A Fall, a Hole in Her Skull, and the Quiet Fight to Stay Alive: How Shelley Puchalsky Survived What Should Have Healed
It happened in a fraction of a second, the kind of ordinary moment that feels too small to remember until it changes everything.
In September 2019, Shelley Puchalsky tripped over her dog and fell forward, her body meeting the ground before she had time to react.
It wasn’t dramatic, and at first it didn’t seem dangerous, just an accident that could happen to anyone.
The impact split her forehead open.
Blood, shock, confusion.
At the hospital, doctors stitched the wound closed with forty stitches, a tight line meant to hold her skin together and allow her body to heal.
Shelley went home believing the worst was over.
She trusted the stitches, trusted her body, trusted that time would do what it always does.
Heal.

But instead of healing, something unseen began to grow beneath the surface.
Days passed, then weeks, and the wound didn’t feel right.
The skin darkened.
Pain lingered.
The stitches became infected.
Her forehead began to break down instead of close.
What should have been recovery quietly turned into something far more dangerous.
Then came the word that changed everything.
Sepsis.
The infection had spread beyond the skin, slipping past defenses and into her body.
Her immune system was no longer just fighting a wound — it was fighting for her life.

As the infection worsened, Shelley’s forehead began to open.
Not a crack.
Not a small gap.
A cavity.
There was now a literal hole where skin and bone should have been.
Bacteria had reached the skull itself, eating away at what was supposed to protect her brain.
Doctors gave the diagnosis: osteomyelitis.
A bone infection that does not resolve quietly, that does not wait, that does not forgive delays.
An illness capable of stealing faces, function, and lives.
For Shelley, mirrors became something to fear.
Every reflection showed not just physical loss, but the uncertainty of what came next.
Would the infection stop?
Would surgery work?
Would she survive?

Months passed in a constant balance between terror and determination.
Hospital visits replaced normal routines.
Antibiotics, scans, consultations, waiting rooms filled with questions no one could answer with certainty.
She lived knowing that the infection sat dangerously close to her brain.
Knowing that one wrong turn could mean irreversible damage.
Knowing that her body was in a war she never volunteered for.
Then came February 2021.
The moment everything would hinge on.
Doctors prepared for a surgery that would decide not just how Shelley looked, but whether she would live.
They needed to remove infected bone from her skull, clear the infection completely, and rebuild her forehead with skin grafts.
Anything less would mean the bacteria could return.

The operating room became a line between survival and loss.
Surgeons worked deep inside her skull, removing what disease had taken over, reshaping what had been destroyed, and rebuilding what had nearly been lost.
At the same time, Shelley began a powerful course of antibiotics designed to finish what surgery started.
Recovery was not instant.
It was slow.
Painful.
Unforgiving.
Her body had to relearn how to heal.
Her mind had to relearn how to trust that healing was possible.
Each day forward felt fragile, earned rather than guaranteed.
There were setbacks.
Moments when exhaustion took over.
Moments when fear crept back in quietly, whispering that infection could always return.
But Shelley kept going.
Because survival demands persistence even when certainty is gone.
Little by little, her body responded.
The grafts held.
The antibiotics worked.
The infection receded.

What remained were scars — visible, permanent, undeniable.
But those scars told a story far deeper than injury.
They told the story of a woman who came dangerously close to losing everything and chose to keep fighting.
Shelley’s story is not about a fall.
It’s about what followed when the body didn’t heal the way it was supposed to.
It’s about how quickly ordinary life can tip into survival mode.
It’s also about resilience — not the loud kind, not the heroic kind seen in movies.
But the quiet resilience of showing up to appointments, enduring treatments, facing mirrors, and continuing anyway.

She didn’t choose this fight.
But she stayed in it.
Today, Shelley’s life carries a new awareness.
That healing is not guaranteed.
That small wounds can hide big dangers.
And that the human body, even when broken, holds an incredible instinct to rebuild.
Her story stands as a reminder that survival doesn’t always come from dramatic moments.
Sometimes it grows slowly, painfully, in the cracks where life almost broke you.
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