Jake Anderson grimaced with determination, and frustration, as he struggled to pull his right arm from behind him to his lap.
His physical therapist, Cheryl Greely, sat on a large workout ball behind Jake and encouraged him. Finally Greely gently guided Jake's elbow forward, and he was able to swing his hand and wrist around and drop it on his leg.
It was a small, exhausting triumph for the promising college student who was pushing himself, and his therapists, so he could get out of the hospital to get home for Christmas.
In September, Jake was out at a lake swimming with friends near Madison, Wis., where he was studying mechanical engineering. The water was shallow, and Jake hit bottom headfirst. Everything went limp, and Jake found himself submerged, swallowing water and fighting for his life.
"I didn't have time to think, I was using all my energy to call attention to myself," said Anderson. "I was probably under water less than 30 seconds. I was definitely exhausted, yelling under water basically."
His friends found him and carefully took him to shore, saving Jake's life. But in a few seconds, his world had drastically changed. Jake was paralyzed from the neck down, and he's been in therapy at the Courage Kenny Rehabilitation Institute at Abbott Northwestern Hospital in Minneapolis ever since.
On the day before Christmas Eve, Jake was eager to get his therapy in. When he found out the machine that helps him stand up was booked, the former high school hockey player insisted to therapists that they do exercises instead. "Let's get going," he said impatiently.
"You're kind of bossy today," said his mother, Lisa Anderson.