DiversityNursing Blog

I'll be fine, Nancy told them before sliding into the front seat. Nancy, 17 at the time, sat in the middle of the bench seat, with her 19-year-old boyfriend, Paul Cramer, on her right, and his college roommate behind the wheel.

Nancy, a pretty and popular senior at Beatrice High School, planned to attend college and follow her dream of becoming a nurse.

She wanted a career, but her greatest hope — one she had wished for since she was little — was becoming a wife and mother. She wondered if Paul might be the man she would marry someday.

Nancy and the two others set out on their trip that winter day 40 years ago, but they never arrived in Lincoln.

In the years that followed, Nancy would face tough obstacles reaching her dreams. Though she wouldn't fulfill them all, she would reach most, including motherhood. And through her faith, courage and perseverance she would inspire her children to achieve one dream that fell from her grasp.

Before Nancy left on the trip that day, she spoke with her dad about a Christmas present she'd given him.

It was her senior picture in a wooden frame. She reminded him to hang it in his office at work.

There was Nancy, with her blue eyes and long blond hair, smiling in the photo.

Her father promised he'd take it to work, and gave her a hug and kiss.

Be careful, he told her.

* * *

Nancy and the others stopped to fill the white two-door Dodge with gas before heading north out of Beatrice on U.S. Highway 77 — a two-lane road in those days.

Seven miles north of Beatrice, the Dodge trailed a truck near the tiny town of Pickrell about 2:20 p.m. Newspaper stories and a sheriff's report indicate the car moved into the opposite lane. Paul caught a split-second glimpse of the oncoming sedan. He instinctively braced himself against the dashboard with his right arm and threw the other across Nancy's chest.

The two cars collided head-on, according to news reports. The other car carried a 75-year-old Kansas man and his wife, who both died in the crash.

Nancy's head smashed against the dash, crushing the middle third of her face. She broke a hip, her pelvis and jaw. Paul broke an ankle, nearly severed a finger and suffered a concussion and chest injury. His roommate also was injured.

In an emergency room in Beatrice, Nancy remembers hearing voices and her family doctor exclaim, “Oh, my God.”

Her face throbbed with pain, and she couldn't see.

You've been in a car accident, her father told her, but you will be OK.

Why can't I see, she asked.

Doctors are taking good care of you, her dad replied. They will figure that out.

Within hours of the crash, doctors transferred her by ambulance to a Lincoln hospital. A nurse Nancy knew sat in the back with her during the drive. The previous summer Nancy had worked as a nurse's aide and the woman had trained her.

The nurse held her hand, and though Nancy still could not see, she felt peaceful, as if the Lord held her in His arms.

In Lincoln, Nancy underwent the first of what would be nearly a dozen plastic surgeries to reconstruct her face. The surgeon who performed the first eight-hour operation told Nancy's family her facial bones were so shattered that it was like “stringing pearls” together.

As she lay in her hospital bed a day or two after the crash, Nancy had a question for her mother.

It wasn't about her eyes, or her face.

Will I still be able to have babies someday?

Her mother leaned over her bed and gently told her yes.

Nancy was relieved, but soon would learn devastating news.

Within a week of the accident, doctors told her what she had feared: She was permanently and completely blind. Her optic nerves were dead because injuries had cut off their blood supply.

Nancy felt the Lord would take care of her, but she was scared, and her mind raced.

How would she get around? How would she pick out clothes? How would she put on makeup?

Could she still go to college? What would her boyfriend, Paul, say?

He was recovering at a Beatrice hospital, and soon after Nancy learned about her blindness, he phoned.

He told Nancy he had fallen in love with her months before, and her blindness didn't change that.

“I love you,” he told her on the phone that day, “not what you can see.”

* * *

Nancy remembers a psychiatrist in the hospital telling her she had two choices: Compare her life now to her life before the accident and feel miserable, or move forward.

Nancy picked her path.

After finishing her senior year of high school, she enrolled part time at Nebraska Wesleyan University in Lincoln and moved into a dorm with a friend. Paul was a junior at the school.

She majored in psychology, knowing that without vision, a nursing career simply wouldn't work.

Some textbooks were on reel-to-reel tape, and Nancy listened to them in a study lounge. When she had to write a paper, she dictated sentences to her mom, who typed them. Her professors read test questions to her after class.

Nancy's relationship with Paul grew stronger during their college years, and they married on June 4, 1977.

In May 1981, eight years after she began taking classes half time, Nancy graduated.

When her name was called at the ceremony, she linked arms with Paul and walked across the stage.

The audience rose to its feet and erupted in applause.

* * *

In spring 1986, Nancy heard the words she had longed for: You're pregnant.

She had accepted her blindness because she knew the Lord would bless her and Paul in other ways. A baby, she thought, was that grace.

Nearly two years earlier she'd had a miscarriage, and she and Paul prayed that they would be blessed with another baby.

That baby was born two months premature in October 1986. Paul Andrew was small — 4 pounds, 2 ounces — but healthy.

Nancy remembers hearing his loud cries for the first time, as tears streamed down her face.

Her husband described the baby to her: blue eyes, light hair, a long body.

She held her child on her chest, stroking his hair, cheeks, nose and lips, tracing the outline of his face with her fingers.

He was beautiful.

* * *

Caring for a baby challenges any mom, and Nancy faced extra hurdles.

Plus, soon she no longer had just one son.

Two years and two days after the birth of her first son, Nancy delivered a second healthy boy, Daniel Whittaker.

Keeping her boys safe at home was a big test. She vacuumed constantly to make sure there wasn't a coin or paper clip on the floor her boys could put in their mouths.

Organization was the key for other duties.

Changing diapers and cleaning messy bottoms became a snap because Nancy knew just where to reach for a clean diaper and a wipe.

Her husband marked foods with a label in Braille, making it easy for Nancy to find the applesauce or baby cereal in the kitchen of their Lincoln home.

As her boys got older, she reminded them that mommy couldn't see them, so they needed to tell her if they left a room, and she could follow the sound of their voices.

Nancy, who left a phone company job to raise her family, regularly walked with her sons and a guide dog to a park and their school five blocks from home.

Every couple of years, Nancy visited her sons' grade school and talked about life as a blind person.

How do you get dressed, students asked. How do you walk without bumping into things?

Her sons listened proudly. Those talks helped them realize that blindness didn't stop their mom. It was simply part of her life, and she dealt with it.

As they grew, Nancy's sons learned that mom sometimes needed help, and she wasn't too proud to receive it.

She knew her way around the house but sometimes cut her forehead on an open cupboard. Her boys would dab the wound with soap and water and place a bandage on it.

Nancy always put on her own makeup, but if she smudged her mascara, her boys cleared it with a Q-tip.

When her boys were older, she'd ask them to read the labels on her medicine bottles.

Her sons never complained about helping. Nancy realized they carried a tender and caring nature, and that filled her and her husband with pride.

* * *

Nancy is now 58 and works as a phone interviewer for a university research office in Lincoln. Paul is 60, and the pair — whose relationship flowed from a teenage romance — will celebrate their 37th wedding anniversary next month.

And their boys are grown now.

Paul Andrew, 27, and Daniel, 25, knew their mom had to give up becoming a nurse, and looking back, they realize she channeled her caregiver instincts into raising them.

Her sons were struck by her ability to raise them despite not just her blindness but also her chronic asthma and other medical problems stemming from her car crash injuries.

They joined their mother on dozens of medical appointments while growing up, and saw how the nurses and doctors helped her. Both sons also liked the satisfaction of helping their mom, and how something as simple as them tending to a cut on her forehead made her feel better.

All of those experiences seeped in over the years and led both sons, even as teens, to begin thinking of health care careers.

Though Nancy never reached her dream of becoming a nurse, her sons followed that path.

Paul Andrew graduated last year from the University of Nebraska Medical Center and is a nurse at Immanuel Medical Center in Omaha.

On Friday, Dan walked across the stage at a Lincoln auditorium and received his nursing degree from UNMC. A smile broke across Nancy's face as they called his name.

Afterward in the lobby, Dan weaved through the crowd and found his mother. The 6-foot-4 Dan leaned down and hugged her, as his brother stood close.

For parents, college graduation signals the step into adulthood, although in a mother's mind, the little child never quite disappears.

That's how it is for Nancy.

As the crowd began breaking up, Dan stepped close and told her he loved her.

She reached up and touched the back of his neck with her hand.

He was beautiful.