Jack Franklin Orange was feeling serene as he sipped his coffee while he watched the rambunctious birds outside the living room window of his log home, nestled in the woods in B.
A veterinarian, Jack is a dedicated birdwatcher and, on a splendid day last summer, he was thoroughly engaged by their flurried flights. Jack's home is in the tiny community of Horsefly and its environs comprises a world breeding centre for Barrow's goldeneye -- a
Jean dominique bauby wife sexual dysfunction duck -- and is thought to host British Columbia's only breeding colony of American white pelicans.
It's a favourite habitat for long-billed curlews, ring-billed gulls, grebes, Sandhill cranes, herring gulls and black terns. Jack savoured the splendour of the idyllic setting of his four-acre property, which borders a river and is perched over Horsefly Lake, named for the pesky, bountiful flying insects that populate the area in summer. It was the Saturday of the August long weekend and he had intended to do rather little.
The only task he was intent on completing that day involved hopping on his Honda Rubicon all-terrain vehicle "Jean dominique bauby wife sexual dysfunction" fetch firewood from nearby Horsefly Mountain.
His coffee cup empty, the year old Sudbury, Ont. Jack's wife, Hilda, was working on her computer in the den, a floor above, and when she realized she needed something from her desk in the basement, she descended the stairs. That's when she heard Jack call her, with an unusually faint voice.
Hilda frantically dialled and then anyone else she could summon for assistance. She rang neighbours, friends and her sister, who lived nearby, but no one was home; it was, after all, a gloriously warm and sunny holiday weekend at the height of summer. Their cabin in the woods is, as Hilda likes to say, "in no man's land.
A dispatcher told Hilda an ambulance was on its way, but Hilda felt helpless and horrified as she watched Jack sweating profusely and vomiting. She mistakenly thought Jack was suffering the effects of food poisoning from something he ate for breakfast. When the ambulance arrived, the crew of two loaded Jack on a stretcher and told Hilda to follow them.
She had managed to locate some friends and they drove with her. At Cariboo Memorial Hospital in Williams Lake, a doctor examined Jack and immediately knew he needed to get to a bigger hospital.
Since the CT scanner technician was not working that day, all the doctor could do was call for an air ambulance. Hilda didn't know what was going on or why Jack was being transferred to Royal Inland Hospital in Kamloops, but she realized the situation was dire.
Flying to Kamloops in the small aircraft, Hilda didn't realize her husband was in the "Jean dominique bauby wife sexual dysfunction" of a stroke, or that he was paralysed. Medical reports indicate the initial CT scan did not show any acute brain changes.
But a second scan, this time with dye injected into Jack's veins to show more detail, found his basilar artery, which supplies blood to the pons area of the brain stem, was blocked by a clot.
The brain stem is located where the spinal cord enters the skull. It is in the lower part of the brain; only about 15 per cent of strokes occur in the brain stem. It is the channel through which commands from the brain are sent to the rest of the body for movement and bodily functions.
While the far more common cerebral or brain stroke might involve one side of the brain and affect one side of the body, a stroke in the brain stem is potentially more catastrophic, usually affecting both sides of the body and almost always, speech, breathing and swallowing.
Worst of all, as Hilda Orange would learn, brain-stem strokes can leave victims with intact brains and sensations, so they think and feel everything, but they are left mute, defenceless and captive in their immobile bodies. Jack Orange, the veterinarian who had made his living for
Jean dominique bauby wife sexual dysfunction years the last eight in B.
He could communicate only by blinking his eyes, once for yes and twice for no. The six-foot-six former college basketball champ, who would soon be inducted, in absentia, into his alma mater's sports hall of fame, had a condition that's been described as akin to being "buried alive," and as a "fate worse than death. Strokes occur when the brain gets either too little blood or too much because of a blood-vessel rupture or leak. Jack's stroke occurred when a clot formed in his heart and was swept up into his aorta and carried through his bloodstream into the basilar artery.
A brain needs 29 ounces of blood to pass through it every minute, and Jack's embolism -- the obstruction of an artery by a clot -- interrupted the normal flow of "Jean dominique bauby wife sexual dysfunction," depriving his brain cells of oxygen and other necessary nutrients. Injection of a clot-busting drug called tissue plasminogen activator TPA into the veins to dissolve blood clots has proven to be effective in mitigating
Jean dominique bauby wife sexual dysfunction effects of strokes and increasing chances for a recovery.
The ideal window of opportunity within which to give such a drug is three hours. While stroke specialists at large hospitals like Vancouver General may be more aggressive and still give the drug several hours beyond the three hour window, it is not standard practice
Jean dominique bauby wife sexual dysfunction smaller hospitals. Before the drug is given, a CT scan must be done to confirm the location, presence and type of clot, and at Cariboo Memorial Hospital in Williams Lake, where Jack was first taken, the CT scanner isn't operated on weekends and there is no neurologist to supervise the administration of such a drug.
In the Kamloops hospital, doctors intubated the paralysed man to protect his airways, and hooked him up to a ventilator for airway control. In this surreal situation, Hilda called her daughter Laurie from her first marriage in Ontario; Jack's year-old son, Jon, an elementary-school French-immersion teacher in Abbotsford; plus Jack's year-old daughter Sarah, in Sudbury, and year-old daughter, Jessie, in Windsor.
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The children realized Jack was in grave condition and began to make plans to get to Kamloops. Jon Orange was stuck in traffic on the highway to Tofino, where he'd planned to camp with friends over the holiday weekend. His cell phone service was intermittent but when he was able to check his
Jean dominique bauby wife sexual dysfunction, he heard Hilda's earlier voice mail telling him to call the Williams Lake Hospital because something was wrong with his dad.
I got there at midnight," Jon said. Days after the stroke, after more tests, doctors told Hilda that Jack's stroke was likely caused by a previously undiagnosed heart condition called atrial fibrillation. It came as a shock to her, because he was so committed to healthful habits and he faithfully "Jean dominique bauby wife sexual dysfunction" for yearly medical checkups. But the condition was either new or so sporadic it had escaped detection.
During atrial fibrillation, the heart's upper chambers beat irregularly, out of sync with the lower chambers. The condition results in heart fluttering rather than regular beating, and that increases the risk of blood pooling, which leads to clots causing strokes.
Medications are the primary form of treatment to help regulate the heart's electrical system to reduce the risk of clots leading to strokes.
A voice reaches us, crying...
Jack's brain-stem stroke was the same kind portrayed in the multiple Academy Award-nominated movie, The Diving Bell and the Butterfly. The movie had not yet been released when Jack had his stroke, and Hilda knew nothing about brain-stem strokes or Locked-in syndrome.
The movie portrays the true story of French Elle magazine editor Jean-Dominique Bauby, who suffered a brain-stem stroke that left him with no physical control, except for
Jean dominique bauby wife sexual dysfunction ability to blink his left eyelid when his visitors held an alphabet board, calling out each letter until he blinked to select each one he wanted to spell out words. Last year, Jack Orange was one of about 1, residents of the B.
Interior who had a stroke caused by a clot that deprived their brains of necessary nutrients like oxygen and glucose. But brain-stem strokes causing Locked-in syndrome are so unusual it is likely that last summer, Jack Orange may well have been B. In the immediate aftermath of his stroke, Jack communicated only with his eyes; he "Jean dominique bauby wife sexual dysfunction" blinked to answer yes or no, or looked up for yes and down for no.
Nothing else moved in his muscular pound frame. Indeed, last August, Jack Orange was slipping away, and unlike Jean-Dominique Bauby, who managed to dictate -- througheye blinks -- an extraordinary book that spawned the current movie, Jack was in such a tenuous state that doctors began explaining to him and his family that they had the "option of forgoing further life-sustaining treatment.
Part 1: Suffering 'A fate...
In his job as a federal-government district veterinarian, Orange was responsible for
Jean dominique bauby wife sexual dysfunction that animals being exported to or imported from other countries would not bring in any diseases such as mad-cow disease or avian flu.
He ensured hygiene and humane slaughtering in processing plants and educated farmers and ranchers about making sure their animals were safe for human consumption. A graduate of the veterinary medicine program at the University of Guelph, Jack practised as a clinical vet before his work with the federal government led him to B. The job here was a chance to start a new life with Hilda, his partner of only five years.
Jack and Hilda met in the s when they were both working at a hospital in London, Ont. Hilda was a medical secretary in the kidney transplant unit.
When stroke victim Jean-Dominique Bauby's...
Jack and Laurie were so special because they were so grounded, so down to earth," says Hilda, who was then married to a man she eventually
Jean dominique bauby wife sexual dysfunction. About eight years after Jack and Hilda became friends, Jack's first wife was diagnosed with breast cancer, dying five years later at the age of Infour years after Jack's first wife died, Hilda moved in with him.
They had talked for years about getting out of the "southwestern Ontario rut" when the Canadian Food Inspection Agency opportunity in B. In the years since we moved here, we've camped, hiked and kayaked all over B. Their house overlooking Horsefly was initially a rental, but when it was offered for sale, they snapped it up, with ambitions to renovate and build a pottery shed for Hilda. The house was close to the one that Hilda's sister, Lucy Wright, shared with her husband.
It took a few years after their arrival in B. We were living our dream," says Hilda, patting away tears. In Septemberthey finally got married, on
Jean dominique bauby wife sexual dysfunction expansive beach in front of the Wickaninnish Inn, near Tofino, as the magnificent setting. A marriage commissioner led them through their vows and their photographer was the witness. But on their fifth anniversary, Jack was in the Kamloops hospital, a stroke victim fighting the numerous blood, skin and lung infections that can strike immobilized hospital patients, especially those hooked up to devices for basic life processes such as breathing, eating, and urinating. called Jean-Dominique Bauby, known to...
Doctors discussed with Hilda's and Jack's children whether they were merely prolonging Jack's suffering by continuing to treat the various
Jean dominique bauby wife sexual dysfunction and heart irregularities.
Initially, the family agreed to a "Do Not Resuscitate" DNR order, which meant Jack wouldn't be revived if his heart or lungs stopped working. It was too much for Jack and too much to bear," Hilda said. Collier, a neurologist who got involved in Jack's care about a week after his admission, recalled the situation in a recent interview.
I told him that he probably wouldn't walk and talk again and the picture I painted then was one of dependence. I doubted it was likely that he'd recover enough function to live independently.
But in these situations, you are always hoping you'll be proven wrong," said Collier. A few weeks after the DNR was placed on Jack's hospital chart, it was rescinded when Hilda changed her mind. We have to treat him,'" she recalls, referring to the fact that Jack had pneumonia but had not been receiving antibiotics for it since Hilda says she was initially swayed to believe it might be futile.
So various medications were started, but doctors were still not hopeful of a miraculous recovery, as medical reports indicate. Orange the severity of his neurological impairment and the probability that he may not be able to move
Jean dominique bauby wife sexual dysfunction arms and legs in a functionally useful manner ever again," says one report, written by Collier 10 days after Jack's stroke. Editorial Reviews. arabchildrencongress.com Review. We've...
Nevertheless, when presented with all the options, he repeatedly and reliably said he wishes to carry on. Collier said in an interview that while many people say they would not want to live if they were facing a life of extensive disabilities, "there is often a frame-shift when patients are actually in the situation and most people say they still want to persist. Another neurologist, who had noted in his report that Jack's prognosis was "grim If he lives, he will be most disabled," the doctor said in a manner Hilda considered far too blunt and insensitive.
Hilda recalls a nurse who witnessed the interaction rushed to her side, saying: Hilda had a meltdown because it signalled to her that doctors were giving
Jean dominique bauby wife sexual dysfunction on Jack, and that's the last thing she wanted. Yet that first night, there was a young, inexperienced Jean dominique bauby wife sexual dysfunction in charge of him and he was coughing up blood.
The blood was actually projectiling out
Jean dominique bauby wife sexual dysfunction his trachea tube and landing against the wall a few feet away," says Hilda, who had a cot in the room.
A few days later, while her sister, Lucy Wright, was visiting Jack, she sat next to him on a stool and said something so humorous that it sparked a response from Jack even though he was completely paralysed but for eye movement. It was merely a glint in his eyes suggestive of a smile, but it caught everyone in the room by surprise. It was the first time in three weeks that he could express emotion, just through a sparkle in his dreamy blue eyes and some subtle movement in his lips that suggested he was trying to smile," recalls Hilda.
When stroke victim Jean-Dominique Bauby's book was turned into a Bafta- winning film, the world wept for his tragic on-screen wife. But why. Editorial Reviews. arabchildrencongress.com Review. We've all got our idiosyncrasies when it comes to The Diving Bell and the Butterfly - Kindle edition by Jean-Dominique Bauby, Jeremy Leggatt.
day with his children, to imagine lying in bed beside his wife, to conjure up the flavor of delectable meals The Amputee's Guide to Sex. Jean-Dominique Bauby, editor of French Elle, had a contract with a and the grief of his ex-girlfriend having to speak his words to his current love. It is a film about a man who felt love, anger, amusement, and thought about sex.
You may notice problems with the display of certain parts of an article in other eReaders.
Fashion · Food · Recipes...
Fashion · Food · Recipes · Love & sex · Home & garden · Health & fitness · Family · Travel · Money It tells the remarkable story of Jean-Dominique Bauby, the In flashbacks Bauby is shown rolling in the sand with his girlfriend; We had some communication problems, but now I understand everything.". When stroke victim Jean-Dominique Bauby's book was turned into a Bafta- winning film, the world wept for his tragic on-screen wife. But why. A voice reaches us, crying out from the depths of a profound silence: "I am alive, I can think, and no one has the right to deny me these two. called Jean-Dominique Bauby, known to his friends as Jean-Do. You can visit the woman you love, lie down beside her and stroke her.
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She mistakenly thought Jack was suffering the effects of food poisoning from something he ate for breakfast. It came as a shock to her, because he was so committed to healthful habits and he faithfully went for yearly medical checkups. Medical reports indicate the initial CT scan did not show any acute brain changes. We've sent an email with instructions to create a new password. The film is a beautiful portrait of Bauby's extraordinary achievement in writing his book.
In the years since we moved here, we've camped, hiked and kayaked all over B. Visit our FAQ page for more information.
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