas families!  It was a very special evening.  

Joyce continues to make progress in her recovery and rehabilitation.  Her head pain is not as severe and she is getting stronger every day.  There seems to be no more concern about her short-term memory.  She does still have some problems with dizziness, but she actually had been experiencing some dizziness PRIOR to the fall...which may also have been a contributing factor.   She will be going to an optometrist on January 9th to get an adjustment to her prescription that should help with some of the problems she's had with double vision ... although that, too, seems to be improving daily! 

Over the holiday, Joyce was feeling so well one evening that when dinner was over she instinctively started clearing the table and walked (with NO walker) to the kitchen to take a few glasses to the sink!  When she and the others realized what she had done, there was quite a celebration....  She usually is more cautious, but it was exciting to see that could do this on her own!  

After a short break from rehab, Joyce went back to Austin to continue with her 3-day a week outpatient program on January 2nd.  She and dad will be having a meeting with the entire rehabilitation team on January 10th to discuss Joyce's progress and how she will proceed with rehabilitation from here.   

Thursday, January 10th
Joyce woke up with some head pain; but she didn’t let it get her down…it was a big day!  She and Doc had a family conference scheduled with her entire Rehabilitation Team.  She got up early, put on her make-up, and donned a long black, knit dress with a vest for the meeting.  At the meeting, the doctors and other team members elaborated on how well they felt Joyce was doing with her rehabilitation; so well, that they released her from the regular out-patient rehabilitation program.  At this point, Joyce will only come back to HealthSouth Rehabilitation Hospital two times a week for the next few weeks for appointments with the Speech Therapist and Psychologist.  The focus of these sessions will be on her continued issues with dizziness and balance.  Then, on January 23rd, Joyce has an appointment with the doctor that performed the craniotomy in October; this doctor will determine if another CT Scan is needed.  Soon after that, Joyce will meet again with the lead doctor on the rehab team to determine if any further rehabilitation treatment is necessary.  

In addition to the rehab team meeting, Joyce saw a few other doctors last week.  She had an appointment with her Cardiologist where her EKG was normal; therefore, she was told she does not need to come back for a year.  Joyce also had an optometrist appointment.  This doctor went over the Neuro-ophthalmologists report in detail and gave her a thorough eye exam.  Joyce will be getting new glasses with an adjusted prescription and was told that she does not need to go back to the optometrist for six months!  

With the decrease in time that she must spend in Austin at the Rehab Center, Joyce will focus more of her time this week in rehab at home.  Her pain continues to lessen in severity and frequency, much to the success of the home rehab program that her lead doctor imposed.  Joyce has gone as long as 7-10 days without severe head pain.  At the first sign of pain, she practices some of the recommended therapy and the pain usually subsides.  Joyce also continues to see a reduction in the problems with dizziness and an improvement in her short-term memory.  

Joyce had a restful weekend and was determined to attend church on Sunday.  However, after getting up and ready, she had a bout of dizziness that prohibited the outing from actually happening.  …hopefully, soon.  Joyce did take one other big step this weekend, though.  Over the past few weeks, she has had some problems when she has attempted to do much reading.  The letters would jump around as she tried to focus in on them making it very difficult to read.  However, on Sunday she sat down with the goal of trying to read a few pages of The Painted House by John Grisham and ended up reading 30 pages.  She found that using a ruler to keep her focus was very helpful.  The doctors have assured her that her left eye is still healing and over time, this should continue to improve.  

Joyce and Doc look forward to a week that is slower paced than any they’ve had in a long time.  They thank God for their health, their friends, and their family. 

January 26, 2002:  
A personal message from Joyce as told by Shalone (one of Doc’s daughters):

I had a very nice visit with Joyce over the phone a few days ago and got some first-hand comments and feelings as to how she is progressing.  She had just had an appointment with her neurologist and had “passed” all the tests given to her!  She is still very weak relative to the level of strength needed to function normally throughout a day; however she is walking on her own some of the time to continue to build up strength and endurance. 

 Joyce and Dad went to their church last Sunday for the first time since her fall.  Joyce got dressed up, wore her red hat, and had the opportunity to thank the members of their church for all of the prayers and assistance they have given over the past weeks and months, including many delicious and nourishing meals delivered to their home.  Another first since the accident came on Friday night when Dad and Joyce went on their first date since the fall!  They went out to dinner and to the movie …Joyce even walked into the theater and back without her walker. J  It sounded like a very enjoyable evening out. 

 Joyce continues to return to Austin to the rehabilitation hospital twice a week, but the doctors and other staff members have commented on how it’s sometimes hard to recognize her based on how well she now looks compared to when she was there as a patient just over a month ago!  Her neurosurgeon even mentioned to Joyce that she must have had an Angel on her shoulder throughout her recovery!  Joyce agreed!

 Joyce elaborated on her schedule, her continued progress in her rehabilitation, etc.  But she ended our conversation with what she said was the most important thing to remember…  Joyce is thoroughly convinced that it was through your prayers for her during the time she was most critical and on throughout her recovery that God gave her strength and used his power to heal her.  She is indeed doing much better than we could have ever hoped for as we saw her struggling for her life those first few days and weeks.  However, her biggest fear is something she’s seen happen many times before after someone’s been hurt or lost a loved one…the prayers are strong at first…but as weeks and months go by, we tend to forget to keep praying and/or feel that those prayers are no longer needed …but they are!  Joyce asks that we continue to pray for her strength and recovery….and continue to pray for others in our lives that still need our prayers even though time has passed since their injury, loss, or other reason for concern.  I know that my life has gotten busy…kids soccer, hockey, and gymnastics practices and games…work…homework…meals…laundry…the list goes on.  This has been a reminder to me of the power of prayer…how it can work miracles in our lives…and how we need to be vigilant with our open and regular communication with our Lord.     

February 26, 2002:  
 
The updates on Joyce’s condition come further and further apart…but it is obvious to all involved that prayers have continued to focus on her recovery…and God continues to utilize his healing powers!  For Him, and for all of you who care dearly, we are eternally grateful!

 Joyce had her first session of Vestibular Rehabilitation at Seton Hospital in Austin on Monday.  This therapy focuses on the key hurdle that Joyce still strives to get over…the balance issue.  Seton has the latest hi-tech equipment for this therapy and has an excellent therapist who individualized the rehabilitation program to meet Joyce’s needs.   Joyce will be going through this therapy two times a week for three weeks in addition to a new, more vigorous home therapy plan that has been implemented to try to build up her endurance.  Joyce is very encouraged; she and Doc even celebrated after the first day of therapy by going out to the movie! 

 There have been several other positive signs with Joyce’s recovery over the past few weeks.  She has played the piano several more times and sounds just as lovely as she always has!  We’ve determined that it must be kinda like riding a bike…it comes back to you!  Joyce has also sung a few bars here and there with Doc!  She even picked out a card and wrote a short note to her granddaughter, Rachel, for her 8th birthday…it’s some of the first writing she’s done since her fall. 

 One other very special event has taken place since the last update…the birth of Hayden Ty Heatherley…another grandchild born to their Texas family.  Ty’s parents, Shayne and Donna, and his sisters, Lauren and Hailey, are so proud and excited about his arrival! 

 Even with all the positive news, we still ask for your prayers to be focused on a few areas.  Joyce has struggled through the last month with cold and cough symptoms.  None of the treatments have been successful in making her feel better.  The doctors recently began treating her symptoms with allergy medication.  Joyce hopes the change in medication, coupled with the intensified rehabilitation, will give her relief from the cough and increase her strength.  Doc recalls Joyce having some of these same symptoms this time last year, so the prognosis of it being allergy related sounds likely.  Doc also had a short bout with a cold, but fortunately, he felt better within a few days.

Joyce and Doc wanted to extend their gratitude to the members of their church in Salado. Families have been providing several meals a week…which has been a true God-send.  A caring lady from the congregation spent several hours with Joyce at home so that Doc could run some of the many errands that he had been putting off.  Their church’s new minister also came by to visit.  The support and assistance from their church family, along with many other friends and extended family, have been incredible…and continue to be very much appreciated!  

Easter 2002: Message from Doc's Daughter, Shalone Willms: 
He has risen.  He has risen indeed.  Blessings to all of you on this Easter Sunday.  It is truly a day to be thankful for all that Jesus gave to us through his sacrifice on the cross.  In Him, we are forgiven and saved!

The sermon at my family's church (Fellowship Church, Grapevine, Texas) on Sunday, March 20th was entitled "Impossible Possibilities".  The scriptural basis centered on the occasion when Jesus spoke for many hours to a crowd of over 15,000 people…but as the hours went on, everyone grew tired and hungry.   As we've heard so many times the story of Jesus taking the few loafs of bread and fish and feeding the multitudes of people, we have to believe that the impossible IS INDEED possible!  It is that belief that has pulled our family thru Joyce's long recovery process since that fateful October morning.

As we reported in our update last month, Joyce began a new series of out-patient vestibular rehabilitation treatments at Seton Hospital in Austin.  In short, the aim of these treatments is to improve her sense of balance…to help her regain her ability to walk independently, and, hopefully, also to help clear up the blurring in her left eye.

The blessings of these treatments have been mixed.  Joyce's balance has improved measurably.  But her new confidence, exuberance, and impatience also contributed to one fall and medication to another.  Luckily, each of these falls was on a carpeted area at home. 

The first of the falls happened during the first week in March.  I was off on Spring Break that week, and took our children, Rachel (8) and Derek (10), to Temple to see their new cousin, Ty.  We then proceeded to Salado to have dinner and spend the night with Dad and Joyce.  My brother's family (Shayne, Donna, Lauren, Hailey, and new Ty) joined us for an enjoyable dinner and visit.  Joyce looked GREAT to me…it had been Christmas since I had seen her last.  She walked so well (with Dad at her side), enjoyed listening to Rachel sing her 2nd Grade Program songs from the Sound of Music (even sang along!!), watched some of Derek's big hockey championship video tape, and held and sung to new baby Ty.   However, I found out later that not only is my step mom an outstanding writer and singer…she is also an awfully good ACTRESS!  Joyce had actually been in quite a lot of pain all night, still related to the fall a few days before. 

The next morning, when Joyce awoke, her head pain was the worst it had been since coming home from the hospital in December.  Dad called her neurosurgeon who requested that Joyce go in that afternoon for a CAT scan to make sure there had been no further injury to the brain or no additional problems with the aneurisms.  To our great relief, the CAT scan readings were good and Joyce was sent home to rest. 

Over the next few days, Joyce began to see a slight decrease in the levels of pain.  But then, the unthinkable happened yet again…Joyce got up in the middle of the night, still under the influence of the pain medication, took another fall, and again hit her head!  This time Dad and Joyce were alarmed by a hematoma (broken blood vessels) that appeared on the outside of her head.  They decided to call EMS who came quickly and took her to Scott & White Hospital in Temple where another CAT Scan was administered.  We again were thankful for the reassuring results of the tests. 

That Monday, Joyce had an appointment with her neurosurgeon.  The doctor again reassured Joyce and Dad that both of the recent CAT scans showed there was no re-injury to the brain.  However, Joyce has continued to be in intense pain over the past couple of weeks.  And, of course, the pain is accompanied by both discouragement and delays in treatments.  Because of the considerable on-going pain from the original injury, pain management continues to play a major role, both in Joyce's quality of life and recovery process.

Similar to the Impossible Possibilities stories heard in the sermon at my church recently, we have witnessed such a case over the past 5  months as Joyce has made such huge strides in her recovery from her near-death fall.  For that we are thankful to God.  However, it is time again to pray for more possibilities…for continued healing…for an end to the pain…and for continued progress without setbacks.

May peace be with you and your families.

Monday, April 1:  
At rehab today, Joyce has officially "graduated" from using the walker to a CANE!  She was very excited!  The doctors feel the therapy she's been doing has helped her balance to a point where she can successfully use the cane! 
 
She was in very high spirits....prayers continue to be answered! 

Friday, April 19:
Joyce is continuing to do great with the cane (and often walks WITHOUT it)!  The pain had also subsided some with her return to therapy for her final few sessions.  However, then the Texas spring allergy season came and Joyce was hit hard with coughing spasms that triggered another bout with extreme head pain. (Joyce cannot take anything at this time for her allergies because she is due to go to the allergist in a few weeks!!)   This time the pain was so intense that she had to go to Scott & White Emergency Room in Temple (Saturday, April 13th).  The spinal tap and CAT scan both turned out fine, so the doctors finally treated the pain with medication and sent her home.   By Sunday, the pain was greatly decreased, but Joyce is looking forward to getting to the allergy doctor soon so that such an event doesn't repeat itself.
 

Yesterday, Joyce returned to Seton Hospital in Austin for her scheduled 6 month arteriogram  to check on the condition of the aneurysm that had given her so much trouble behind the left eye...this was the aneurysm that the doctors feel was a result of the initial fall last October.   

The results could not have been better...the aneurysm that had been behind the left eye was GONE!  Everything looked GREAT!  The small aneurysm behind the right eye was still there, but it was inconsequential and has probably been there for years without anyone knowing it.  It is not causing any problems and has no activity. This proves that the embolization surgery performed in the fall had truly been successful! 

 Doc and Joyce wish to express their sincere appreciation for all of your prayers, cards, e-mail, etc.  They have continued to give Joyce strength and encouragement!   

May 22, 2002: 
Over the last few weeks, Joyce has been dealing with an extreme amount of pain again.  It generally is focused behind her left eye where the aneurysm had been (but is now gone...).  The home-therapy that had been quite successful previously just is not making the pain decrease. 

Joyce had a full allergy work-up a few weeks ago and has been put on some allergy medication.  There is still some hope that as the allergy medication takes full effect, the pain will lessen due to the decrease in the heavy coughing that she is now experiencing due to the allergies.

To further complicate things…Doc broke his foot a few weeks ago while running up the stairs to bring Joyce hot compresses for her home therapy!  He’s managing well, but it’s slowed him down a bit!  They have since moved a microwave upstairs to heat up the compresses!

At this time, Joyce and Doc are in need of the prayers from family and friends.  Prayers for a decrease in the pain…for continued healing…for strength… for patience… and for faith that God has a plan…it is just not always clear to us what that plan is.   

Please send your prayers to Him for these things. 

June 25, 2002:  
The past month has been another rough one for Joyce.  However, she comments frequently about the power she continues to feel from prayers from family members and friends!  

The hope had been that once she began treatment for allergies around six weeks ago, the coughing would subside and provide some relief from the head pain. However, the past two weeks or so she has been experiencing some of the most intense pain since she came home from the hospital.  It has been during this time that she has been more grateful than ever for your prayers.  A few days ago, the doctor prescribed Prednisone to try to minimize the coughing.  With a decrease in coughing, the pain finally broke on Saturday and gave Joyce some much-needed relief!  With two low-pain days behind her, her spirits were raised and a small measure of hope was building again. The plan is that if the doctors can KEEP the pain under control, Joyce can return to physical therapy to work on re-gaining her strength and balance.  These weeks of severe pain have caused her to have to spend much time at rest, which has lowered her endurance and caused some of the balance issues to return.   

Thank you for keeping Joyce’s healing and recovery in your prayers!  Bless you all.  

Sunday, August 18:
It’s been over a month  since we’ve posted an update to all who have prayed so hard for Joyce’s recovery...and it's been over the past 4-6 weeks that Joyce has had much needed relief from the extreme pain that had been upon her in May and June.

Allergy medication and steroids were used to control the allergies and persistent cough that seemed to be causing some of the worst head pain that Joyce had experienced since coming home from the hospital in December.  It was such welcome relief!  Joyce began building up her strength and endurance, progressing with her rehabilitation exercises, and being able to stay awake for longer periods of time.  She was even able to get out and do a little shopping…a few hours at Bed Bath and Beyond can brighten any woman’s day!! 

Since her fall last October, Joyce has not accepted any requests for speaking engagements…she just has not had the strength to do so.  However, over the past few weeks she has been considering the possibility of speaking to a local church this fall.  Just the consideration of this possibility speaks volumes as to the healing power of our Lord and how He continues to help in Joyce’s recovery.  For this we are so grateful!

However, today we also come to you with another request for prayers.   The good news is that Joyce’s current condition doesn’t appear to have any connection to her accident or to her previous bout with breast cancer.  The bad news is that Joyce is currently back in the hospital.  On Thursday night she experienced some severe cramping in her stomach.  By Friday morning, Joyce still had the stomach pain and had evidence of internal bleeding.  She was taken to the closest clinic, where they proceeded to take her by ambulance to Scott and White Hospital in Temple.  Joyce and Doc were very concerned because their first thought was that the cause of the bleeding was cancer.  Much to their relief, the tests indicated that the pain and bleeding were related to diverticulitis.  Except for being on a liquid and clear food-only diet since Friday, Joyce is resting comfortably at the hospital where they will do a colonoscopy on Monday to confirm the diagnosis.  Our prayer is that upon confirmation, Joyce will be able to return home by the end of the day Monday.

Another positive note… Joyce was so pleased last week to have her daughter and son-in-law, Laurie and Terry, come visit from California!  They had some wonderful time together before the stomach pain hit on Thursday night.  It is always such a blessing when family is close … to share in the good times … and to be there when things are not so good.  Laurie and Terry were a true source of strength and encouragement during this time.

Wednesday, August 21:
On Monday, Joyce underwent a colonoscopy which confirmed her doctors' diagnosis of diverticulitis.  They further described this condition as "ischemic colitis," which is an inflammation due to poor blood circulation in a remote area of the colon.  They took biopsies which are now being tested.  The results should be in by the end of the week.  The doctors concede that it is not unlikely that Joyce may have other similar episodes, and that she may eventually need surgery to remove a portion of the colon…but they are still pleased with recent test results! 

Joyce was released from the hospital at noon on Tuesday. . . and was thrilled to get back to “real” food after four days on a liquid diet. She is very weak, but her sense of humor is still intact. After 12 hours of “stomach cleansing” on Monday in prep for the colonoscopy, when her doctor (trailed by five pre-med students) asked her how she was feeling, Joyce's witty response was, “Drained.”

August 24, 2002:
The biopsy reports came back negative.  More information to follow.

October 26, 2002:
After Joyce’s release from the hospital in August with the diagnosis of ischemic colitis and attempts to control her allergies with medication to decrease her head pain, Joyce had high hopes of going home and building her strength back up to make forward progress in her rehabilitation.  Apparently, this was not God’s will.   

Joyce could not seem to gain any strength back and assumed it was due to the loss of blood or maybe anemia.  The doctors ran tests, but did not find this to be the case.  Throughout the months of September and October, her strength and endurance continued to wane.  Often she could not take more than two or three steps without assistance.  She spent much of her time resting and could not return to her rehabilitation exercises.   

Late in the summer when Joyce had some relief from the head pain, she had started talking about speaking at Austin Cornerstone Church…and determined that the one-year anniversary of her injury would be a good day!  The church’s pastor, Rick Randall, had visited Joyce several times while she was in ICU, and he told Doc he knew she was going to “make it through”…even when the doctors were not making such predictions.  While Joyce was still unconscious and on life-support, Pastor Randall told Doc that he would like Joyce to consider coming to his church for her first speaking engagement after her recovery.  Later, when Joyce heard about this, she was determined to honor his faith.  

As the anniversary date grew closer, there were times when Joyce wasn’t certain she would be able to follow through with her commitment due to her continued decline in strength; however, God provided the strength for her to speak during the Cornerstone worship service last Sunday!  Joyce was given a very warm welcome by Rick’s congregation as she recounted her fall, her time in ICU and rehab, and her continued struggles with pain, balance issues, and lack of strength.  The crowd roared when she told them that the haircut the surgeon gave her made her look like Janet Reno.  And tears came to her own eyes (and voice) as she read the words of her and Doc’s favorite hymn sung by the Brooklyn Tabernacle Choir, “So You Would Know” (*See the credits and words to the song following this update).  She used the words of this song to express how God is with us through all of our journeys…through all of our hard times…and He even gave his only Son to die on the cross for our sins to show how much He loves us!  Through all of the hardship she has endured over the past year, these words of God’s love continue to bring peace to her heart!  

Please continue to keep Joyce in your prayers.  Pray that God provides her with strength…which has been diminishing for the last few months.  Joyce has appreciated all of your prayers over the last year and has experienced first-hand the healing power that prayer can provide.  But, she is quite discouraged right now with only brief spurts of energy.  Let us pray that she is able to regain strength and lift her spirits.  

The lyrics and music for So You Would Know were written by Al Hobbs (© Copyright 1997, Hobeal Publishing/SESAC.  Arranged for the Brooklyn Tabernacle Choir by Carol Cymbala).  One of the things Joyce loves about this song is that it is written as if God himself is talking to us.  Think about this as you read the following lyrics:  

SO YOU WOULD KNOW

How many times must I prove how much I Love you?
How many ways must my love for you I show?
How many times must I rescue you from trouble,
For you to know just how much I love you? 

Didn't I wake you up this morning, you were clothed in your right mind?
When we walked up on a problem, didn’t I step right in on time?
When you were weak along life's journey, my angel carried you,
So you would know just how much I love you. 

How many days must I be a fence all around you?
How many nights must I wipe yours tears away?
How many storms must I bring you safely through,
For you to know just how much, how much I really love you? 

Didn't I put food on your table?  Show up when the bills were due?
When the pains were racking your body, didn't I send healing down to you?
When you were lost in sin and sorrow, I died to set you free,
So you would know just how much I love you.  

Since the last update, the seasons have changed from Fall to Winter, Thanksgiving has come and gone, the celebration of Christ’s birth has reminded us of the “reason for the season”, and a new year has begun…along with resolutions for change and improvement.  Throughout these months, Joyce has enjoyed hearing from many of you via e-mail and regular mail …and continues to appreciate all of your prayers for strength and healing.   

January 15, 2003

Unfortunately, the new year does not bring better news.  The truth is that Joyce’s health issues continue to compound and she is struggling to keep up her always-positive attitude and sense of humor.  During the past two months she persisted through a life-threatening allergy shot reaction, the excruciating pain and itching of shingles, minor surgery to remove a growth from her left hand, and a temporal arterial biopsy to check the level of inflammation of her arteries, which might have been causing the pain behind her left eye. (Thank God, biopsies from both surgical procedures were negative.) One of her doctors has put her back on vestibular rehabilitation to try to help restore her sense of balance and rebuild her strength, which continues to wane.  It just seems as though each time she makes some progress with one issue, another crops up to knock her down again. Without strong faith in God, she would have given up long ago.   Please pray for the strength and healing that only He can provide!

On a positive note… over the holidays, Joyce had a few days of relief from many of her symptoms, so she and Doc snuck away for a few days to Lake Marble Falls –about an hour from their home in Salado.  The change of scenery and routine was refreshing for them both.

Also, Joyce looks forward to visits from both of her children.  Rick and Theresa are due to visit the end of this week and Laurie is planning a trip to Texas in early March. Joyce and Doc always enjoy any time they are able to have with family!  And they are wonderfully blessed with the support they continually receive from their church (Salado United Methodist) and their incredibly understanding and compassionate neighbors.

Thanks again for your concerns and prayers…please keep them coming!


February 27, 2003

Hope and encouragement have been higher in the past few weeks for Joyce than they have been in a long time!  Joyce recently started back on her vestibular rehabilitation - this time closer to home at Scott and White Hospital.  She had been so pleased with her former physical therapist that she was a little apprehensive about the change; however, she has been very pleased with the new PT….who is also a Christian, is sensitive, skilled, easy to be around, and even laughs at Joyce’s one-liners! 

With the progress, Joyce has been able to resume physical therapy at home, too!  She is even walking more....with Doc close by.  The obvious progress over the past weeks has given them both a huge boost in their morale.  Joyce is eager to continue to take “steps forward” with her therapy in the upcoming weeks and months.

As mentioned in the last update, Joyce was so pleased that Rick and Theresa were able to visit in January…however, it was BEFORE things had started turning around for the better for Joyce.  Now, Joyce is anticipating a visit from Laurie in March! 

All of your prayers have helped Joyce through many difficult times over the last year and a half; please pray that God will continue to build her strength and endurance.  Many blessings to you all!

May 23, 2003

Considering all that Joyce has been through over the last 19 months, 2003 has been a blessing. God has heard our prayers and has continued to provide Joyce with improved strength, cognitive alertness, and a very strong will to continue the progress of her rehabilitation.  These improvements have been measurable since soon after the first of this year when she began her vestibular therapy at Scott & White Hospital in Temple, Texas.

However, as with most processes of rehabilitation, Joyce's progress continues on the tracks of a roller coaster - some days and even weeks see steady progress - and others are times of sliding backwards. Frequent dizziness provides reason for concern and frustration.  Joyce's family physician and her vestibular therapist have referred her to a specialist to evaluate this specific issue.  She has gone through the initial battery of tests, will have her appointment with the specialist on June 4, and perhaps follow-up with additional tests and evaluation!  Please keep her in your prayers during this time in hope that these tests provide her doctors with the best direction for treatment.

Joyce's spirits are high.  She is as sharp and witty as ever, most of the time.  Infrequent and temporary short-term memory loss has improved over the last year and a half but can still be scary!  Yet, Joyce is as determined as ever and continues to work diligently at her therapy which has paid off with increased strength, endurance, and alertness!  She is very encouraged by her progress!

Joyce is deeply grateful for all of your prayers, and draws strength and courage from your letters, cards, and e-mail.  Please keep her in your prayers as she continues to fight the daily battles of rehabilitation!

God be with you all!


September 26, 2003

The following message is from Shalone Willms, Doc's daughter.  Thank you, Shalone, for composing the updates seen on this site since Joyce's accident 2  years ago.

In our hectic daily lives, it is often difficult to find time to talk to God as much as we would like.  This year Texas passed a law mandating that all public school children take time each day to say the Pledge of Allegiance, the pledge to the Texas flag, and recognize a moment of silence.  As a staff member at a public high school, I have found that this practice has made a great difference in my demeanor and attitude as I face each day.   Just after praying for patience (remember, I do work at a school!) and the faith and strength to do those things that God would want me to do, I pray each day for those in my life who are experiencing hardship or illness.  I pray for Joyce each day during this time I know she receives strength from my prayers and from yours! 

I have delayed posting an update for some time in order to get important reports back from Joyce's doctors* and I regret that the news is not what we had hoped for.  Joyce has been seeing a specialist in an attempt to determine ways to overcome her problem with dizziness.  However, a recent MRI indicates that she has a continuing problem with demyelination, a condition that involves the protective sheath on the brain nerves.  Additionally, the MRIs indicate a history of stroke possibly before, during and/or after her accident almost two year ago. 

These results explain why Joyce's balance issues have persisted.   The doctors had hoped that these tests would lead them to a plan that would not only help with the dizziness, but also improve Joyce's issues with balance.  But, the results do not offer such known options.

However, the doctors continue to be amazed at how well Joyce is doing considering their findings.  Her communication skills, humor and personality have not been diminished by all of the adversity she has been through.   The doctors suggest that Joyce do the following: 1)   Keep active at home with both physical exercises and writing to keep her brain reacting constructively;  2)   Continue with out-patient physical therapy at Scott & White Hospital; 3)  Acquire a hearing aid that will improve the hearing in her left ear and possibly filter out some of the cerebral noise which worsens when she is under stress or overly tiredSo, this is the plan that Joyce is following.  And, with her determination and faith, I am certain she will continue to amaze her doctors with her progress!

Joyce and Dad send their love and gratefulness to you all!  Please keep them in your prayers* both for Joyce's continued improvement and for their business.  Balcony Publishing has been under considerable stress over these past two years; both because Joyce has not been able to be out speaking and writing and because Dad has to focus most of his attention on Joyce's care and rehabilitation.  They thank God for Emmett Kelly who has helped so much in keeping Balcony Publishing going during these difficult times.  I ask that you remember Joyce, Dad, and Emmett in your prayers during your "moment of silence" each day! 

Shalone 

March 22, 2004

The following message is from Shalone Willms, Doc's daughter:

I talked to Joyce last night and she gave me a message to share with you in her own words:


"I cannot tell you how much your prayers have meant to Doc and me.  Each night when we pray, you are included. Even if we don't have each of your names in front of us we know that the Lord knows we are praying for blessings to come to each of you for all of your support.  I'm certain that by God's wonderful touch and your prayers for me, I was able to come from near-death to nearly being well.  I have been at home (sort of) making it through stages of recovery by three things:
   1) Prayer
   2) Rehab therapy at Scott and White Hospital
   3) Rehab at home with the help of Doc

I don't know which one has been harder.  I have determined that recovery is like taking a proverbial "slow boat to China."  It seems to take so long.  Two-and-a-half years have passed since the accident.  It has certainly changed our lives. No one can tell how long this process will take, but I trust the Lord with it.

The doctors have decided that I did not simply slip and fall at the airport that fateful October day.  I actually fell when I went unconscious due to a stroke or two.  Then, when I arrived at the hospital, I had a seizure and possible another stroke or two.  I didn't know it then, but I really needed all of your prayers, and we did, indeed, receive so many prayers from family and friends during that very difficult time.  When Doc and I wake up each morning (he has been an incredible caregiver!), we thank the Lord because He is so good to His children.

Shalone has been so wonderful to us and has faithfully written to you as to how I am doing.  For this, we are deeply grateful to her!

I would certainly appreciate your continued prayers.  It is still "up-hill" from here, but we know that God will prevail.

Our love to you all!
Joyce and Doc"


* a few closing remarks from Shalone:

What a blessing it is to have Joyce able to "speak" to you all directly.  She was so excited while she was dictating to me that I often fell behind in my note-taking (I REALLY should have taken shorthand!).  Since she has been alert, Joyce has always participated in these updates, but felt compelled to voice her appreciation to you all personally with this message! 

I'll continue to keep you posted; take care!
Shalone

Thoughts from Shalone, Doc's daughter, on the anniversary of Joyce's accident:
October 12, 2004


An anniversary is often a joyous celebration: the anniversary of our Savior's birth, the anniversary of a marriage, the anniversary of a baptism.   But sometimes an anniversary is for something we'd rather NOT have happened:  the anniversary of the loss of a loved one, the anniversary of September 11th.  Today, October 12th, is the third anniversary of the fall that caused a near-fatal injury to Joyce.   In one breath, I declare it to be a day I look back upon and wish I could have erased from the calendar.  But, He knows more than I  and has reasons for things that I cannot begin to understand.  In the next breath, it IS indeed a day of celebration!  A day to celebrate the life of Joyce that some medical professionals thought would be cut short!  A day to celebrate that Joyce gets stronger in some physical or mental capacity every day! A day to celebrate how much my Dad, Francis, has grown as a husband and care giver and how Joyce has been able to accept the care gracefully!  For all of this, we are grateful to God!

I spoke to Joyce last night and talked about the last three years.  She spoke as eloquently as ever about her three long years of recovery.  She indicated that she now has some marvelous days and recognizes how good God has been to her and my dad.  She is grateful for the prayers and kind words that have been said for her.  She has only recently been able to personally read through many of the compassionate letters and e-mails from those of you who care so much!  Joyce mentioned that it is very emotionally draining, yet uplifting to her spirits!

Joyce spoke fondly of the doctors who provided for her care in the early days after her accident.  After she was out of danger, one doctor predicted a 9 - 12 month recovery period.  Another predicted 12 - 18 months.  Both sounded so hopelessly long and now, three years later, Joyce continues to just get past one health issue and get a glimpse of the horizon and then gets hit with another setback.  It was amazing for me to hear Joyce go on to say how GOOD God has been to her and Dad.  She laughingly described how Dad has even learned to cook, do laundry, keep up with the housework, etc.  I guess the Lord DOES indeed work in mysterious ways!   Joyce, in turn, has learned to accept assistance, has been up and down on the roller-coaster of recovery, and in spite of it all has derived a number of interesting and sometimes humorous book titles and concepts without actually being able to follow through with the writing of the manuscripts - YET!  She's a very determined lady, so I never discount that this could happen in the future!

In closing, I address so many of you whom I've grown to know and care for over these three years to say THANK YOU for your prayers and concerns.  Please keep them coming Joyce's way; she can use them as we all can!  She and my Dad will spend tonight out celebrating life.  May we all be thankful for what we have today because we never know what tomorrow will bring!

God Bless!
Shalone

January 12, 2005

Message from Shalone, Doc's daughter--

You know the old saying, "No news is good news"? Well, it is a wonderful feeling here at the beginning of this New Year to be able to have that saying to be true! I've been planning on posting an "update" on Joyce's condition just after the start of the year, but have had a case of "writer's cramp". It just dawned on me that this is due to the fact that there is nothing horribly wrong, new or different in her life to report at this time. While that may not make for the most exciting "update" ever, it is something in which to be VERY thankful!

Over the last six months, Joyce has made great strides in rehab. Her balance issues continue to improve, as does the persistent cough that has previously brought on head pain. However, she continues to struggle with fatigue and a recurrence of the problem of pain behind her left eye.

My family was fortunate to have enjoyed a dinner out with Dad and Joyce over the Thanksgiving holiday, as well as some time together to celebrate Christmas. Joyce looked great and kept us laughing and interested in dinner conversation with her wit and personality.

Joyce has high hopes in 2005! She recently started a series of dental procedures and looks forward to completion in February or March. The first few days after Phase One were pretty painful, but she is starting to get over the hump and back to her daily routine. Joyce and Dad are also in the process of trying to relocate to another home. They need a home that is one-story and has a bit less space to take care of. We pray that this works out for them in the next few months. They are looking forward to settling into a new home; Joyce is already busy dreaming up ideas for decorating!

I spoke with Joyce recently and she diverted the bulk of the conversation toward how I'm doing and what my children are up to -- that is just her nature to care for others! She is thankful for all of your correspondence and prayers! Keep them coming!

May God bless you all in 2005!
Shalone

September 15, 2005

Almost Full Circle...

It was October 12, 2001, only a month after 9/11. As many of you know, Joyce and Doc were at the Austin, TX airport, on their way to Dodge City, KS for Joyce to speak for the local chapter of the American Cancer Society's Breast Cancer Awareness Luncheon. However, they did not make it onto that plane because Joyce fell in a remote parking area of the airport and experienced a severe internal head injury. She was unconscious and on life-support for eight days, underwent a seizure in the emergency room, two life-saving brain surgeries, a tracheotomy, and, by now, nearly four long, arduous years of physical therapy and recovery.

It was not until May of this year that Joyce finally was able to walk independently. With that huge advancement, she began to improve in so many other ways that she and Doc began considering whether it was time to begin accepting speaking engagement invitations again. Only a few days later, their phone rang. It was Alle Craig from the Dodge City chapter of the American Cancer Society asking if Joyce would speak at their Breast Cancer Awareness Luncheon on October 22.  Joyce replied, "I've been wanting to keep that appointment ever since I woke up in ICU and thought, 'Oh no! I didn't show up for my engagement in Dodge City!'"

Back in May of 1993, as Joyce was barely waking up from a biopsy procedure, she and Doc were stunned as her surgeon quietly said the words, "Joyce, the tumor is malignant. You have both insitu and invasive cancer. It's about to break through your chest wall, so we need to do surgery very soon." Following the mastectomy, Joyce underwent chemo therapy treatments for six months. Although now she is "officially" "cancer free,"  she just recently went through another one of those "cancer scares" that survivors have so often; a lesion on the left lung that after five months of cat scans, MRI's and blood work-ups has proven to be benign.

As frightening and painful as the cancer was back in the '90's, Joyce was yet to go through the most life-threatening experience of her 69 years. In many ways, Joyce is still in recovery from the fall in 2001 and likely will be for the rest of her life. But, at 73, she is still that vibrant, full-of-life and insight, humorous, people-loving, God-fearing woman who loves very few things (i.e., her two great grandsons) more than standing before her audiences, reading their faces right through to their hearts and minds, and using her very special God-inspired gift for comforting, encouraging and empowering people to live through their own roads to recovery, no matter what put them there. Joyce is truly a "wounded healer".

Please k