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Updates
June 4 2008
Frank Muller is Remembered
We are sad to announce that Frank passed away on Wednesday, June 4, 2008 at Duke
University Hospital in Durham, NC. Fortunately, our whole family arrived in time to say
goodbye. We treasure the years we had him with us as he was an amazing husband, father,
son, brother, and uncle to us all. Knowing that the long struggle is over for him gives us
some measure of comfort. We will miss him dearly but we celebrate his life, his love, his
career, his heart.
from Frank's Official Website
Fall 2003 Update
This is an update from Frank's brother, Leo
On Friday, October 24, 2003, the family and a caregiver boarded a
chartered plane in California and flew to their new home just outside
Raleigh, NC. Frank will live at home for the first time since his
accident, in a house that has been modified specifically for Frank's
therapeutic and rehabilitative needs, and that provides a setting for
the family to reestablish their life together.
The flight went very well. After Frank entered the small plane and sat
down, he exclaimed "Sweet ride!" The aircraft included a couch for
Frank to sleep on in case he needed it, but he spent most of the time
enjoying the flight. They were warmly received at their new home by
Erika's parents, Frank's sister Tanny and her daughter Rachel, Frank's
brother Henry, and Frank's friend Scott Swimmer, who was also the
contractor for the house renovations (and did an incredible
job!).
Erica said Frank was so happy to be there. She told him, "Frank,
you're HOME!!" Scott told me this morning, "I was elated to witness
Frank's arrival home. It is so right and he knew it. He raised his
arms up high and YELLED. Twice!"
New caregivers and rehab therapists have been engaged and are being
trained to care for Frank and continue his recovery process. This will
still be slow and difficult work. Frank's progress remains "variable,"
a term we have heard often the last few months. Some days he has
extended periods of focus and lucidity and seems very present to
others, especially Erika, the kids and the dogs. Other days are less
so. In general, however, he seems to be increasing his capacity for
short-term memory, his vision appears to be improving slightly, and
his periods of lucidity are increasing.
Frank will still need help with many daily tasks of living, such as
dressing, grooming, eating, etc. He needs constant cues for many tasks
and body movements. However, he seems to be taking more initiative
with various tasks. He has extended his walking distances, and makes
transfers in and out of his wheel chair with more consistency. These
small steps are encouraging and indicate that progress, however slow,
is still being made.
It still appears that Frank will need long-term, full-time care,
although we have not ruled out the possibility of recovery beyond that
stage. The likelihood of Frank returning to his career as a narrator
of recorded books, however, is very small. Frank's eyesight has a long
way to go, and his speech patterns, although improving, are still
quite limited. Moreover, the cognitive presence and ability that would
be required to perform the complex skills required for narration at
Frank's previous level appear to be well out of reach.
Erika is more committed than ever to Frank's success and the family's
health and well-being. She is so happy to have Frank out of the
hospital and in his own home. They are settling peacefully into their
new environs, and have already had several outings in the
community. The area there seems to be a very good place for them to
be. Erika feels that this move will bring new levels of rehabilitation
and recovery for Frank, renewed strength and support for her and a
positive new beginning for their young family.
You can add your best wishes to the Mullers by sending cards, letters,
financial assistance (still badly needed) and any other form of
support you would like to offer. Below is contact information you can
use. Email will be available soon.
Frank & Erika Muller
Diana & Morgan
4621 Meadow Lake Drive
Apex, NC 27502
15 April 2003
Dear Friends of Frank:
I apologize for the long delay in updating you about Frank's recovery
process. This has been a busy and stressful last few months for Frank
and
Erica, and also for me.
Frank's progress has continued to be, in the words of the medical team
at
Casa Colina, "variable." This means he has some good days and some
bad. Some
days he has extended periods of focus and lucidity (up to two hours on
occasion) and seems very present to others, especially Erica and the
kids.
Other days are less so, and he has difficulty with nearly everything.
Frank still needs help with many daily tasks of living, such as
dressing,
grooming, eating, etc. He needs constant cues for many tasks and body
movements. However, just yesterday Erica called to say he had eaten
his
whole lunch by himself, with a spoon. These small steps are
encouraging and
indicate that progress, however slow, can be made.
It has become quite apparent that Frank will need long-term, full-time
care,
although we have not ruled out the possibility of recovery beyond that
stage. This also does not mean he cannot live at home. In fact, Erica
is
currently exploring possibilities to bring him home with live-in
care. She
has found, with great consistency, that Frank is much more responsive
and
cooperative when he is with his family.
Frank loves to hold 9-month-old Morgan in his arms. He loves to play
with
3-year-old Diana, who crawls up on his pal and tickles him. They sing
songs
together and cuddle. He also enjoys the dogs very much, when he is
able to
be outside with them. These family times seem to have a very positive
effect
on Frank, and certainly on the family as well.
The transition from Casa Colina to a home setting also faces some
considerable challenges. Frank will need a home that can accommodate
his
currently disabled needs. The living quarters need enough space to
allow for
those times when Frank needs quiet time away. Erica also hopes the
home
could be in a location and setting that would allow her to make a new
life
for their family under these circumstances.
Hopefully the right situation can be secured, and the Mullers can
become a
family again very soon. I will provide another update, hopefully in a
shorter interval, as soon as there is significant news to share.
All the best,
Leo Muller
Past Updates
One-Year Anniversary Update
This is an update from Frank's brother, Leo
4 November, 2002
Dear Friends of Frank:
Tomorrow is the one-year anniversary of Frank's accident. The memory
of that
day is difficult, so I apologize if this update is a little somber.
Frank has come a long way from those first days. I remember learning
early
on that only ten percent of people suffering from Diffuse Axonal
Injury
(DAI) ever get beyond a vegetative state. He has beaten many odds, and
for
many months has been progressing "ahead of the curve" in most areas of
recovery.
In the last few months, however, his progress has been more variable,
with
days of progress and days of regress. This appears to be an indication
that
his recovery is slowing down, but it is not definitively so. Although
I was
not available for the most recent monthly medical review meeting, Dr.
Patterson indicated in a phone call with him today that progress was
still
being made, and we should not necessarily assume that this is where
Frank
will remain.
However, it is apparent that for many recovering DAI patients, the
level of
recovery achieved in the first year is indicative of where they will
remain
long-term. Dr. Patterson did suggest the possibility that Frank may
need
24-hour care, possibly in a facility, on a long-term basis. This has
been a
possibility all along, of course, so this suggestion is not new, but
it is
sobering to hear in the context of the one-year mark.
The primary complicating factor is that, in addition to the DAI injury
and
his physical injuries, Frank suffered cardiac arrest three times
before he
even arrived at the hospital. It is therefore quite possible that he
experienced anoxia, or lack of oxygen to the brain. Unfortunately,
there is
no definitive way to test for this injury, but its effects could
contribute
to Frank's variable lucidity. Its quite frustrating for him and
everyone
else that he seems unable to maintain this on a consistent basis.
Another, more hopeful factor that Erika believes has made a
significant
difference has been the amount of time Frank has been able to have
with his
family. During the last weeks of Erika's pregnancy and the first weeks
of
little Morgan's life, visits to the hospital were understandably more
difficult. However, since early September Erika has brought the kids
with
her and is living temporarily at a small apartment building on the
Casa
Colina campus.
Although this has been quite an adjustment for them, it has allowed
her to
spend much more time with Frank again, and she has begun to see him
slowly
become more responsive to consistent time with her, Diana and
Morgan. She is
of course much more tuned to Frank's cues than the staff at the
Transitional
Living Center (TLC) could be, and can therefore respond more
specifically to
him. She has also observed, for example, how much more responsive he
is to
her reading Shakespeare and Dylan Thomas to him, as opposed to more
simple
reading materials he gets from the staff.
Although Frank is still in daily physical, speech and occupational
therapy,
and spends much more time with his family visiting him, there are
still
significant periods of time when he is bored by lack of
stimulation. She
feels Frank is depressed by his own awareness of his condition, and
feels
trapped inside himself. He communicates this to her in those more
lucid
moments. One difficulty that has exacerbated this situation is that
the
psychologist who worked so well with both Frank and Erika no longer is
employed at Casa Colina.
One joy for all of them has been the time that Frank has been able to
have
with his dogs. Erika is temporarily keeping two of the dogs at the
apartment, and this has allowed Frank to visit with them. One day he
actually took one of the dogs for a walk, sort of, and it was a great
moment
for them all. Erika hopes she can find a long-term nearby location for
the
dogs, so these visits can continue.
The reason these activities make a difference is that they all draw
upon his
long-term memory and life experience. Since November 5, 2002 is a
special,
if not happy day, it serves as a reminder to me, and hopefully to all
of
you, to continue to stay in touch with Frank and Erika. As a part of
their lives, we all can continue to stimulate and support them by keeping in
contact, or making contact if you not done so yet. Frank is very
capable of having brief telephone conversations.
In addition, of course, cards, letters and emails all can be shown and
read to him. You may even want to send a videotaped greeting, since he could
watch that repeatedly.
Thanks to all of you who have stayed in touch or have even visited
with
them. It really means a lot.
Leo Muller
UPDATE (07/28/02):
Frank continues to progress well medically in his rehab process at Casa
Colina. In early June he was transferred to the Transitional Living Center
(TLC) on the same campus. Frank can do more than he thinks he can.
When he asks for help with certain tasks, and the staff encourages him to do
them himself, he usually succeeds. He doesn't seem to retain this awareness,
however, and needs to be reminded on a consistent basis. As a result, he is
hesitant to explore movement on his own.
He continues to have
vision problems; his depth perception is off, with him often over-reaching
for objects, and he is unable to distinguish two fingers from one. He
continues to experience short-term memory problems. His reading ability
is still severely impaired at this point. His speech
intelligibility is improving, and has good potential, although he needs lots
of prompting. The staff is drawing on his prior narration expertise to
encourage his progress in this area. They play his narration tapes for him,
and ask him about them to prompt his memory and encourage his technique.
In June, Frank was allowed out of the hospital on a "field trip" to Baskin-Robbins Ice Cream where he
"patiently listened to all thirty-one options and chose his long-time favorite - French Vanilla!"
Also in June, Frank could propel himself forward in his wheelchair with his legs,
having gone 50 feet in a straight line by himself. Currently, Frank is
walking without a walker and with only a single aide to help.
UPDATE (05/01/02):
According to Erika, Frank is "cruising along in his recovery"--
small steps but steady progress. He was making animal sounds and
laughing with his daughter, Diana, the other day. Erika says that
she believes Diana felt her "real daddy" there. His vision and
depth perception are not perfect yet, and they hope to get him
to an eye doctor in the near future. Frank is even deciding on a name
for their son to be born in July.
UPDATE (03/14/02):
Frank is still in recovery at the medical center. He is using a
'cantilever' table to improve his balance. Due to damage in his
right arm, doctors feel he will never have full use of it. They
hope to operate on a large facial scar soon, and then remove his
tracheal tube after that operation. Despite the trachea tube, he
is drawing thick liquids and occasionally chewing food.
His articulation is better, but still hard to understand.
He is, however, speaking in longer sentences. He and Erika are
discussing names for the baby.
Stephen King visited on Feb 24 and presented them with an initial
amount of the benefit proceeds. The remainder is collecting interest
for future distributions.
UPDATE (02/13/02): Frank's wife, Erika, says Frank is balancing
himself (standing) well in physical therapy and understands that the therapists
are there to help and not to hurt. His cousin from Holland was in for
the benefit and stopped by California to visit Frank. When he asked
Frank a question, Frank answered in Dutch. And, according to
Erika's note: "he also asked for scotch instead of a joking offer of
beer."
The physical therapists and Dr. Patterson are very optimistic.
At the benefit, Erika said she'd talked to him on the phone
(a first) and she "distinctly heard 'I Love You' and I think
'Don't Go Shopping.'"
UPDATE (01/25/02): Frank's brothers report that he is speaking in
phrases and occasionally sentences. His speech therapist reports 80%
accuracy in his yes/no responses. He added that Frank shows
irony and humor in his responses, which is a good sign.
He's cognizant enough to ask where he is and how he got there, but has
no current recollection of the accident.
UPDATE (01/21/02): Frank Speaks! After finally getting his jaw
unwired, Frank said "Perfect!" when asked how it felt. (A shock to
everyone.) Last week he not only said "I love you" to his wife, Erika,
but he also told a visitor on Friday to tell everyone he would be
fine.
He keeps trying to talk despite his tracheal tube, and his family and
doctors have told him to take it easy...
Original Story
On November 5, 2001, Frank Muller was in a very serious motorcycle accident
near Los Angeles, California. He sustained multiple fractures, lacerations
and abrasions, and went into cardiac arrest three times. He also suffered
severe head trauma, which was subsequently diagnosed as Diffuse Axonal
Injury.
Click to read more...
Stephen King, John Grisham and other authors held a
benefit in New York on Feb 2nd.
Click to read more...
Please send questions and good wishes to me and I will see that they get
forwarded.
'Bitchen' Ric Johnson
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