From Dream to Nightmare

Upon waking up at the Neuro ICU, I rested for some time with my eyes closed. I noticed an odd sensation of movement despite not hearing or feeling wind and vibrations which would indicate movement. What I did feel was my arms hugging my chest tightly as if in a straight jacket, though the material felt more like a rubbery mesh than cloth. Meanwhile a nearby machine produced a steady hiss similar to an air pump roughly synchronized with my breathing patterns.

Disturbed by everything I was sensing, I reluctantly opened my eyes to a dark room bathed in a dim green and purple glow from various monitoring devices. As my vision adjusted, I craned my neck and realized my arms were both flat on each side of my torso and I was wearing a standard hospital gown. I also glimpsed various tubes all over my body. An IV in my right arm, some type of nose tube, and a breathing tube connected to a ventilator.

My first instinct was to attempt to go back to sleep, hoping what I was experiencing was sleep paralysis or a false awakening within a nightmare. This proved to be futile, as my mind struggled to reconcile the disconnect with my body. One likely factor was medication, as the initial feeling of movement while awakening was similar to the feeling of heavy drunkenness. As for the illusory straight jacket, the only theory I could come up with was that it was some form of phantom limb syndrome. I struggled to move phantom limbs and “actual” limbs to no avail. At that moment I wasn’t experiencing phantom leg limbs but nevertheless could not move my legs or any part of my body below the shoulders nor could I talk.

With that realization I felt like crying but was perhaps too much in shock to do so. I also may have held out hope that I was still in a bad dream and that when I actually woke I would be back to my normal self. I was definitely in a nightmare, but not the type one can wake up from, though I did grant myself a brief respite by eventually falling back to sleep.

Half-Awake In the Dream

After losing consciousness during transport, my memories became increasingly fragmented and “impressionistic”, most likely a side effect of strong medication. This roughly coincided with my stay in the Harborview Trauma ICU which was about a week after being admitted to ER, though subjectively it felt more like a month.

Since talking to my wife about my hospitalization, I realize there were times when I was conscious enough to answer questions, yet had no recollection despite remembering things earlier in the chronology. Odder still, some of what I did recall was in a liminal state between dream and waking life.

As if my mind was attempting to reset to the morning of the crash, it placed me in an “alternate reality” version in which I arrived at work like usual and promptly started the daily routine at my workspace. Suddenly I was back on the gurney and being wheeled out of the work area and through a sub-basement corridor I had never seen before. Through dream logic architecture I ended up at the UW Medical Center ER. I recognized one of the nurses as a former co-worker and realized even within the dream that it made no sense since she was a senior lab tech at the UWMC clinical lab. I speculated that one of the “actual” nurses had a voice similar to my co-worker’s, causing my mind to actually see her as that person.

I was next transported to the Harborview Trauma ICU (partly via light rail!), which I must have realized was where I “actually” was either consciously or subconsciously. At that point my experience took a paranoid turn as I began to suspect nurses and assistants were skimming my medications for personal use. Within the dream state I passed out and reawakened in a fantastical ICU bathed in a hazy white glow. I somehow got the notion this was at a sprawling new hospital connecting the Northgate light rail station to the nearby library.

It was at this imaginary location where I realized I was being visited by my wife as well as parents and brother from Hawaii. Somehow I knew this aspect of the pseudo-dream was “real” and not in the spirit realm and was glad they were alive and well, though I could tell they were shaken to see the state I was in. It seemed I wasn’t conscious for long, and had several other interactions with family before waking in a more lucid state at Harborview’s Neuro ICU.

Earliest Post-Crash Memories

I have no idea how long I was unconscious (or if I still was), but I  seemingly reawakened from a black void to an infinite expanse of space. If it was a dream, it was an unusually memorable and lucid one, but unlike in a typical lucid dream I wasn’t able to alter my environment. Though initially confused, for I had no idea how or why I was there, I felt deep serenity and contentment. I also sensed a benevolent presence but could see no one around nor could I detect a physical body of my own for that matter. Not long after that realization, the stillness and darkness morphed into motion and light detected through the vibrations of the surface I was on and lights bright enough to sense through my eyelids. It was a struggle to open my eyes and could do so only briefly, but it allowed me to confirm that I was indeed on a gurney moving under ceiling lights and surrounded by a group of doctors and/or nurses.

As my hearing returned at the same time, I caught them mid-conversation. I couldn’t make out the words exchanged over the noise of the gurney and medical equipment and also because my hearing seemed impaired, giving sounds a muffled and distant quality. However, the speed and tone of the voices gave the impression they were deeply concerned. This unsettled me to put it mildly and I wondered what had happened and if my wife Danielle was alive and well. I realized I had no recollection of whatever caused me to be here or even of the past few days. I remember wanting to show the doctors and nurses I was conscious by attempting to move but after much effort gave up. I assumed my immobility was due to being strapped to the gurney and blacked out soon after.

A New Beginning

On April 5 2024 I was in a bicycle crash while commuting to work. I sustained catastrophic injuries causing paralysis below my shoulders. I was only able to survive due to spinal cord surgery. Given the sudden and extreme disruption to every facet of my life, there have been times when I wished the surgery never happened. However, over time I’ve accepted my fate and have become more driven to survive by those I love.

After months of healing and rehabilitation (and with the help of adaptive technology) I feel ready to blog again. My intention is to use this platform to process my thoughts on the trauma I’ve lived through and still-unreal situation I continue to experience. Though my personal struggles are of little significance compared to geopolitical developments such as the Gaza genocide, Ukraine proxy war, multiple nations on the verge of economic collapse, and the most demoralizing and dysfunctional US presidential campaign season (so far), there are connections which I plan to elaborate on in future posts. In the meantime, you can read more details about what I went through on my fundraising site here: https://helphopelive.org/campaign/24110/