Tiny Movements—AccomplishmentsTeen is learning how to live again with the help <strong>of</strong> therapy“Your daughter has been in a car accident and is unconscious.”Michael and Tonja Pokuta’s worst fears became reality afterpicking up the phone in August 2011, to learn one <strong>of</strong> their threechildren had been involved in a life-altering crash five miles fromtheir home. And everything changed for the LaPorte County familyin an instant. Lauren, 17 at the time, was riding in the frontpassenger seat <strong>of</strong> her friend’s vehicle. Her friend turned onto ahighway and was T-boned on Lauren’s side by another car.First, the Uncertainty<strong>Memorial</strong>’s MedFlight transported Lauren to <strong>Memorial</strong>’sLeighton Trauma Center. She suffered a fractured clavicle,pelvis and cheekbone, but the most significant injury was toher brainstem. She spent three months in the hospital, thefirst 2½ weeks in a coma.When she woke from the coma, Lauren was in a vegetative state.Her family, friends and the medical team caring for her wereuncertain what to hope for.“A brainstem injury is complicated and mysterious. They justtold us whatever progress she makes, be grateful and hopeit continues,” Tonja says.“It’s been one hurdle afteranother. But it’s also beenone success story afteranother. Lauren isbreaking all the barriersherself. She is a miracle.”- Michael Pokuta, Lauren’s dadLauren was on a ventilator for 2½ weeks, but even morestaggering, a feeding tube was her only source <strong>of</strong> nutrition fornine months because she couldn’t swallow. Watching and waitingdefined those initial days in the hospital, as Lauren’s familystood by her bedside hoping and praying. She remained in avegetative state for the remainder <strong>of</strong> 2011, unable to move inany deliberate manner.Celebrating the Small StepsThen on New Year’s Eve 2011, Lauren made her first real movement,a high-five to a friend. It was a major breakthrough forLauren, and gave the Pokuta family new hope for their daughter.“We all take the smallest things for granted,” Michael says. “Iremember the day she gave the high-five and we all celebrated,because that gave us the boost we needed.”12 PULSE | <strong>Memorial</strong> <strong>Hospital</strong> <strong>of</strong> <strong>South</strong> <strong>Bend</strong> • 574.647.6800
Get Your Life Back For more information about <strong>Memorial</strong> Regional Rehabilitation Center andthe programs at our two locations, call 574-647-2600.It was the beginning <strong>of</strong> big accomplishments for Lauren,and little by little throughout 2012, the Pokutas saw lifecome back into their daughter. Under the guidance andcare <strong>of</strong> Heidi Collins, M.D., Lauren underwent rigorousinpatient therapy five days a week at <strong>Memorial</strong>’s RegionalRehabilitation Center. From the start, Lauren amazedeveryone with her progress. She may not have been completelythe same on the outside, but on the inside Laurenwas still there and ready to work hard to get back to herpre-accident state-<strong>of</strong>-being.Following her discharge from the hospital, Laurenunderwent physical, occupational and speech therapyat <strong>Memorial</strong> Outpatient Therapy Services (MOTS).“Our first objective was to get her to sit up on the edge<strong>of</strong> the bed,” explains Jennifer Cunningham, physicaltherapist at MOTS.With that goal achieved, Lauren moved on to otherexercises that stimulated her brain and strengthenedher muscles. Because <strong>of</strong> the hard work <strong>of</strong> Lauren andher therapists, she was eventually able to feed herselfand brush her teeth. Regaining the ability to talkhas been a challenge. The family uses a letterboard to help clarify what Lauren is trying to say,but her vocabulary continues to grow by the day.Her love for singing never diminished whilerecovering and she was able to singagain as part <strong>of</strong> the New PrairieHigh School swing choirconcert and the school’smusical production <strong>of</strong>Footloose. She even tooktwo classes in thefall 2012 semester,scoring A’s in both.And though she requires a wheelchair to get around,Lauren uses an exercise bike and is standing for shortperiods to strengthen her leg muscles.She continues to amaze family, friends and therapistsalong her path to recovery. “The first day I saw herwhen I had to hold her to keep her sitting upright, towhat she is doing today––it has surprised all <strong>of</strong> us,”Cunningham says.The Future Is Bright“Lauren has made such progress in one year, we arehopeful it will continue. Sometimes we sit back andcan’t believe just six months ago she couldn’t even talk,”Tonja says. “The doctors tell us the brain has the abilityto mend itself through the age <strong>of</strong> 24, but there areno guarantees.”Lauren has given everyone so much hope already;there is every reason to be optimistic.“The last 15 months have been the mostchallenging time <strong>of</strong> our life,” Michael says. “It’sbeen one hurdle after another. But it’s alsobeen one success story after another. Laurenis breaking all the barriers herself. She is amiracle. And her progress would not be possiblewithout the quality <strong>of</strong> care and supportwe receive at <strong>Memorial</strong>.”Lauren is readingat her gradelevel, but experiencingshorttermmemoryloss due to theaccident.Lauren Pokuta (center), mother Tonja Pokuta (left), fatherMichael Pokuta and <strong>Memorial</strong> Outpatient Therapy ServicesPhysical Therapist Jennifer Cunningham (right).<strong>Spring</strong> <strong>2013</strong> | quality<strong>of</strong>life.org13