“He was struck once, and media reports were he was going to be fine, then Nancy’s staff got involved and it changed to surgery and intensive care.”
That was to keep him hidden away until they could cook up a halfway plausible story.
Also, a nurse familiar with brain / skull procedures and their aftermath (but not related to the Pelosi case) said there’s no way he could have been out of the hospital within a week if he had sustained the reported injuries and undergone the reported surgeries. He’d be in intensive care for weeks.