Learn to Look Forward

Location: Intensive Care Unit (ICU), Royal Stoke University Hospital

The bright fluorescent lights of the hospital blurred into a single line as I was rushed through various hallways and corridors. Unable to move my head, I relied on my peripheral vision to discern what was going on, who the strangers were surrounding me, and what they were saying. It was a losing battle. Exhaustion, fatigue, and morphine washed over me in waves of oblivion. One moment, I’d be perfectly lucid as the medical team cut away my dirt- and blood-stained clothing, talking to them as if I were catching up with old friends, the next, unable to keep my eyes open any longer, my reality faded to black. The grave nature of my injury didn’t truly dawn on me until I found myself lying inside a doughnut-shaped MRI scanner for the first time. Engulfed by the beeping, clicking, thudding, and whirring noises of the scanner, my mind drifted to what could be the worst-case scenario result. I was so incredibly scared, but I knew that I had to stay mentally strong. It was all I had left.

My worst fears were confirmed later that evening when a doctor informed me that I had sustained a “significant injury” to my spine, and to the spinal cord itself. It was the word “significant” that replayed in my mind like a broken record. I asked the doctor the question I most feared the answer to, but I needed to know. “Will I ever walk again?” I asked, trying to mask the desperation in my voice. He responded without hesitation, “Darren, this is a significant injury. Surgery will reveal the extent of the damage”. He didn’t need to say it for me to put two and two together. I hadn’t been able to feel or move below my chest, no matter how hard I tried, for more than five hours by this point. It was the first time I felt truly vulnerable.

In the early hours of 7 August 2016, I underwent a complex and lengthy surgery to stabilise my spine. Both my X-ray and MRI scans revealed that I had broken my back into two separate pieces at chest level, such was the force of the impact when I fell. There was considerable damage to my spinal cord, and little hope that anything would be salvageable. Of lesser concern, but also mentioned, was that I’d broken several of the ribs next to the break in my spine, which had resulted in a partially collapsed lung known as a pneumothorax. The surgery lasted roughly eight hours.

Darkness surrounded me. I forced my eyelids to open. The bright haze of fluorescent lighting dazzled my vision. “Where am I?”, “Why can’t I move?” I thought out loud to anyone who would listen, utterly confused about where I was, and why I couldn’t move my legs. In those first bleary-eyed moments of awareness, I had forgotten that I was in a hospital. Before I could get the attention of the nurse walking past the foot of my bed, I slipped back into darkness. The next time I regained consciousness, I saw the face of the surgeon who operated on me for the first time as he stood at the foot of my bed. As he began speaking; his tone was calm and friendly but the news wasn’t positive or welcoming. Over the course of the next few minutes, I listened in a nightmare-like state as he revealed the severity of my injury and the stark truth of his prognosis for any future recovery. Whilst my surgery had been complex, the team had managed to successfully reconnect the snapped T6/T7 vertebrae with the use of two 10-inch titanium rods, now screwed into place along the length of my spine. However, the operation also revealed extensive and irreversible damage to my spinal cord.

Summoning what little strength I had, I croaked, “Will I ever walk again?” The words felt heavy as they left my lips, laden with equal parts desperation and fragile hope. The surgeon paused, his gaze steady and unflinching, as though bracing me for the impact of his response. “Mr. Edwards,” he began, his tone unchanging, “in moments like this, I find that an individual’s ability to look to the opportunities of the future, rather than to the past, gives them the best chance of overcoming events. I’d strongly encourage you to do the same.”

Mindset Reflection:

I’m not sure I’ll ever forget how it felt to hear the surgeon’s words that morning, lying paralysed in an Intensive Care Unit – a million miles from the life I’d imagined for myself at 26 years old. His advice landed like a speeding freight train, threatening to drag me deeper into an already unfolding nightmare. How could I possibly look to the future with any sense of hope or optimism? How could I, when the future I had envisioned – filled with adventure, mountains, and the freedom of movement – had been wiped clean, replaced by an unfamiliar and terrifying void?

There were no promises of physical recovery in his words. No glimmer of reassurance that I would one day return to the life I’d lost on the rockface at World’s End. Scared beyond words, I’ll admit I didn’t appreciate the power of what he was offering me in that moment – his quiet prescription for surviving a life-changing event: learn to look to the opportunities of the future. But when the ground shifts so violently beneath our feet, and we’re confronted with loss and shock, how easy is it to switch our perspective toward the future?

For me, locked in the confines of an ICU for a week, and then transferred to a specialist spinal centre to begin a gruelling rehabilitation regime, that critical perspective shift toward focusing on the future didn’t come easily – or naturally. In my head, there was a powerful, turbulent mix of emotions to contend with: shock, disbelief, outright denial, and anger.

There’s a well-known model in psychology and psychiatry known as the Five Stages of Grief (the Kübler-Ross Model), which explores the emotional journey individuals experience when facing profound loss, terminal illness, or significant life change. The five stages are denial, anger, bargaining (our attempt to postpone or alter the reality of loss), depression, and finally, acceptance – a state in which we begin to understand and adjust to a new reality.

Looking back on my own journey – from the terrifying moment of realisation as I lay on a cliff edge unable to move my legs, to the heartbreak of being told I’d never walk again, and into the early stages of a long and gruelling rehabilitation process – I can see myself moving through each of these stages. Not just once, but repeatedly, as my resilience ebbed and flowed and moments of self-doubt waited around every corner.

But alongside the pain of those early stages – denial and anger in particular – even within the first month of recovery, a quiet sense of gratitude began to emerge and grow stronger each day. At its core, I knew I was lucky: lucky to be alive, and lucky to have a best friend who had quite literally put his own body on the line to save mine. That mattered. It didn’t erase the hurt, the heartbreak, or the fear of the countless unknowns ahead, but it reminded me that I wasn’t alone.

In those moments, I was beginning to bargain with myself – not to undo what had happened, but to reshape its meaning. I was searching for a way to reframe the event, to move from loss toward possibility. All I needed was a spark to complete the mindset and perspective shift that had quietly begun.

That spark came in the form of the Paralympic Games, which coincided, quite beautifully, with the next stage of my rehabilitation at the Midlands Centre for Spinal Injuries (MCSI). There, I faced six weeks immobilised in bed, lying flat on my back, staring at a ceiling and waiting for my body to begin healing. Aside from the visits of friends and family who helped sustain morale, my most meaningful reprieve from the off-white ceiling tiles above my bed was watching athletes from around the world with life-changing injuries and disabilities represent their countries on the greatest stage of all.

Suddenly, I had role models I never knew I needed. I watched them kayak, swim, row, sprint – move in every way imaginable. To me, they looked free, unbound by their disabilities. I consumed every minute of coverage I could, and for the first time, I began to believe there was opportunity ahead of me. Possibility. I was starting to look to the future in a very different way – just as the surgeon had encouraged me to.

Learning to look to the future and heed the advice of the surgeon who operated on me didn’t come easily. At the time, I didn’t believe his words could possibly be true – how could I look forward when all I wanted, more than anything, was to return to the world I’d left behind at World’s End? But with time, that initial disbelief and pessimism have become a powerful reminder that when any of us face profound change, it isn’t realistic to immediately reframe, reset, and embrace the future with hope.

Change is intimidating. The fear of uncertainty and the unknown is real. The challenge is learning how to move through the early stages of denial, anger, and even depression, and to begin negotiating with ourselves through perspective and gratitude. It’s in that process that we slowly emerge into the light again – not unchanged, but with a renewed sense of hope and possibility for the future ahead.