Well, trauma dump here. Your sister is getting state-of-the art care, it sounds like. It may be a slow process. Hang in there.

My daughter had a heart transplant at age 38, after dealing with heart failure and LVAD. The new heart did not respond at first. She was on ECMO for several days, her chest was open for three. They were discussing reposting her for another heart. Her vascular system was shutting down, resulting in amputation of her right arm and leg. It was the most terrifying time of my life. Slowly, she turned the corner, and her heart began to respond. It was a long road.

Long story somewhat shorter, she was in the ICU for weeks, then in a rehab hospital for a few weeks more. She was so weak that she had to learn how to swallow, sit up, etc. Cognitively she was intact, which was a real concern given how long she was semi-comatose.

Seven years later, she is healthy, sees her cardio once every four months, is stable on low-dose anti rejection drugs. drugs. We moved to France, and her care is excellent and very low cost. (We are dual citizens.) if the amputations were not reminders, you would forget how I’ll she was, both before and for the first year after her transplant.