MS is a young engineer from a fairly well-off Ludhiana family. A passion for fast motorcycles ended in an accident in 2001 which is when I first saw him. He had a fracture-dislocation at C6-7 which initially caused quadriplegia but eventually evolved into an anterior cord syndrome causing paraplegia. Over the next three years, hand function had improved to the point that he could manage a motorised wheelchair and perform intermittent self catheterisation.