Nathan’s Story

Site created on February 23, 2014

On Saturday, February 22, 2014 at 1:40 a.m., Nathan was walking the last block or so home after a fun night out with friends at a local bar. Only minutes before, he had said good-bye to his co-workers, had called a few good friends to say good-night and make plans for Saturday day. He tweeted a few friends as well. It had been a good night and he was feeling happy. 
Well he must have been in a hurry to get home, and dashed across the last busy intersection before he would be on a much quieter stretch of street. But he never made it home. He stepped out into the path of a driver who had a green light and couldn't stop in time. Nathan was seriously injured. 
The driver called 911 and they were quick to respond. Such a quick trip to a great Trauma ER at University Hospital meant he had very quick access to excellent care. They assessed him, stabilized his many injuries and transferred him to the Trauma/Surgical ICU very early Saturday morning. 
It took several hours for University Police to track down information about us and dispatch Kansas City Police officers to our door to notify us. We immediately packed and hastily reached out to neighbors and our parents and off we went to Columbia to see our boy.

Nathan's injuries include a traumatic brain injury. How severe this brain injury will be or how it will affect him in the long term remains to be seen. Right now, his strong healthy body is being helped by a tremendously competent and caring team in the ICU. They are managing every little nuance of his care with a reassuring calm confidence. His brain is still swelling; although not at an alarming rate. They tell us this is expected. They tell us we have to be patient. They tell us to think in terms of MONTHS, not DAYS. I am still trying to wake up from this bad dream. Nathan also sustained other injuries that will add more challenges to his care and his recovery. He has: an orbital fracture (a bone in his eye socket). This has left him with two of the biggest shiners you've ever seen. He has a cut on the side of his head (that's an easy one, it's already stapled shut. He has broken his right clavicle, or collar bone as it's commonly called. And he has Bilateral Tibia/Fibula fractures. This means both bones below his knees on both legs were broken in the impact. They cannot even consider taking him into surgery to repair these yet. But they will need plates and screws probably and casts of course. But that will have to wait. They have to wait for his brain to settle down. They have to wait for him to wake a little more on his own. They have to make sure he's strong enough to handle going under anesthesia for that length of time. Again, we watch and we wait. We hang our hearts and our hopes on every little positive sign we have. And there ARE some. His heart & kidneys are strong; his lungs are being helped by a ventilator, but they are staying healthy and his chest X-rays look good. When the nurses stimulate him, he responds to their painful checks. And occasionally, he gives us a very sweet, but weak squeeze with his left thumb and fingers. 
Nathan is far from out of the woods. We have our toughest days ahead of us. Words cannot express how touched and grateful we are at the outpouring of love, prayers and support from our families, friends, neighbors, loved ones. Nathan's friends both in Columbia and Kansas City, his co-workers, fellow students and faculty have not stopped sharing their sweet and funny stories and I cannot get enough of hearing how loved he has become here in his second home. 
I hope to keep anyone who is interested up-to-date with daily progress (and challenges, if they present themselves). Please feel free to share your thoughts, stories, and words of encouragement below in the guest book area. My hope is that one day very soon Nathan himself will be able to read them and he'll know just how much that love & support helped us all pull through this most challenging time in our lives. 



Newest Update

Journal entry by Gina Spengel

Five years ago today, a knock on the front door interrupted an unseasonably warm February Saturday. I was surprised when I looked down the hall to see a KCMO police officer standing on the stoop. In that instant, I knew that something was terribly wrong. The officer confirmed my gut fear right away. He was there to inform us that Nathan had been critically injured while in his last semester at MU. 

Within seconds, our lives swirled into a blur of not-moving-fast-enough to gather some essentials and get Carter strapped into his carseat and we were on our way to Columbia. The 2 hours car ride along I-70 was filled with phone calls and tears and anxiety and dread at what we would face when we arrived. Resident doctors explained the details to us in quiet, serious voices and friends tried to help us piece together what had happened overnight. Nathan had been walking home from the bars after a night out with friends and had been hit by a car just two blocks from home at a very busy intersection at the corner of campus. He had sustained life-threatening injuries; Traumatic Brain Injury (Diffuse Axonal), Multiple Skull and facial fractures, as well as his clavicle, both tibias and his right fibula. He had a drain in his head to keep the intracranial pressure from getting too high, he was sedated with IV medicines and was on a ventilator to keep him breathing. He was broken, bruised, and swollen. 

Those 11 long days in the ICU were filled with exhaustion and emotion, but also with love and support from all over. Our families, friends and Nathan’s friends and faculty rallied around us and helped us navigate countless issues. From assisting us with figuring out his academic status to finding the keys to his house and car and even feeding us from overflowing baskets of snacks, gift cards, and frozen meals, we were buoyed up by visits, phone calls, text messages, cards and help of every kind. 

And Nathan, slowly every day, made a little progress. With only an occasional minor concern or setback. I’m so grateful for that to this day. There was so much fear and anxiety about the future, but the present lead us slowly but surely forward. The swelling stopped in his brain, his lungs worked independently and the surgeries fixed his broken bones. We graduated from ICU. 

Then the hard work came at Rusk Rehabilitation Hospital. No one was sure what we were going to accomplish when we first arrived there. Health care professionals were describing him as “low level”. He couldn’t talk, he couldn’t eat, he didn’t know where he was or what had happened. He couldn’t even hold his head up on his own. But the environment there was so different from the hospital. Right from the first day, they put him in his own clothes and put on shoes and socks. They fitted him for a wheelchair that supported his weak body. And they started therapy. For everything. To learn to sit up, to eat, to speak. To wake up his brain and reroute the billions of damaged neurons. To regain his memory. To regain his life. 

Those five weeks brought tremendous gains and he walked out of Rusk on his own two feet. Slowly and with a walker, but on his own. I will never forget how they “clapped” us out. They have a tradition there where every available staff member lines the corridor that leads to the exit. And they say goodbye and applaud. It was an exhilarating and terrifying moment. We were headed home! But then what? 

The outpatient part of his recovery took months; more physical therapy, occupational, speech and cognitive while living at home. He gradually started driving again, started working and taking responsibility for his own finances and education. He finished his degree. And then he surprised us all by signing up for more classes. He completed a second bachelor’s degree! This time in Spanish. 

The rest of his recovery took years. Healing his Trauma, the psychological and emotional, took us to psychiatrists and therapists and adjuncts I had never heard of before: Neurofeedback, Interactive Metronome and Grovian Metaphor. It was expensive, and time-consuming and hard work. But we never gave up. HE never gave up on himself. And it all worked slowly to decrease the emotional upheaval that happens when your life is nearly destroyed. 

He has proven to us time and again how unstoppable his is. He may have been down sometimes, but he never gave up. He has never let any of this stand in the way of what he wants to accomplish. At least not for very long. He continues to work, travel and live his life very independently and on his own terms. And he continues to recover. His injuries are permanent, but he has always found new ways to navigate and work around the limitations his brain and body have sustained. 

As this anniversary approached, I asked him if he wanted to recognize this day or write anything or say anything to commemorate it and he declined. I was not surprised. He has not let this moment in his life define him at all. He would just as soon never mention it again if left to his own preferences. But I think it’s important (and he did agree to let me update his Caring Bridge) to leave a message out there for others who may be at the beginning of their journeys and searching for hope. Nathan’s story is a message of hope. 

I also wanted to take the time to again thank every single person who helped us during this journey. From the first responders who saved him, to the trauma team that swiftly made all the right decisions that not only kept him alive but salvaged true quality of life, to the nurses and therapists and family and faculty and friends who stood by him and us through all of this. He would not be the independent, hard-working guy that he is without every one of those who used their expertise and knowledge and patience and optimism and often literally strained their own backs and muscles to help him regain his life. The names are too many to list and I would probably leave off many who deserve huge acknowledgement. But please know that your names and faces and words of encouragement and your efforts will always be in our hearts. In my heart for sure. I as the momma will never ever forget. Thank you. 


https://youtu.be/RIAoVhwnnXo

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