ZustandSince April 10th Kostja is unconsciuos in the first department of intensive therapy of North-Estonian hospital. Kostja's condition by the moment of the arrival to the hospital is reported in the statement from the sickness history.
05-09.04.11 There are no significant changes. Kostja is being set vertically using a device, they through him a ball and he catches it. He swallows some jelly from a spoon. He is being put into the armchair up to three hours. There were some problems with nourishment while changing from drop nourishment to three meals per day using gastrostome. From time to time Kostja reacts to his mother's words by laughter or tears.
01-04.04.11 On the other day, when Kostja was awake, mom was telling him names of relatives and asked him whether it was right or wrong. He nodded his head for three times. Consequently he sometimes understands questions he is being asked. There are no other changes.
29-31.03.11 Work with speech therapist, ergo-therapist and physiotherapist continues. Kostja started to swallow some jelly. When he stood vertically on device, he was catching a ball, which was thrown to him.
26-28.03.11 The other day epicystostomy was taken away. When mother greeted Kostja in the morning, he smiled.
23-25.03.11 There was the attack again. At that time the pulse rate was unstable. During a walk when the feet support was removed Kostya began to rise his legs high as if stepping and looking for the support, after that he pronounced something. His mother believes that Kostya realizes his state but he can not come into contact. When by chance he was given tea, that his mother had made for herself, joking she asked Kostya: "Why have you drunk up my tea?", and he begin to laugh.
20-22.03.11 There are not any changes. It seems that it is succeeded to select the feeding and the liver is not grown any more. When the weather is good Kostya goes for a walk on the invalid chair in the inner yard of the clinic.
16-19.03.11 One of these days there was an attack that was rapidly stopped. On the whole he was sleepy. The sessions of therapy continued. Almost every day he was put in the armchair for three hours. Anything special was not noticed.
14-15.03.11 Kostja was bathed. Ergo-therapist gave him to take different smells. He was put vertically for some time. For a first time Kostya was taken out in the inner yard of the clinic on an invalid chair. After his feet had slipped from the invalid chair support he put them in their place himself.
10-13.03.11 There are not any changes. Periods of keeping awake are giving way to the periods when Kostya is not active, he is in condition of a drag. Possibly, it is connected with periodic epilepsy attacks that hinder him from his rehabilitation. It has passed a few more than a month since Kostya receives treatment in Berlin.
06-09.03.11 The sessions of therapy continued. On the 9th of March Kostya was very active, he coughed, then he said 'Блин (Damn it)', he was smiling and laughing when his mother was reading him 'Barankin, Be A Man'. He was laughing when his mother was doing exercises in front of him. He was smiling when the speech therapist was doing exercises with him. He swallowed four small spoons with jelly. He was moving his tongue in the mouth.
03-05.03.11 Amount of medicine has been reduced. There are three therapies a day. Kostja is doing physiotherapy with pleasure. He was sitting in the wheelchair for hour and a half in front of an open balcony. On Saturday he pronounced: "Mum, don't you kno..." and something not understandable after that... We can't understand whether he recognises his mother or not.
28.02-02.03.11 The exercises with ergo-therapist, physic-therapists and speech-therapist continue. He is in sleepy condition in the afternoon.
The doctor is going to reduce a dose of medicines. Kostya is put in the armchair for an hour and a half and is put vertically. He is taught to recognise his body. He has been bathed.
27.02.11 Today, when his mother held out her hand to Kostya, he tried to reach it with his right hand. He tried to say something. His mother noticed that he react to smells.
24-26.02.11 He was half asleep in the afternoon, so measures were not carried out regularly. One of these days there were four epilepsy attacks that probably says that appropriate medicines are not selected till now.
22-23.02.11 He has been sleepy for two days. Today we put him at an angle of 60 degrees for a short time. It has been decided not to change the gastrostomy tube yet.
20-21.02.11 On Sunday there were no treatments. Today they are changing Kostja's gastrostoma, so they didn't give him any food in the morning. In the afternoon Kostja was bathed.
17-19.02.11 Several days ago his mother made out that Kostya said the words such as I, You, Salni...(possibly, Kostya pronounced the surname of his friend Salnikov who had been rescued by him), Natasa (probably, Natasha). During two following days he was sleepy. He slept when we seated him into armchair. Due to this condition exercises with speech therapist were not carried out. Although no measures are carried out on days off, during one and a half hours massage was done to Kostya today.
14-16.02.11 Kostja started to get nourishing diet, because his weight is currently 43 kg. He started to pronounce the sounds actively. During one of the days he was crying hard with tears. It is difficult to say what it was connected with. Today he was put in the bath, he relaxed well. The exercises with ergo-therapist, physic-therapists and speech-therapist continue. They should put him in an armchair during these days. Mother is with Kostja during the whole day. She lets him listen to the music, reads books and speaks to him.
13.20.11 Two Russian nurses and a doctor work in the medical department and also one German doctor, who speaks Russian, that is why mother, who is always in the room, can see and understand everything. The care in the clinics is good, though the rooms, where the patients are placed, are quite simply equipped. Mother was reading Zoshchenko to Kostja today. He was listening very attentively and was laughing aloud in two places. Read our thoughts about the medical treatment approaches in Estonia, Russia and Germany in the section “Guestbook”.
10-12.02.11 Kostja is placed in a separate room. During the second day there was an epilepsy attack with Kostja, probably because of the long transportation time and change of the medicaments. There is an isolation period set for three days. When the personnel goes into the room they put on pink hat, mask and mantle. There were first exercises done. Speech-therapist worked out the face muscles. His task is to teach Kostja to swallow, pronounce sounds and words. Then, physio-therapists was with Kostja, who did exercises with his legs and hands. His task is to take away spastics of muscles and teach Kostja to sit in the armchair. Ergo-therapist teaches Kostja to feel his body and take care of himself.
08-09.02.11 Ambulance with Kostja went from Saint Petersburg to Berlin. The trip to the clinic took 25 hours. Kostja was OK during the trip.
07.02.11 Kostja is going to Germany in the ambulance car tomorrow, to the clinic Vivantes Spandau in Berlin, where they deal with patients who have cerebral trauma and brain ghipoxia. Today, according to the nurse, Kostja showed a tongue, which is a very good sign.
03-06.02.11 They put Kostja on the exercycle, put on the legs near the bed for a short time. He started to turn the head following the glance.
31-02.02.11 Temperature and blood pressure are normal. The sessions of cryotherapy and hivamat countinue.
27-30.01.11 Because of flu epidemic the visits are limited. Only one person can visit Kostja for one hour. Physiotherapy and massage are carried out at the weekends too. Doing his exercises Kostja tried to prevent his leg’s bending with his hand.
24-26.01.11 Planned course of physiotherapy is carried out: massage, hivamat, criotherapy. Kostja is put on his legs for a short while close to the bed. When mum asked Kostja to imagine that he had an orange in his hand and he had to peel and eat it, you could see Kostja’s salivation.
23.01.11 They use criotherapy for taking down spastics of joints. The pressure is low, temperature is 35.2. Kostja is apathetic.
22.01.11 Course of physiotherapy was started. There is a body massage three times a day. Kostja was sitted on the bed and for the first time he stood for a short while.
21.01.11 In the morning the temperature was normal, by the midday it rose to 38.5. The tests were taken. By 15.00 the temperature became normal.
20.01.11 Today Kostja was taken from Polenov’s institute to Sogas clinic (St-Petersburg) for rehabilitation treatment (see the Guestbook).
18-19.01.11 The temperature is normal. For the third time PET examination was carried out. We will have the results later.
17.01.11 Pressure is very low - 82х65, the temperature is just a little bit above 35. We didn’t mention any reaction.
16.01.11 The eyes were open during the visit. When he was asked to find a nurse with his eyes Kostja shifted his gaze.
15.01.11 The eyes were closed during the visit. When his mother asked him to squeeze her hand he did it faintly. The temperature is normal. There are no other changes.
11-14.01.11 There are no changes. The temperature was changing from normal to 37.5. Treatments: ozoterite is put on the joints, inhalations and hivamat are carried out. If there is no high temperature sometimes Kostja is sitted in the armchair.
10.01.11 Kostja sat in the armchair for a short time. He holds his head on his own. The temperature is normal.
09.01.11 Temperature is about 37. Kostja felt sick. He didn’t open his eyes the whole day.
08.01.11 Kostya was sitting in the armchair during about an hour. When his mother asked him: "Do you want to lie in the bed?", he nodded immediately, moreover this reaction was noticed by medical personnel. When he was put in the bed, his mother asked him if she should call his father to the ward, he reacted to it also nodding his head. We did not write being afraid to mistake but this week Kostya began to pronounce sounds and separate words. When a nurse was turning him, she heard clearly words "leave me alone", "go away". This repeated with another nurse. We are not sure that he will recognize us but we have confidence that he understands the speech addressed to him.
07.01.11 The temperature came down to 35,5-36 after an intake of sedatives. He slept all day.
06.01.11 During the day there was very high temperature from 38 to 39,5. Possibly, this is organism reaction to the visit of his friends and his grandmother. Lungs x-ray was done, blood test was taken this week but inflammations were not detected.
03-05.01.11 No changes. Hivamat and gymnastics are carried out.
02.01.11 The temperature has risen to 38.6. No measures are carried out.
01.01.11 Whole medical personnel (except a man on duty) has gone on ten-day holiday, therefore no measures are carried out.
29-31.12.10 He has been bending and straightening his legs as if he has been doing the exercises. He has been smiling in his sleep. When keeping awake he is at spastic, during the sleep he is relaxed. He has been examining drawings that had been sent to him by children from Narva schools.
26-28.12.10 Judging by PET pictures there are positive changes (number of yellow and red areas has increased), i.e. glucose absorption zone has increased that is the base of vital activity of neurons. In the nearest time MRT ant PET documents will be placed on the website. Daily Kostya is seated in the armchair, inhalation and massages are carried out. Basic emphasis is put on physiotherapy.
23-25.12.10 The results of PET examination has been received but there has not been the meeting with the doctor yet. At present thorax massage is being carried out. Ozokerite is being applied on the large joints to remove spastic and influence on the nervous system. Inhalations are being carried out.
22.12.10 Kostya was driven to brain institute for the examination with the help of positron emission tomography (PET). In comparison with MRT intended for examination of anatomical peculiarity of brain, PET reveals the picture of functional changes of brain. The results will be known tomorrow.
20-21.12.10 The catheter was removed on Monday. Inhalation is done twice a day. Thorax and hivamat massage are carried out with the help of special device intended for normalization of fluids exchange in tissues around cells through lymphatic and blood vessels. The doctor sees the positive dynamics that show itself in the positive changes of electroencephalograms results.
18-19.12.10 Preparations, that are conducive to cells rehabilitation and brain vessels dilation, are continued to be introduced through the catheter. Glucose and aminoacids are introduced internally. Additionally, in the capacity of nutrition, osmolyte, the source of protein, triglyceride, microelements, is given. He has begun to show emotions. When watching a film he smiled. He tried to begin to cry when his mother talked to him.
16-17.12.10 A lung test was carried out. The lungs are normal. The legs are fixed to not damage the installed catheter.
14-15.12.10 There are no considerable changes. The treatment is carried out according to plan. The temperature and the pressure are normal. Now medicine is supplied through the catheter. It is planned to remove the catheter on December 20.
13.12.10 In the evening during two hours the catheter was installed to Kostya under local anaesthetic.
11-12.12.10 There are no considerable changes. During the visit he was asleep practically all the time.
08-10.12.10 There are five days Kostya breathes on his own without tracheostomy tube. The catheter installation operation is postponed till Monday.
07.12.10 Two weeks has passed since Kostya's arrival to Polenov Institute. The measures of Kostya's condition determination are carried out: blood and urine tests are taken, medical examination is carried out by ophthalmologist, treatment ways are determined. Electroencephalograms and magnetic resonance tomography is made.
According to MRT results it is elucidated that there is a reserve for the treatment, because a callused body (an isthmus between the hemispheres) is grown poor but there is no total lesion and this is a good sign of the rehabilitation. He gets benzodiazepines after which electroencephalograms are periodically taken. The tests are positive that means the possibility of further treatment.
As regards the physical condition, the muscles are atrophied and good nourishment is needed to grow them. In the liver the occurrence of toxic hepatitis is observed that is connected with the application of medicines. It is remediable, as there is no virus infection. There is the problem with the kidneys that shows itself in the form of infection. Antibacterial treatment is fixed.
In the capacity of medicamentosa treatment it is suggested to introduce a catheter through the artery in the hip joint to the brain through which medicines will be introduced. The dangers, that can be observed during this, are the infringement of heartbeat, clots of blood formation, epilepsy. The positive effect is observed in about 40 per cent of cases. Conjectural time of the catheter introduction is Friday the 10th of December.
06.12.10 The tracheotomy tube is removed. He breathes through his nose but with addition of a little amount of oxygen. He is awake during the day.
03-05.12.10 The joints are continued working out with the help of an electric massager. We noticed that he turned his head left and right. During the visit he sleeps almost all the time.
01-02.12.10 The result of an electroencephalogram is better by comparison with the previous one. Massage is carried out, large joints are worked out, twice a day he is seated on the bed during 30 minutes. One more inquiry is postponed till the next week due to the breakage of equipment in the institute of brain.
29-30.11.10 Plan inquiries are carried out, MRT is made. The spasticity decreased slightly. Massage is made.
27-28.11.10 No medical procedures were carried out on the days off. He was in sleepy condition all the time.
26.11.10 He was sleeping during the visit. Massage was made.
25.11.10 An encephalogram was taken today. During the visit he was sleeping. A botox injection was made to decrease the spasticity.
24.11.10 He has slept since 3 a.m. Since today the inspections has begun and results will be known approximately on December 3.
23.11.10 A reanimobile with Kostya departed from Keila at 7 a.m. It was in Narva at 10 a.m. It crossed the border at 11 a.m. It arrived at Polenov Institute at 3 p.m. Kostya was placed immediately in a ward of intensive therapy for six persons. He has borne the road fine, he has slept almost all the time. The ward is well-equipped.
22.11.10 No changes. Kostya conveyance to Polenov Institute in Saint Petersburg is planned for tomorrow.
04.11.10 No changes. Indices are normal.
03.11.10 No changes. Indices are normal.
02.11.10 No changes. Indices are normal.
01.11.10 No changes. Indices are normal.
30.10.10 He did not sleep at night. Strong spasticity. Exercises were done with difficulty. Indices are normal.
29.10.10 No changes. Indices are normal.
28.10.10 No changes. Indices are normal.
27.10.10 His look is more sensible by comparison with the previous days. The pressure is 116х77, the pulse rate is 90, the temperature is normal.
26.10.10 No changes. The pressure is 120х75, the pulse rate is 90, the temperature is 36,0.
25.10.10 He ate 200 g of vegetable ragout purée. Unfortunately, there are no changes of consciousness. The pressure is 118х77, the pulse rate is to 110, the temperature is 36,1.
24.10.10 He ate well when his mother spoon-fed him. After that he fell asleep. Last night he had been sleeping. The pressure is 120х87, the pulse rate is to 110, the temperature is 36.1.
23.10.10 Strong spasticity, he winces when touching him. The pressure is 113х70, the pulse rate is from 95 to 123, the temperature is 37.3.
22.10.10 Kostya was moved back to Keila in the afternoon. The pressure is 120х80, the pulse rate is to 98, the temperature is 36.
21.10.10 No changes. The pressure is 108х81, the pulse rate is to 94, the temperature is 36.3.
20.10.10 No changes. The pressure is 91х64, the pulse rate is to 86, the temperature is 36.2.
19.10.10 No changes. The pressure is 88х58, the pulse rate is to 80, the temperature is 36.2.
18.10.10. No changes. Parameters are normal.
17.10.10 His eyes looked like scared at times. He moved actively his legs and arms. The pressure is 112х81, the pulse rate is to 130, the temperature is 36.5.
16.10.10 A state of extreme excitement. Sedatives don't have a long effect. Kostya was moved urgently from Keila hospital to Mustamäe. He moves constantly his legs and arms. The pulse rate is to 140 in the evening, the pressure is 130х88.
15.10.10 He behaved agitatedly. Visiting was limited. The pressure is 114х58, the pulse rate is 88, the temperature is 36.4.
14.10.10 Today Kostya was on the inspection in Tallinn where magnetic resonance tomography and computer examination were made. Visiting was canceled. There was a spasm in the evening. The pressure is 110х60, the pulse rate is to 90, the temperature is from 36.6 to 36.8.
13.10.10 No changes. The pressure is from 110х70 to 120х74, the pulse rate is from 74 to 100, the temperature is 36.6.
12.10.10 He raised high his right hand and examined it. Gymnastics was canceled today due to a problem with the sleep at nights. The pressure is 95х55, the pulse rate is to 98, the temperature is from 35.8 to 36.1.
11.10.10 Kostya was spoon-fed. When he was asked whether he would like to eat more he shook his head negatively. He watched the photos from the family album with interest. He sleeps bad at nights. The pressure is 112х81, the pulse rate is to 91, the temperature is 36.1.
10.10.10 Half a year has passed since the accident. Visiting was limited due to Kostya's state of strong excitement. The pressure is from 105х90 to 110х80, the pulse rate is to 95, the temperature is from 36,3 to 37,0.
09.10.10 He is tense enough. He reacts to a touch to his body. After the yesterday's seizure it was decided not to disturb him. It seemed that he made an attempt at our request to push off from the bed's back with his legs to rise higher. The pressure is 99х63, the pulse rate is to 90, the temperature is 36,4.
08.10.10 At 2:00 a.m. there were spasms. At 9:00 p.m. there was an epileptic seizure. A sedative was introduced. He is sleeping now. The pressure during the day is about 110х70, the pulse rate is to 100, the temperature is 36,9.
07.10.10 No changes. The pressure is 83х58, the pulse rate is 87, the temperature is 36,1.
06.10.10 No changes. The pressure is 120х70, the pulse rate is to 110, the temperature is 36,9.
05.10.10 No changes. The pressure is 115х68, the pulse rate is to 97, the temperature is 36,6.
04.10.10 Repeated ten-day course of massage and gymnastics was ordered. He was sleepy all day. There are no other changes. The pressure is 100х60, the pulse rate is to 100, the temperature is 36,4.
03.10.10 Kostya's head was washed with the help of special cap. He was spoon-fed with yogurt. It is obvious that due to the installed tracheotomy tube it is painful to him when he clears his throat. He watched "The Queen Of Petrol Pump" today. During the watching he rose wonderingly his brows, smiled at one moment. He was watching the whole film not tearing himself away from the screen. When watching the film the pulse rate was constantly changing. The pressure is from 92х50 to 110х62, the temperature is 36,6.
02.10.10 Kostya learned to take in the liquid through a tube and ate whole plastic glass of broth that was given to him by his mother. We noticed for the first time that he smacked his lips with the tongue after meal. The pressure is 100х74, the pulse rate is to 93, the temperature is 36,1.
01.10.10 He sleeps bad at nights, but he was not able to be woken for breakfast. He watches films with pleasure. "Cinderella" was shown today. Anything special was not noticed. The pressure is 95х60, the pulse rate is to 97, the temperature is 36,4.
30.09.10 Nothing considerable is noted. The pressure is from 90х60 to 105х70, the pulse rate is to 95, the temperature is 36,4-36,6.
29.09.10 No changes. The pressure is 105х62, the pulse rate is to 98, the temperature is 36,7.
28.09.10 He behaved capriciously, there was something he did not like. Though, who likes lying in the bed five and half months? Physical parameters are normal: the pressure is 120х70, the pulse rate is 100, the temperature is 36,7.
27.09.10 In the afternoon he was watching a film so that he did not even notice his mother. No changes was noticed. The pressure is 95х58 in the morning, the pulse rate is to 100, the temperature is normal.
26.09.10 He sleeps bad at nights. It is difficult to say it is connected either with the reduction of anticonvulsants (1mg of rivotril is given only) or with the changing weather. His mother spoon-fed him in the afternoon. The feeding was finished with gastrostomy tube. After dinner he fell asleep. The pressure is 110х65, the pulse rate is to 90, the temperature is 36,6.
25.09.10 His arms are tense enough. He ate a little when his mother fed him. He started to weep twice: he reacted either to the others or to tracheotomy tube. It is obvious that it causes painful reaction to him sometimes. The pressure is from 98х65 to 100х59, the pulse rate is to 95, the temperature is 36,5.
24.09.10 He is active today. He eats with the mouth good. The look is clear. The pressure is 110х70, the pulse rate is to 90, the temperature is 36,2.
23.09.10 The pressure is 105х62, the pulse rate is to 94, the temperature is 36,4. Nothing special was noticed.
22.09.10 The activities continue to be carried out. A doctor showed the first part of "The Very Same Munchausen" with a laptop. Kostya watched it attentively. According to the doctor's words he smiled at some moments of the film. The pressure is to 120х80, the pulse rate is to 100, the temperature is 36,5.
21.09.10 During the day doctors were actively occupied with Kostya. Massage, gymnastics, exercises for restoration of nerve endings sensitivity, spoon-feeding, seating on the bed were carried out. The pressure is 101х70, the pulse rate is 85, the temperature is 36,6.
20.09.10 The pressure is from 90х40 to 110х50, the pulse rate didn't exceed 109, the temperature is 36,2. No changes.
19.09.10 He didn't sleep at night. During the day he was agitated and tense. He didn't react to us. The pulse rate didn't rise higher than 110. The pressure is 120х70, the temperature is 36,8.
18.09.10 The dose of anticonvulsants is being decreased. 1 mg of rivotril and 150 mg of orfiril are given for night. During a day he is fed with gruel, yogurt, kissel through the gastrostomy tube for better work of the digestive system. During a night he is fed with nutricomp. The pressure is 95х60, the pulse rate is 90, the temperature is from 36,5 to 35,9.
17.09.10 The pressure is 120х80, the pulse rate is to 100, the temperature is 36,5. No changes.
16.09.10 The pressure is 115х61, the pulse rate is 76, the temperature is 36,4. No changes.
15.09.10 No changes. The pressure is 100х60, the pulse rate is from 60 to 80, the temperature is 36,4.
14.09.10 Nothing considerable was not noted. The pressure is 120х60, the pulse rate is to 99, the temperature is 36,8.
13.09.10 He reacted to the appearance of his mother: became agitated, it seemed that smiled. The pressure is 100х62, the pulse rate is 78, the temperature is 36,4.
12.09.10 A visit was canceled. The pressure is 105х52, the pulse rate is 68, the temperature is 36,6.
11.09.10 Yesterday at 9 in the evening there was an epileptic seizure. It was scarcely connected with our visit, as we were limited time in the ward and left at 5:30 p.m. Today we were observing him from the corridor. Kostya behaved quietly. The doctor has increased the amount of orfiril twice (to 900 mg). The pressure is 99х55, the pulse rate is to 95, the temperature is 36,4.
10.09.10 Five months have passed since the accident. During the relatives'
visit he did not react anyhow. The pulse rate did not exceed 90. 15-day course
of brain work activization medicines dose has begun today. After that the
removal of encephalogram is planned. The pressure is 100х60, the temperature
is 36,5.
09.09.10 The pressure is 96х62, the pulse rate is to 90, the temperature is
36,4. The amount of the antiepileptics are being reduced: rivotril - to 1 mg per day, orfiril - to 450 mg per day. Kostya is relaxed and calm enough.
08.09.10 The pressure is 115х60, the pulse rate is from 83 to 91, the
temperature is 36-36,5. Doctors try spoon-feeding Kostya with yogurt. Massage and physiotherapy are made.
07.09.10 The speech therapist and the physiotherapist examined Kostya. Massage has being made. Everything points that there are positive changes. The pressure is 99х63, the pulse rate is 92, the temperature is 36,9. It is decided to continue giving brain work activization medicines.
06.09.10 The condition is stable. Analyses are good. The pressure is 105х65, the pulse rate is 102, the temperature is from 37,1. We didn't notice anything new as we were limited with five-minute visit.
05.09.10 The pressure is 120х70, the pulse rate is 100, the temperature is 36,9. At present moment there is a break of medicamentous treatment. At this time a speech therapist and a physiotherapist will work with him. Amount of nutrition is increased as physical exercises are appointed to Kostya. We have noticed that Kostya rise his right hand to take a ball at a nurse request.
04.09.10 The pressure is 114х66, the pulse rate is 102, the temperature is 36,6. We were observing Kostya from behind the door not to disturb him and not to cause a spasm. He was watching what nurses were doing. Little by little he started to turn his head towards a look. He tried to hold a ball with his second hand.
03.09.10 The pressure is 110х60, the pulse rate is from 92 to 100, during the day the temperature is from 36,6 to 37,1. He is calm. The doctor gave him Activia yogurt for the checking of swallowing reflex. Sometimes it succeeded, sometimes not.
02.09.10 The pressure is 124х73, the pulse rate is 103, the temperature is 36,8. Due to the active reaction to close people the visit is canceled today.
01.09.10 The temperature is within the limits from 36,2 to 36,5. There were spasms in the evening.
31.08.10 When visiting he was crying. He can't speak due to the tracheotomy tube, even he would like, but we had a feeling that he was trying to speak with his lips. The temperature is 36,9.
30.08.10 He is very active today. When visiting we are afraid to disturb him once more, as the pulse increases to 130 strokes per minute. His arms are fixed that he would not pull out the gastrostomy tube and tracheotomy tube. The pressure and temperature are normal.
29.08.10 He was sleeping during the visit. The temperature is 35,2, the pressure is 85х54, the pulse rate is about 60.
28.08.10 The pressure is bigger then usually (130х70). During a visit the pulse rose from 110 to 130, the doctor had to give a sedative. The temperature is 36,9.
27.08.10 He lifted up his arm preventing from shaving. The pressure is 110х60, the pulse rate is from 50 to 80, the temperature is 36,4-36,6.
26.08.10 There was a spasm in the morning. The doctor gave him sedative. He slept all afternoon. The pressure is 85х49, the temperature 36,4.
25.08.10 His eyes are open all the time. He express no emotions. The pressure is from 88х56 to 96х58, the pulse rate is till 86, the temperature 36,4.
24.08.10 The pressure is from 95х61 to 101х69, the pulse rate is 84, the temperature is 36,6. There are no changes.
23.08.10 The pressure is from 90х60 to 112х60, the pulse rate is from 72 to 99, the temperature is 36,0.
22.08.10 There are no changes. The pressure is 105х65, the pulse rate is till 80, the temperature is 36,0.
21.08.10 Nothing noticeable happened. The pressure is 94х62, the pulse rate is 83, the temperature is 36,0.
20.08.10 Today positive moments were not marked. The pressure is 92х58, the pulse rate is 78-89, the temperature is 36,7.
19.08.10 He reacted to the voice of other speaking by transferring the look. The pressure is within the limits from 102х63 to 92х55. The pulse rate is from 61 to 80. The temperature is 36,0.
18.08.10 He is more active in the afternoon before the sedatives dose. After some doctor's requests to stretch his curved leg he carried out the command. In the evening it seemed that he reacted to a smell of deodorant. The pressure is from 96х60 to 110х62. The pulse rate is from 70 to 83. The temperature is 36.7.
17.08.10 When approaching to Kostya he moved twice his eyes towards the sound. He observes very attentively the movements of others. His eyes are practically open all the time. The temperature is 36.0. The pressure is 99х61.
16.08.10 It is the fifth day of medicines dose for brain activity. Possibly this day will be the new birthday for Kostya. The temperature is 36.0. The pressure is 99х70. The pulse rate is from 56 to 76. As a doctor said the positive dynamics was being observed this afternoon. He nodded his head when the doctor asked him "Do you see and hear me?". He shruged his shoulders when the doctor asked "Whether to put ear-phones with music?". When the doctor showed him the photo with his girlfriend he began to cry. He reacted analogously to the photo of beloved cat. He tried to open his mouth when doctor asked him to show the tongue. In the evening during our visit he turned his eyes at the voice. It seemed that he smiled
sometimes. Before he had been slobbering, now he swallows it.
15.08.10 During the day the temperature is from 36.0 to 36.7. The pressure is 105х60. He reacts to a touch to his body.
14.08.10 During the day visit his eyes were open. His look appears intelligent but don't react to carry out any command. He clenches strongly things which are put in his hand. He budges his fingers more actively. The pressure is 101х60. The temperature is 36.0.
13.08.10 After tenth visit of recompression chamber at three o'clock in the afternoon Kostya was moved to Keila. During the evening visit he was not opening his eyes. The pressure is 97х60. The temperature is 35.5.
12.08.10 Today we started a treatment course according to the method of the head neurologist of Smolensk hospital with the use of medicines such as gliatilin, cortexin, cytoflavin, semax.
11.08.10 EEG result is gotten. It will be placed in the site in the nearest time. There are no particular changes.
10.08.10 Four months have passed since the accident. Kostya hasn't regained consciousness. EEG was made today, the result will be known tomorrow. The doctors began to reduce the amount of sedatives.
09.08.10 There are no particular changes. It was noticed that when talking with him on subjects which are dear to him he reacts changing the mimicry of his face (possibly it is coincidence). When we hold Kostya's hand he clenches it touching by each finger.
08.08.10 There are no changes.
07.08.10 He is inactive. The pressure is 88/53. The temperature is 36.2.
06.08.10 He practically didn't open his eyes in the evening. An influence of sedatives tells on him.
05.08.10 He stands the recompression chamber fine. Today the oxygen supply through the tracheotomy tube was completely turned off. He breathes on his own.
04.08.10 The third day of recompression chamber visit. He stands it fine. There are no changes.
03.08.10 The second day of recompression chamber visit. There are no changes.
02.08.10 During the evening visit he almost didn't open his eyes. Today there was the first treatment in a recompression chamber that lasted 25 minutes. As a nurse said Kostja reacted to something and was crying during 3-5 minutes before the recompression chamber visit.
01.08.10 Nothing new was observed. The condition is the same.
31.07.10 The temperature is normal. He is inactive. There are no changes.
30.07.10 In the afternoon Kostja was moved from Keila to Tallinn. He was sleeping all day.
29.07.10 There are no changes in the condition. As a nurse said she noticed Kostaja's frightened face during the thunderstorm. Moreover, when turning to him that it was time to stand up and go home a pathetic look appeared on his face. We want to believe that he understands something.
28.07.10 During the day his eye were open. Еhe pressure and temperature are normal. Any reactions on others were not noticed. On Friday Kostja is being moved to Mustamäe to carry out a barotherapy course.
27.07.10 He showed no activity. The temperature is normal.
26.07.10 There are no changes in the condition.
25.07.10 He practically did not open his eyes. He is sleepy all day.
24.07.10 There are no changes in the condition.
23.07.10 He is more active today. During a visiting his eyes are open practically all the time. Two interesting moments were being observe. At the first moment when shifting a ball from his one hand to another it was noticeable that the fingers of his free hand were reaching for the ball. At the second moment when turning on a player he was trying to begin to cry twice when the song "Как здорово, что все мы здесь сегодня собрались" was ending and "Соседка" by O. Mityaev was starting. At the third time it was not being observed.
22.07.10 The temperature is 36.8. He rarely opens his eyes. He is flabby and sleepy.
21.07.10 There are no changes in the condition.
20.07.10 There are no changes in the condition.
19.07.10 He is apathetic. He rarely opens his eyes. He follows the movements of people. The temperature is normal.
18.07.10 The temperature is normal. There are no changes in the condition.
17.07.10 Due to the big dose of sedatives he is inactive and rarely opens his eyes. The temperature is normal. There are no other changes.
16.07.10 The temperature is normal. He is inactive.
15.07.10 The temperature is normal. There are no changes in the condition.
14.07.10 The temperature is 37.4 in the afternoon. It fell to normal by the evening. The tracheotomy tube was changed. There are no changes in the rest.
13.07.10 The temperature is 37.5. The pulse reached 129 strokes per minute. The pupils are wide. He is very exited.
12.07.10 There was an epileptic seizure in the morning, therefore a treating doctor took the decision to increase the dose of sedatives. Due to the hot weather or the fit the temperature rose to 37.5
11.07.10 The temperature is normal. His eyes follow the environment turning very slightly his head.
10.07.10 Today it is three months since the accident. He moves actively his legs and left arm. In order not to damage the gastrostomy tube and tracheotomy tube the left hand was tied to bed. With the object of the gastrostomy tube healing the nourishment is limited and it amounts to 700 ml of nutricomp.
09.07.10 After the sedatives amount reduction his eyes are constantly open in the afternoon. He reacts to outer irritants with a change of mimicry on his face. The temperature is normal. The rest is without changes.
08.07.10 The temperature is 36.4. There is a big spasticity in his legs. His eyes are open widely but don't react to the environment.
07.07.10 The temperature is normal, the pressure is 94x58. There are no changes in the condition.
06.07.10 Doctors decreased a dose of anticonvulsants. Kostja is more active today. He opens his eyes more often. The temperature is 37.
05.07.10 The temperature is normal. There are no changes.
04.07.10 The temperature is normal. He opens his eyes from time to time. He is inactive. He reacts to outer irritants.
03.07.10 The temperature is normal. Doctors give B1, B6 vitamins, anticonvulsants and solution of potassium for the cardiac muscle strengthening. He is inactive.
02.07.10 During the day the temperature is changing from normal to 37.7 in the evening. There are no changes in the rest.
01.07.10 The temperature is 37.1 in the morning and it fell 36.5 by the evening. Due to the gastrostomy tube installatin the gymnastics and massage are temporarily canceled.
30.06.10 In the morning a gastrostomy tube was set up in the stomach instead of the nasogastral tube which Kostja was fed through. About 2:00 p.m. Kostja was moved to Keila. A chamber is for five persons. The temperature rose to 37.5 by the evening.
29.06.10 We lingered by a day in Tallinn. Kostja was active since morning, the activity fell down by the evening. The temperature is normal.
28.06.10 There are no changes. Tomorrow Kostja is being moved to Keila.
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