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My Injury

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I am now 20 years post injury

My Life Pre Injury …  My Life today

My Life Pre Injury My Accident… My Rehab… My Going Home… My Goals… My Life Today…  

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My name is Mike and I was born in 1967 in Pittsburgh, Pennsylvania. We then moved to Hoffman Estates (North-West of Chicago) Illinois when I was only two. When I was about four we moved To Saint Louis Missouri were we all live today.

My life has been very interesting. What can I say? I just see so many people like myself give up on life and they have so much to live for. Sure, life as a paralyzed person isn’t easy and no I can’t do what I use too. But heck, I have fought my way back and I enjoy everyday like it is my last. I have come close to dying twice and I am here to say, Roll on, and enjoy life.  

My Life Pre Injury …

Before my injury I was a very active in sports. I loved most all sports. As a youngster a played soccer, basketball, baseball and was on a swimming team.  As a child I gravitated towards soccer and my hero was of course Pele. I was able to see Pele play once as he came to play the St. Louis Stars. In high school I ended up getting frustrated playing soccer.  I was the only freshman on the senior team. My teammates in high school made it difficult on me, so after many years of playing, and in my sophomore year, I decided to make a change. I more then likely quit because of the many years of the high expectations. I was exhausted and I wanted a change. The coach wasn’t much help either.

I switched sports. In high school I ended up on the swim, wrestling and water polo teams. I went to state in swimming and I was 2nd Team All American in water polo. My high school finished a disappointing third place in state. I also went to Iowa for the Junior Olympics where the St. Louis team finished in 3rd.

By most people I guess I would have been consider as a very aggressive athlete. Not like in soccer I was not the best or fastest at swimming or even water polo. But nobody could say I didn’t try my hardest. I was a bulldog in and out of the pool. This will serve me well in life’s upcoming challenges.

I have played many different sports since I was about 5 year old. I still remember those days of playing games and competing at sports. Today, I am a satisfied and avid watcher.

I was also big in working on my friends’ cars and mine. Mainly working on the car’s motor and transmission peaked my interest. Bodywork interested me but I never really excelled in the area. Making a car fast and nimble was my goal. In three years of driving, I owned 8 cars. From a 68 289 HP Mustang, a 72 VW Bug, 75 VW Sirocco, and a 75 BMW 2002, I owned quite a few different cars. My mom was not very happy, as 4 of the 7 cars that would be in the driveway were mine. Broken down and torn apart. All were fixed and sold for a slight profit or were sent to the auto graveyard. I even fixed friends cars and started a company called Putz-in-a-Rut.

I was a pretty normal kid. As A kid I loved Legos and aggravating my sister. I had everything to live for, and used to think could life get much better than this?  Then on a cold winter's day on the 18th of December '86 I had just gotten off my first semester of collage.  It was late at night.  I decided to go out with my friends for a good time. The rest as they say is “My history'“.

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My Accident…

On December 18th, 1986, I had a car accident less then 1-mile from my parent’s house.  A car accident with the most horrendous consequences. I broke my neck, shattering two vertebrae (C4-5) very close to where the spine joins the skull. In an instant I went from being fully able bodied to being COMPLETELY paralyzed from the neck down and fighting for my life. My life has permanently changed.  

One minute I was enjoying a winter’s drive home. The next thing I recall is lying on my stomach on the grass next to my car. My head was turned to the right and I could see my arms and legs but couldn't feel or move anywhere below my neck. I had great trouble breathing. It felt like I was trapped under my car or something similar.  Surprisingly I felt very little pain but I knew straight away that I had injured myself very badly.

I remember a number of people walking around me and talking to me. But I couldn’t move. I remember asking for my mom’s help. But I had no clue what had happened.  I was totally helpless.  

Luckily I was physically in great shape. I remember someone telling me an ambulance had been called. I saw a man walking towards me. He wanted to make me more comfortable. Before he could move me someone told him not to and to wait for the ambulance

I heard sirens in the distance and soon I passed out. During my unconsciousness 2 paramedics were looking after me. The two paramedics stabilized my neck in a collar. At 3am I awoke at St. Mary’s Hospital ... and that’s all I remember.
The next thing I remember is seeing the hospital clock around 4am.

I some what remember being awoke at the hospital were I was soon being treated by a Doctor.  He told me that he thought my neck was broken.  I remember lots of people talking to me but soon afterwards the numerous drugs I had been given had kicked in making me very sleepy.  After a lot of x-rays and scans I was taken to the ICU. But today my ordeal is mostly a blur. I do quite briefly thinking that now I had a big challenge to get through. Truthfully, I had no idea what I was in for.

Text Box:  The scans and x-rays revealed that I had badly broken 2 of my neck vertebra bones. Their medical name is C4 and C5. The C4 neck bone was broken and was lying at an angle downwards onto the C5 bone. It wasn't known at this stage how bad the damage was to my spinal cord due to the swelling. The doctors had no real clue of my paralysis. I figured with determination my disability would be cure in a few months of intense rehab. Hmm? Instead, I would be facing one of the most severe physical challenges of my life.

Soon afterwards, my neck would be stabilized using the Gardner-Wells Tongs traction; this involved a tong device and drilling 2 titanium screws through my skin and into my skull. Then about 30-40 lbs of weight were hung by a series of pulleys off the head end of my bed. This was to stretch my neck and allow the broken bones room to start healing. I recall seeing family and friends but was drifting in and out of sedation all of the time. I remember being very angry, as I had thought my parents had forgot me on Christmas. They returned to the hospital late that night re-wrapping my presents. I was later given a heart pacemaker because my heartbeats kept going so low that I would loose my short-term memory.

Text Box: Click here to see a detailed diagram
 
‘Gardner-Wells Tongs’ & 'Halo Traction'

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My Rehab…

After a four plus weeks at this hospital, it was decided that the best place to treat me would be a spinal rehab facility. The St. John’s Rehab Institute. My parent’s wanted the best rehab support for me, and St. Mary’s rehab would not officially open for a few months. After a week more I was jetted out to the highly regarded Craig Rehabilitation Center in Denver Colorado.

I was then removed from the traction halo and given a halo body brace/vest. Again, four new titanium screws were used to hold me head and neck still. As I was lucky but I never needed to be on a ventilator. After the swelling had gone down and the doctors could see they decided my broken neck bones did not require metal plates. I was also told that the extent of my spinal cord damage wouldn't be known for at least 4-6 weeks after my injury, because of the swelling and the fact that the 'cord' goes into 'spinal shock'. I was told it was unlikely that I would walk again and I would probably remain paralyzed from the neck down. Then I was told that I would have to spend the next 6 months in rehab to allow my neck to heal and to learn my new life skills. The thought of that was horrendous. It seemed an eternity before those weeks passed. They were helped along their way by numerous visits from family and friends.  

I now had to have 'everything' done for me, I'm not going to detail everything here but let's just say personal dignity was on the back shelf.  At mealtimes a nurse would feed me. Personal hygiene and eating are something else that we all take the granted. All of your dignity goes out of the window when someone else has to do those tasks for you. It's frustrating, and somehow you never get the job done the way you would have done it in the past.

During my stay at Craig Hospital I started to regain some sensation and movement back in my right arm.  My thumbs killed if they were touched and I could feel very faintly the sensation in my arms.  By now I had a regular routine of Physical and Occupational Therapy. The time went by very slowly. The hours soon turned into days, the days into weeks and finally some eight weeks since my accident the Doctors were thinking of allowing me to remove my halo.  I couldn't wait! 

I was told on one day that that I would have to wait another week or two before my halo would be removed. Surprise! The next morning they called me to the Dr’s office to remove my head screws. I was scared. As I had heard from other patients how bad the pain of taking out the head screws could be. I guess they tricked me so that Io wouldn’t worry over the night. Boy was I worried. Not using my neck for the past 5 plus months I thought it might fall off.

Taking off my halo was a bit painful. Ok, really painful. At about five months after my injury, the time came to remove my halo and replace it with a supported collar. I was required to lay flat on the bed while one of the house doctors was called to come remove the halo screws from my head and skull. Since this halo had been fitted months ago it had remained in place, with the screws that went through to my skull bone periodically being checked for tightness. This was done with a torque wrench that was painful but just bearable. 

The painful removal process was finally here. A Dr, nurse and my mom gathered around my bed. I thought this was going hurt. After 4+ months the metal screws were partly connected to my skull. The doctor slowly opened one bolt at a time. I felt like someone was burning my head with a cattle prod. One bolt was bad enough, but I would have been bad enough, but there are another three to go.
 

At the end of the procedure I was in agony. Somehow, it was all worth it. My head felt free of the device that had encaged it the past three months. The nurses fitted my neck with a supported collar, this I would have to wear for the next three months. My neck muscles were largely unaffected by my injury, but they had become week due to their unemployment.

I was never really comfortable at Craig. My mom had stayed with me and after a month she was planning on going home. She by far was my inspiration. She sat with me during my painful rehab and watched as I stuck myself with a fork while I learned to feed myself. To further my recovery she feed my crab legs and other fine dishes to insure I never lost my appetite. The doctor’s were not going to let me go home by airplane unless could sit up for 8 hours straight. I really did not want to be alone and I don’t think mom wanted to leave me there. So I sat up ball day with no problem and left Denver to return to St. Louis and the rehab center at St. John’s.

Once I was back in St. Louis I was much happier. I was 100% happy, but I was somewhat home. I desperately wanted to hug my family especially my young brother of 3, but couldn't. My emotions were really up and down during this time.

It was great to actually meet a lot of other patients too. I found the general friendship and community spirit on the spinal unit was what made it so good. It was that together with encouragement from friends and family that got me through the bad times and wanting to make the most of any recovery I was going to experience. Although every patient had a different story and a different injury we somehow all shared the life changing experience of a spinal cord injury. We all knew what it was like what not to be able to urinate on your own. We all knew or were going to learn the complications of SCI and the adjustments to normal life that were going to be necessary when we all left hospital.

Gradually the time I was able to spend in the wheelchair increased until I was able to stay up in the chair all day. You may wonder why I couldn't spend any longer than that in a wheelchair?  There are many reasons; perhaps the most important one is that, with any spinal cord injury your feeling and skin sensation will be affected.

Some will feel nothing at all or may have very limited perception of touch or pain. This can lead to the skin becoming damaged, and if left untreated to the further complication of skin pressure sores. These can be life-threatening if they get too bad. That's why every quadriplegic or paraplegic will have to keep a very watchful eye on their pressure points and their skin and do what is called pressure relief every half-hour or so. This is to prevent the skin cells breaking down and dying.

I still had to be pushed from the spinal unit to the therapy areas by a member of hospital staff. I found this very frustrating as a lot of the well-recovered paraplegics used to fly past me in their wheelchairs. I often wished I had broken my back and not my neck so I had the full use of my upper body. At least then I'll still be held to take part in sport and become entirely independent. Nowadays with the recovery I've had, I've come to terms with being a quadriplegic. While I won't be able to take part in sports that I used to love, there are many things I can do independently or with a little intervention from other people. 

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My Going Home…

At all spinal units and rehabilitation centers, preparing patients for a new life in the home environment is very important. At the spinal unit I was on as soon as the nursing staff thought you were fit enough to journey home they would arrange a home visit. For me this came some four months after my injury. I was only used to the confines of the spinal unit and the safety that that had afforded me. My journey home would be in Father Raymond McHales' converted van. I knew the journey would take about 30-45 minutes hours. While it was nice to be seeing the outside world again this was proved to be one of the most upsetting experiences since my injury. 

The nature of my injury became very readily apparent. Once on the highway I saw the rest of the world was going past its usual frenetic pace. It was then I realized that my life would never be the same again. The journey was also physically uncomfortable. As we turned into our street I became very emotional with tears running down my face, the last time I'd been in this street was when I set off to have a good time with my friends that day in December. I was completely overcome as we pulled up outside my house. My mom, and family were all waiting to see me and very excited to welcome me home. 

Dad helped me out of the van on the remote control wheelchair lift. Because of my use of only one arm, I had his help rolling me out of the van. It was awkward getting it into my house. Dad had to lean me back and pull me up the front grass then up the 8-9 steps to the house. After a while, I was again enjoying the confines of my house. It was lovely being out of the hospital environment. We ate a nice dinner and then were soon on way back to hospital. I felt very depressed the most of the journey back. The nurses at the hospital tried to reassure me that this was only normal, and that any subsequent visit will be a lot easier.

Breathing is directly affected by muscles controlled through the spinal cord so all quadriplegics will have some degree of breathing compromise. They also include the proper and hygienic treatment and management of bladder and bowels. Skin care and prevention of injury and pressure sores is also very important. A lot of people with spinal cord injury suffer varying degrees of spasm. These can vary from mild shakes and tremors, to spasms strong enough to throw someone from their bed or wheelchair. Medical intervention and drugs can control these spasms. Sexual function and fertility is also affected to varying degrees with a spinal cord injury.

Because the autonomic nervous system is affected by spinal cord injury patients above the level of T7, they can also be affected by a condition called autonomic dysreflexia. This in very basic terms is when the body’s autonomic nervous system reacts to outside stimulation that it can no longer control effectively i.e. an overfull bladder/bowel or injury/pain etc. If left untreated it can result in very high raise in blood pressure and ultimately a stroke and death. I remember being a bit nervous of this condition when I was educated about it by a doctor.

The doctors treating me and the nursing team regularly met with my family and me to discuss progress, treatment and a possible release date from the hospital. At the spinal unit I was on average a paraplegic would leave hospital after three to six months. A quadriplegic would usually require a longer stay, normally in the region of ten to eighteen months. I left after 5 plus months. Not by the orders of my doctor, but by mine.

Towards the end of my stay in hospital I was coming home at weekends to visit my family and friends. This was an excellent experience to prepare me for my full return home. I left hospital able sit up all day. The doctors had wanted me to stay longer but I was ready to continue my life. Even if life wasn’t ready for me.

The months after my release from hospital were very hard indeed. My parents were so busy. Dad was busy building an elevator in the house as mom took care of me. Not once did I hear them complain about my situation or make me feel bad for what had happened. Dad worked at his construction and mom did her thing. I know it wasn’t easy for them. But if it wasn’t for their support and strength, I never would be were I am today.

I have always tried to make the best of a bad situation but I found everything very frustrating. As time went by, I realized that was only me that was going to make a difference to my overall recovery.

Thanks Mom, Dad, Katrin and Alex for getting me back on my feet.

After the summer at home, I decided to go back to collage and get on with my life. And what a life I am having.

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My Goals…

After my injury, as I was in bed during collage I made a few life long goals for myself: 1) get my collage degree, 2) get a good job, 3) move out on my own, 4) get married, 5) have kids and 6) Drive again. A tall order for a one-armed crip, Huh?  

Let’s see how I did.

1) DEGREE - Well, In 1993 I graduated from the Univ of Missouri – Columbia (MIZZOU) with a BS degree in Mechanical Engineering. Of the 300+ people who started out for an ME degree, less then 40 of us graduated. I also graduated on the Dean’s list.

Goal 1, Completed

2) JOB - After 6 months out of school I got my first job at then Southwestern Bell Telephone Company as a Network Engineer. After 6+ years I went to work at Unigraphics/EDS and then to BioMerioux after 3 years each. Today I lead a group of quality engineers and software testers for AG Edwards.  So, I went from engineering, to CAD/CAMM software, to biological, to today financial. Stable? Close enough.

Goal 2, Completed  

3) HOME - In 1994 I moved out. I bought a two-bedroom two-bath condo in the Central West End. What a life. This was a great place to live and have fun. A vibrant area filled with collage students from St. Louis University, Washington University and people from all walks of life. We actually lived across the street from Arch Bishop house. In 1999, Pope John Paul stayed at the Arch Bishop’s house when he visited St. Louis. We loved the area we live in due to its close proximity to the Zoo, Art Museum, Forest Park, downtown and the many restaurants and cultural activities found in St. Louis. Go Cards!

Goal 3, Completed  

4) MARRIAGE – In 1999 I met my future wife. I met her online and then traveled 11,000 miles to the Philippines to ask her to marry me. In August 2000 we were married.

Goal 4, Completed

5) KIDS – In March 2005, we were blessed with not one but two children. Yes, Twins! Bernie and Christina were born to my amazement. I say amazing because I just never ever thought I would have kids. Thank you God for answering this wonderful wish.

Goal 5, Completed

6) DRIVING - In 2002 I studied the possibility to get driving again in an adapted vehicle. In 2006, I am finally driving. I had my van outfitted with Digi drive. It’s perfect for my one-armed bandit status like me.

Goal 6, Completed

6/6 Not bad!

What is next?

After 20 years I made it. Yea it took longer then most people would to get these goals. But I am not everyone. I’m me. So as you can see there are still many possibilities for a fulfilling life after the devastating effects of paralysis and spinal cord injury. Go ahead, give me a challenge.

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My Life Today…  

At the time of writing this I am twenty years post injury. I cannot walk. My left arm never recovered any useful practical function. My right arm now has about 40 percent normal range of movement. I can lift it to about shoulder height. My right hand, very fortunately I was right-handed before my accident, has recovered an effective wrist movement that I can do a lot with. I still require help with most of my personal needs but have managed to use what movement I have to complete a variety of tasks independently. 

Since that fateful day life has changed beyond comprehension for me.  But I have worked very hard to change that negative into positives. I got my degree in mechanical engineer. I have a good job and some future security that came with it. I operate three web sites (Cebu on Wheels, Philippine Hearing Fund and this one). We have travel to Austria/Germany twice, the Philippines twice, Vegas, Chicago, Milwaukee, a Caribbean cruise and many other places. I own my house and I drive a car. I have two kids who adore me and are happy to see when I get home from work. And of course, my wife. She makes me complete through the good and bad times. What else can I wish for? Today, I just will wish for good health and a happy life for my family and I.

Today, we live in a suburb of St. Louis called Olivette. In 2004 we moved from the city of StL. The City of Olivette is a great place to live and raise our children. Our main reason to move was to have a yard and a larger home to grow into. The Olivette/Ladue school system is ranked at the top.

Before my accident I wasn’t sure what I wanted to do. I don’t look at my accident as a problem anymore. But it saved my life. I have a great life. My accident opened doors I might not have ever seen open. God gave me a challenge and I responded. He helps those who help themselves you know. I did take on this life change and God granted so much including children. How great is that? My accident was a blessing. Sure my life is not perfect. But I have a lot to be thankful for.

My life today is very fulfilling. I have developed a lot of new interests and hobbies.  Where a lot of doors closed on the day of my accident, as many, if not more have opened since then.  Life with a spinal cord injury can be immensely challenging, and yes, I still have 'bad' days.  With time and knowledge you can rise above those challenges and start living the life you never ever thought you'd see again. I have and am here to prove it.

Never Give Up and just Enjoy Life.

Thanks Mom, Dad, Katrin, Alex, Joe, Connor, Kieran, Liam, Meagan, AND of course my wife Lorena and the twins Bernie and Christina for keeping me on my feet. You get my meaning ;-)

This End-ith the lesson.

Keep Rolling…

Mike (aka - One-Armed Bandit)

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