One sunny Saturday in the spring of 2020, I left the house to ride my mountain bike across town. That’s the last thing I remembered for the next two weeks.
According to witnesses and official documents, just a few miles away I went off the road, down a near-vertical hillside, and crashed into some trees. I was unconscious, bleeding from minor wounds, and covered in poison oak. The next 24 hours included three emergency room visits, two ambulance rides, and one 22-mile trauma helicopter flight, followed by months of doctor appointments, a cornucopia of medications, and countless sessions of physical therapy. Plus intensive care from my loving wife Judy, who’s beginning to tire of adventures that involve Type III fun. Thank goodness for effective bicycle helmets!
This story isn’t about what happened that day, since I still can’t remember, and probably never will. It’s about recovery, and gratitude that my life continues, and continues to be much better than it was for others in the mind-blowingly bad year of 2020. I hope this helps you discover more parts of your life to be grateful for, especially outdoors.
In the past, when I heard the words brain injury, I pictured many bad things about what that person was going through. What I’ve learned is that, as with most things in life, everyone’s experience is different. For that, I am very grateful, as you will see.
A Multitude of Gratitudes
One of my most confounding experiences was scrolling through phone messages weeks later and discovering that I’d been texting back and forth with Judy from the second hospital, less than 12 hours after the crash. The neurologist said that wasn’t uncommon: “The TV was on, but the recorder wasn’t running.” I’m slowly becoming grateful that I can’t relive the experience, though I would like to avoid doing that again, whatever that was.
This brings up one of the stranger things I’m grateful for: my decades-long adventure with debilitating migraines. Several years ago, that journey finally led to a neurologist who actually helped me. So, when Judy gently guided me into his office soon after the crash, I was in good hands. I’m very grateful that my mental recovery took only a few months.
I’m also grateful for smartphones, voice recorders, and sticky notes, since my short-term memory took a while to come back.
I was able to continue writing for Backpacking Light relatively quickly. I’m grateful that Ryan, Stephanie, Chase, Andrew, and all the other staff, plus paying members (like you?), keep BPL running through trying times, and continue publishing stories like this one.
The physical injuries included poison oak rashes and blisters over most of my body, accompanied by dramatic swelling in places. I’ve suffered from a few gnarly poison oak incidents over the decades, but this time was different. For the first two weeks, Judy washed me twice a day and applied various medications to what used to be called “a real space cadet.” I’m grateful that she took on that job.
My running joke for many years was that “poison oak lasts about two weeks unless you treat it, and then it lasts about 14 days.” What’s lingering several months later are tiny patches of oozing rashes and white scabs that pop up on my legs and back every few days. My friendly neighborhood neurologist provided relief, if not a cure, in the form of a prescription steroid ointment applied sparingly. Once again, I’m very grateful to him, plus whoever invented that ointment. And the locally-owned-and-operated pharmacy that faithfully refills that prescription and others in spite of coronavirus disruptions.
But the injury that refuses to go away is best described as a sprained neck. I still wake up many mornings with soreness and stiffness that often gets worse as the day goes on. Driving gets even more interesting when you can’t predict whether looking over your shoulder is going to work. That makes me strangely grateful for piloting a variety of trucks and vans over many years—relying on side mirrors and body contortions was already second nature.
My neck is slowly getting better. I’m very grateful to my physical therapist for dramatic improvements compared to the early days. And once again, to my wife, who recommended her.
Grateful to be Walking
In the Before Times, my main forms of exercise were long day hikes and backpacking trips. But between the bike crash and recovery, coronavirus restrictions and closures, and months of record-setting California wildfires triggering terrible air quality, my longest walks now are one or two hours on quiet streets and beaches very near home. I’m dreading getting back into shape for 15-to-20-mile backpacking days. Still, I’m grateful that I can walk in beautiful settings a short drive away, knowing that too many people don’t have that privilege.

After all I’ve gone through, and especially all that millions of others have been through, I’m grateful that I’m still walking, period. And I’m very grateful to all the doctors, nurses, and EMS personnel who took good care of me, and continue helping millions of other people day after day during crisis conditions.
My overall feeling, writing this on Christmas Eve 2020, is one of profound gratitude. I know that I live a privileged life in many ways, in a privileged part of a privileged country.

This story is not intended to provoke praise, pity, or scorn, nor to solicit suggestions for improvement. I hope this story encourages you to find opportunities for kindness and gratitude and generosity in your own life, no matter how stressful it may be.
I’m not a very spiritual person. But what I have learned is that the keys to happiness are simple, even in a crazy year like 2020.
Be kind to yourself and others.
Be grateful, and express your gratitude frequently.
Be generous—you’ll make others happier, and yourself.
I hope that you can find happiness, too. And may you follow a less traumatic outdoor adventure path than I have.
Editor’s Note: My favorite end of year/beginning of year tradition is to reflect on the past year rather than make resolutions, so I couldn’t pass up the chance to publish Rex’s reflections. What are you grateful for at the start of this new year? Drop us a line in the comments. -Andrew Marshall-
Related Content
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Discussion
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BPL author Rex Sanders meditates on gratitude and 2020 as he recovers from a traumatic brain injury during the time of COVID and wildfires.
Wow, Rex – I had no idea. I’m so sorry you went through all that, but very relieved to hear that the outcome has been so good! Thanks for writing this.
Somewhat coincidentally, I just this morning finished reading “Angels in the Wilderness” by Amy Racina…someone who had horrific injuries in a fall while hiking solo in the remote Sierra. She writes a LOT about her gratitude and appreciation of everyday things (maybe even too much, but I can certainly understand given her experience).
Wow, sorry to hear, Rex. Glad to hear that recovery seems to be going in the right track!
Gratitude… Life long mindset. As always, I am grateful for my love and health. As Rex, I am appreciative of my luck in still being able to get outdoors, albeit with some restrictions and limitations. And finally, I am appreciative of my employer’s modified schedule since this summer, which has made life in Covid times much more manegeable when compared to the spring working conditions and expectations.
Rex; So sorry you went through that. Â I’m glad you’re on the mend.
Yeah, Poison Oak is never dealt with as quickly as the dermologists suggest it will be. Â Score more predisone and taper it more slowly than they recommend. Â However good you think the pills or ointment are, it’s the shot in the butt that really works wonders!
So BPL writers can continue in their roles, despite brain damage? Â Is this news?
Sorry to hear about your accident. I had a couple of less serious health encounters in 2020 as well, and it seems to have taken longer than usual for me to recover–which may be a result of my advancing age. Something to consider!
Cool to see the local (to me) sign from El Arroyo. They have posted interesting, thoughtful and humorous things for years. Sorry to hear about your accident Rex. I wish you a continued and speedy recovery.
Thanks for writing this. Lots of reasons to be thankful indeed. Chris’s son had an accident in September than left him without oxygen for over 20 minutes and he suffered global anoxic brain damage. Last month he woke from a vegetative state; we hope he will be able to walk or see again but we don’t know. Nothing should ever be taken for granted.
Wow Rex. Who knew? This year, regretfully, I left my mountain bike in the garage. I think hiking has become my safest activity (not withstanding my slide, on my back, head first, down a portion of the Trough on Long’s Peak this summer). Speedy recovery and have a much safer 2021.
I am a retired ER doctor.
Cortisone pills work as well as shots- just need to be taken in high doses 4 times a day for 10 days.
Short term memory needs to be recorded to be remembered.
Maybe your migraine triggered the accident.
Unconscious rage is a common cause of chronic back aches, neck aches, headaches, and stomach aches.
I was in a head on collision several years ago and saved by seat belt and airbag.
Gratitude is one of the best causes of happiness.
Thank you for this.
Thank you all for the kind words and encouragement. Yesterday I hiked 6 miles of trails in coastal California’s harsh winter weather :-), my longest walk by far since the crash. Went much better than expected. Plus the neck pain and mysterious poison oak rashes seem to have taken “a long winter’s nap.”
Gratitude, kindness, and generosity can lead to happiness. And they aren’t hard to do. But I still need to remind myself daily.
Enjoy as much of the outdoors as you can!
I hope that others in the BPL community who are suffering from any cause can find relief.
— Rex
Thanks for this gift of your insights, Rex. Your idea of gratitude, kindness, and generosity resonates well with me. May we all spread as much of these things as we can.
While we all slowly lose some of our ‘excellence’ as we age, I am reminded of a line that an old Montana cowboy mentioned to me when I was a kid – “I’m not as good as I once was, but I’m as good once as I ever was.” As long as we can continue to do some things that we love, life is still pretty darned good. This Covid ‘adventure’ has taught me that a little bit of happiness is actually a lot.
I hope your recovery continues to go well, Rex.
Thank you for sharing your story, Rex. This year has helped me to look for similar things – I had a friend who I ride with who recently had a bad stroke while at home. He is now rehabilitating well according to his family who sends us updates – I am hopeful he will recover fully, but as you say in your writing, everyone’s experience with brain trauma is different, and I consider it a miracle and wonder the human body and its ability to cope, even if lost systems never end up functioning the same. I lost hearing in my left ear for no apparent reason a little over two years ago; it is a source of depression for me at times (being a musician/singer) and it is a reminder of how life doesn’t always work the way we want it to, but somehow it is also a reminder of all the other good things that life has brought, and that it is much more productive to be thankful rather than spiteful. I’ve sent the article to my friend and hope he can be encouraged by it, so thanks again for sharing.
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