US 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 152 metres in a December 7 scaffolding collapse that killed his brother.
Somehow, Moreno lived, and doctors at New York-Presbyterian Hospital/Weill Cornell Medical Centre announced 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 haemorrhaging. 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 orthopaedic operations followed to piece together his broken body.
Yet, even when things were at their worst, the hospital's staff marvelled 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 paralysing 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.
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