On October 14, 2004, I woke up in the morning and started my day like any other. Sitting up in bed, I began pulling my pants off before I was going to transfer to my wheelchair and then go into the bathroom. As I pulled my pajama pants off, I suddenly felt a wetness on my right hand. My first thought was what many people with a spinal cord injury would probably think: that I had had an episode of incontinence sometime during the night. But the moisture was on the side of my right leg, not the seat of my pants. I removed my pants entirely to examine myself and was stunned by what I saw. My foot and ankle were swollen, pink, and hot to the touch. I woke my partner up and told him that we had to go to the emergency room immediately.