Ocean Springs teen triumphs over near-fatal traumatic brain injury

Methodist Rehabilitation Center
December 21, 2009

2009 was to be the year that Karen and Paul Hasley said good-bye to worried vigils in hospital waiting rooms.

Their son Shane had endured the last of 10 surgeries to correct his congenitally deformed feet, and life was looking up for the outgoing Ocean Springs High School senior.

Then came the Feb. 24 phone call that sent the couple rushing to Ocean Springs Hospital. The 18-year-old had flipped his truck and suffered a life-threatening brain injury.

Preliminary tests revealed little or no activity in both frontal lobes of the brain, and doctors doubted Shane could survive. But his parents refused to give up hope.

“I leaned down and whispered in his ear, ‘Shane, you are going to have to fight harder than you’ve ever fought in your entire life,’ ” remembers Karen.

“Take a seat,” Paul told the doctors. “You are about to witness a miracle.”

Today, the Hasleys are in awe of the progress their son has made. After months of therapy at Methodist Rehabilitation Center in Jackson, Shane is taking high school courses at home. He hopes to be back in the classroom come fall.

“I will never tell anyone there is no such thing as miracles,” Karen says. “If we had not made the trip to Methodist … I think he would have been bedridden for the rest of his life.”

Shane is used to overcoming the odds. He underwent his first surgery at age 6 months, and his mom says: “He never wanted help from anybody.”

But even she worried whether her son had the resiliency to face a post-accident setback that was particularly heartbreaking. While Shane was still unconscious, medication used to regulate his blood pressure collapsed blood vessels in his left foot. Doctors had no choice but to amputate.

“That was very difficult,” recalls Karen. “After everything he has been through – to lose that left leg. But it came down to his life or the limb.”

When Shane transferred to Methodist Rehab on May 26, he arrived unable to sit up on his own, and he had a tracheotomy and a feeding tube. The normally talkative teen also had not spoken in three months.

“When they asked me what my goal was for him, I told them, ‘I just want to hear his voice,’” Karen said. “He has never met a stranger. To go from being so outgoing to not talking, it was so strange.”

Dr. Zoraya Parrilla, medical director of Methodist Rehab’s Traumatic Brain Injury Program, evaluated Shane and decided to administer Amantadine, a psycho-stimulant medication that can increase brain activity.

“Amantadine is a powerful stimulant and it’s my first choice in cases like Shane’s where a patient is minimally conscious,” Dr. Parrilla said. “I could see a strong correlation between the time when the agent was initially given and the time when Shane responded. The results in this case were remarkable.”

After almost three weeks, Shane still appeared unresponsive and physical therapist, Katie Daniels, had to push hard to draw any kind of response.

“Shane always wore a hat,” explained Daniels. “One afternoon, I took his hat and put it over his face. I told him, ‘Shane, if you don’t like this then you need to do something about it.’”

Daniels watched as Shane reached up, grabbed the hat, and replaced it on his head. It was the breakthrough everyone had been praying for. “That was when I knew we were finally reaching him,” Daniels said.

Soon after, Karen began to notice small improvements in her son every day. One afternoon, a therapist informed Karen that she needed to come to the therapy room right away. “I was nervous,” she remembers. “I didn’t know what to expect.”

When Karen walked into the room, she overheard speech therapist Holly Radicioni ask, “Shane, what is your mother’s name?”

“Mom,” he replied.

“What is your father’s name?”

“Dad.”

Two months prior to his accident, the family adopted a new puppy. Since the accident affected much of Shane’s short-term memory, Karen was curious if he remembered the dog’s name. “I leaned over to Holly and said, ‘Ask him what the dog’s name is.’”

Without hesitation, Shane replied, “Desiree.”

“I lost it at that point,” his mom recalls. “He was back. And once he started talking, he had three months of silence to make up for.”

Shane is now able to breathe and eat on his own. He has also received a prosthetic leg from Methodist Orthotics & Prosthetics and is undergoing intense physical therapy to build up his strength so that he can progress to getting around with a walker.

It will be a long, hard road, but Shane remains optimistic about the future. He is working on completing his school curriculum and hopes to graduate from Ocean Springs High School next year.

“When this is all over,” he says, “I want to become a professional fisherman or a game warden.”

Hattiesburg Clinic Neurosurgeon Shares Experiences of Life in War Zone

Feature story printed in:

Clarion Ledger, 8/11/2008
Hattiesburg American, 8/11/2008    

Original release printed in:
Lamar Times, 6/19/2008
Prentiss Headlight, 6/11/2008
Richton Dispatch, 6/12/2008

          For the average working American, our morning routines may consist of putting on a uniform or a suit and tie and grabbing that first cup of coffee before getting in our cars and driving to work.  However for the last three months, Dr. Richard Clatterbuck’s morning routine consisted of strapping on his army-issued rifle and grabbing a few rounds of ammunition before heading off to surgery. 

          Clatterbuck, a neurosurgeon at Hattiesburg Clinic and army reservist, spent 90 days on loan to the 332 Expeditionary Medical Group from Task Force 261 Spearhead Medics.  As part of this expeditionary medical group, Clatterbuck was assigned to the Air Force Theatre Hospital in Balad, Iraq.  “A lot of the military medical operations that are happening now are a collaboration between people,” explains Clatterbuck.  “The Air Force doesn’t have enough neurosurgeons and the Air Force hospital needed neurosurgical expertise.  The Army put neurosurgeons there as part of a cooperative function.” 

          Clatterbuck received the call last summer that he would be going overseas.  Like any solider leaving behind a life and family to serve their country, he had his concerns.    “The first thing I worried about was my wife,” he says.  “And then I worried about having to leave the practice.  My partners would have to pick up the calls and cover my patients.”  However, Clatterbuck says he didn’t spend much time worrying about the dangers he could face when he finally touched down.  “There is certainly some anxiety and concern about going to a combat zone.  But quite honestly, I didn’t lose any sleep worrying about that part.  It’s not the same kind of sacrifice as people who are out there on the frontlines.”

          Before Clatterbuck touched down in Iraq, he had to go through 10 days of conditioning and training to prepare him for life in the desert.  His training consisted of becoming familiar with the Iraqi culture in addition to weapons training and how to recognize exploding devices.  After a week of intense training stateside, Clatterbuck was sent to Kuwait for three days for more weapons training before being sent to Iraq. 

          Clatterbuck describes life in an Iraqi operating room as “brief episodes of sheer terror and adrenaline punctuated by periods of boredom.”  Being fairly close to the battlegrounds, he experienced a few rocket attacks that exploded less than 150 yards from the hospital.  He attributes some of his most memorable experiences to saving the lives of a few severely injured Iraqi children.  “There were a couple of kids who came in with bad head injuries and looked like they were going to die who walked out of the hospital a couple weeks later.”  However, Clatterbuck also adds, “Day in and day out it was just being a neurosurgeon much like being a neurosurgeon over here.  A lot of what I did was very routine kind of stuff and sometimes you were just sitting around waiting for something to happen.” 

          Overall, Clatterbuck describes the area where he was stationed at as being comfortable.  “I had air conditioning.  I had Armed Forces Network Cable television so I could see football games, basketball games, baseball games, American Idol, whatever was on TV,” he says.  “There was a Burger King there, a Popeye’s Fried Chicken, a Taco Bell, and a Subway. They did what they could to make it as pleasant as it could be.”  But three months away from your family and friends can make even the most seasoned solider long for home.  “I missed seeing grass and water because there was none of that.  We had very few trees and we didn’t have much rain.”   Clatterbuck also longed from some good old Mississippi gulf coast seafood.  “When I first got back to Hattiesburg the very same day I went and had some oysters.  I was dying to have some catfish and have some oysters.” 

          When asked to sum up his experience Clatterbuck says, “I am very glad I went.  I’m very proud of serving my country.  Medical personnel are something the military desperately needs – there are not enough well-trained surgeons to support the mission.    At the same time, seeing all those people coming in with such severe injuries is not a pleasant experience as a surgeon.  Things are better than they were but it’s still very difficult for the people who live there.  But if they called and told me I needed to go back again I would.” 

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