Then another surgery a week or so after that, to harvest skin from the thigh of her uninjured leg. Then another to graft that skin onto the messed-up leg. Those two procedures, unfortunately, would leave some “nasty scars.” But the injuries on her face, at least, could vanish completely with cosmetic surgery after a year. “Once you’re through your nonelective surgeries, provided there aren’t any complicationsno infections from the splenectomy, no pneumonia, no problems with your lungs — we’ll get you out of the hospital and into rehab,” the social worker said.

“Physical and occupational, speech and whatever else you need. We’ll assess where you are in a few days.” I was dizzy from this litany, but Mia seemed to hang on her every word, to pay more attention to the details of her surgeries than to the news of her family.

Later that afternoon, the social worker took the rest of us aside. We — Mia’s grandparents and me — had been worried about Mia’s reaction, or her lack of one. We’d expected screaming, hair pulling, something explosive, to match the horror of the news, to match our own grief.

Her eerie quiet had all of us thinking the same thing: brain damage.

“No, that’s not it,” the social worker quickly reassured.

“The brain is a fragile instrument and we may not know for a few weeks what specific regions have been affected, but young people are so very resilient and right now her neurologists are quite optimistic. Her motor control is generally good. Her language faculties don’t seem too affected. She has weakness in her right side and her balance is off. If that’s the extent of her brain injury, then she is fortunate.”

We all cringed at that word. Fortunate. But the social worker looked at our faces. “Very fortunate because all of that is reversible. As for that reaction back there,” she said, gesturing toward the ICU, “that is a typical response to such extreme psychological trauma. The brain can only handle so much, so it filters in a bit at a time, digests slowly. She’ll take it all in, but she’ll need help.”



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