Chapter 1 The First Decision As the old saying goes, you better know what you want because you might get it and you've got to accept it. Whether you succeed or whether you encounter adversity you always have to believe in your worth as a person. That's what counts. -Remarks at a success seminar in Portland, Oregon, February 6, 2001 When I made those comments in 2001, it was no longer difficult for me to say to anyone that you have to believe in your worth as a person. But in the intensive care unit at the University of Virginia on June 1, 1995, I had no such belief. Far from it. On that day I regained consciousness to find myself lying in traction, a heavy metal ball suspended behind my head attached to a metal frame secured by screws in each temple. I learned that as the result of a fall during an equestrian competition I had broken my neck just centimeters below the brain stem, and that my chances of surviving the surgery to reattach my head to my spinal column were 50/50 at best. Even if the operation was successful, I would still remain paralyzed from the shoulders down and unable to breathe on my own. I heard the whooshing sound of a ventilator as it pumped oxygen into my lungs through a long tube inserted into a hole in my neck. I've lived with that sound for many years. The moment I understood the gravity of my situation my immediate reaction was that such a life was unacceptable, even though I knew absolutely nothing about living as a vent-dependent quadriplegic. I realized that there was no cure for spinal cord injuries like mine and that I would forever be dependent on others for the basic necessities of daily existence. My role as a husband and the father of three children would be severely compromised, because paralysis had suddenly transformed me into a forty-two-year-old infant. I thought it would be selfish and unfair to remain alive. I remember going over my life, taking an inventory of all the cuts, bruises, broken bones, and illnesses I had weathered, ranging from mononucleosis to malaria and mastocytosis (a rare disease that destroys red blood cells as they emerge from the bone marrow). At age sixteen, I developed alopecia areata, a condition that causes patches of baldness in an otherwise healthy head of hair. Fortunately I was able to comb over the spots, and there were long periods of remission when the baldness disappeared. I was a survivor; I always had been. A part of me insisted that this situation shouldn't be any different; another part acknowledged that this time I had gone over the edge and was free-falling into the unknown. The month I spent in the intensive care unit was an emotional roller-coaster ride created by my own inner turmoil and contradictions coming from those involved in my case. The critical care was nothing short of miraculous. Dr. John Jane-arguably one of the best neurosurgeons in the world-achieved the nearly impossible feat of reattaching the base of my skull to my spinal column with wire, titanium, and bone grafted from my hip. Under his watchful eye, a team of internists and pulmonologists cured me of ulcers and pneumonia. By the second week I was able to turn my head about half an inch from side to side, and I could raise my shoulders slightly. Dr. Jane was confident that before too long I would be able to move my deltoids, which might lead to the functional recovery of my right arm. Perhaps I could learn to feed myself, and someday be able to drive a specially adapted car. My spirits rose. In the third week of June I was visited by Dr. Marcalee Sipski, director of the Spinal Cord Injury Unit at the Kessler Rehabilitation Institute in West Orange, New Jersey. My wife, Dana, and my younger brother, Benjamin, had surveyed rehab centers from Georgia to Colorado and concluded that Kessler was the best choice, because I would receive the highest quality care without having to go far from home. Dr. Sipski gavReeve, Christopher is the author of 'Nothing Is Impossible Reflections on a New Life' with ISBN 9780375507786 and ISBN 0375507787.