Serious Burn Patient

**Bill Harsey** · 04-07-2011, 20:31

general question for a specific case.

Short version, a young friend of mine (who's father was one of the legends of the airshow business and a very good friend) is also a performing airshow pilot.

During a recent airshow he had an engine problem, lost power and got the plane leveled out long enough for his wing walker wife to get into the front seat.

In resulting controlled crash landing she sustained third degree burns on 65% of her body and various serious bone fractures.

She had all digits amputated on her right hand.

First question is this, is there anything being done now to replace fingers?

I think the correct term is prosthesis and expect this would be non-functioning.

Edited to add; I think some of the best Docs in the business of serious injury are around here and is why I'm asking.
Also if any details of injuries are wrong, I will correct.

**Bill Harsey** · 04-07-2011, 20:43

Here is some video news about the crash, http://www.youtube.com/watch?v=0a7TM65jAXE&NR=1

I'm not pretending to know sh*t about this case, and am staying out of the families way.
The news report said Amanda is in Brooke Army Medical Center in Ft. Sam Houston.

Tatonka316 · 04-07-2011, 21:37

If there is anywhere in the country that can and WILL give her the best care, it is Brooke Army Medical Center! The advances in prosthetics, burn care and rehab are occuring daily there!!! I know you have the knife show this weekend, but I will give you a call next week to see how things are going.

molon labe

perdurabo · 04-07-2011, 21:44

Bill,

I heard about this when it happened. I didn't know her injuries were so extensive and I will keep her in my prayers & hope there's something that can be done.

Makes me miss the guy who crashed near Hobby Field awhile back who used to tow all the gliders. I used to love watching them toll around on a warm, sunny day.

PSM · 04-07-2011, 21:51

Damn, Bill, I saw that video on TV a couple of nights ago. I didn't know it was that bad. I believe I met Kyle's dad, Jim, a couple of times when flying through New Mexico in the '70s. I didn't make the connection.

Prayers out!

Pat

DDD · 04-08-2011, 07:16

Brooke is the best, I did a rotation thru there while in 300F1. There is a special place in Heaven for the staff of the burn ward at Brooke, they were by far the most upbeat, professional people I have ever worked with. I believe that my 5 days on the ward affected me more profoundly than anything else I have ever done.
Your friend is being well cared for, as for the specific question about her fingers: as far as I know, yes they have the ability to attach something cosmetic, but most people choose not to use them.

swatsurgeon · 04-08-2011, 09:22

difficult to answer for a few reasons. Toe transfers can be done as can biomechanical and static prosthesis be fitted. A lot depends on the injuries to tendons (and nerves) which control these. If the burns were deeper than skin and affected the tendons and /or nerves, no benefit to mechanical since it can't be 'driven' by her ability to move via tendons.
If all is intact at that level, then the possibility is there to have a movable prosthesis. They ususally wait until the healed skin and structures can support a biomechanical or tissue transfer ....sometimes waiting up to a year.

Hope that helped

ss

alright4u · 04-20-2011, 16:09

Quote:

Originally Posted by swatsurgeon

difficult to answer for a few reasons. Toe transfers can be done as can biomechanical and static prosthesis be fitted. A lot depends on the injuries to tendons (and nerves) which control these. If the burns were deeper than skin and affected the tendons and /or nerves, no benefit to mechanical since it can't be 'driven' by her ability to move via tendons.
If all is intact at that level, then the possibility is there to have a movable prosthesis. They ususally wait until the healed skin and structures can support a biomechanical or tissue transfer ....sometimes waiting up to a year.

Hope that helped

ss

Few know that the man who led the first BDA into COSVN HQ west of the fishhook in early 69 was shot through his WP grenade. That WP fire burned and kept burning. He took several morphine syrettes. Bill retired from the CIA. I am proud to call him the best officer 10 I ever knew. He was burned beyond my imagination from what one medic said. No, he received not one valor award.

orion5 · 04-21-2011, 21:45

Quote:

Originally Posted by alright4u

Few know that the man who led the first BDA into COSVN HQ west of the fishhook in early 69 was shot through his WP grenade. That WP fire burned and kept burning. He took several morphine syrettes. Bill retired from the CIA. I am proud to call him the best officer 10 I ever knew. He was burned beyond my imagination from what one medic said. No, he received not one valor award.

a4u, thanks for sharing that.

Bill, I was pissy over a couple of stitches I had removed this week...incomparable to what Amanda is going through. Perspective is good.

greenberetTFS · 04-22-2011, 07:35

Quote:

Originally Posted by alright4u

Few know that the man who led the first BDA into COSVN HQ west of the fishhook in early 69 was shot through his WP grenade. That WP fire burned and kept burning. He took several morphine syrettes. Bill retired from the CIA. I am proud to call him the best officer 10 I ever knew. He was burned beyond my imagination from what one medic said. No, he received not one valor award.

a4u,

Great post.........

Prayers out for both of them............

Big Teddy

**Kyobanim** · 04-08-2011, 09:26

Have a look at this. http://health.howstuffworks.com/huma...lar-matrix.htm

Quote:

This particular hobbyist happened to have a brother in the tissue-regeneration business, who told him to forego the skin graft and instead apply a powdered extract taken from pig's bladder to the raw finger tip. The extract, called extracellular matrix, lays the framework that cells use to generate any given body part. It's like a cellular scaffolding, and all animals have it. It holds the signals that direct cells to divide, differentiate and build themselves into a specific form.

Extracellular matrix is a component of body tissue that functions outside of the body's cells (thus the "extracellular" designation). It's made up mostly of collagen, a type of protein. So extracellular matrix extracted from the bladder of a pig does not actually have any of the pig's cells in it.

I saw the special on discovery. there's a lot of documentation out there on it but I don't know if it's gone anywhere. Didnt see anything about burns on it though.

CPTAUSRET · 04-08-2011, 10:15

Bill:

Early in her career Nancy spent three years as the neuropsychiatric caregiver for seriously burned individuals...Patients with terribly deforming injuries, one individual, an electrical lineman lost his right arm and leg. She asked him if his home was on one level, he replied "No, it was a two story". She asked him how he planned to traverse the stairs. He stated that "I'll just slither up and down". She used this type of injury as the basis for writing the definition of PTSD for DSM lll.

I just ran this by her and she stated Brooke AMC, would be her choice of health care facility.

Red Flag 1 · 04-08-2011, 11:38

=

Sacamuelas · 04-11-2011, 07:25

Recently, I sat through a fairly detailed CE course by an Oral/max surgeon from Brooke. The staff at brooke are the BEST in the world at what they do. They have a team approach with all the necessary components on site to thoroughly treat and followup on the care of injuries like this lady's. They are constantly refining, updating, and innovating. They are literally on the cutting edge of burn/reconstruction. Unfortunately, this is because they have so much experience with our guys and gals coming home from IED attacks. Practice makes perfect... and these guys are utterly amazing.

Bill.... she is in the right place. I wouldn't make that statement for all treatment needs at a military/government healthcare facility. However, for burn/reconstruction injuries...... I think brooke is prob one of the best in the world.

frostfire · 04-11-2011, 08:06

just echoing what others have said. I recently went through the burn ward and the Intrepid center at BAMC. Jaw-dropping is an understatement. There are latest advancements borderline scifi.

Having said that, the patients show me the ultimate price to be paid, especially in SF. Bilateral amputees , over 95% burn, total care....

There are no mirrors on the burn ward.