Help Audrey Overcome Her Traumatic Brain Injury

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Organizer: Emily Roper Beneficiary: Audrey Ogan

A horse accident has left 10 year old Audrey with a fractured skull and a tramatic brain injury, TBI. Please help us support her and her parents as they undergo and seek treatment for her.

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Fundraiser Details

On March 25th Audrey Ogan suffered a traumatic brain injuring while caring for her pony Charlie. After the morning session of Pony Camp, Audrey assisted in putting the ponies back in their runs. Upon completing this task, Audrey returned to visit Charlie who was resting in his run. Audrey’s contact with Charlie startled him triggering a natural “flight” reflex inadvertently knocking Audrey to the ground and stepping on her head.

Audrey received immediate medical attention from her mother Berni Ogan as well as the Pony Camp staff. Springfield Fire and Life Safety was dispatched and transported her to Riverbend Medical Center. Upon evaluation of Audrey’s injuries it was determined that she needed advanced medical care and was taken by LifeFlight to Emanuel Children’s Hospital in Portland.

Upon arriving at Emmanuel Audrey was taken to surgery to stabilize her multiple skull fractures and further evaluate the significance of her injuries. After surgery Audrey was admitted to the Pediatric Intensive Care Unit where she has received exceptional care and has made tremendous progress with hopes to continue her treatment at home soon. Each day is a new journey as the injury continues to define itself.

Audrey is an advanced equestrian, she is a 16 time National Congress Champion as well as a highly accomplished POA show circuit participant. She is a very conscientious and technical rider who you will never find on the back of a pony without a riding helmet.

Audrey’s parents are James and Berni Ogan and their family owns and runs Pacific Equestrian Center. Berni herself is also an accomplished equestrian and is a personal instructor teaching both basic and advanced riding fundamentals. Pacific Equestrian Center prides itself on its family atmosphere and its dedication to rider education and safety.

The Ogan family would like to thank everyone for the tremendous outpouring of love and support in Audrey’s time of need, it has truly been a blessing. We hope this information provides peace of mind to the cause of her accident. The family will not be able to respond to requests for further details or updates as the primary focus is on the care and well-being of Audrey. They are grateful for all of the support and humbled by the love and generosity of the community.

If you would like to assist the Ogan family on the road to Audrey’s recovery you may do so by thought, prayer, or financial assistance. The Ogan family does have medical insurance but it will not cover the large financial burden that will come with Audrey’s long journey through recovery.

 

 

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Updates

Updates

04/06/2014
by Emily Roper

Update from James Ogan (Audrey's dad)

Wow, what a week! People that know me, know that I am not much for words. I believe that actions speak louder than words. I try to live my life by the rules of kindergarten: say please and thank you, if you don’t have anything nice to say don’t say anything at all, share, and Ethan’s favorite “ you get what you get and you don’t throw a fit”.
People often offer to lend a hand around the barn and I often will thank them and say ok, but I seldom ever accept the offer. The reason is twofold. One is, I am particular with the way I like things done. The other is I feel obligated to return the favor in the future. However, with the lifestyle my family leads, I know that I will not have any “free time” to return the favor.
Last week Berni and I walked away from our everyday life to care for Audrey. Nothing coordinated, no plans in place, we just up and left. The only concern we had for eight long days was for our dear, sweet, Audrey. As all of you know, we were blessed by the grace of God, and returned with the girl that we all know and love. The road to a full recovery will be a long and bumpy one, but that is a journey that I will be happy to go on.
Upon our arrival home, everything seemed just as we had left. People were riding in the arena, lessons were being given. The chickens were happy and the cats and goats waiting for their food, but there were a few changes. Audrey now had a bedroom downstairs, and the house was cleaned up. There was one item that had not changed and that was the side porch. That hit me like a brick to see Tuesday’s Pony Camp art project. It instantly sobered the joy that I had in bringing Audrey home. It made me think how close we came to losing one of the best things in my life. As I stood there staring at the mural my thoughts changed from the sadness of that day to the blessing that my family has. I knew that my family had a close bond. What I didn’t fully realize is exactly how big my family was.
If you read the definition of family in the dictionary you will find that the definition explains a kinship defined by blood relation. Unfortunately it was the blood of my little girl that defined my family to me. My family consists not only of my wife, children, mother, father and brothers and sisters. But it also consists of the many people that my family has come in contact with over the last number of years. I did not realize how many people have touched my life. Berni and I were in the ICU one night hoping and praying for Audrey when she showed me the youcaring site. I could only start reading the explanation for the fundraiser before my eyes were filled with tears. It was that moment when I realized how many people were in my family. I saw that there were already one hundred people that had contributed to the fundraiser. It wasn’t until the next day could I bring myself to read the rest of the comments that people posted.
I am a proud person who always believed that I would be able to provide for my family. In this hardship I have come to realize that there are some things that I need help with. All the financial donations are appreciated. The prayers for my family are greatly appreciated. I will never be able to repay all of you for your support. We know that we are just beginning the journey to Audrey’s recovery. We will have moments of up’s and down’s. But the most important thing is that I still have my daughter, and that I have a new understanding of my family.
This is where I will have to go back to what I learned in kindergarten.
THANK YOU
James Ogan


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04/03/2014
by Emily Roper

Update from Berni:

Miracle of all miracles, not only did we get to come home from Randall's Children Hospital yesterday, but my daughter WALKED (really, almost strutted) UNASSISTED out of the front doors!

Audrey is such a strong girl. She has grit and determination, as well as a good work ethic and personal drive. Because of those personal characteristics I am confident she will continue to push through any obstacle she comes up against in her recovery.

Thank you so very much for all of your prayers, love, support, help and personal stories that offer encouragement and hope! I am a believer in God and his forgiveness and mercy. However, I struggle with my personal relationship with God -- so I wouldn't consider myself to be a strong Christian or "Religious". Because of all your prayers, I felt the hand of God in the hospital. In our darkest hours, not knowing whether or not Audrey would even make it, and if she did to what extent she would recover, His presence was in the room. God put on my heart scripture that I haven't heard of or thought of since I was a little girl. Granted, I had to Google the exact texts and what the versus were.

On our way home, James shared with me a quote that came to him while in the hospital. (I am crying as I type this) "You are a great champion.
When you ran, the ground shook.The sky opened, and mere mortals parted. Parted the way to victory, where you'll meet me in the winner's circle - and I'll put a blanket of flowers on your back. " -- from Dreamer the Movie

I do believe each of us has a purpose in this life. God must have big plans for this girl. We will continue to need your prayers throughout recovery. Audrey has been very emotional (as should be expected). She cannot quite fathom the activity restrictions she has placed upon her for her safety. She is an independent and self sufficient girl -- so having to depend upon others is hard. She also cannot believe that she will most likely be restricted from riding her beloved pony, Charlie, for at least 6 months. It seems trivial through all of this, but it is a big deal to a girl who rides a couple of hours a day each day. Charlie is really her best friend and partner. Audrey also does have a real understanding that she could have died. She has been so thoughtful, even when she couldn't speak much, or stay awake for longer than 10 minutes at a time. Any time we would show her something someone had brought for her, or recount how people had or were helping her, she would say, "That is so nice.", or, "I will have to tell them thank you." or "I will have to give them a big hug."

Audrey is such an amazing human being at only 10 years old. She is my inspiration!

We are very happy to be home with our family together, all under one roof. Thank you Jesus! I can NEVER thank you all enough.


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04/03/2014
by Emily Roper

UPDATE (1:00 p.m. Wednesday April 2) from Uncle John: 

Fantastic news! After 8 days at Emanuel Hospital Audrey was discharged this afternoon!  She walked out on her own two feet and is on her way home as I write.  Berni will provide an update later today or perhaps tomorrow after they all settle in back at home, but she asked that I let you all share the excitement and relief with all of you right away.  Audrey will be doing some therapy work to continue her recovery, but we know she will continue to grow stronger every day.  We want to thank Emily Roper for starting this drive all on her own.  Thank you Emily!!  It is going to really help.  And everybody that enlisted in Audrey’s Army offering prayers and cards and positive thoughts and contributions were a pillar of support and comfort to Berni, James an Audrey.  Thank you all so very much. That’s all from me and for now.  Berni may share more here and/or on her FB later today once settled. It would be great if you could take just a few moments to pause what you’re are doing, and savor this good news with the family as it is happening right now. Again, and again, thank you all so very much!


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03/31/2014
by Emily Roper
Updates from Berni:

3/30 9:30pm: Thank you Jesus.. My girl is improving! She is excited about the prospect of getting a puppy...but, she doesn't know what kind she wants. We went to the "Teen Lounge" to use the computer to try and look for puppies for sale. The bright screen was a little overwhelming so we kept our search short. We hung out on the couch and chatted. We told her that Uncle Carl may go to her school and clarify to the school and kids what happened to her. We told her a rumor that Carl had heard about how Audrey sneaked her pony out and tried riding him standing up and he bucked her off. She busted up laughing because it was ridiculous on so many levels. Then I told her about how Lilly, our now 40 year old pony, hurt me a few years ago and landed me in the ER. She thought that was hilarious and cracked up. We talked about how thirsty she was in the ICU and how she threatened to get up and go get water. James recounted about how one time she couldn't think of the word drinking fountain and called it an actor. More laughter all around. When we got back to the room she started pushing buttons on her bed. She said, "I'm just pushing buttons because I'm bored. I'm not going to be sad that my bed at home does not have buttons." OH MY GOD I LOVE THIS KID

3/31 8:30 am: Audrey is excitedly awaiting visits from Megan , Emily , Terri and Diana ! She told me that she wants Megan to stay here for the day in her place so she could get the heck out of here. She walked even better on her own to the bathroom (but I've become a helicopter parent on steroids because I don't want her to fall). Her left arm is getting much stronger! Now to get the skinny girl EATING!

3/31 2:30 pm: Ok.. Let me tell you this has been one this has been one hell of a rollercoaster that I did not sign up for! But, God is so good. We don't have a set timeline yet, but it is POSSIBLE we may be packing to go home mid week! I grew up believing in God and His goodness, but have always (and know I still will because it is my nature) struggled to have a relationship and faith that God is truly in control. I know in my darkest hours God was there for me and my family! I still cannot wrap my brain around all of the prayer, support, help and selflessness people have shown. Just less than a week ago no one could tell me if my beautiful girl would live. Now we are confident that she will walk out of this hospital and come home! I know I don't deserve God's faithfulness. It truly has been amazing that I could literally step out of my life in an instant, and people stepped up to make sure everything continued to run. There is no way, and will be no way that I can thank EVERYONE. We will not be back to 100% overnight, but we will be working hard (with God's help) to achieve it. I still owe 9 cuties 2 1/2 days of horse camp!

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03/30/2014
by Emily Roper
Update from Berni:

Puppy... What puppy? My family would NEVER break rules and sneak a puppy into visit! Audrey was very interactive with her lil siblings today. She seemed happy to see them. They were happy to see her, although a little concerned about the 30 staples in her scalp. After we took a lunch break, we came up to find her taking a stroll around the floor in a wheelchair. She and James decided the carpet was a lot bumpier than it looks. As Uncle Rob and Aunt 
Becky were preparing to leave with Ethan and Olivia, Bubby, Papa, Aunt Staci , Uncle Richey and Heather Hough came with a little surprise visitor, Oliver. She was happy to pet and hold him. We talked about the possibly of getting her a puppy. She lit up the room with her smile. I told her she would have to get well enough to help me take it out to go potty. She said, "I'll have to teach this arm to work." James and Audrey and her nurse came up with some goals for her to meet (getting up, eating more) all as steps toward being ready to go home.
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03/30/2014
by Emily Roper
Audrey had a fairly good night. After eating salad and drinking milk she slept pretty well. She continues to need some morphine on occasion because as her pain medication starts wearing off she starts to hit a wall of pain. Her blood sodium levels have dropped some so she is on a maintenance IV. She's moving her left arm more and more, baby steps -- but we're noticing. The weakness on the left side of her face is slowly fading. They will be deciding on whether or not she will need outpatient or inpatient rehab. When the mention of inpatient came up I felt sick to my stomach (literally) as the mention of weeks came up. I honestly believe we will get orders for outpatient. Although we want what is best for her, I think she will heal more quickly at home with her goats, chickens, horses, soon to be pigs etc. Audrey doesn't know how to be stuck inside. My thought is that with a reason to use her left arm, or work on her speech etc. she will perform better. James even told me (don't tell her yet) that we could get her a puppy if she so desired. Rhea Turner-Craddock has graciously said she can continue Audrey's miniature horse's driving training so he won't be as much of a work on progress when Audrey can take the reins. Sky Moskowitz has taken the job of maintaining Charlie so after Audrey is safe to ride he'll be ready. She has asked who all has come to visit her. She knows she has a ton of people rooting for her. Today is going to be a great day-- she started it off with a chocolate donut.
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03/30/2014
by Emily Roper
Audrey had a fairly good night. After eating salad and drinking milk she slept pretty well. She continues to need some morphine on occasion because as her pain medication starts wearing off she starts to hit a wall of pain. Her blood sodium levels have dropped some so she is on a maintenance IV. She's moving her left arm more and more, baby steps -- but we're noticing. The weakness on the left side of her face is slowly fading. They will be deciding on whether or not she will need outpatient or inpatient rehab. When the mention of inpatient came up I felt sick to my stomach (literally) as the mention of weeks came up. I honestly believe we will get orders for outpatient. Although we want what is best for her, I think she will heal more quickly at home with her goats, chickens, horses, soon to be pigs etc. Audrey doesn't know how to be stuck inside. My thought is that with a reason to use her left arm, or work on her speech etc. she will perform better. James even told me (don't tell her yet) that we could get her a puppy if she so desired. Rhea Turner-Craddock has graciously said she can continue Audrey's miniature horse's driving training so he won't be as much of a work on progress when Audrey can take the reins. Sky Moskowitz has taken the job of maintaining Charlie so after Audrey is safe to ride he'll be ready. She has asked who all has come to visit her. She knows she has a ton of people rooting for her. Today is going to be a great day-- she started it off with a chocolate donut.
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03/30/2014
by Emily Roper
UPDATE (9:00 pm Saturday) from Uncle John:
 
Audrey and her family continue to marvel at the love and support pouring in from near and far. Seeing the generosity and love from so many is humbling.
Today Audrey's neurosurgeon leading her treatment spoke with the family and he is pleased with her progress. He continues to be very optimistic regarding the challenges she is having with her left arm and hand. Speech, occupational and physical therapists were back again today for evaluations and treatment plan development. Berni and James will be doing some stimulation exercises with Audrey's arm to "send signals" to her brain to start restoring function. Also some stretching exercises with her hand. We haven't mentioned it before as I recall, but Audrey has a lot of neck pain - she persistently wants ice for it. She also started some exercise for her neck.
One of the issues that the family is working on is Audrey's speech therapy. There is some push for an extended in-patient program but she is "right on the line" for this. Out-patient coupled with home treatment is the other option. Berni, James, and Audrey are researching, talking and deciding what is best for them.
As noted before, recovery from this TBI has been amazingly rapid to date but there is a long road ahead. A slight set-back this evening with Audrey's ability to self regulate sodium, so she will have that supplemented again after being off of it for about 24 hours. Nutrition is also very important now. This challenges Audrey, as she is normally a selective and light eater. It's been tough to make advances here. James is focusing lots of energy on this. It's been pretty much jello until James got her to take some salad. Audrey's eyes brightened when James mentioned pizza a bit ago - he will be getting some of that pepperoni contraband from a place across the parking lot (everybody keep quiet!).
To conclude, the idea is to cruise through the night and tomorrow with same plan as today. There will be a big huddle of the doctors Monday to see what the next week treatment plan looks like. Everybody think hungry thoughts for Audrey so she can start taking positive steps on nutrition. And let's keep sending positive thoughts, prayers, notes, cards, or whatever feels right from Audrey's Army - every well-wish is received and Audrey sharing those with Audrey is a way to both give her power and work her recovery. Thank all of you so much. Check Berni's FB and here for updates

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03/29/2014
by Emily Roper
I know there has been a lot of speciation about how Audrey got hurt. This explains her situation in more detail.  Thanks again for l your support and prayers! 

On March 25th Audrey Ogan suffered a traumatic brain injuring while caring for her pony Charlie. After the morning session of Pony Camp, Audrey assisted in putting the ponies back in their runs. Upon completing this task, Audrey returned to visit Charlie who was resting in his run. Audrey’s contact with Charlie startled him triggering a natural “flight” reflex inadvertently knocking Audrey to the ground and stepping on her head.

Audrey received immediate medical attention from her mother Berni Ogan as well as the Pony Camp staff. Springfield Fire and Life Safety was dispatched and transported her to Riverbend Medical Center. Upon evaluation of Audrey’s injuries it was determined that she needed advanced medical care and was taken by LifeFlight to Emanuel Children’s Hospital in Portland.

Upon arriving at Emmanuel Audrey was taken to surgery to stabilize her multiple skull fractures and further evaluate the significance of her injuries. After surgery Audrey was admitted to the Pediatric Intensive Care Unit where she has received exceptional care and has made tremendous progress with hopes to continue her treatment at home soon. Each day is a new journey as the injury continues to define itself.

Audrey is an advanced equestrian, she is a 16 time National Congress Champion as well as a highly accomplished POA show circuit participant. She is a very conscientious and technical rider who you will never find on the back of a pony without a riding helmet.

Audrey’s parents are James and Berni Ogan and their family owns and runs Pacific Equestrian Center. Berni herself is also an accomplished equestrian and is a personal instructor teaching both basic and advanced riding fundamentals. Pacific Equestrian Center prides itself on its family atmosphere and its dedication to rider education and safety.

The Ogan family would like to thank everyone for the tremendous outpouring of love and support in Audrey’s time of need, it has truly been a blessing. We hope this information provides peace of mind to the cause of her accident. The family will not be able to respond to requests for further details or updates as the primary focus is on the care and well-being of Audrey. They are grateful for all of the support and humbled by the love and generosity of the community.

If you would like to assist the Ogan family on the road to Audrey’s recovery you may do so by thought, prayer, or financial assistance. The Ogan family does have medical insurance but it will not cover the large financial burden that will come with Audrey’s long journey through recovery.

 

Contributions may be made to the following;

  • Northwest Community Credit Union

Deposit to account 5305141177"Donation Acct for Audrey Ogan".

Please make checks payable to Audrey Ogan.

 


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03/28/2014
by Emily Roper
Update from Uncle John:

2:00 pm Emanuel Hospital: 
This is going to be a really fun update to read. Yesterday seemed to go by so slowly and with such small steps. Lots and lots of waiting and watching. But starting at 11 o'clock last night things seem to have gone to WARP speed with Audrey. Last night at 11:06 PM we all got to watch Audrey get fully out of bed and on her own 2 feet for the first time since the injury. Berni and James were taking a short nap and I was sitting watch when Audrey tossed the covers off of her with her strong right hand and pointed to the bathroom and said "I'm going in there!" She was sitting up and moving out when I popped up to grab her and stop her charge with all of her tubes and wires tangling all around her. Being the rule follower that she is, she said it would be okay if she had to wait until we got the nurse. Read about the rest of it on Berni's Facebook page. That would've been enough to hold everybody over in celebration for this day, but there's more. Her swelling is greatly reduced and she's opening both eyes and has bursts of 10 minute episodes where she is full of questions about what happened, who did what, why she's there, but most importantly when do I get to go home? And she is asking specifically about her friends. The speech therapist, occupational therapist and physical therapist evaluations were done earlier this morning. She did "superduper" on everything. She does have some work to do in all areas, but everything looks very manageable to her, the experts,and to Berni and James. And we're  not finished yet, there's more great news – it's almost a certainty that she will leave the ICU today and get to go to a more comfortable and less noisy room before the day is over. Earlier this morning she asked her daddy to show her all of the cards and letters and nice things that people have sent to her. She looked at each and every thing that her friends have given her to help her feel better.
I move now to a few more sharing appropriate medical details: The neurosurgeon evaluated Audrey this morning and spoke with the family. Audrey's injury is to the pre-motor skill area of her brain. The surgeon said that a traumatic injury in this area typically fully resolves for a child of Audrey's age and general health. And to clarify or correct some of my possible errors in the past updates, this injury is the right side of her head. The skull portion that was dislodged here is now held in place with eight titanium fixtures. These will remain as "internal bling"for Audrey's life, and will likely have bone ossify over and encase them as she grows. They promised that because they are titanium this won't be a problem for Audrey as she travels back-and-forth through airports (surely for equestrian events!). The surgeon confirmed that the fracture that traversed from left to right on her skull was along but we've called a "fusion line". The correct name for this feature is the coronal suture. He confirmed that it was separated fully from one side to the other, but there was no manipulation required here, and that this fracture will close itself naturally. And one of my favorite clarifications from this visit was that the bleed inside her skull epi-dural, meaning it was between the protective dura and the skull and not inside of the dura (sub-dural) next adjacent to the brain. Finally, Audrey is self regulating her sodium levels very well. This is great news, as it means the risk of brain swelling is reduced, and that she is ready to move to a less critical care situation. The surgeon said that generally speaking Audrey's care will be maintained as it has been here through at least the weekend. Everything gets reevaluated sometime Sunday it looks like.
That's all for now, except to say that you've all been so appreciated and needed for Audrey to get to where she is now. She knows many of her buddies are headed to a horse show this afternoon and tomorrow morning, and she has said that she is sad that she can't go. From all of the outpouring of love she knows that they are sad that she won't be there. It may be a a while before Audrey is with them on Charlie at a show, but it's going to happen sooner or later. This is the first time since this horrific accident I have felt 100% confident that that would be the case. More updates as warranted, and do follow Berni on her Facebook.

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03/28/2014
by Emily Roper
Updates from Berni today:

9:30 am: Today we are going to encourage Audrey to try and eat. That is hard for a kid who has a minimal appetite normally. At first she said she wasn't interested, but we were able to talk her into trying to eat applesauce (which we are still waiting for as I write this). Uncle John showed her photos from our last "Trout Camp" that Kelly ( Kathy Koster-Smith) brought for her to encourage her to work really hard on her left arm strength. James read and showed her cards from friends, cousins and siblings. She watched a video that Terri and some barn peeps sent her. She is seeing the speech therapist as I'm writing this. OTPT with be in soon.

11:30 am: OTPT just left. Audrey's balance is great, praise God! She is very weak in her left arm. James will be doing exercises with her to help increase her mobility in that arm. She'll wear a resting brace on her hand for part of the day to keep her hand open. Her neck is really bothering her on the right side. She'll be doing some stretches to address that. Our goal is to get her used to sitting up. She is dizzy when she is upright (who wouldn't be with multiple skull fractures). They want her to build up to 20 to 30 minutes at a time. They will also be working her up to walking 50 feet. She's exhausted now and resting. She also is free to drink as much water as she wants!

6:00 pm: Audrey continues to amaze us. She has been walking to and from the bathroom with very little assistance. She has said things about how nice or sweet people are for making her things and being worried about her. The swelling on her face continues to subside. Her left eye is very bloodshot, but her right eye (meaning the right side of her head) and right side of her neck are really hurting her. She has started eating jello and chicken noodle soup little bits at a time. She thanked Uncle John for helping her "so much the last couple of nights." Aunt Holly and Cousin Jadyn came to visit. Audrey smiled a couple of times and thanked Jay for hanging up the cards that people have sent. She is doing amazing. It is very hard to see her in pain and unable to get comfortable without a struggle.
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03/28/2014
by Emily Roper
Updates from Berni:

Aunt Becky and Uncle Rob brought Olivia and Ethan for a visit. They did a great job! They were so happy to see Audrey. They have both been very worried. When Becky picked Ethan up from our house on Tuesday he said, "If today was the last day I ever saw Audrey that would be very sad." Rob and Becky stayed on Audrey watch so James and I could take a break and have dinner in the hospital cafe with the 2 little guys. We forgot about the floor being shut down for an hour between 7 & 8, so we were shut out a little longer than planned. She had some awake time and conversed with them and sister/cousin Syd. She called Sydni by her nickname "Squid". She asked what day she got here. She then asked how many days she has been here. She concluded on her own that today is Thursday. Praise God! She is complaining a lot about her right eye hurting. Becky helped her ice it. She told Becky that she was "awesome". She also asked to use the bathroom and did. Maybe a little tmi, but totally a miracle! Her sodium levels are maintaining which means 2 things... The most important to me: we should be leaving ICU as early as tomorrow afternoon. The most important to Audrey: she'll get to drink WATER!

11:06 Was Audrey's first time out of bed. She had to use the bathroom again. Her head and face are so swollen, and her eyes are starting to blacken. She sat up and was ready to march over to the bathroom. Her spirit is more ready and willing than her body, and Uncle John had to remind her to wait for help. Afterward, she did not want to go back to bed. She wanted to go to the couch, but was cooper
ative when the nurse told her she had to go the the bed. Her right eye and right side of her head hurt (right side of head was main impact and then surgery site). She keeps asking about a different room now because she heard we'll be (hopefully) moving out of ICU tomorrow, and she will get to drink water. She picked up and chewed all of her Tylenol on her own. She realized, found and picked up part of a tablet that she dropped. She dipped the toothette in water herself between tablets. She is resting and icing the right side of her neck. Her neck and spine are undamaged (confirmed by her CT) however, she has to have some soft tissue injuries to the back of the right side of her neck because it continues to bother her. God's miracles keep on coming. 2 days ago I wasn't sure if I would get to hold, talk to, see, have Audrey ever again as they loaded her up first in the ambulance, then in the helicopter. Tomorrow she's walking with assistance. Thank you Jesus!

3am: Audrey was up again! Some quotes, "Uncle John has been helping me a lot." "I miss home really bad. I haven't been able to sleep in this hospital at all." "I hate this hospital." "Why am I here." When I explained she hit her head really hard at the barn, she asked me if she had permission to be there, "or was I not following directions?" I assured her that she never needs permission to visit her po
ny. She asked if he got scared (I think from us telling her before). She asked how I "suspected something". I told her Carly Bramhall came and told me her she had a bad fall. She said, "I'll have to thank Carly." I assured her that I already have. She asked how I called the helicopter. She asked how she looked in his stall. She asked why she has a bandage on her head. Then thanked me several times for "telling me that." I asked if she remembered helping me at Pony Camp. I told her she had just got done videoing jumping. She said, "That was not very long ago. Did you have to stop pony camp?" I told her she is more important than Pony Camp! She asked what day it was and what day of pony camp we were on. She asked if Aunt Annie was here. I told her she was at our house with Emily . I told her they were going to be getting ready for the show this weekend. She wanted to know if she would get to go to the show. She instructed me how to hold her ice pack like Aunt Becky did because, "how she did it felt so good." I told her how everyone misses her, and howRiley made her a quilt. She said, "Riley is such a nice person." She has asked about school. So happy that she can ask these questions! So sad and sweet that she is concerned about her choices and other people. Of course I assured her it was not her fault! I LOVE THIS GIRL! Thank you, God, for giving her to me! Phew, after all that she is back to sleep.
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03/28/2014
by Emily Roper
Update from Uncle John:

First Berni and James thank you all for the outpouring of support, as does all of the Ogan/Silver Family members. Hours slid by slowly today and each and every one of your notes of encouragement, faith and offers of assistance have been read by James and Berni as they wait for each new word from Audrey or a doctor. Instead of enduring the endless "beeps and buzzes" of the monitors they read your words. They talk about your notes and I see the smiles, and positive energy - and I hope they don't mind me saying, more than a few tears of happiness and humility as they realize how their family is being so strongly supported.
Today saw small positive steps. The neurosurgeon saw Audrey tonight and told Berni and James that Audrey is continuing to take small but encouraging steps. Her ability to self-regulate sodium improved consistently over the day and he was pleased to see this. The observed left side limitations persist tonight, and diagnosis of this is a work in progress. The physiological indicators are being closely watched also point to a lack of brain swelling/bleeding complications that can attend a TBI.
The highlight by far today was Audrey getting to briefly see her brother Ethan and sister Olivia! They had not seen her since the ambulance left with their big sister on Tuesday. Not a dry eye when Ethan said "I'm so glad Audrey is going to be OK" and kissed her. Audrey mustered a little purse of her lips as he leaned in to her bed. I'm sorry there are not more medically related details to report tonight. Again, "marathon not a sprint" is the situation - but the initial strides are behind her and they are long ones. Please keep Audrey in your thoughts and prayers and know that you are having a tangible and direct impact on Audrey's recovery. Berni and James have been freed to focus 100% on Audrey and each other by all that you are doing. Keep spreading the word for Audrey - prayers from all the world time zones reach the Lord's ears and then those of Audrey, James and Berni. Good night - be well - thank you.

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03/27/2014
by Emily Roper
Update from Uncle John (noon Thursday):
 
Audrey is literally 48 hours into her ordeal. 48 hours ago her mom was watching her broken body loading into an ambulance at the stable. It looks like day 48 of the ordeal on the faces of her parents. All of the support given has allowed them to focus on Audrey and the doctors/nurses and advocate for Audrey as proactive members of the team planning her treatment. Thank all of you contributing with love, prayers, funds, everything, for permitting this - it makes all of you part of Audrey's Army of support. Medically, things appear to be as positive as possible. Audrey is more interactive with those around her. Her brain is able to better self regulate sodium levels today, and more progress on that is a large part of the game plan for today. This regulation is important to prevent brain swelling. Audrey has Some diminished strength with left side limbs and left partial facial paralysis. These are not uncommon for a TBI, and for this stage of her recovery. This is also a focus of her care today. Berni was an active participant in "rounds" today with the medical team - providing specific details of Audrey's experiences in the night, asking for explanations regarding treatment details, and getting Audrey back on baseline pain meds that were withdrawn in the night because of high cost and hospital concern about insurance coverage. Again, all of the support pouring in enables Berni and James to focus on Audrey, and be such involved and focused advocates with her care team. Today appears to be setting up as a long period of "wait and watch" - there is no normal course or plan for a severe TBI such as this, nor is there a typical timeline. Audrey is swollen and a sick little girl today - but all Audrey. When told over and over that nobody can bring her a glass of water she so desperately wants she said: "am I going to have to get up to get some water!?" Watch her and Berni's FB for updates. Thank you all so much. I'm here to tell you from the bedside that everything being given - prayers, encouragement, donations, and love are directly helping Audrey recover and Berni and James keep focused on her. A special thank you to those out there not privileged to know Audrey or her parents personally, but pitching in out of love and as a rally within the horse community! Audrey will have all of these well wishes from old friends and now new ones across the country to give her power and encouragement on her long road of recovery before her.

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03/27/2014
by Emily Roper
Update from Annie Ogan (Audrey's Aunt)

Audrey continues to improve though it will be a long and difficult road. She is the most determined, driven child I've ever met but the most important thing for her to do now is rest, relax and not rush. Right now the doctors are working 
to regulate her sodium level to prevent any brain swelling and the fluids and sodium manipulation have her very swollen and very thirsty. Her family remains by her side and all those of us stuck at home are coordinating the hundreds of things that Berni is usually responsible for in any given day. Many of us will proceed with the first Oregon POA show of the season this weekend and will be sad to show without Audrey and Charlie in the lineup but are all so relieved that she'll be back in the saddle someday. All her friends and cousins have made donations buckets for the local feed and tack stores and to take to the show. The online fundraising effort is amazing and is providing wonderful relief for her family as the prospect of a long recovery and significant costs unfold before them. Huge THANKS and gratitude to all Berni and James' wonderful barn family who are caring for at least 60 horses and making sure everything runs smoothly. Please continue to share Audrey's story! And thank you all, every one, for all you prayers, donations and words of love and support. 
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03/27/2014
by Emily Roper
From Berni (mom):

Thursday am:  Audrey continues to want water. The reason she can't have it right now is that her sodium levels were low. Her body was having difficulty regulating her levels. Low sodium levels can increase brain swelling. They have had her on concentrated levels of sodium in her IV. Good news is her sodium levels are normal now and they are weaning her off the extra sodium. Thank the Lord. She has been sleeping more restlessly. She is mostly coherent and makes sense when she speaks. It is very sweet -- she keeps describing her thirst, level of cold and now hunger as "Super Duper". It's also a little bittersweet because that is not really a saying I have known her to use. She also continues to be very weak on her left side. I am fervently praying and claiming for her that the little girl we take home going to make a 100% full recovery. Matthew 21:22 And all things, whatsoever you shall ask in prayer, believing, you shall receive.

Just an FYI. People have been Asking about visiting. We are supposed to and trying to keep Audrey's stimulation low. Rules are NO MINORS except siblings. Also, no flowers in the room..visitors outside of family members is going to be very very limited if any at all. James and I both have large families. I say that, but we have such an incredible barn family too. I'm so happy to be able to confid
entially say that you will be able to visit when Audrey comes home. Tuesday afternoon, when I was holding together her bloody bloody head, and speaking to a little girl that wasn't really present, and who was so badly broken... I didnt know if she'd be coming home. I'm trying to keep it together, but sometimes I'm completely beside myself and I can't think straight -- so don't hold me to any answers to questions, my thoughts, worries and concerns are all focused on getting Audrey well.

Please pray that her swelling starts to go down. Audrey's face has swollen pretty bad. Both eyes are hard to open. They are pushing a large amount of fluids through her IV right now which should hopefully help make a difference in the next 2 hours. My poor baby. It is hard to be a parent and have to watch your kid suffer... powerless to help. She's having a hard time getting comfortable, and is restless. So praying for rest would be amazing as well.

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03/27/2014
by Emily Roper
From Uncle Carl Ogan:

UPDATE (10:00 pm)

Audrey is approaching hour 36 of her ordeal and her second night in the Pediatric ICU. Her unrelenting will and spirit has been evident every hour as she has made critical steps forward. Parents never left her side and have taken an active role with the excellent surgeons, doctors and nurses that are working on Audrey. Her friends and cousins are gathered making get well cards and banners, checking on Audrey's pregnant goat and her precious Charlie and sending updates here to be whispered to Audrey. They are preparing donation buckets for this weekend's show that they all are preparing for with nervous and sad hearts because Audrey won't be there lining up on the steward on Charlie beside them.
The outpouring of support is helping here. Prayers, well wishes, donations bouy up all the family in this scary time. Medically more remains unknown than certain - check here and on FB for updates tomorrow. Thank you all for being part of Audrey's Army!!!
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03/26/2014
by Emily Roper
3/26 Updates from Berni

8:30 am: Sweetest words we could hear, "Ow my head hurts." Audrey is restless but resting. Her unofficial CT results are no real change (so no reason to rush to ER to to relieve pressure. She's stable and breathing on her own still. Was able to tell the nurse her name. She keeps trying to touch her head. No seizures for about 2 1/2 hours. They are going to discuss the possibility of a PICC line. My sweet girl.

11:00am: PICC line on. She is responding to commands. Helped us reposition her by pushing up with her legs. Lots of resting.


3:30pm: Audrey said she needed water. The nurse gave her a sponge. As she sucked on it she stated she, "sounds like Charlie drinking water." She waved to Terri and Megan who were vising. She asked why she was here. She had no recollection of what happened. I asked her if she told Megan about driving her mini. She looked puzzled so I asked her if she remembered driving. She said, "Yes, but I don't remember telling Megan." Then she said she's, "super duper thirsty and needs some running water for my mouth." She didn't just want the sponge again. Praise Jesus!

4:30pm: Since we've been having to say no to water... she asked if she could have a soda or a juice instead. She also asked how long she needed to rest before she could have water. She wants me to ask the doctor next time. Her face is starting to get really swollen. My beautiful, smart, wonderful girl.


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03/26/2014
by Emily Roper
From John Ogan (Audrey's Uncle)

Berni and James are so thankful and humbled by this effort and show of love and support. James teared up when I showed him this morning. My thoughts from being here last 24 hours: The financial support will be needed. Insurance will not cover all of what will be enormous medical bills. James is and will be losing wages to be with Audrey in her recovery and rehabilitation that will be extended even in the best possible scenarios. Audrey's injuries are serious. She remains in the ICU today an will likely remain for the next few days at least. Small but important steps of progress are being made; and also the occasional step back - it's a roller coaster for Audrey and those at her side. She has opened her eyes and said a few precious words. She has said her head hurts and has asked why she is here. Periods of activity are followed by longer resting times. This will be a marathon, not a sprint. From the barn, reports are her beloved pony is nuzzling Audry's boots left in their stall, and he is sulky. All the prayers, healing thoughts, and contributions to Audrey's medical needs are so generous and appreciated. Please do what you can to help build Audrey's healing forces.

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