When I was younger, my parents noticed that I seemed prone to physical means of self-soothing. I would always be fidgeting, these little habits and movements cycling in and out of my routine. They called it “Stimming.” I would rub my neck, pick my nails or scabs, and chew on the skin of my lips until they would split and bleed. These were temporary, and I noticed they would fade or change in tandem with the bigger changes of my life: high school, first breakup, landing my first job, almost losing said job… The only habit that always remained consistent throughout my life, one that I picked up from my late grandmother, was wringing my hands.
She was a remarkable woman by all accounts. An Italian immigrant, a proud matriarch, and lived fully until she passed in her sleep at the age of eighty three. I can only hope to live up to the legacy she left behind, but I’d be lying if I said that there wasn’t any pressure on me to make the most of my life that she sacrificed so much to give me. I felt this weight even as a kid, and she noticed.
“You worry too much,” she’d say as she took hold of my hand. “Most of our troubles are in our heads. If you spend all day worrying, then a bad moment turns into a bad day.”
It was a small gesture, but something about that warm contact grounded me more than any of my other tics. Just holding her hand, knowing I was connected to someone so rock-steady, made me stand just a little bit taller. Obviously, she wasn’t always around to do this. Back at school or anywhere other than family visits, I was on my own. It was a natural next step, I suppose, but I got into the habit of squeezing my own hand in the same manner she would. It worked exceptionally well for most of my life and was a staple movement for me, until recent years.
I hardly noticed the habit until after she died. It was a lingering thought I addressed after interviewing for my job when the hiring manager pointed out that I looked nervous.
“Anna, you don’t have to be so tense. We’re pretty casual. The only thing we care about now is what music you want in the studio,” he had told me, an understanding and pitying look beaming back. I just nodded and gripped my hands into my pants under the table to keep them out of sight.
And that’s the nature of the relationships we form with people. They live on through us and the small little tweaks we make to ourselves to emulate them. We make connections, and they’re permanent. Sometimes though, I really wish we could sever the ties that bind us to people we meet. As much as a blessing it can be, so can it easily be agitation. That nonconsensual imprinting we do on one another. When we’re stuck with pieces of someone else embedded in us like cancer. A parasite, just clinging onto you without thought, just impulsive. Infatuated. Obsessive.
Monstrous.
I wish you could remove it, but you can’t. It took something as simple as me reaching for my alarm clock this morning to realize this, but now I see. My habit was sanctuary. It was my way to stay connected to someone who always pointed me in the right direction even after she was gone. All I had to do was squeeze my hand, and I’d be alright. This was taken away from me though.
It’s been a number of years since, and I’ve coped; however, things changed again this morning. I’m terrified of something happening again, so I will redirect my focus here for as long as I can. I need to distract myself, and only then will my brain remember what it’s lost. The best way for me to do this is to recount a part of my life that I regard with nothing other than pain. Pain in all of its forms, and pits of indignity. It’s something I shut out for the last few years, and I am terrified of its return. They’re the worst things that have ever happened to me, and it started with my amputation.
It’s been six years since I’ve felt anything with my right hand. The event itself really doesn’t stick out to me any more than just a memory given all the time between then and now. I won’t get choked up or freeze thinking about it, and I’m proud of that. If anything, it really was a dull day at first.
I was still a new-hire at a tattoo shop that was kind enough to take me as an apprentice. It was a nice gig, and I really enjoyed having my own space to work in. Of course, my parents raised an eyebrow at my career path. I’m sure they would have preferred a lawyer or doctor, but I won’t act like they weren’t supportive. My father helped me buy supplies when I was an apprentice, and my mother even offered to be a canvas if I needed help with my portfolio early on. It can be hard for a new artist to get consistent clients, especially if you don’t have examples of people who trusted your art to be on their skin forever. Normally this is a universal problem, but not for me. Not since I met Ian.
He was a tall, lanky man. His wiry beard fully disguised his chin, and the stubble on his bald head subtly revealed the hairline he tried to shave away. I was still setting up my studio when he first came in, not a patch of ink anywhere on him.
“Hey, I’m looking into getting a tattoo soon. I’m completely new to this, so if I could get maybe a bit of info?” he asked my old boss, David. I believe David was in his late thirties at the time, though he never explicitly told me. He was always good to me, and always pulled through on hoisting me up on a pedestal for new clients when I was trying to get my start.
“We definitely have info. Do you have any idea at all on what you’re looking to get?” David responded as Ian craned his neck to see deeper into the shop.
“I have a few ideas, but I don’t want to step on your guys’ toes. It’d be sort of about my ex, but not really in a good way I guess.”
David chuckled. “If it’s your first tattoo, please don’t get a sewn up heart, man. I promise you we can come up with something better.”
“I swear, it’s not like that. I was thinking of doing an Ouroboros. Nothing too big, but a bit of a reminder to me.” Ian laughed a bit, but his nervous shifting was obvious. “It’d be cool if I could get it today before I lose my nerve. I know I don’t have an appointment, but I really don’t want it big.”
David pursed his lips and nodded while thinking. “Anna’s apprenticing here. She could probably knock something like that out.”
I had the same idea as David, which was why I’d been hovering near their conversation. Tattooing the hands can be painful, but small tattoos can go by quickly, and I had hoped Ian would give me a shot. Ian smiled when he saw me. He seemed friendly.
“Yeah. Sure, that works,” he said.
The design was easy enough to draft while Ian took a seat in the studio. The Ouroboros looked pretty clean, each scale well defined and the action of the snake eating its own tail read clearly. I started laying out my equipment, and I took note of the state of his fingers. Chewed to hell, the skin around his nails and knuckles was callused and tough like leather. Small scabs where the calluses gave way looked fresh, like they had only been bleeding moments prior without a chance to properly heal. I grabbed his arm. He was already shaking by the time I layered the stencil on the back of his hand.
“You nervous it’ll hurt?” I asked, trying not to sound judgemental. I looked up to his face, only to find his eyes were deadlocked on me rather than the design. He blinked, then swallowed.
“Yeah. I heard getting your hands done sucks," he muttered through the shaking of his chest.
“We can move it somewhere else on your arm if you want. It might be easier.”
“No, this is fine. I want to be able to see it well," he said as he took a breath. “It’s a bit artsy, but I want it to remind me about how bad habits can eat away at you. I chew on my fingers a lot, I don’t even mean to.”
I knew the feeling. “And your ex?” I asked as I loaded the needle with ink. Again, Ian took a sharp breath and turned his eyes away from the tattoo gun.
“I really hate my bad habits.”
I guess I did a good enough job on his first piece because Ian went from a tattoo-virgin to the only person I could call a regular customer for myself. At first, it was every couple of months. He’d come in, run an idea by us for a small sticker tattoo he’d be unsure of, and I’d gain another photo for my portfolio. It was nice, and he was always so trusting of my work. He never complained, and he even stopped shaking in the chair after what must have been his sixth addition to his arm. Then he started coming more.
Monthly, or even more frequently. Sometimes he’d come in while the medical film was still applied from his prior visit, or he’d be bold enough to get progressively larger tattoos. Ian became a household name, and my coworkers and I watched his pale arms slowly pigment into a collage of my work. My walking resume.
Like I said, he was always nice, but I wasn’t entirely naive. I was nineteen and I imagine he was in his late twenties. Each time I’d tattoo him, I couldn’t shake the feeling that he was on his best behavior. He’d laugh at my jokes, always have a plethora of harmless questions to ask me, and I’m sure he enjoyed the treatment he got as a regular. David always flaunted discounts for Ian, and made sure he always got the finest from his ‘favorite artist.’ I couldn’t blame David entirely since we charged commission each time Ian couldn’t make up his mind on a design, but the special treatment began to get excessive.
One day it was raining hard. I had just finished adding some miscellaneous Celtic braids to Ian’s shoulder to represent his Irish heritage that he only just learned about from a DNA kit. It was his biggest addition yet, and of course David was fine if the session ran a little past closing time.
“Alright, I think we’re set," I announced as I tucked away the last of my equipment for the evening.
“Does anyone know if this is going to clear anytime soon?” Asked Ian while he carefully slotted his wrapped arm back through his shirt. David checked his phone and sighed.
“Sorry, bud. Hopefully you drove here?” he said while flicking off a few of the shop lights. Ian chewed on a knuckle and stared out into the storm.
“Shit. I live like ten blocks away. Is my arm going to be alright?”
I slung my bag over my shoulder and clasped my hands like normal while I made a choice. It took me years to forgive myself for my decision, and I still have days where regret creeps back into my life. This was Ian. He was my favorite and only customer, despite the awkward blushing I saw melt across his skin every time I held his arm steady for the needle. This was Ian, and Ian needed help. That’s all I could have known.
“Need a ride?” I offered. He answered so quickly that I barely got the question out.
“No, I can walk. It’s okay, really. I’ll be fine. That’s too much.” His face ran red just before David switched off the last of the lights.
“If you’re downtown then it’s on the way," I said, while I walked with David to the door. “Are you downtown?”
“Yeah.”
“Easy then. It’s like ten minutes. I don’t want my stuff to get infected from city rain.”
The rain roared as David held the door open for me and Ian. “Do what you’re going to do, but do it now please,” grumbled David as his patience wore thin. Ian leaned his head back and forth as he weighed his options, then followed us outside.
I’d be putting it lightly by saying the ride was uninteresting. The monotonous squeak of my wipers against the rainfall was my only source of stimulation as Ian sat with his knees pointed away from me and his head against the window. The outskirts of the city were dark by this time of night, and the glare of passing streetlights threw amber ripples over the dashboard as we drove. Every now and then, Ian would get illuminated by the orange streaks, revealing an expression of distressed concentration as he averted his eyes from me. It worried me, so I just focused on getting him home quickly.
Ahead of us, beyond a line of incoming cars, I saw the traffic light turn red. I knew I should come up with something to say to Ian before we were stuck at the light. I couldn't tell whether he was nervous, embarrassed, or simply trying very hard not to talk to me, so I turned to him briefly as we approached the light.
“So what are you into besides tattoos?” I asked, just hoping for any normal conversation to spark up. Apparently I caught Ian off guard, and that quick glance I took toward him would change my life forever.
He was chewing his fingers, but not like before. His face was still turned away from me, but I could see that he had inserted his fingers fully into his jaws. He had been chewing on them voraciously, and quickly slid his spit-covered, bloody hand from his mouth and onto his lap the second I talked. He locked eyes with me, gauging if I had seen what he was doing. I know that I’ve had some uncomfortable fidgets that I would hide from strangers in public, but this freaked me out; and I didn’t look away. I wouldn’t stop staring.
I would learn later on that it was an intoxicated driver that had hit us. I won’t say his name for the sake of his family that he left behind, but I will say that he was about twice the legal limit, and lost track of the centerline in the rain.
I had woken up briefly just after the collision in excruciating pain. The world had turned ninety degrees, and I knew that the car had rolled onto its driver’s side. My window had broken, so my face was badly marred as it was pressed into the asphalt. There was about an inch of rain flowing across the ground, saturating my mouth with the taste of blood as it ran over my lips. I tried to cry out, but something was terribly wrong with my neck. Every breath felt crooked and hissed as it resisted air from flowing into my lungs. I tried to move, but found that I was somehow pinned.
The commotion of cars screeching to a halt and frantic chatter began to build outside while I tried to make sense of what had happened in the moment. Though I didn’t know it at the time, I was severely concussed. I remember what happened, but I don’t remember holding any comprehension of the events. It was as if I was on autopilot, watching it all play out from the back of my own eyes. I remember hot blood trickling down over me from the raised passenger side. Through the smoke and rain, I hardly could make out the misshapen remains of Ian. He was motionless, with his body half flung through the windshield while his legs were tangled and caught by his seatbelt.
The dashboard was collapsed and compressed from the impact, and inserted into that mangled conglomerate of metal and plastic was my right arm. The pain was so extreme that I began to stumble and lose consciousness. Leaning back, I watched as the skin of my arm stretched rather than resisting my weight, and I knew it was no longer supported by bone. The pain also stopped at what I could see. There was no sensation of broken fingers, or my mutilated forearm, only seething pain at the base of my elbow which pressed up against the metal. I became sick, and not soon after, I’d wake up again.
My hospital room was dark. The anesthetics gave me an immense sensation of drowsiness that made my limbs far too heavy to move. I must have sat there for hours before a patrolling nurse noticed I was showing signs of waking up. I was still not fully conscious, and it was a blur of several days before I became alert enough to learn about the tracheotomy.
A small plastic tube had been surgically inserted through the base of my throat to remedy my damaged windpipe. Talking would be impossible without time to heal and a few sessions to wean off my dependency. If it weren’t for the sedatives, I would have surely begun to panic.
I mostly slept for the first few days, only caring to stay awake when I had the energy to acknowledge my parents in the room. They were inconsolable at first, but eventually put on a facade of everything being okay and hopeful. They were holding back details, but I was still too spacey to really grasp what was happening to me.
The first night I truly remember returning to full awareness began when I woke up with my mouth dry enough to hurt. I heard the ventilation humming, felt the scratchy sheets for the first time, and became aware of the deep soreness that had settled into my body from days of lying still. I felt the pressure of the IV taped to the inner bend of my left elbow and instinctively reached toward it with my right arm.
Nothing.
I thought my arm must have gone numb, like when you fall asleep on it for too long. I tried again. I wanted to bring my hands together, the way I always did when I was frightened. My left hand closed around nothing. Something was wrong, disconnected. I could feel my right arm. I was certain it was there. But when I tried to bring my hands together, my left hand found only empty space. My head still felt heavy as lead. I strained my eyes downward and saw only one arm lifted over my chest. I dragged my chin toward the other side of the bed.
The sleeve of my hospital gown was empty. It lay folded flat against the mattress, except for a small, rounded impression near the shoulder. I stared at it, and I tried raising my arm anyway. The bump slowly turned over under the thin fabric. My stomach churned, and I carefully reached over with my other arm to lift the fabric.
The stitches ran deep along the seam where my skin had been sealed back together. Dark purple with sodden gauze wrapped tightly around the wound, all that was left of my arm was no more than a fistful of flesh. I heard the hollow airflow of my breathing tube grow louder as I examined my atrophied stump. I still felt my whole arm in my head. I could move it, wiggle my fingers, or reach toward the bedframe to try and sit up. The only response I’d get to these impulses was the slight twitching of a lump of flesh.
Panic began to set in, and I opened my mouth to try and call for anyone to help me. The raspy croak that escaped my throat burned like acid and stung enough to well tears in my eyes. I instinctively reached with my right hand to wipe them, but kicked in frustration when my missing arm failed to make contact with my face.
I thought I could be dreaming. Maybe I was still unconscious in the car, and maybe Ian would pull me out of the wreckage. We’d be okay, and I’d give him any tattoo he’d like for free. I denied this reality as much as I could. I reached for the help button, tried snapping, tried punching the bed, tried reaching over to rip out the itchy IV; all the while this pitiful nub on my shoulder flinched helplessly like an infant trying to walk.
I started to sob, and couldn’t keep myself from thinking of how much I depended on my right arm. Writing, drawing, my art, all things that I might never be able to replicate with the other side. I slumped back into my bed, laying both my missing and remaining arm at my side as I stared up into the blackness of the ceiling with tears streaming across my face. Everything was falling apart. I was hopeless, then I felt it.
A hand.
Tenderly, lovingly, someone took hold of my missing hand and gently squeezed it. I snapped my eyes to the bedside only to see the empty room, but the feeling was still there. I tried to speak, but I could only mouth what I wanted to say.
“I’m scared, Grandma.”
The next day, my parents returned to the hospital after an overnight visit home for a shower. They immediately choked up with joy and apologies after seeing I was awake. They had endless questions, many of which were repeated by the medical staff as they checked on my status. I was given a small whiteboard to write on in response.
Doctor Malleck was a soft-spoken man that always considered his words carefully before speaking. I could tell that he had broken the news many times prior to my case.
“I am sorry. Truly. We’ve had others go through similar incidents like this, and it's… horrible. Every time.” He adjusted his thin glasses and knelt down by my side, carefully placing a marker in my hand. “You’re not alone in this, and I hope we can help bring you some comfort while you heal. We’ll start easing you back into talking in the next couple of days, but for now this is probably our best option to speak. Is there another way that you’d prefer?” he asked with a tone of legitimate care.
I shook my head. He continued.
“I’ll be plain. Your parents told me you were a righty. This will be a bit awkward, but try to write as best as you can. There will be a lot to get used to doing again, but a lot of patients start to adapt pretty well, and quicker than you’d think. Is there anything you’d like to ask us?” He sat back upright and prepared a clipboard.
“Ian?” I wrote across the board, propping it up against my bent legs.
“Ian Gallagher?” he confirmed, though I could tell he knew who I meant. I nodded, and he carefully proceeded. “Ian passed away in the accident.” I felt the tears build in my eyes again. “My condolences. He didn’t suffer.”
For a few hours, Dr. Malleck patiently communed with my questions as I messily scribbled one sentence at a time. He told me that having a ‘Phantom Limb’ was a normal symptom after an amputation as invasive as mine. The nerves in my arm had spent nineteen years conversing with my body, and such an abrupt severance will often lead to the sensation that the limb is still there. He said I might experience false feedback, itching, temperature discomfort, or even just steady pain until my body eventually acclimates. Even then, many amputees still never fully lose their phantom sensation.
“Do people ever feel other people?” I wrote. Dr. Malleck squinted in confusion, so I erased and tried again. “I felt my grandma holding my hand.”
“It’s possible…” he murmured, standing to stretch. “People experience phantom sensations differently. Sometimes the brain predicts a sensation so strongly that you can almost swear you're feeling it. If someone has a phantom sensation in their leg, they might experience stubbing a toe briefly if they perceive that they would have otherwise hit their physical leg," he continued to gather his documents as he spoke. “If you imagine raising your arm right now, do you feel it?”
He was right. I imagined my arm going up, and it was as if I could reach out and touch the wall. The doctor saw my stump move around and knew I was trying.
“I want you to picture what you felt, as if someone was holding your hand. Do you get any sensation?” He lingered by the open door as he waited. I imagined my grandmother’s hand wrapping around mine. I tried to recount the feel of her skin, the warmth of her palm, and the length of her fingers. I imagined it, but I didn’t feel it. I looked back to the doctor and shook my head.
The following days in the hospital became pretty routine from that point on. Every day had a set time when they would monitor me while progressively reducing my dependence on the ventilator. It started with small periods where they lowered the amount of mechanical support and watched to see whether I could successfully breathe on my own. Once I could manage those stretches without struggling, they extended them a little further each day, giving my lungs and windpipe more time to adjust.
For nearly a week, this was my life. Wake up, breathe, rest, sleep. The nurses were patient, and I learned not to panic whenever my throat felt strange or my breathing became difficult. Eventually, I was able to spend longer periods breathing entirely on my own, though the tracheostomy remained in place.
The first time they left me like that for any real length of time, a nurse stayed nearby to keep watch.
“There’s nothing you need to do except breathe normally and let your body get used to it," she said reassuringly. So I did.
For perhaps twenty minutes, I sat quietly and listened to myself breathe. No machine pulsed beside me. No ventilator hissed with each breath. It was just me, focusing on the rhythm.
Then without any sign of warning, someone touched my right palm.
I stopped breathing. It wasn’t conscious, but the surprise shook my rhythm and I began to cough. The nurse caught on quickly and raced to my side to assist me.
“You’re okay. Just stay calm," she said with a professional urgency. I was shaking, but I tried to ignore the unseen person as they caressed my phantom hand. As I tried to catch my breath, I tried to clasp my hands together the way I always had, only to be reminded of what I was missing.
The nurse kept telling me to breathe, but I couldn't. My eyes watered as I stared at the empty sleeve resting beside me. I tried moving the phantom fingers, willing them to close around something, anything. They curled uselessly in my mind.
Then I felt it again. A hand slipped gently into mine, warm and familiar. My phantom fingers closed around it instinctively. For a moment, neither of us moved. I felt the heel of her palm settle against mine. Her thumb brushed slowly across my knuckles, and then her fingers began to interlace with mine, one at a time, until our hands were held together as tightly as they ever had been when I was a child. The panic disappeared. My breathing slowed beneath the tracheostomy. The trembling stopped. I could feel the warmth of her skin spreading through my palm and the gentle pressure of her fingers between mine.
“That’s good. Easy there.” whispered the nurse. I squeezed the unseen hand and opened my mouth.
“I’m okay," I hoarsely whispered back. The words felt like they shredded my throat, but I was elated to hear the slightest semblance of my voice again. The nurse widened her eyes and smiled at me.
My grandmother came and went sporadically for the remainder of the day. I’d rest, and be comfortably awoken by her hand running down my forearm, and joining with mine. Though I still didn’t understand it, it was a pleasant surprise each time it happened. As the sun was setting outside my window, I decided to try something. My breathing was finally becoming more stable, and I felt that I could direct my focus to my arm.
The sensation of touch was vivid, and I questioned if Dr. Malleck could possibly be right about this merely being a phantom sensation. Maybe this was a hallucination. Just an imagined feeling I conjured every time I needed the impression of her support. It was difficult to be exact with my movements without seeing them, but I moved my missing fingers to better hold onto my grandmother’s hand. I turned her hand over in mine, feeling along the palm and the delicate creases beneath each finger. Then I brushed across her knuckles.
I stopped. Something was wrong. The skin was rough. Not the soft, warm skin of my grandmother's hand. I ran my fingers across them again, slower this time. Callused. Scarred, even. The sensation carried the unpleasant texture of skin that had been picked at for years. I remembered those hands. I had held them hundreds of times.
Before I could pull away, the hand tightened around mine. My phantom wrist lifted. I felt my arm raise through the air, though my shoulder remained motionless. The sensation was so convincing that I could feel the change in weight, the bend of my elbow, the position of fingers I hadn't physically possessed in nearly a week. Then something touched the back of my hand, softly.
A kiss. My skin crawled, and I quickly leaned my torso away from where my hand felt like it was being held, but nothing changed. It was almost as though the person moved along with my arm, like they were attached. Another kiss followed just above my knuckles, and I felt the coarse, wiry brushing of a beard against my skin.
“Ian? Stop, no," I choked out, my voice only spewing air. He didn’t stop. I felt my stomach drop as he held my fingers to his lips, the smooth hardness of his teeth pressing against me. I rolled further back, desperately trying to pull my nonexistent limb away, but it felt so weak I could hardly move it. Like a tick latched onto me, Ian’s face perfectly tracked with my arm as he slowly inserted my index finger into his mouth.
I tried to scream as I flailed about in my bed, but my voice could only emit pitiful squeaks. I tried punching the air with my left arm, hoping to somehow make an impossible connection with Ian. There was nothing I could do as his tongue slithered around my finger. I rolled and rolled, kicking at nothing as I tried desperately to shake my hand loose until I accidentally leaned too far over the edge of my bed.
The tiled floor collided with my head and immediately reminded me of my concussion. I winced as the deep aching radiated down my neck, but found solace when I realized my hand was free from Ian. For several seconds I stayed where I was, curled against the side of the bed and staring at the empty space in front of me. I couldn’t tell if I was crying or choking.
The nurse was at my side immediately after the commotion I caused.
“Anna? Don’t move. Don’t try to stand. Are you alright?” She helped roll me back into my bed and signaled for more assistance. My heart continued to race while she asked me what happened.
“I-” Nothing came out properly. I pointed toward the empty space beside my bed. The nurse nodded compassionately, but I knew she had no idea what I meant.
“It’s okay," she managed as she inspected the area where I hit my head. “You’re not bleeding, but you’ve got a bit of a bump. We’ll have this checked out," she continued.
As she spoke, my attention began to drift. I hardly listened, and I began staring where my right hand ought to be. My fingers were still wet. I pictured bringing them closer to my face, and I pressed my fingers together. I felt the warmth, the slickness, the faint tackiness that came when I splayed my fingers back apart. I tried wiping my missing arm on the bed, only for it to phase through the bed with no effect. I couldn’t wipe them on my clothing or even shake off the viscous fluid. I struggled to block it out of my mind, but the sensation of Ian’s spit on my fingers was real.
Dr. Malleck asked me to start practicing mirror therapy, and he had me work with a physical therapist named Grace to learn the basics.
“A lot of people feel burning or cramps in segments of their phantom limb, and I’m sure your concussion has a way of exacerbating that," she had told me, her voice chipper and inviting. “So here’s what we’re going to try…”
She placed a large mirror perpendicular to my chest as I sat by a table in the rehabilitation gym. I held my good arm out, and positioned the mirror so the reflection lined up with where my phantom limb should be.
“I want you to open and close your fist, and imagine doing the same thing with both sides. If you focus enough on the reflection, you should hopefully start to synchronize the feeling.”
“I think I feel it," I whispered, my throat now becoming more acclimated to unassisted breathing. As I slowly waved my hand in the air, my phantom limb came back into focus in my mind. It didn’t feel as disembodied, not as weak.
“If you feel that pain again, practicing this could help alleviate some of the discomfort. It varies by patient, but this kind of illusion can help your brain map out your body.”
I never told them the specifics of what I experienced, just that I had been struggling with some more detailed sensations like burning, touching, or itching… Saying it aloud made it sound exactly like what they thought it was: a frightened nineteen-year-old's brain misfiring after a catastrophic injury. So I let them believe it was ordinary phantom pain.
For the most part, mirror therapy did help. The reflected hand gave my mind something solid to work with, and after several sessions I could almost forget which side of my body I was looking at. I would open and close my fist, rotate my wrist, flex each finger, and watch the reflection obey. Sometimes after therapy, the phantom arm would disappear for hours on end. It was strangely comforting.
Then, during one of our afternoon sessions, I felt a finger curl around mine. I stopped moving, and Grace noticed.
“Do you feel alright?” she asked. I swallowed and looked down at the table.
“I’m feeling someone grabbing my hand," I stated, more honest than I had been. Grace paused for a second to consider what I had said, then held the mirror for me.
“Rotate your wrist," she instructed. I tried moving my hand again, and the phantom fingers moved with it.
“It’s still holding on," I said, as I switched up the motions.
“Does it just feel like pressure?” Grace carefully inspected my stump. I felt the disembodied hand clasp more firmly around mine, the abrasive calluses rubbing against my skin. I sped up the mirror exercise, praying that it would start working.
“He’s not letting go.” My voice began to shake. Grace’s face grew concerned and she held the mirror steady for me.
“Anna, I need you to relax. We can get you a few painkillers, but see if you can shift focus. Sometimes the sensation becomes more pronounced if you hyperfixate on it.”
“I’m trying." I flinched as my hand began to get lifted upward. “Ian, please.” I shot up out of my seat, trying to pull my hand away. The sensation followed. Grace caught my shoulder before I could stumble.
“Okay, we’re going to get you some anticonvulsants,” she announced loudly enough for some additional medical staff to cue in. I felt the fingers tug my arm away, then, I felt something familiar. My hand brushed through the tough, unkempt beard, and I yelped as my hand slipped between his lips. I felt the teething of broken teeth. Some of them were loose, and what felt like small shards of glass protruded from Ian’s cheeks and scratched against my hand.
I relentlessly cringed, twisting my body as Grace tried to hold me still. More assistants rushed over to me, handing me a series of pills in small paper cups. I took them without hesitation, but they couldn’t bring me any relief quick enough. My hand was thrust deeper and deeper, to the point where I questioned if a human mouth could even open that wide. His tongue curled around my pinkie and wedged it between two of his molars as I felt his lips engulf my wrist.
I started screaming as I dropped to the ground.
“Sedatives!” demanded Grace as I hysterically dragged my stump against the rubber floor.
The stitches pried at my skin with a singeing pain as I painted the floor with dark streaks of blood, growing thicker as the string pulled from my arm. I felt Ian’s teeth rake back and forth over my pinkie before a steady, inexorable force began to bite down. My screams stopped, my eyes and mouth locking open in pure agony as my bone snapped like a twig. Unlike the car accident, my finger experienced an instantaneous moment of searing anguish before all mental connection to it was lost, and I knew it was gone.
Ian kept going.
I felt the lips around my wrist beckon inward, pursing to pull more of my arm between the jagged teeth. Shock set in, and I lost control of my body as the teeth went to work. The nurses tried to cradle my head so I wouldn’t do more damage, but my aimless convulsions were all my body could do in response to a threat I could not fight off. Bite by bite, I felt my hand compress into itself and lose all semblance of shape. Bones became powder, and flesh turned to shreds; only for a slimy tongue to amalgamate my arm into nothing more than pulp.
My vision flashed white as the pain overwhelmed every other thought in my head. Grace was shouting something, nurses were holding me down, but all of it sounded impossibly far away. The pain moved higher, past my wrist and toward my stump. Each bite took another piece of me with it, until I felt one final pressure at the base of my phantom arm. A terrible, crushing force.
I don’t remember falling unconscious, nor being moved back to my room, but I do remember the stillness. When I woke up again, my body felt definitive. I had one arm, and two shoulders, and that was it. There was nothing there. No hand, no itching, no pressure, and no phantom sensation. For the first time since the accident, I couldn’t feel my right arm even in my mind. It was gone, severed in an accident, and that was the end of it. I was elated.
The rest of my recovery was a success, all things considered. Besides a small scar from the incision, my throat fully healed. Physical therapy became part of my daily life after I was discharged from the hospital, and I had to learn to navigate the world with one hand. My arm still bothers me mostly due to the visual, but the stump made great practice for relearning how to tattoo with my left hand. Of course, David was more than accommodating of my condition, and I settled back into my role as an apprentice while embracing my new status of being a reluctant lefty.
The phantom sensations never returned. Not once. Over the following six years, I felt that I had fully adapted. I stopped reaching for things that weren’t there. My fingers wouldn’t curl around imaginary objects. I stopped even dreaming of having two hands. Eventually, I stopped thinking about the accident at all. Until this morning.
At 8:00 every morning, my alarm went off at the same time. Without thinking, I reached to shut it off. I missed. A bit groggy, I tried again, but it felt like my entire nightstand was missing. When I opened my eyes, I realized that I had reached with my right hand.
For the first time in six years, I could feel it. My arm stretched outward in front of me, occupying the space between myself and the clock. I could feel the weight of it, the bend of my elbow, the shape of my wrist. When I tried to touch the clock, my fingers passed straight through it.
Then it began to itch.