{"id":28218,"date":"2019-12-19T12:20:16","date_gmt":"2019-12-19T19:20:16","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=28218"},"modified":"2022-06-03T11:04:26","modified_gmt":"2022-06-03T17:04:26","slug":"ecmo-for-acute-respiratory-distress-syndrome","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/ecmo-for-acute-respiratory-distress-syndrome\/","title":{"rendered":"From the flu to near death"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><p>Brenda Voglewede could see the tears welling in her husband\u2019s eyes as he crossed the finish line of the 2013 Rock \u2018n\u2019 Roll Denver Marathon.<\/p>\n<p>\u201cI think he was holding back those tears of joy because a lot of people he knew were there,\u201d said Brenda, smiling at Victor Carlos, her husband of more than 20 years.<\/p>\n<p>That day\u2019s finish line didn\u2019t just mark the end of a 26.2-mile race for Victor. It signified the start of a full return \u2014 as a person, a husband and a father \u2014 after a grueling battle against an everyday illness that nearly took his life: the flu.<\/p>\n<figure id=\"attachment_28223\" aria-describedby=\"caption-attachment-28223\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-28223 size-full\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152036\/tiny5-VictorandFamily5-e1578077699637.webp\" alt=\"husband and wife smile at each other while hold hands in a park on a snowy day. They credit Victor being alive to the use of ECMO for acute respiratory distress syndrome that plagued Victor six years ago.\" width=\"1200\" height=\"800\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152036\/tiny5-VictorandFamily5-e1578077699637.webp 800w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152036\/tiny5-VictorandFamily5-e1578077699637-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152036\/tiny5-VictorandFamily5-e1578077699637-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152036\/tiny5-VictorandFamily5-e1578077699637-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152036\/tiny5-VictorandFamily5-e1578077699637-200x133.webp 200w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-28223\" class=\"wp-caption-text\">Victor Carlos and Brenda Voglewede have been married for more than 20 years. They credit Victor being alive to the use of ECMO for acute respiratory distress syndrome that plagued Victor six years ago. Photo by Joel Blocker, for UCHealth.<\/figcaption><\/figure>\n<h3><strong>Flu season and acute respiratory distress syndrome<\/strong><\/h3>\n<p>It was 2012, and the 41-year old Victor had already completed three marathons over the past two years. He was healthy, as was Brenda. In fact, Victor didn\u2019t recall ever having had the flu before. So, the couple felt they didn\u2019t need an annual flu shot, even though they made their two daughters, then ages 7 and 11, get that year\u2019s immunization.<\/p>\n<p>The flu hit Brenda first, then a few days later, it struck Victor. For Brenda, it worked its typical course: after about a week, she started to feel better. Victor figured he was just a few days behind his wife and would soon start to recover too.<\/p>\n<p>\u201cIt was different than a cold,\u201d Victor explained. \u201cI coughed a lot, and it was the first time ever I couldn\u2019t sleep because I\u2019d stop breathing. I thought I might lie down and not wake up again.\u201d<\/p>\n<figure id=\"attachment_28219\" aria-describedby=\"caption-attachment-28219\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-28219\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152025\/tiny7-VictorandFamily7-e1578077722813.webp\" alt=\"husband picks up and kisses his wife as she laughs, showing gratitude for being alive thanks to using ECMO for his acute respiratory distress syndrome.\" width=\"600\" height=\"400\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152025\/tiny7-VictorandFamily7-e1578077722813.webp 600w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152025\/tiny7-VictorandFamily7-e1578077722813-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152025\/tiny7-VictorandFamily7-e1578077722813-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152025\/tiny7-VictorandFamily7-e1578077722813-200x133.webp 200w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-28219\" class=\"wp-caption-text\">Victor Carlos, left, with his wife, Brenda Voglewede, take a walk at their local park. Victor has a new appreciation for life and learning loosing it to the flu. Photo by Joel Blocker, for UCHealth.<\/figcaption><\/figure>\n<p>By day nine, Brenda was starting to get concerned about Victor. She began looking for signs of something more serious than the flu. He was drinking lots of fluids and keeping soup down. But by day 10, she noticed he was urinating less, and when he did, it was an amber color. His stomach was hard and bloated to the point he couldn\u2019t get comfortable sitting up. His fingernails began to turn a shade of purple, and her computer-programmer-by-day husband started to not make sense, rambling on about having to take a spelling bee.<\/p>\n<p>Brenda decided it was time to get Victor to the emergency room. She drove him because he\u2019d refused to take an ambulance, not wanting to scare the girls.<\/p>\n<p>\u201cI thought I\u2019d take him and drive him there and everything would be fine,\u201d Brenda said.<\/p>\n<p>But when Victor shuffled his way to the car, Brenda noticed he\u2019d put on a nice pair of dress pants and his coat on backwards.<\/p>\n<p><iframe loading=\"lazy\" title=\"I Did | UCHealth\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/PdI5BXFsHdo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h3><strong>What is acute respiratory distress syndrome?<\/strong><\/h3>\n<p>Victor slumped over the emergency room security desk at <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-university-of-colorado-hospital-uch\/\">UCHealth University of Colorado Hospital<\/a> on the <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-at-university-of-colorado-anschutz-medical-campus\/\">Anschutz Medical Campus<\/a>, exhausted from the walk through the parking lot. He plopped down in a wheelchair as a nurse placed a pulse oximeter on his fingertip.<\/p>\n<p>It read 58%. The nurse adjusted it. Still 58%. She moved it to a different finger. The same reading.<\/p>\n<p>\u201cShe abruptly got up and went around the corner,\u201d Brenda recalled. \u201cThen she rushed into the room with a whole team \u2014 eight to 10 people. \u2026 I didn\u2019t realize how bad 58% was.\u201d<\/p>\n<p>A normal pulse oximeter reading usually ranges between 95 and 100 percent. Victor\u2019s body wasn\u2019t getting nearly enough oxygen. An oxygen mask tried to push air into his body, but it had nowhere to go. A rushed X-ray showed he had pneumonia in the lungs and was suffering from acute respiratory distress syndrome (ARDS), a condition where fluid collects in the lungs, depriving organs of oxygen.<\/p>\n<p>After about 30 minutes, pulmonologists intubated Victor, hoping to help him breathe better. Brenda headed home quickly to make arrangements for someone to watch the girls and get necessary items for a stay at the hospital.<\/p>\n<figure id=\"attachment_28220\" aria-describedby=\"caption-attachment-28220\" style=\"width: 800px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-28220\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152028\/tiny2-VictorandFamily2-e1578077745978.webp\" alt=\"dad and daughter tossing football at park in the winter.\" width=\"800\" height=\"533\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152028\/tiny2-VictorandFamily2-e1578077745978.webp 800w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152028\/tiny2-VictorandFamily2-e1578077745978-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152028\/tiny2-VictorandFamily2-e1578077745978-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152028\/tiny2-VictorandFamily2-e1578077745978-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152028\/tiny2-VictorandFamily2-e1578077745978-200x133.webp 200w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><figcaption id=\"caption-attachment-28220\" class=\"wp-caption-text\">Victor Carlos heads out to his neighborhood park to play catch with his daughter, Vivian. After nearly dying from ARDS, Victor appreciates every moment he has with his family. Photo by Joel Blocker, for UCHealth.<\/figcaption><\/figure>\n<h3><strong>ECMO use as last effort<\/strong><\/h3>\n<p>Brenda was familiar with medical verbiage. Her youngest daughter had had two heart surgeries as an infant. So, when doctors told Brenda that she needed to return to the hospital immediately to sign important paperwork regarding her husband\u2019s care, she was a bit confused.<\/p>\n<p>\u201cThey said they needed to do surgery for what I heard was an echo,\u201d Brenda explained. An echo, or echocardiogram, is a sonogram of the heart. \u201cI was thinking, \u2018Why would they do surgery for an echo?\u2019\u201d<\/p>\n<p>Brenda\u2019s friend, who also was a physician next door at <a href=\"https:\/\/www.childrenscolorado.org\">Children\u2019s Hospital Colorado<\/a>, was going to drive Brenda back to University of Colorado Hospital, where she\u2019d dropped Victor off only a few hours before. While she waited for her friend, Brenda called Victor\u2019s brother, who happened to be attending medical school, in Cleveland.<\/p>\n<p>\u201cDo you mean <a href=\"https:\/\/www.uchealth.org\/services\/heart-and-vascular-care\/services-and-treatments\/ecmo\/\">ECMO<\/a>?\u201d Victor\u2019s brother asked her.<\/p>\n<p>\u201cHe sounded very worried,\u201d Brenda said.<\/p>\n<p>But she didn\u2019t know what he was talking about. He told her he\u2019d be on the next flight to Denver.<\/p>\n<p>Brenda conveyed these phone conversations to her physician friend in the car.<\/p>\n<p>\u201cShe didn\u2019t look at me when I asked her how serious this is. She just patted me on my knee,\u201d Brenda said. \u201cI still was not sure of the gravity of the situation, even as they asked me if I wanted a prayer when we were at the hospital. Then the doctor said there was a 40% chance of Victor making it \u2014 maybe 50% because of his health and age. I remember thinking, \u2018What? That\u2019s still not that good.\u2019\u201d<\/p>\n<figure id=\"attachment_28221\" aria-describedby=\"caption-attachment-28221\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-28221\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152030\/tiny3-VictorandFamily3-e1578077775606.webp\" alt=\"family of four photo together at a park.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152030\/tiny3-VictorandFamily3-e1578077775606.webp 800w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152030\/tiny3-VictorandFamily3-e1578077775606-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152030\/tiny3-VictorandFamily3-e1578077775606-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152030\/tiny3-VictorandFamily3-e1578077775606-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152030\/tiny3-VictorandFamily3-e1578077775606-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-28221\" class=\"wp-caption-text\">Victor Carlos, far right, stands next to his wife of more than 20 years, Brenda Voglewede, and their daughters, from left, Sonoma and Vivian. Photo by Joel Blocker, for UCHealth.<\/figcaption><\/figure>\n<p>Brenda was in a daze, but it wasn\u2019t just because of the news that her husband was <a href=\"https:\/\/www.uchealth.org\/today\/a-rescue-in-australia\/\">critically ill<\/a>. Having been battling the flu alongside Victor for the past week, she now had a 104-degree temperature. Nurses whisked her away to the emergency room as a separate team wheeled Victor into surgery. He was about to be hooked up to a device that would act as his lungs and heart. Victor was experiencing multiple organ failure and nearing death. Connecting him to the device called ECMO was a last-ditch effort to save his life.<\/p>\n<h3><strong>Why ECMO for acute respiratory distress syndrome?<\/strong><\/h3>\n<p>Extracorporeal Membrane Oxygenation, or ECMO, is a lifesaving technology that provides support when a patient\u2019s heart and lungs are not working well enough to sustain them.<\/p>\n<p>\u201cThe idea is that by putting (a patient) on ECMO, you let their heart and lungs take a break and therefore let them recover, which is hard for them to do if (<a href=\"https:\/\/www.uchealth.org\/today\/not-a-fairy-tale-new-lungs-have-uchealth-patient-living-his-life-again\/\">the lungs<\/a> and <a href=\"https:\/\/www.uchealth.org\/today\/out-of-nowhere-a-heart-transplant-dr-dave-hnidas-story\/\">heart<\/a>) are having to take care of the rest of the body,\u201d said Dr. Jay Pal, surgical director of the Mechanical Circulatory Support Program at the University of Colorado School of Medicine\u2019s\u00a0<a href=\"https:\/\/medschool.cuanschutz.edu\/surgery\">Division of Cardiothoracic Surgery<\/a>.<\/p>\n<p>Brenda had driven Victor to the right place. At the time, University of Colorado was the only hospital in Colorado equipped to use ECMO for severe pulmonary injury and disease, as it takes a specialized team that includes surgeons, pulmonologists, respiratory therapists, perfusionists and skilled critical-care nurses to care for an ECMO patient. And since then, the hospital has been recognized as an <a href=\"https:\/\/www.elso.org\/AwardofExcellence\/CentersofExcellence.aspx\">ECMO Center of Excellence at the gold level<\/a> by the <a href=\"https:\/\/www.elso.org\">Extracorporeal Live Support Organization<\/a>.<\/p>\n<h3><strong>What is ECMO?<\/strong><\/h3>\n<p>ECMO draws blood from a large vein in the body. The blood pumps through the device, where oxygen is added and carbon dioxide removed. It then pumps the blood back into the body\u2019s circulatory system.<\/p>\n<p>\u201cRecognizing early that a patient could benefit from ECMO and getting them on that support so they can start rehabilitation is the biggest determinant for success,\u201d Pal said.<\/p>\n<p>EMCO is a short-term treatment for those with cardiac and respiratory failure for such things as heart attacks, infections, trauma, smoke inhalation and pneumonia. But this was 2012, and ECMO had not often been used at University of Colorado hospital yet for great number of patients like Victor.<\/p>\n<p>\u201cEveryone there was just top-notch \u2014 super professional but very kind,\u201d said Brenda, who after 24 hours of recovering from her own illness was back at Victor\u2019s side.<\/p>\n<h3><strong>Daddy is very sick<\/strong><\/h3>\n<p>At home, Brenda tried to be honest with their girls.<\/p>\n<p>\u201cI explained that dad was very, very sick and his lungs were not working anymore; that doctors were trying really hard to get the bad stuff out of his lungs, and until that cleared up, he wasn\u2019t going to get better,\u201d she said.<\/p>\n<p>It was a more than a week before the children visited Victor, but Brenda encouraged them to talk to their father even though he was \u201casleep.\u201d They would tell him about their day, hold his hand and brush his hair, she said.<\/p>\n<figure id=\"attachment_28224\" aria-describedby=\"caption-attachment-28224\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-28224 size-large\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152038\/tiny6-VictorandFamily6-e1578077788232.webp\" alt=\"dad helps her teenage daughter learn to drive, which dad realized wouldn't be possible had doctors not ECMO for acute respiratory distress syndrome that saved his life.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152038\/tiny6-VictorandFamily6-e1578077788232.webp 800w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152038\/tiny6-VictorandFamily6-e1578077788232-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152038\/tiny6-VictorandFamily6-e1578077788232-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152038\/tiny6-VictorandFamily6-e1578077788232-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152038\/tiny6-VictorandFamily6-e1578077788232-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-28224\" class=\"wp-caption-text\">Victor Carlos helps his teenage daughter, Sonoma, learn how to drive. It&#8217;s these moments, he said, that remind him how grateful and lucky he is to still be here. Photo by Joel Blocker, for UCHealth.<\/figcaption><\/figure>\n<h3><strong>Staying on life support\u00a0<\/strong><\/h3>\n<p>While the children stayed with family, Brenda stayed with Victor.<\/p>\n<p>\u201cThe first two weeks, he wasn\u2019t showing any signs of progress \u2014 just status quo,\u201d Brenda said. \u201cThen came the third week, and that\u2019s when (the doctors) said we may have to do something different.\u201d<\/p>\n<p>One of the controversial opinions at that time was whether or not a patient should be awakened while still attached to ECMO. Risks and long-term repercussions increase the longer a person remains intubated. The ECMO team consulted with other experts throughout the country about how best to handle Victor\u2019s case, and one Michigan doctor recommended that they wake Victor.<\/p>\n<p>By rousing him, the team would allow him to breathe on his own, rather than using the ventilator. Behind the scenes, the ECMO would still do the work of his lungs and heart. The Michigan expert predicted that Victor would recover more quickly and be stronger down the road.<\/p>\n<h3><strong>Growing stronger<\/strong><\/h3>\n<p>\u201cOnce he started to wake up, he became much more aware of his predicament,\u201d Brenda said.<\/p>\n<p>Victor had tubes coming out of him everywhere, which was scary to see, especially when they needed to move him. A trip down the hall to get an X-ray took about eight nurses, she said.<\/p>\n<p>By the fourth week, Victor was pointing to things he wanted. He was trying to write, and his oxygen levels were up. He still struggled to breathe but was doing more of it on his own. He was growing stronger each day.<\/p>\n<p>Finally, the time came to remove him from the breathing device and ECMO. It was then that Brenda finally stopped holding her breath as well.<\/p>\n<p>\u201cOnce they took him off that, we felt secure that he was going to make it,\u201d she said.<\/p>\n<p>Victor spent another week in the cardiac intensive care unit. And by week seven, he\u2019d been transferred to the cardiac rehabilitation floor.<\/p>\n<p>\u201cIt was only a matter of a day or two before they had him walking down the rehab center with equipment to build up strength,\u201d Brenda said. \u201cHe was using the walker at the time, but by the end (of the week) he was doing it on his own. He quickly started generating muscle and endurance.\u201d<\/p>\n<h3><strong>Returning home<\/strong><\/h3>\n<figure id=\"attachment_28222\" aria-describedby=\"caption-attachment-28222\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-28222\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152033\/tiny4-VictorandFamily4-e1578077800857.webp\" alt=\"dad holds football while smiling at his teenage daughter.\" width=\"640\" height=\"427\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152033\/tiny4-VictorandFamily4-e1578077800857.webp 800w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152033\/tiny4-VictorandFamily4-e1578077800857-300x200.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152033\/tiny4-VictorandFamily4-e1578077800857-768x512.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152033\/tiny4-VictorandFamily4-e1578077800857-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/17152033\/tiny4-VictorandFamily4-e1578077800857-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-28222\" class=\"wp-caption-text\">Victor Carlos&#8217; &#8220;marathons&#8221; these days involve raising two teenage daughters. And if he&#8217;s lucky, he said, he can get his youngest, Vivian, out to toss some ball with him. Photo by Joel Blocker, for UCHealth.<\/figcaption><\/figure>\n<p>Finally, nearly two months after he dragged himself into the hospital, Victor was able to go home.<\/p>\n<p>\u201cWe got into the car and he took a deep breath \u2014 I remember that,\u201d Brenda said. \u201cWe were so happy the whole way home.\u201d<\/p>\n<p>Still, the couple knew the battle wasn\u2019t over.<\/p>\n<p>\u201cDuring the whole ordeal, the nurses warned me that it was possible he wouldn\u2019t be the same person, not to put expectations too high, but to take it day by day.\u201d<\/p>\n<p>Victor did take it day by day, but he also set high goals. He planned to run three more marathons \u201cto match the three pre-ARDS (acute respiratory distress syndrome) marathons, proving to myself a complete recovery.\u201d<\/p>\n<h3><strong>Beating the odds<\/strong><\/h3>\n<p>Victor returned to his home, pulling an oxygen tank behind him, and every day he took a walk outside.<\/p>\n<p>\u201cHe\u2019d take his oxygen tank, and every day he went one block further,\u201d Brenda said. \u201cWithin a week, he was walking around the park.\u201d<\/p>\n<p>Victor didn\u2019t know how much damage his lungs had sustained from his infection. Doctors told him it could be up to year before he got full lung function back.<\/p>\n<p>He told Brenda he was going to start running and eventually work up to a marathon.<\/p>\n<h3><strong>\u2018I\u2019m back\u2019<\/strong><\/h3>\n<figure id=\"attachment_28230\" aria-describedby=\"caption-attachment-28230\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-28230\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/18090534\/tiny-Victor-Vivian-running--e1578077819702.webp\" alt=\"Victor running a 2015 Denver marathon after EMCO for acute respiratory distress syndrome saved his life. His 7-year-old daughter runs beside him.\" width=\"640\" height=\"640\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/18090534\/tiny-Victor-Vivian-running--e1578077819702.webp 640w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/18090534\/tiny-Victor-Vivian-running--e1578077819702-300x300.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/18090534\/tiny-Victor-Vivian-running--e1578077819702-150x150.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2019\/12\/18090534\/tiny-Victor-Vivian-running--e1578077819702-200x200.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-28230\" class=\"wp-caption-text\">Victor Carlos gets some support from his daughter, Vivian, then 7, during the 2015 Rock n&#8217; Roll Marathon in Denver. Photo courtesy of Victor Carlos.<\/figcaption><\/figure>\n<p>Each day Victor blew into a device that tested his lung function, and within four weeks of being home, he said (with a competitive grin), his lungs were outperforming Brenda\u2019s.<\/p>\n<p>\u201cI thought a marathon was a big goal for someone running a half-mile at that point,\u201d Brenda said, but she supported Victor nonetheless.<\/p>\n<p>By March 2013, Victor was able to walk and jog three miles in 55 minutes. By May, he was running a nonstop three miles in 35 minutes \u2014 his goal time before his illness. And then by September, he was running 20-plus miles.<\/p>\n<h3><strong>Life\u2019s marathon<\/strong><\/h3>\n<p>It\u2019s been five years since Victor celebrated his full recovery by finishing his third marathon since his precipitous bout with the flu. After that race, he decided he didn\u2019t need to \u201crace\u201d to prove to himself that he was back. He continues to run for fun \u2014 as well as shoot hoops or lift weights with his wife \u2014 but these days, Victor\u2019s \u201cmarathons\u201d involve raising two teenage daughters.<\/p>\n<p>Sonoma will graduate from high school this year, and Vivian just became a teenager. The family has been wrapping college visits into family vacations, and time at home is spent around the table with homework.<\/p>\n<p>\u201cThat\u2019s one thing I\u2019ve learned during this whole thing is that life is like a marathon,\u201d Victor said, and with a chuckle he continued. \u201cNo matter how well you are training \u2014 conditioning yourself for the race \u2014 after mile 16, anything can happen.\u201d<\/p>\n<p>One thing is for sure though; the Carlos family always gets their annual flu shots.<\/p>\n<p>\u201cThere are a thousand things that could have gone a different direction and I wouldn\u2019t be here talking to you,\u201d Victor said. \u201cHere it is six years later, and every day something happens that gives me goosebumps and makes me think how lucky I am.\u201d<\/p>\n<p><iframe loading=\"lazy\" title=\"I Did - Director&#039;s Cut | UCHealth\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/_ud9KmwXHNc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Brenda Voglewede could see the tears welling in her husband\u2019s eyes as he crossed the finish line of the 2013 Rock \u2018n\u2019 Roll Denver Marathon. \u201cI think he was holding back those tears of joy because a lot of people he knew were there,\u201d said Brenda, smiling at Victor Carlos, her husband of more than [&hellip;]<\/p>\n","protected":false},"author":2164,"featured_media":28219,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[6839,235,274,2684,82,3300,162,3357,4097,351,177,4797,1497,257],"class_list":["post-28218","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-ecmo","tag-emergency-care","tag-emergency-medicine","tag-flu-season","tag-heart-and-vascular-care-cardiology","tag-heart-surgery-treatments","tag-infectious-diseases","tag-lung-and-respiratory-care-pulmonology","tag-preventive-care","tag-primary-care","tag-pulmonology","tag-seasonal-flu-treatment-and-flu-shots","tag-uchealth-university-of-colorado-hospital","tag-virus-prevention"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - 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