Jake Dugal was in bed for the night in Charleston, South Carolina, when an urgent text from his best friend’s parents came in. “Jake, you need to call,” it said.
During that call, they told him their son, Jack Rogers, had been in a life-threatening golf cart accident during a bachelor party in the Dominican Republic. “I was told that he had a major brain bleed,” Dugal said of the friend he’d known since they were freshmen and lacrosse teammates at Guilford College.
Dugal, now a physician assistant in neurosurgery at MUSC Health, turned to his teammates at the hospital for help. One, a neurosurgery resident who’s from the Dominican Republic, helped him communicate with the care team there.
Then, Dugal got a look at Rogers’ brain scan. “He had a massive epidural hematoma, gigantic, with a lot of midline shift. It was a devastating injury,” he said. An epidural hematoma means bleeding in the space between the membrane surrounding the brain and the skull. “I was crying, because my best friend might not even survive.”
Neurosurgeon Alejandro Spiotta, M.D., was worried too. “When I saw Jack’s CAT scan, it was extremely concerning. Terrifying. He may already be dead was my first thought, honestly,” he said.
He explained Rogers’ head injury. “There's a series of arteries that lie right inside the skull. So when the bone fractures, it cuts the artery. And that artery starts bleeding inside the bone. So the brain gets pushed down by the pressure. His was massive. His brain was shoved over approximately two inches.”
Rogers’ family wanted him brought to MUSC Health in Charleston, South Carolina. But first, doctors in the Dominican Republic would need to operate. And people across Charleston and beyond would come together to raise funds to cover the costs, spreading the news on social media.
Rogers is well-liked, and it showed. One friend wrote on a GoFundMe request: “Jack is the most generous, selfless, funny and unique friend anyone could ask for. He is always lighting up every room with his smile and making people laugh with his jokes and stories. Now, Jack and his family need our support more than ever.”
Surgery in the Dominican Republic
That support came as doctors in the Dominican Republic took care of Rogers. “The first surgery he had was a decompressive hemicraniectomy, which is bone flap removal, along with removing and stopping the bleeding that was putting pressure on the brain,” Spiotta said.
That bone flap was part of Rogers’ skull. Dugal said its removal allowed doctors to take care of the brain bleed. “But there was so much brain swelling that they couldn't put the skull back on. So they put part of his skull in his abdomen and closed it up and then induced him into a coma for 72 hours.”
What may sound like an unusual place to store the bone – the abdomen – is more common in other countries than here. “So wherever they go, you can't lose it,” Spiotta said. “It’s protected.”
He credited the Dominican Republic team with saving Rogers’ life. “The fact that he survived is just a miracle. They did great surgery.”
Coming home
That surgery made it possible for Rogers to be stabilized enough to fly home with a medical team at his side. So did an outpouring of support on social media and GoFundMe. “It was all $100, $200 donations. It was millennials getting together. And they raised $100,000 in 72 hours,” Spiotta said.
“A lot of people nationwide were rooting for him,” Dugal said. That included social media personality and former “Dancing With the Stars” contestant Alix Earle, who donated $2,000.
The donations, which reached more than $114,000, covered the cost of Rogers’ care and transportation. Spiotta said it was a relief to see in person how well he was doing. “Initially, I thought he might not make it. I thought he may not walk or be independent.”
Spiotta and his team waited for Rogers’ brain swelling to relax a little more, then put the bone back on in a procedure called a cranioplasty. That was on a Friday. The next Monday, Rogers was discharged from the hospital.
And in a full circle moment, he temporarily moved in with his old roommate, Jake Dugal, who wanted to keep an eye on him. “He's been crushing it. He makes dinners for my fiancee and me. He’s neurologically intact, with no deficits,” Dugal said.
Rogers recently went to the wedding that the bachelor party was for. He’ll be Dugal’s best man in October.
And he’s reflecting on everything that happened, including the accident. “We were heading back to the villa. My understanding is the golf cart was close to flipping. We were driving it a little erratically. And when the golf cart almost flipped, I jumped out. And then that's when I hit my head,” Rogers said.
“I remember my friends coming to my aid immediately after initially falling. And that's the last thing I remember.”
Rogers is grateful for the events that followed. “I'm just really thankful for everything I've been able to receive. It's helped me a lot to get to where I am now. From what I am told, that's pretty much a miracle for how I've been able to recover. I'm getting like a second chance.”