I.
At ATLS we learned about spinal cord trauma. How to manage a patient in the trauma
bay after a recent paralysis. Usually the patient is so panicked about
not being able to move his or her arms and/or legs that he or she is screaming, yelling and in shock. It can be distracting, but
there are often other seriously life threatening issues occurring so you always have
to go back to the ABCs. Treat the biggest threat to life first.
II.
He jumped off of something and landed
on his head. Broke his neck. Immediately yelled to his friends, "Guys! I
can't move my arms or legs." After he recovered, he had a tiny bit of
movement of his biceps. Nothing below the nipple line. Every time we’d go into
his room, it was just so
solemn. A
lot of tears as the realization that everything he’d dreamed about his life was
no longer real.
My friend met a guy who broke his
back in an accident. Was paralyzed from the waist down. The neurosurgeon came
in to talk about the surgery he’d need to do in order to stabilize the
fracture. “Will I be able to walk again after the surgery?” “No.” And the
realization that he’d never be able to walk again. His family told him they
still wanted him around as he wondered if he’d rather have died.
III.
I woke up late and stretched my
arms overhead. Realized for the first time how miraculous it is that I can do
that. I can stretch from fingers to toes and walk for hours in the nighttime
air and ride my bike and move myself to place to place. I should wake up every
morning with a profound sense of gratitude for the amazing life I am living and
the body I’ve been given.
IV.
Please don’t jump or dive into
things when you don’t know their depth or off of things that are too tall to be
jumped from, wear a seat belt with a lap and a shoulder belt, keep your kids
safe in a car seat, don’t text while driving, don’t drive drowsy, don’t keep a
loaded gun where it can hurt someone innocent, don’t ever point a gun at
someone even in jest, and please oh please be grateful for every day in your
blessed, moving body.