The first group I encountered on my first day of full consciousness post-crash was a team of various medical professionals. A nurse recorded my vital signs while a doctor assessed my cognitive health through a series of questions which I answered by nodding or shaking my head.

A couple of people from the surgical team focused on the extent of my spinal cord injuries, asking if I was able to feel or move various parts of my arms and legs. I was able to feel everywhere, though in a tingly and imprecise way, similar to how one’s arms or legs feel “asleep” from lack of circulation. I could definitely feel a sense of touch, but it seemed to emanate not from the surface of the skin but from a layer beneath. As expected, I couldn’t move anywhere below the shoulders while areas touched on my arms were felt on corresponding areas of phantom limbs above my chest.

Lastly, a specialist investigated my emotional state through another round of questions including if I felt depressed or had suicidal thoughts. This line of questioning seemed absurd at the time for how self-apparent the answers should be. It’s inconceivable that anyone newly quadriplegic would not be depressed. Likewise, any sane person who loses movement of all limbs as well as loss or impairment of numerous internal bodily functions would be lying if they denied having suicidal ideation even fleetingly.

That being said, I nodded in agreement about being depressed but shook my head to signal “no” to the question about suicide. I didn’t want or need suicide counseling and even if I were seriously suicidal, what could I do about it? But my main motive for lying was the possibility that my family would find out. I imagined how they may have experienced trauma from witnessing the trauma I went through, and how much they’d want me to survive. It would hurt them to know they wanted me alive more than I did at the time. There are moments when I still have such thoughts, particularly when my wife and I experience economic setbacks related to my injury, but the emotional impact suicide would have on loved ones is enough to keep the thoughts ephemeral and in the realm of speculation.

As if conjured by thoughts and memories, my wife Danielle and mother Florence arrived soon after, looking just as worried as I expected.