My name is John Ulsh. I am 40 years old and live in Carlisle, PA with my wife and two kids.
One December 1, 2007 my wife, my daughter (8), my son (4), and myself were in a head-on car crash. We were on a two-lane 55 MPH road when a car crossed the center line and hit us head-on. There were no skid marks on the road. The police estimated the impact speed to be 125 MPH. It was 1:30 in the afternoon. We were on are way home from a swim meet for my daughter. The driver wasn’t drunk or on drugs. Something distracted him and he crossed the line at the last second. The other driver died at the scene. My son and I were flown to Penn State Hershey Medical Center, the closest trauma hospital. My wife and daughter were taken to Hagerstown, MD, the closet hospital. My wife Tonia and my daughter Katie had broken collar bones and lacerations. Tonia also had 3 broken ribs, a broken foot and a broken hand. They each spent a few days in the hospital. My son James was sitting behind me. He had his fibula and tibia broken in his left leg. His collar bone was broken and the lap belt severed his small intestine. He spent two weeks in the hospital and went home in a wheel chair. I took most of the collision. My spleen and my diaphragm were ruptured, which caused my left lung to collapse. My pelvis was shattered. Four vertebrae in my lower back were fractured. My left foot was broken in multiple places. I had 12 broken ribs as well as cuts and lacerations all over my body. Later I would find out that tissue in my heart was also damaged causing a hole to form in my heart wall. I was given less then a 3% chance of surviving. I took over 35 units of blood over the first 12 hours. My wife was moved by ambulance from Maryland to Hershey that night so she could see me one last time. I shouldn’t be alive. Over the next 3 days, I had 12 major surgeries to stabilize me, remove my spleen, repair my diaphragm and to begin to put my pelvis,vertebrae, and foot back together. I was in a coma for 15 days.
I was paralyzed from the waist down when I awoke, but was very lucky to have my spine generally intact and I had suffered no head trauma. My pelvis was put back together with a titanium plate with six screws across the front and two long screw in the back. The pain, complications and the additional surgeries kept me in the hospital in critical care for most of December. Three days before Christmas, I was moved to a rehab wing of a local nursing home. I was not allowed to be raised above 15 degrees and could not move my legs. I was told I would be fitted for a back brace and that once I had it I would be allowed to have my bed raised when I was wearing it. I was not allowed to try to put any weight on my legs for 10 weeks because my pelvis and my back needed time to heal. I spent two months living in the nursing home. I was still in a lot of pain and often it was unbearable. I was taking a lot of narcotics but it only gave me some relief. About a month later I had gained back about 50% control of my right leg but I still had no use of my left. I was starting to learn to use a wheelchair with my back brace on but moving was very painful and sitting was worse. (My tailbone had been split in two long ways.) By the end of the 10 weeks I was able to get into my wheelchair with the help of my wife. The pain was still debilitating but I was doing whatever I could to get better. All I really desired was to go home to my wife and kids. I couldn’t stand but I built my strength with the arm bike every day and lifted with my arms. (I had the therapist tie stretchy bands to my bed rails.) At the end of 10 weeks I was able to use my right leg and had some control, but no feeling in my left leg. I was moved to a regular rehab to start the process of relearning to walk. I was allowed to put full weight on my right leg but only 10% on my left. Within less than a week, I could use a walker. All the hard work I had put in trying to keep some muscle had paid off. I could hold up my weight with my arms. (I did weigh quite a bit less at that point.) A few days later I got my wish and got to go back home to my family. Two days, later I started what would be months of out patient rehab.
I continued to have issues. The September following the accident, I had to go back in the hospital to have my abdominal muscles put back together. I was too swollen at the time of the accident so after 3 days of leaving me open they closed just my skin. They didn’t want to do the surgery to reattach them until I could stand and walk with support. That was an eight hour surgery that put me back on a ventilator for a day and kept me in the hospital for two weeks. Making myself return to the hospital of my own will was the hardest thing I have ever had to do. The doctors were unable to close the abdominal muscles the whole way so some areas are held together with Gore Tex mesh. Ten days after going home I developed 10 blood clots in my legs and ended up back in the hospital. The clots damaged the flaps in my veins. My left leg swells up now and I need to pump it 2 hours a day to flush the fluid out. I will need to do this the rest of my life. I now need to wear compression all the time and am constantly fighting wounds opening on my leg that won’t heal from the skin breaking down. I have had 3 additional surgeries on my left leg to try to help alleviate the pain and cramping.
The doctors told me in the beginning it would take at least two years until I started feeling better. I thought they were crazy. Two years seemed like a lifetime. Turns out they were right. I had been a runner my whole life. I ran track in college and started running longer distance after graduation. I had run 15 miles that morning. Being in great shape is one of the reasons I am still here. Knowing that I would most likely never run again was one of the things that I thought about a lot while I was lying in bed in the nursing home unable to move. The first Thanksgiving after the accident I completed a 5K with 87 of my closest friends and family, all wearing “Jogging with John” t-shirts. I had only been cleared from my abdominal surgery 25 days prior but the one year anniversary of our accident was approaching and I had participated in the Turkey Trot for the last 6 years. I needed to show my family and friends I was getting better. With the help of a cane and my friends taking turns helping me stay upright I walked the entire 5k. My time was 59 minutes. I couldn’t get out of bed for two days afterward. I returned back to rehab a few days later. I had found alternative ways to deal with the pain that didn’t involve narcotics. Acupuncture, bio-feedback and massage therapy were my new drugs. I was learning to live with the “new me”. I walked with a limp and still had chronic pain in my left leg, pelvis and back. I only had 50% feeling in my left leg from the nerve damage and was told that the time for it to repair itself had passed. The damage to my veins in my left leg wasn’t going to get any better either. But, I knew I should be happy to be alive and felt fortunate to be able to see my kids grow up. Finally, in October of last year I had decided I needed to find a way to get stronger if I wanted to get more of my life back. I went to the gym. I was in really bad shape. I was only able to do 15 min on a stationary bike set at the least resistance. Over the next six months I went from being frail and weak to lifting more then 300 lb. with my legs and having a strong stable upper body. I am now stronger then I was before the accident even though I still don’t have functioning abs which makes my core unstable.
At 6’2″, I weighed 185 as a runner before the accident. I weighed as little as 160 while in the nursing home, and I now weigh 206 lbs. Cardio is still my biggest challenge because of my pelvis and the swelling in my leg, but I since having another major surgery on my left leg in Nov. 2011, I have slowly started to run again. I am in the gym for a hour or two almost every day, working to continue my recovery. I love the pain/soreness from lifting weights. When my chest or my arms hurt, it keeps me from thinking about my other pain. The pain from lifting takes my mind off the chronic pain. It is one of the few things that takes my mind off it. My back and my legs are now so strong that I don’t walk with a limp any more. I still have chronic pain, but I keep pushing myself through it and keep getting stronger. I miss have missed running and ‘runners high‘. Weight training is a large part of my plan to work back my way back to running.
Since the time I could get out of the house in my wheel chair, I have talked to groups about working hard to achieve their goals and to make sure they appreciate what they already have. In the beginning, it was about getting a second chance at life and using what I had been left with by God to help motivate others to continue to improve. It’s grown into writing a book and having my story told in Men’s Fitness, a national magazine. Many people have told me how my family’s story changed their lives. Some stories are about major changes and some are as simple as checking their auto insurance.
Now, I have people coming up to me daily at the gym telling be how I motivate them to work out harder. They tell me that if I can get in here every day and push myself through the pain and complications, then they should be able to make it a priority in their lives. It has worked both ways. I am now more motivated then ever to work hard and to lead by example. It is another way I can use what happened to me and my family to do something for the good of others. It is only by the grace of God that I am still alive and I want to use this gift to help others improve and appreciate their lives.
This blog is about my recovery and my motivation.