The 25-year-old Puyallup firefighter who survived a deadly blaze last month near Twisp faces a future that will require every bit of the grit he showed on the ground, his doctor says.
Daniel Lyon has endured three surgeries so far to repair the burns that cover more than 60 percent of his body. He’ll need additional operations, skin grafts, physical therapy and pain management as he continues to heal.
“What his job was is to don his gear and go,” Dr. Tam N. Pham, the Harborview Medical Center burn expert who is leading Lyon’s care, said Tuesday. “To have that kind of valor and selflessness ... I think firefighters are special individuals, and we’re going to lean on that heavily, if we can.”
Pham joined Lyon’s parents, Daniel and Barbara Lyon, at a news conference to offer new information about the condition of the first-year firefighter, reserve police officer and avid motorcyclist, hiker and skier.
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Lyon was hurt Aug. 19 when he and three other firefighters were driving up a steep gravel road and crashed down a 40-foot embankment, where they were overtaken by fire, a coroner’s report said.
Killed were Richard Wheeler, 31; Andrew Zajac, 26; and Tom Zbyszewski, 20; who died of smoke inhalation and burns.
Lyon, who is heavily medicated, can respond to family members, but doesn’t know about the accident or the deaths, his father said.
“He hasn’t really asked, and we haven’t really told,” he said.
Instead, family, including an older brother and sister, are concentrating on helping Lyon heal.
One of the biggest factors so far has been the outpouring of cards, emails and well-wishes from the local community and beyond, said Barbara Lyon, who has been reading the messages to her son.
“He loves hearing these, he really does,” she said. “Keep them coming.”
Lyon suffered the same types of injuries as the firefighters who died, with burns that aren’t confined to one area of his body, but “all over,” Pham said.
Such widespread burns cause the body to swell and to retain fluid. The early surgeries have been aimed at removing dead tissue to prevent infection and to boost the body’s metabolic response.
Replacing the skin lost to the third-degree burns is the next challenge, Pham said. That will require taking thin layers of skin from unburned places on Lyon’s body and placing them on the wounded areas to heal.
“Our goal is to get him covered by his own skin,” Pham said. “You have to use your own skin. No one else can donate to you.”
Artificial skin products provide only a temporary covering, he added.
Finding places to remove or “harvest” skin grafts is a challenge in someone with such widespread wounds. They’re usually taken from places that aren’t often visible, such as the buttocks or upper thighs, and the areas can be used more than once, burn experts say.
Pham hopes to begin Lyon’s skin grafts within the next week, he said.
Lyon faces other challenges. Infections are a primary worry for burn patients, both wound infections and problems such as pneumonia, Pham said.
Despite the crush of well-wishers who have asked to see Lyon, his visits have been limited to family, mostly to lower the infection risk.
There are concerns about Lyon’s appearance in the future, but Pham said it’s now possible to keep scarring to a minimum.
“There will be some scarring,” he said, but not the type once seen in horror movies. “Complete disfigurement is not in the equation anymore.”
Pain management is a huge hurdle. Burns are among the most painful injuries to treat, Pham said.
“It’s tremendous,” he said. “You have two types of pain: pain that you have all the time, and dressing pain, when dressings are changed. Those are very severe, and it requires specialized care.”
In addition to medication, patients can be distracted from the severe pain with virtual-reality devices, studies show. Pham said they hope Lyon will be able to use those soon.
“I think he’s recovering on track,” said Pham, “but it’s still a very serious situation.” He said the first two months are the riskiest.
Lyon’s greatest assets are his youth, his health and the team at the Harborview burn center and his supportive family.
For their part, Lyon’s parents say they’ve faced a steep learning curve and emotions that dip and peak with their son’s progress.
“It sounds like we have a long way to go,” Lyon’s father said.
Well-wishes for the Lyon family
Messages can be sent to Daniel Lyon or his family at bit.ly/1hUUzjx.