Injury Details, Healing and Friends :: Bruce Snyder's Status

The last couple of weeks have been my best since the accident. Last week I began walking with the aid of braces on my lower legs and a walker. I am able to walk further and further every time. By no measure is it easy and I move very slowly because I have no feeling or control in my lower legs. At least the braces keep my feet stable so I can stand on them. This feels so amazing each time I do it that I am usually grinning from ear to ear. These experiences walking have made it pretty clear that I will be able to walk eventually, but it will be very different than how I walked before the accident.

There are so many things that I have learned about spinal cord injuries (SCI) since I have been at Craig Hospital in Denver. For example, the spinal cord can heal for up to two years or more! I met a guy who was a patient here at Craig 12 years ago and was a quadriplegic. Through the years, he has regained use of his entire upper body and even some of his lower body and legs. I was absolutely floored when this guy told me his story! This just goes to show how long it can take for spinal injuries to heal.

The spinal column consists of four regions as depicted in the image on the left-hand side. When injury occurs within a particular region, it can result in damaged nerves in that region and therefore impairment of certain body functions that are controlled by those nerves. If an injury is severe enough, the result can be paralysis of everything below the injury site.

Since I have been here at Craig, I have seen all sorts of different injuries in people. Some folks who have complete paralysis below the spinal injury and do not have that function return while other folks who have had a Cervical level injury who are able to walk again after sufficient healing. This is a good illustration of how unique each injury can be. There are so many variables that influence the situation that doctors cannot predict exactly what will happen to any single person. They have certainly seen many different injuries and can generalize about what functions they think might return after sufficient healing but there seem to be so many cases where people have had seemingly miraculous recoveries.

The spinal cord actually stops in the Thoracic region and a bundle of nerve roots known as the horse's tail (or cauda equina in Latin) continue through the Lumbar and Sacral regions of the spine. Because my injury involved fractures to the Lumbar region (L3 and L4 were fractured) it affects the horse's tail of nerve roots. This also means that there could be damage to the nerves below the injury site in the Sacral region. Among other functions, these nerve roots control the legs. This is why I lack control and sensitivity in portions of my lower legs and my feet. I have been told by my doctor and physical therapists that these nerve roots can take quite a while to heal so I will need to be very patient. This is basically a wait and see approach to my healing. In other words, it may take some time before we know if any of the functions that I have lost will return to any degree.

The fact that I am being released on Tuesday is very welcome. It has been just over seven weeks since my accident and just over five weeks that I have been at Craig Hospital. I am eager to get back to my home to be surrounded by my family and friends (and my dogs) on a regular basis. It's difficult to describe, but my friends here at Craig agree, although time seems to fly by, you also feel like you are standing still and that the accident was just a few days ago.

I have really made some wonderful friends while here at Craig Hospital. What we all have in common is the total experience of a spinal cord injury. But more importantly, all of the little experiences that go along with it, both good and not so good. Although we all started out as strangers and we are from places around the US both far and wide, we all quickly learned to comfort one another. It's a strange thing to make so many new friends when you are in the most vulnerable state of your life. This is how I learned the true meaning of compassion. For this, I will be forever grateful. It's the little encouragements every day from your friends that keep you going. These friends are both the people who are here to help you as well as the other patients to whom you have grown so close. Seeing their progress really boosts your mood and you never forget to tell them so. We have all had good days and bad, and it's these people who help pick you up and keep you moving forward. I never dreamed that a hospital could be such a positive place. But a hospital can also be a rather lonely place at times, too.

Although alone time can be a good thing for learning to heal your mind and to accept the injuries that changed your life, but being alone for too long can be difficult. As your loved ones continue to live their lives, you are alone in the hospital focusing on your injuries and your healing 24/7. Someone asked me the other day, 'So what is your other job?' and I laughed immediately because I knew what she was asking. Her implied notion was that you are doing rehab to focus on healing your injuries and that is your full-time job right now, but what is your real full-time work outside of here?

Healing in and of itself is exhausting, let alone when the PT starts up. And depending on your overall state of healing, adding the rigors of PT to the mix can nearly send you over the edge of what you can handle mentally. Thankfully I have had excellent doctors, nurses and techs while at Craig Hospital whose skills and experience have helped to speed my healing process. Add to that family and friends who have visited quite frequently and I have experienced an extremely speedy recovery and discharge. I have been told that rarely do they see someone heal so quickly and be released. All the medical professionals I have seen have commented about my health, physical fitness and positive attitude because these are the biggest factors in my healing. Who would have thought that what my oldest daughter calls fitness crazy is what healed me so fast?!

Why I am Thankful :: Bruce Snyder's Status

In previous posts since the accident, I have thanked many people who have helped to get me through this very difficult time in my life. This accident has changed my life and changed my of view the world.

When I arrived at Craig Hospital, my doctor was reviewing my case with me and he mentioned the collapsed lung, the chest tube and then he told me that my other lung had deflated as well but somehow it re-inflated. Then he referred to me telling him I was gasping for air between my screams of pain as I lay in the street after the accident. He told me that my gasping probably is what re-inflated the lung and saved my life. This statement really shook me to my core. It was the first time I think that I realized I really could have been killed. That night the nightmares stopped and the next day I awoke with this feeling I had never felt -- I was absolutely elated to be alive. At that moment, my life changed again. No longer was I trying to figure out this whole experience, all I could think about was the fact that I was alive and I could still be with my family and friends. My next thought was that the accident could have been so much worse. And since that day, this has been my mantra for everyone -- it could have been so much worse. For this reason, I suddenly became extremely thankful for all the things in my life.

Below is a list of items for which I am thankful that help to describe how I'm feeling since the accident:

• I am thankful to be alive. I may not ever walk the same as I did before and that's alright. If I'm meant to be in a wheel chair or walk with braces, so be it. I accept that this terrible accident took place and I have chosen to move on with my life. 
• I am thankful for the friends and family who have kept me in their thoughts. I have had so many people reach out via email, text, phone, tweets, hospital visits, etc. to let me know that they are thinking of me. I was especially moved by these messages because they have helped me more than you will ever know. 
• I am thankful that my injuries are not worse. I am in the Spinal Cord Injury (SCI) unit on the third floor of Craig Hospital. Down on the second floor is the Traumatic Brain Injury (TBI) unit. I see many people on the second floor whose mental existence will never be the same again. I have meditated on this many times and I have so many things to look forward to because I was spared a head injury. Even if my feet remain paralyzed, I am thankful that I still have my head, my hands and my heart intact. 
• I am thankful that I can still do the work for my profession. Because I have my head and hands, there is nothing stopping me from eventually returning to my work. I have many people in the office who will assist me with difficult tasks, but for the most part I can continue after I have healed. 
• I am thankful for compassionate people in this world. I am so grateful that Gareth acted so quickly to help a stranger in distress. None of the other folks standing around me got down on the pavement to provide me a calming voice. This is probably the biggest overarching lesson that I have learned from this experience. Without compassion and love for your fellow human beings, people would not exist. 

I encourage anyone who reads this to take the time to show some compassion to the people in your life. My family and friends, the folks here at Craig Hospital, even some people who I have never met all demonstrated to me that compassion can help to heal many wounds, both physical and emotional.

Regaining My Indpendence :: Bruce Snyder's Status

Last week I got to escape from the hospital for a few hours to attend my youngest daughter Bailey's continuation ceremony from fifth grade to sixth grade. I really had a wonderful time. I got to see Bailey with all her friends who have grown so close over the years and teachers who we have known since Jade attended Louisville Elementary some years ago.

I also was able to see some of our friends from the Louisville community who have offered my family so much support since the accident. I'm so glad that I chose this as my first major goal in getting back home because it was like an end of an era for many families in Louisville. We are not the only family in our circle of friends who watched their youngest finish up at Louisville Elementary. There's a whole group of kids who are the youngest sibling in their house just like Bailey and they are all friends. This whole experience made me really want to be back in Louisville with my family and friends again.

As I get closer to my discharge date from the hospital (June 17), I can't help but think how far I've come since the accident almost six weeks ago. I've had my good days and not so good days, but through it all the constant has been such amazing support from so many family and friends. I cannot say thank you enough to all the family and friends who have offered support. Just hearing that someone is thinking about me really helps. It's these simply things that really lift my spirits when I'm not having such a good day or when I'm feeling tired from the physical therapy. I was truly amazed that two friends from Los Angeles, Amelia and David, flew in on Thursday and Friday just to visit me. It was so great to see them and to have their positive spirits around me. This just raises the question again: how do you repay such tremendous support? I am just stunned by the compassion people have shown me through this experience.

Speaking of my discharge date, the closer I get to it, the higher my medical team raises the bar for me. This week I began doing the various physical therapy classes from 8am - 4pm every day. This is just exhausting. The good news is this hard work has allowed me to begin to sleep at night without a sleeping aid. I used to challenge myself with personal records from all of the cycling and running I did, now I'm challenged with everyday tasks like putting on shoes or getting out of bed in the morning. Before the accident, I always took for granted all the simple things in my daily life. Who ever thought that those easy tasks would ever be such a challenge?!

I'm also learning that I need to plan ahead for everything I do. Even for such simple tasks as getting out of bed in the morning. Before I get out of my wheelchair and take off the back brace in the evening, I need to pick out the clothes to wear the next day. This is so that I can reach them while I'm lying in bed before I put on the back brace. At least I do have more independence now. I can get up in the morning by myself, I can shower by myself, I even drove a car for the first time today. I'm beginning to feel like I am regaining my independence. The next big tasks are adjusting to life at home and getting back to work. But I still have a couple of weeks to prepare for these changes.