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The Journey of Recovery: Lessons from Almost Gone

Jun 23
6 min read

Updated: Sep 4

Elderly couple stands beside an intubated man in a hospital bed, touching him gently amid monitors and IVs, somber scene.

When people hear that I survived a near-fatal medical crisis and spent approximately three and a half weeks in a coma, it's easy to think waking up was the end of the story.

It wasn't.

Waking up was where one of the hardest parts of my story began.

I had survived, but I still had to learn how to live again. My body had changed. My abilities had changed. My family had been through something terrifying. And I had to confront the choices and circumstances that had brought me to that point.

That's one of the most important lessons behind Almost Gone: survival and recovery are not the same thing.

Survival gave me another chance.

Recovery taught me what to do with it.

My journey of recovery taught me that rebuilding a life takes time, accountability, support, faith, and the willingness to keep moving forward.

Waking Up Was Only the Beginning

When I came out of the coma, I wasn't suddenly restored to the person I had been before.

My left side had been severely affected. Things I had done automatically my entire life now required effort, concentration, assistance, or a completely different way of doing them.

I spent about eight weeks in rehabilitation at the VA learning how to function again.

That experience changed my understanding of the word recovery.

Recovery wasn't one dramatic breakthrough.

It was repetition.

It was frustration.

It was learning.

It was accepting help.

It was trying again when my body didn't cooperate.

Some victories would have looked insignificant to anyone watching from the outside. To me, they could mean everything.

Recovery taught me to respect small progress.

I Had to Accept That Some Things Had Changed

One of the most difficult parts of rebuilding was accepting that I couldn't simply rewind my life.

I wanted to be the man I had been before the coma.

But recovery doesn't always give you everything back exactly as it was.

Eventually, I had to stop measuring myself only by what I had lost.

Instead of constantly asking, Why can't I do what I used to do?, I began asking a more useful question:

What can I do with what I have today?

That change in thinking mattered.

Acceptance didn't mean that I liked everything that had happened.

It didn't mean giving up.

It meant acknowledging reality so I could start building from it.

Accountability Became Part of My Recovery

Writing Almost Gone forced me to look at my story carefully.

My medical crisis didn't happen in isolation.

Years of pain and escalating prescription medication use had led to dependence. There were circumstances surrounding that journey that mattered, but there were also choices I made.

I believe both parts of the story deserve to be told.

It's easy to look backward and concentrate entirely on what other people should have done differently.

It's also easy to go to the opposite extreme and blame yourself for everything.

Neither tells the complete story.

For me, recovery required honesty.

I had to recognize what happened around me while also taking responsibility for the decisions that were mine.

That lesson extends far beyond prescription medication.

You can't change every circumstance in your life, but you can take responsibility for what you do next.

That became one of the foundations of my second chance.

Recovery Was Physical, but It Was Also Personal

Rehabilitation addressed my physical condition, but rebuilding my life involved much more.

I had to figure out who I was going to be after everything that had happened.

Could I work again?

Could I regain independence?

Could I rebuild my business?

Could I find purpose in a life that looked different from the one I had expected?

Those questions couldn't be answered in a hospital room.

They were answered gradually through living.

I returned to work.

I rebuilt.

I found ways to adapt.

I learned that my physical limitations didn't erase my ability to think, contribute, help people, love my family, or create something meaningful.

Eventually, I stopped seeing my life only in terms of what the medical crisis had taken from me.

I started seeing what was still possible.

Family and Friends Mattered More Than I Can Explain

Recovery may happen to one person physically, but a serious medical crisis affects an entire family.

My family had been through their own nightmare while I was unconscious.

When I eventually went home, I needed them.

I also needed good friends.

For someone accustomed to handling his own life, accepting that level of help wasn't always easy.

But I've learned that independence doesn't mean refusing support.

Sometimes the strongest thing you can do is allow somebody who loves you to stand beside you.

My family and friends couldn't recover for me.

But they helped make it possible for me to keep going while I did the work.

That's something I will never forget.

Faith Gave My Second Chance Meaning

Faith became increasingly important to me as I tried to understand why I was still here.

I had come extraordinarily close to losing everything.

When you survive something like that, questions naturally follow.

Why did I survive?

What am I supposed to do with the time I have left?

What does a second chance actually mean if you don't do anything with it?

I don't claim to have every answer.

But I believe I was given another chance.

My faith, church, and the people around me helped me see survival as more than simply continuing to breathe.

Being alive meant I still had something to do.

That belief helped me move forward.

Work Helped Me Rebuild My Sense of Purpose

As my recovery progressed, work became another important part of rebuilding.

My business gave me responsibilities again.

People depended on me.

Problems needed solving.

There were goals in front of me instead of only memories behind me.

Work reminded me that I could still build something.

That was important because after a catastrophic event, it can be easy to define yourself entirely by what happened to you.

I didn't want to spend the rest of my life being only "the man who was in a coma."

That experience will always be part of me.

But it isn't all of me.

I'm also a father, veteran, businessman, author, friend, and someone who still has things he wants to accomplish.

Recovery helped me rediscover those parts of myself.

Setbacks Don't Erase Progress

Recovery wasn't perfectly straight.

There were difficult periods and decisions I wish I had handled differently.

That's part of the truth too.

I don't believe a meaningful recovery story should pretend that everything became perfect after one life-changing moment.

Mine certainly didn't.

What mattered was that a setback didn't have to become the end of the story.

I could recognize it.

Learn from it.

Change direction.

And continue.

Progress doesn't become worthless because the road wasn't perfect.

Sometimes recovery means correcting course and continuing forward.

Why I Finally Told My Story

For years, what happened to me was simply something I had lived through.

Eventually, I realized there might be value in telling the story.

That's how Almost Gone became more than a private memory.

I wanted to tell the complete journey—from my Kentucky childhood and the experiences that shaped me, through family, work, pain, prescription medication dependence, the medical crisis and coma, and ultimately the long process of rebuilding.

I didn't write the book because I believe everyone should follow my exact path.

Every person's circumstances are different.

I wrote it because stories can remind us that the worst moment of a person's life isn't necessarily the end of that person's life.

If someone reading Almost Gone is going through medical trauma, dependence, disability, rehabilitation, family difficulties, or another seemingly impossible situation, I hope they take one thing from my experience:

Keep going.

What My Journey of Recovery Means to Me Today

Today, I don't think of recovery as returning to the person I was before everything happened.

I think of it as learning how to live fully as the person I am now.

There are things I cannot change.

There are consequences I still live with.

There are mistakes I can't erase.

But there is also a life I almost didn't get to have.

There is family.

There are friends.

There is work.

There is faith.

There is purpose.

There is Almost Gone.

And there is another day in front of me.

That's what recovery has ultimately taught me.

It isn't about pretending the past didn't happen.

It's about refusing to let the past decide everything that happens next.

A Second Chance Is What You Do With It

I was almost gone.

But I wasn't.

A tiny sign of life gave the people working to save me something to fight for, and somehow I survived.

What happened afterward wasn't easy or perfect.

It was a long road of rehabilitation, adjustment, accountability, setbacks, faith, work, and rebuilding.

But that road led me here.

That's why I no longer think of a second chance simply as something you're given.

A second chance is something you have to decide what to do with.

I'm still making that decision every day.

And that's the journey behind Almost Gone: A True Story of Survival, Coma, and a Second Chance.

— Robert B. Routt

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