Current State Summary
Face / Head
Stable: Multiple fractures from the 2022 crash have structurally healed, but I still experience intermittent facial nerve irritation and sensitivity around the right cheek and temple. Flare-ups arise with overstimulation or travel but are generally stable. Headaches on and off but mostly stable with help of meds and injections.
Next: Continue monitoring; no new intervention expected.
Stable: Sinuses, facial reconstruction. Plates and bones appear to be stable.
Next: Persistent crusting at perforated septum and discharge as of 8/25, starting nebulized antiobiotic/steroid compounded med for one month (11/25), explore perforation repair surgery
Eyes
Stable: Post–orbital repair remains solid. Right eyelid repairs remain stable, eye closes fully, and dryness continues to improve.
Next: Exploring solutions to glare sensitivity with Denver Dry Eye and Neuropathic Pain Specialist.
Jaw / Bite / Mouth
Stable: Facial fracture repairs remain stable, sunises clear, oral and maxillofacial surgeries are stable, orthodontia work complete, dental work stable and complete. Nerve irritation and sensitivity as well as persistent numbness in lips, gums, teeth. Flare-ups arise with overstimulation or travel but are generally stable.
Active: Dental check ups to monitor health and stability.
Right Arm & Hand
Stable: Sensation has largely returned and fine motor control is improved, though endurance is still limited with prolonged tasks.
Next: No further surgeries or therapies planned.
Hips & Pelvis
Active: Right hip labrum repair, femoroplasty, and PAO are healing well and appear to be stable. Right hip is full weight-bearing and nearly off the cane, with gait retraining and glute/core integration continuing. Strength is improving weekly, though endurance remains limited.
Next: Left hip PAO + arthroscopy reconstruction scheduled for December; currently in pre-op preparation and conditioning mode.
Next: Continue strengthening and balance retraining ahead of left hip surgery.
Legs / Knees
Stable: Bilateral femur fractures.
Active: Gait is improving but still asymmetric due to continued right hip surgery healing. Knee pain and complications continue.
Next: Continue strengthening and balance retraining ahead of left hip surgery.
Ankles / Feet
Stable: left ankle tibia pilon fracture, right ankle syndesmosis repair
Next: left ankle complications post hardware removal, ongoing strengthening and stability work, neuropathic pain management
Active Care & Therapies
Active:
Taos PT 2x/week focused on surgical rehab (and prehab)
Home movement practice 3-4x/week for ~.5 hour
2x/day home scar treatments for new right hip scars
Taos PCP for medication management and guidance
Taos Pain Injection Specialist for trigger point injections and prolotherapy every few weeks
Taos Chiropractor/myofascial pain specialist weekly-ish
Taos Massage and Structural Integration weekly-ish
Taos Naturopath trained in Ayurveda, Escogue postural alignment, energy work including core synchronism and craniosacral, and movement therapy including pilates and gyrokinesis, weekly-ish
Behavioral Health, with somatics and trauma release, weekly-ish
Angel Fire Dentist every 3-6 months
Co Springs Face surgeon to continue to monitor facial healing progress and guide next steps
Taos Eye Dr
Denver Dry Eye and Neuropathic Pain Specialist
Boulder/Denver Hip Preservation Specialist Team
Taos ENT
Albuquerque ENT sub-specialty team
Upcoming:
Facial Reconstructive Surgeon
Inactive (but still, always on the team!):
Albuquerque Oral Surgeons
Albuquerque Orthodontist
Taos Orthopedic Surgeon for knees and hips
Albuquerque Orthopedic Surgeon
Albuquerque Neurologist
Albuquerque Oculoplastic surgeon/opthalmologist to monitor right eyelid malposition and eye dryness
Albuquerque Atlas Orthogonal Chiropractor
10/16/22 - facial reconstruction #1 (12 hours!)
10/16/22 - bilateral femur and ankle stabilization
10/17/22 - L ulna and middle/ring finger repair (ulnar digital nerve and joint damage)
10/18/22 - facial reconstruction #2
10/19/22 - bilateral femur repair with rods, R ankle tightrope fixation
10/24/22 - L ankle tibial pilon fracture repair
1/19/23 - mouth hardware removal and exposed plate assessment
6/6/23 - removal of two plates and additional screws from upper left mandible
6/6/23 - repair of left non-union ulna with longer plate
10/27/23 - R lower eyelid surgery to correct malposition (spacer graft in middle lamella)
11/27/23 - big jaw reconstruction! - segmental lefort with extensive bone grafting
4/5/24: R lower eyelid surgery to correct malposition (skin graft in outer lamella, canthal suspension)
11/26/24: removal of L ulna hardware
12/6/24: removal of exposed plate in nose on left side of face
12/12/24: removal of L ankle plates
2/27/25: tooth extraction and bone grafting
3/17/25: fat grafting to L cheek and nose; L cheek scar revision
8/4/25: R hip arthroscopic labrum repair and femeroplasty
8/11/25: R hip periacetabular osteotomy
Upcoming:
12/8/25: L hip arthroscopic labrum repair and femeroplasty
12/15/25: L hip periacetabular osteotomy
On the table but not planned:
repair of perforated septum contributing to uncontrolled nasal infection
Historical list of injuries when diagnosed
Face:
10/16/22: facial laceration, laceration of oral cavity, LeFort fractures at level I/II/III, bilateral orbit fractures, mandible fracture, in the surgeons words there was a "separation of face from skull" and fractures were "in such comminuted pieces it was hard to tell what bone came from where"
1/19/23: evidence of midface collapse, elongated middle facial third, concave midface deformity
11/27/23: saddle nose deformity with depressed nasal dorsum, scarring of left ala with asymmetric alar base. broad scar on nasal dorsum.
10/11/24: exposed plate in nose - “vertical buttress plate attaching at the maxillary left lateral incisor, which is slightly more angulated, now protrudes into the left nasal cavity” - removed 12/6/24
Right eye:
10/16/22: scar tissue pulling down lower lid, causing eye not to close
10/27/23 eyelid closes but there is severe ectropion eyelid
4/5/24 eyelid closes but continued severe ectropion
ectropion improved post 4/5/24 surgery
Mouth:
10/16/22: maxillary hypoplasia, apertognathia
11/27/23 still has malocclusion in the form of a crossbite
Right leg:
10/16/22: open FEMUR fracture, right ANKLE syndomosis repair with tightrope fixation, laceration of ANKLE
11/7/22: Heterotopic ossification (HO) near femur fx site (bone forms abnormally in soft tissue)
8/2/24: HIP: torn labrum, partial tear of gluteus Maximus
8/2/24: KNEE: fibrosis of Hoffa’s fat
4/25: HIP: displaysia, rotated femur
Left leg:
10/16/22: open FEMUR fracture, ANKLE: open fracture of proximal end of L tibia (plafond fx/pilon fx)
8/2/24: KNEE: fibrosis of Hoffa’s fat, early signs of arthritis
4/35: HIP: torn labrum, displaysia, rotated femur
Arm/hand:
10/16/22: open fracture of shaft of left ulna, laceration of hand, central slip of left ring finger, traumatic arthrotomy of proximal interphalangeal joint of the left ring finger, ulnar digital nerve laceration left long finger
6/5/23: non-union ulnar fracture
10/16/22: Acute respiratory failure following trauma and surgery, bilateral pulmonary contusion, postprocedural pneumothorax
10/16/22: Acute blood loss anemia and thrombocytopenia
