Saturday 28 April 2018

Four Years Later...


It was four years ago that a paramedic tried to calm me down by asking me if I had talked to my parents yet. “No” I bawled at him, as he asked me if I knew their phone number. I purposefully hadn’t called my parents in the 48 hours I had been in the hospital, because we were still trying to figure out what was wrong. My thought was that I would call them when the doctors at least knew something, because the unknowns would not be comforting to my parents in Ontario as I was 5000km away on the West Coast. That logic seemed fine when I didn’t have any idea what was coming, and it had never even crossed my mind that the outcome of that hospital stay was going to be so life-changing.

The idea of calling my parents when I was in excruciating pain didn’t seem like the best idea to me, but the paramedic handed me his phone anyways. Despite being in the worst pain of my life, and being pumped full of about 20 different narcotics, my brain somehow still remembered my parents phone number (muscle memory for the win!). I think the paramedic thought I would be able to be distracted by talking to my parents and therefore I would focus less on the pain. As the phone rang I was screaming out in pain, and the thought of someone picking up on the other end wasn’t exactly comforting.

My dad answered the phone and I cried out to him telling him I was in excruciating pain. He did what he would do as the ultra-supportive dad he is, and told me that everything was going to be ok. After telling me to breathe and calm down, I yelled that I was going into emergency surgery, and immediately the tone on the other end of the phone changed. Still supportive, I could hear the panic in my dad’s voice and the realization that I wasn’t just overreacting to something minor.  It was close to impossible to come up with sentences and focus on anything but how much pain was surging through my body at that point in time, but I still had to try and communicate to my dad what was going on. I conjured up some language in between wailing and moaning in pain as I asked the paramedic what was wrong with me, so that I could tell my dad patiently waiting on the other end of the line. “Compartment syndrome” he replied. As I echoed the response into the other end of the phone, my dad had the same response that I had. “What is that even?” Unfortunately I couldn’t help him as I had just been introduced to the term mere hours before and with my foggy state I couldn’t even remember what it was called.

I don’t remember the end of the phone call even, or what happened from there, but I know talking to my parents did not pleasantly distract me as the paramedic had hoped. At that moment I was on a stretcher in an open part of the ER waiting room, visible to most people in the area. I am usually mortified of people looking at me or paying attention to me, so much so that I won’t leave a lecture to go to the bathroom because I know it will just garner attention that I do not want. But this was different. After 48 hours of suppressing pain and being told I “probably just had shin splints” and hearing every doctor and nurse insinuate that you’re just overreacting and they can’t imagine how the pain could be getting that much worse, I finally could not hold it in any longer.

I had been air lifted to this hospital and during the flight was the most intense pain I had ever felt. I was supposed to have my legs strapped in and everything tightly contained, but there was absolutely no way I could go without flailing my leg around to help with the immense amount of pain surging through my lower extremity. The paramedic could tell by the look on my face that I was VERY serious when I told him there was NO way I would be strapping my legs in.  As the plane landed and the ambulance transported us the remainder of the way, I could feel every pothole and bump surge through my body like a bolt of electricity. During the transport from one hospital to another the pain had ramped up and I could no longer keep my screaming inside. I yelled loud enough for probably the whole lower mainland to hear me…and I wasn’t even on the lower mainland.

There were no rooms left in the ER, so I was brought to half a room with a reclining chair in it for me to sit. The poor little old lady on the other side of the curtain advocated for me as I screamed and howled in pain. She kept getting the doctors and nurses for me exclaiming to them “I think she’s in pain”. As cute as it was, and as much as she wanted to see me helped, there was nothing they could do until a surgery room opened. All I could do was wait while they continued to flood me with narcotics in hopes that something would touch the pain at all.

As the years pass since this less-than-fun ordeal, the intensity of the pain fades, but the recollection of those hours and days of what felt like excruciating torture does not.  I find myself walking through each and every moment and day of the process in my mind, remembering vividly what was going on around me. Maybe that was my way of distracting myself, by tuning in to anything but the pain. 

This experience has been an awful one, but it has equipped me in my line of work, helping me to understand others who have experienced trauma and how we can’t predict how our brain is going to process something or put it all together. As much as we (I) love things to be linear and orderly, that just isn’t how any of this comes to make any sense. It comes in flashes of different memories and moments that happened throughout the time. Like the moment I was told my leg muscles had to be removed and I was left alone to process what this meant for my life. Or the moment I realized I had lost all nerve endings in my lower leg across that muscle compartment and did not know if this would ever return. Being told I would be able to hike and do activities with a cane, or beginning to walk only to realize I had drop foot. These moments were among many that took processing and required a shift in thoughts as to what my life may look like from then on.

I have learned a lot. I have learned that we don’t choose when we are going to process things, and sometimes we just need to go along for the ride and be open to the (sometimes very hard) lessons that come along the way. As I work with others impacted by trauma in different ways, I can understand the frustrations of wanting to tick off the box that says “deal with ____ trauma” and be done with it. Unfortunately that’s just not the way we process things, and I am often the one wanting to change this reality and find a way to cheat the system. “Maybe if I specifically give time for this to sink and fully be processed, then I can move on” or “perhaps if I just slowed life down for a while this would be easier” are thoughts that creep into my mind. The reality is though, that this will never be “over”. There is not going to be a moment in time where suddenly all of this has a crisp, neat ending. Life is messy, and this one moment in time will continue to impact things for a long time to come.

I used to be focused on climbing mountains and getting the most out of my young adult life, seeing places and adventuring in any way I could. I still love to do all these things, but will have a significant amount of pain to manage when lacing up my hiking boots or taking on any physical adventure. Even the activities that are “easiest” on my leg come with their fair share of difficulties. Each summer I battle through broken ankle(s) from the repetitive motion of an ankle unsupported by muscles when riding my bike. This is one of many things that have just become part of my reality. 

I seem to write as a source of corralling my jumbled thoughts, and often during this time of year I find myself reflecting a lot on those days.  As I sit and think about what four years has taught me, it allows me to gain perspective on some things. One of the biggest things I have learned from this is the amount of time that something can have an impact on you. Trauma or otherwise, this has given me an understanding of people and our many ways of coping and understanding life events. I know that as time passes the amount of time that I think about these things is lessened, but I still do know that four years later I can still find myself waking up from panicked dreams walking through each moment of some of the rougher patches during this ordeal. I know that every person experiences life and trauma in different ways, but if I were to have one takeaway from the reflections of this year, it would be this: have grace for people. Allow healing and processing to take place, and be open to listening to each step of the journey for someone else, because that may be a great source of healing for him or her. As much as I don’t want this to still be something that impacts my life, I know that it does. But I also know that from this experience I have grown and gained many valuable life lessons and perspective. So I’m going to take the good, the bad, and the ugly parts of this experience and continue trekking into whatever lessons and processing is to come.