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    Health-Scare

    A nurse mentions surgery as my consciousness quickly fades. Most of the next week or so is blurred by a morphine haze. I wake up in a neck brace, and realize I have absolutely no feeling below my armpits. The muscles in my neck are on fire with pain. I have a feeding tube in each nostril and my arms are littered with over a dozen intravenous lines. A machine is breathing for me. Is this really happening? This must be a dream.

    Suddenly the memories come flooding back. A ski jump. A sled ride. A helicopter. A hospital visitor plays with my hair and brushes over a thick scab. Shortness of breath. A clamp screwed into my skull. A doctor trying to "realign" my spine. Nothing but horrifying snapshots of chaos, confusion and pain. Many of these memories will go on to haunt my dreams forever.

    Of the eighteen nights I spend in the intensive care unit, I sleep only one. This is mainly because the countless monitors I am attached to sound off relentlessly throughout the night. The nursing staff tells me that these monitors are networked to every patient on the floor, so when it beeps three times, it's me... twice, it's someone in another room. I suffer endless anxiety attacks, because every time I hear a beep, I can never remember if it was the second or the third.

    Adding insult to injury, the ventilator tubes in my trachea block any air from passing over my vocal chords, leaving me without a voice. I mouth words to people, most of which they cannot decipher, and I must resort to spelling words out letter by letter. Having no voice makes my nights even more unbearable. I'm left alone for just minutes, but it feels like hours. Panic sets in after losing count of the monitor beeps, and I know I need drugs to combat it. Problem is, I have no way to call for help. All I can do is I stare out the door and watch as my nurse passes by a number of times. Completely helpless, I begin to cry.

    Teams of doctors invade my room with SWAT-like efficiency all hours of the day, barking orders back and forth. They never look at me, talk to me, or even say my name. I'm referred to only by my condition: C3-C4 complete quadriplegic. They disappear as fast as they came in, leaving me, my family and the nursing staff without a clue as to what transpired. When we finally corner one of them, he callously informs us that I will never move again, and there is a high probability that I will never breathe again on my own either. More tears.

    One morning, a doctor wrongly informs me that I am being sent home because there's simply nothing left they can do for me. Two days later, another doctor comes in and tells me they're moving me to a hospital more than two hours away from my home for rehab. Another false statement. Finally, after two and a half weeks of what seems like an eternity in hell, I'm finally transferred to a rehab facility close to home. Little do I know, my struggles have only just begun.

    Just a few weeks into rehab, I find out that the short-term health insurance policy I purchased after graduating college does not cover medical equipment for the home, forcing me to go through Washington State's Department of Social and Health Services (DSHS) in order to pay for these necessities. This means that every single piece of equipment I need requires lengthy letters of justification from both a doctor and a therapist before the DSHS will even consider covering my medical expenses. I'm warned that nearly every request is denied the first few times, calling for further explanation as to why each item is absolutely vital. My request for a wheelchair is turned down at first because DSHS doesn't think I need footrests.

    Suddenly I'm face-to-face with my government's absurd health-care system. Prior to my accident, I viewed politics as nothing more than semantics. "Why should I vote? It's not like any of this will ever affect me directly." I can't help but recognize the irony. The system I once paid absolutely no attention to is now the very system I must rely upon. A system that lacks compassion and even logic at times.

    After developing a deep pressure sore on my tailbone, I become painfully aware just how backwards the system is. One of my physical therapists informs me that skin breakdown is one of the biggest causes of compromised health for quadriplegics and paraplegics. I learn that pressure ulcers can lead to life-threatening blood infections, which can ultimately lead to amputations. Because of my limited mobility, I will have to be extremely careful with my positioning for the rest of my life. I find out that sleeping on an air mattress will greatly reduce the risk of skin breakdown. In the next breath, I am told that unfortunately, this is one of the items DSHS refuses to pay for. In the event that I develop a pressure sore at home (downright inevitable on a normal mattress), an air mattress will be rented for me until it heals, and taken away afterwards.

    Financially, this makes no sense. Instead of spending a few thousand dollars on a piece of equipment that almost single-handedly prevents skin breakdown, the state will rent me an air mattress indefinitely, only to take it away for a few months until I develop another problem? Apparently so. For some reason, they would much rather pay tens of thousands of dollars on amputations, repetitive reconstructive surgeries and extended hospital stays than make a relatively small one-time investment that would not only save taxpayers money, but also prevent me further pain and mental anguish.

    Soon, the term "health-care" begins to feel like an oxymoron. All I see is an industry overridden with redundant stipulations that has become so sterile and heartless it makes people feel more like burdens than patients. I begin to experience the miles of red tape that have caused rehab facilities to forget that "rehab" is short for rehabilitation. The focus is solely on getting a patient physically ready to survive outside the hospital without much consideration for the huge emotional adjustment that is needed as well. Though my therapists object to my discharge, they are forced to let me go because the only thing that truly matters to the state is that I worked my way off the ventilator. When I leave the hospital, I'm in no way prepared for life as a quadriplegic.

    Now, I realize that it might be hard for DSHS committees to fully understand my plight, considering most of them have never found themselves in direct need of these benefits, but it's still no excuse. I find myself almost wishing some of these men and women would see someone close to them end up in a position like mine, as sadistic as it sounds. But if that's the only way they will understand the devastating effects of their decisions, perhaps it's necessary. If nothing else, they can expect a continuous stream of letters and e-mails from me until changes are made. Because as it stands now, my life as a state dependent quadriplegic will be unnecessarily difficult due to a system lacking perspective and compassion, a system that seems to be working against the very people it was designed to protect.

    I knew the second I woke up on that mountain that I was paralyzed. I had no idea, however, how far my struggles with both my body and my government would take me. I'm currently gathering as much information as I can to present a strong case to my local congressman because, while there is nothing I can do to change my physical situation, I can try to change my political one. All I can do now is stay informed, make my voice heard, and hope it doesn't take such extreme measures for the rest of the politically apathetic members of my generation to reconsider their obligations as citizens. Because as you can see, it's a harsh reality to face; finding out that the health-care system you unknowingly put into place by your lack of participation doesn't really care at all.

    Make your mark


    So I was sitting in my hospital room the other day, high on a cocktail of morphine and Ativan (breakfast of champions), when my buddy Big Jim walked in.  Yep, you read correct... my hospital room.  Around 11 o'clock one Saturday last month, I started to get the chills, but didn't think much of it.  Just wrap me up in some warm towels, and call it good, right?  Wrong.  An hour later, I was rocking a fever of 104° with a mean case of the shakes while throwing up like a champion.  Sweet.  The last time I had similar symptoms, it was 5 a.m. on Christmas morning two years ago, when Santa, the bastard, left a nice, neat little emergency kidney stone surgery in my stocking (not to mention three more scattered over the next few months).  Good times.

    After about an hour or so of intense denial about the need to go to the ER, I finally gave in, and was whisked away in one of the local fire department's red and white chariots, complete with sirens and flashing lights.  Go big or go home, yeah?  Another few hours of blank stares from ER doctors, and I was admitted with what was deemed just a really bad bladder infection, with no real explanation, or concern for that matter, as to why I was shaking like an epileptic in the throes of a grand mall.  Solution?  Bring on the drugs, baby. We finally discovered the culprit after a couple days, a negative CT scan of my kidneys and more than my share of early-morning (see: butt-crack of dawn) blood tests.  It turned out to be a fairly mean case of cellulitis on my left thigh from my knee all the way up past my hip.  New, much more advanced solution?  Some battery acid-like antibiotics, more than a week in "the joint" and, you guessed it, even more drugs.  Hooray for me.  Considering the loopy-as-hell state I was in, it's a miracle I remember Jim's visit at all.

    Big Jim was one of my physical therapists in rehab after I got hurt.  On the outside, he's one intimidating guy, complete with a shaved head, some burly tattoos and more muscle than most would consider humanly possible.  The tough exterior is completely betrayed, however, by the permanent smile he wears, and the unwavering positive attitude he brings to the hospital each day.  We had an instant bond through wrestling, because his boy Zack can only be described as an absolute stud in the sport.  Well, the word "phenom" also comes to mind... so does "beast."  Anyways... By the time this kid reaches middle school, he will probably have wrestled in, and won, more matches and major tournament titles than I did in my entire 12 year career.  I have an autographed T-shirt... and you think I'm kidding.  I've followed the boy's success solely through his proud father's stories, and I could tell by the smile on his face that morning that he had a yet another doozy for me.  I'm just glad he showed up in between hallucinations, or else this story would be about purple trolls wrestling in sequined jumpsuits or something.

    A deep, booming voice teamed with animated deliveries, Jim's wrestling tales are never lacking in the entertainment department.  This particular story came from one of the many wrestling camps the big man and his beast of a child attended over the summer.  While watching a coach show a high-percentage scoring maneuver during the technique portion of the day, Jim could have sworn he recognized the name of the move, but could not place where from.  As the session came to a close, the man sat all the kids down and told them that the technique they had just learned was named after a rather successful wrestler he knew who used it to win a lot of big matches throughout both high school and college.  This man, who was paralyzed in a tragic skiing accident, always had a great work ethic and an even better attitude.  The name of the move was of course... "the Salvini."

    Jim could not recall the man's name as he told me the story that day, but he didn't have to because he's a friend of mine.  His name is Randy Connelly, and he was the head wrestling coach at my old high school when I was away at college.  The epitome of the word "coach," Randy's competitive spirit is overshadowed only by his passion for his sport, which tends to spread like wildfire throughout his teams.  Every time I came home on a holiday break, he eagerly turned practices (sometimes full weeks) over to me with the hopes that what I had learned from competing at a higher level would be passed on to his kids.  I can still remember his enthusiasm the day I first showed "the Salvini" to his guys during a practice over the Thanksgiving break.

    And so it is, I have officially made my mark on the sport that helped make me who I am today.  Now, I have always been a firm believer that when we finally do leave this world, each of us will be remembered based upon a few key moments in our lives.  Because of this, I always tried (keyword: tried) to carry myself accordingly.  The way I saw it, no matter where you are, or what you're doing, you never truly know who might be watching and, especially when it comes to younger people, possibly looking up to you.  Did the move get its name because I created it?  Sorry, I didn't.  Because I was the best wrestler ever, perhaps?  Sadly, I wasn't.  Or is it more likely that kids halfway across the state are learning "the Salvini" not because of what I did, but because of who I was?

    How will you make your mark?  How do you want to be remembered?