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I have the initials of a man tattooed on my arm. I was first on the scene after he was run over by his own dodge truck, and he bled out in my arms. Same thing as what you went through. His face will never leave my head, so his name might as well never leave either.
This happened at a particularly bad time in my life as well, and was a major force in sending me way over the edge.
1) You will spend weeks or months wondering if you could have done something different. You couldn't. Contact the police and have them get you in touch with Victim Witnesses. You know those random people on the street that watch someone get shot or run over? Wanna know who specifically helps them cope? Victim Witnesses does. It's what they do, they help you deal with the specifics of being a random poor dude who has to deal with stuff like this.
2) You will be deathly afraid of cars and driving for a while. Every time I got in the car, i was sure I was going to run someone over while backing out of a parking spot or something. Once you see how damned fragile we are, you have trouble getting back to not being afraid of the world. You'll get over this.
3) You cannot depend on the shrink to fix this. not something like this. Even if you go every day, you'll spend 23 hours building it up in your head and hope that in 1 hour you can release that? Ain't gonna happen. You need him AND every possible kind of help you can scrounge up.
4) Be prepared to curse that poor ladies name in the coming months. It wasn't her fault, but she'll be the only hook you can hang that hat on. Go ahead, she won't mind.
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Mike Bradshaw
1980 911SC sunroof coupe, silver/black
Putting the sick back into sycophant!
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