Posted on 01/03/2008 6:21:17 PM PST by NormsRevenge
NEW YORK - Doctors say they have never seen anything like it: A window washer who fell 47 stories from the roof of a Manhattan skyscraper is now awake, talking to his family and expected to walk again.
Alcides Moreno, 37, plummeted almost 500 feet in a Dec. 7 scaffolding collapse that killed his brother.
Somehow, Moreno lived, and doctors at New York-Presbyterian Hospital/Weill Cornell Medical Center announced Thursday that his recovery has been astonishing.
He has movement in all his limbs. He is breathing on his own. And on Christmas Day, he opened his mouth and spoke for the first time since the accident.
His wife, Rosario Moreno, cried as she thanked the doctors and nurses who kept him alive.
"Thank God for the miracle that we had," she said. "He keeps telling me that it just wasn't his time."
Dr. Herbert Pardes, the hospital's president, described Moreno's condition when he arrived for treatment as "a complete disaster."
Both legs and his right arm and wrist were broken in several places. He had severe injuries to his chest, his abdomen and his spinal column. His brain was bleeding. Everything was bleeding, it seemed.
In those first critical hours, doctors pumped 24 units of donated blood into his body — about twice his entire blood volume.
They gave him plasma and platelets and a drug to stimulate clotting and stop the hemorrhaging. They inserted a catheter into his brain to reduce swelling and cut open his abdomen to relieve pressure on his organs.
Moreno was at the edge of consciousness when he was brought in. Doctors sedated him, performed a tracheotomy and put him on a ventilator.
His condition was so unstable, doctors worried that even a mild jostle might kill him, so they performed his first surgery without moving him to an operating room.
Nine orthopedic operations followed to piece together his broken body.
Yet, even when things were at their worst, the hospital's staff marveled at his luck.
Incredibly, Moreno's head injuries were relatively minor for a fall victim. Neurosurgeon John Boockvar said the window washer also managed to avoid a paralyzing spinal cord injury, even though he suffered a shattered vertebra.
"If you are a believer in miracles, this would be one," said the hospital's chief of surgery, Dr. Philip Barie.
New York-Presbyterian has treated people who have tumbled from great heights before, including a patient who survived a 19-story fall, but most of those tales end sadly.
The death rate from even a three-story fall is about 50 percent, Barie said. People who fall more than 10 stories almost never survive.
"Forty-seven floors is virtually beyond belief," Pardes said.
Science may never be able to explain what protected Moreno when the platform he and his brother were using atop an Upper East Side apartment tower broke free and fell to the ground.
Edgar Moreno, 30, of Linden N.J., died instantly. He was buried in Ecuador, where the brothers are from.
Alcides Moreno, whom his wife described as strong and athletic, may have clung to his scaffolding platform as it dropped. It is possible that the metal platform offered him some protection, although doctors said they were unsure how.
An investigation into the cause of the accident continues.
Rosario Moreno said that her husband remembers little of the fall but that he didn't need to be told his brother had died.
The injured window washer spent about three weeks on a ventilator, unable to speak, and initially his only means of communication was by touch.
"He wanted to touch my face, touch my hair," Rosario Moreno said.
She would take his hand and hold it to her skin. Then, one day, he reached out and touched one of the nurses.
Rosario Moreno said that when she heard about it, she jokingly lectured her husband to keep his hands to himself. He answered in English, "What did I do?"
"It stunned me," she said, "because I didn't know he could speak."
There is still a rough road ahead for the tough New Jersey man, a father of three children, ages 14, 8 and 6.
He was scheduled to undergo another spinal surgery on Friday, and he will need another operation to reconstruct his abdominal wall. There is a chance he could develop complications, even life-threatening ones, during the months ahead.
Moreno will remain in the hospital for at least a few more weeks, doctors said. After that, he will need extensive physical rehabilitation. It may be another year before doctors know how much he will improve.
The medical staff was guarded Thursday about his prospects for returning to a normal life. Doctors said they believe he will walk, but they also suggested that some of his injuries are likely to be lifelong.
"We're optimistic for a very substantial recovery, eventually," Barie said
Rosario Moreno said she knows this much for sure: His days as a window washer are over. "I told him, 'You're not going back to work there,'" she said.
I’m guessing it wasn’t free-fall, but a miracle nonetheless!
Were his first words, “What’s for breakfast?”
It wasn’t his time to go.
Okay, not completely free-fall. Reduce the Gs at ground level, you may have a chance.
Wow - life would suck if this guy’s illegal and get deported ...
Amazing story. He fell almost half the height of the WTC. I understand his brother met a particularly gruesome death when he landed on a fence.
“Alcides Moreno, 37, plummeted almost 500 feet in a Dec. 7 scaffolding
collapse that killed his brother.”
Wow...about ten times the height usually called “the death zone”
(a fall from 50 feet).
Well, at least as they say on CSI on TV...it’s not the fall that kills
you...it’s how you land.
But this guy certainly had some sort of nearly unbelievable luck.
Even if it was all physics.
Edgar Moreno, 30, of Linden N.J., died instantly. He was buried in Ecuador, where the brothers are from.
It's not out of the question.
Wow....talk about yer dead cat bounce !
Nope. "What did I do?"
Any married man knows that's what you say when you wake up in the hospital...
Lucky fella.
I read about this accident the day after it happened(in the local paper). Witnesses said he laid on top of the scaffolding and rode it down like a surfboard. The board took a lot of the shock. It's a miracle that he lived. His brother was thrown free and died on impact.
I donated a couple of times -- but in the last one the van was way overheated, the air too humid (this was in winter) and dirty-close feeling, and the staff just a bit too carefree. I left the van feeling dirty.
But it doesn't really matter any more for me since my travels have now taken me to places where, having been there, I am not supposed to donate anymore.
Thanks for the confirmation! A "little" thing like this clearly can make all the difference.
Glad it helped. The paper also said that employees are trained to try to ride it down like that in case of an accident, because the board absorbs much of the impact.
It's hard to believe that anyone could live after that far of a fall. I got knocked backward 3 1/2 feet out of a trailer and fractured several bones. The next day, I literally couldn't move from the pain. I can only imagine the pain this man has gone through. It is a miracle he's alive.
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