At just 24 years old, Xavier Smith was working full-time and studying at night to become an air conditioning technician. He was especially excited after moving into his first apartment, a milestone he had been working toward for months.

But just four days after his big move, on February 13, 2024, Xavier’s life changed forever.

He was struck by a car while driving, which sent his car crashing into a pole. Xavier was rushed to Ryder Trauma Center at Jackson Memorial, where he underwent an emergency brain surgery and extensive medical treatment.

He spent seven days in a coma in Jackson Memorial’s neuro intensive care unit. When he woke up, doctors diagnosed him with a traumatic brain injury. As a result, he was unable to walk and speak.

Xavier’s mom, Samantha Smith, remembers just how difficult those early days were.

“They tried to take him off the ventilator,” she said. “At first, it was unsuccessful. After they tried a second time, he was finally able to breathe on his own.”

During his hospital stay at Jackson Memorial, he underwent two more surgeries – a cranioplasty and the insertion of a feeding tube.

Once he was stable, the road to recovery began. Xavier was transferred to Christine E. Lynn Rehabilitation Center for The Miami Project to Cure Paralysis at UHealth/Jackson Memorial, where he met Gemayaret Alvarez Gonzalez, MD, medical director of Brain Injury Medicine Services at Lynn Rehabilitation Center, and a rehabilitation physician at UHealth – University of Miami Health System.

At Lynn Rehabilitation Center, Dr. Alvarez and her team helped wake up his brain and enable his body to begin neurological coordination and physical functioning for therapy.

He spent three months relearning basic skills with physical, occupational, and speech therapists before he was discharged and transitioned into outpatient therapy.

“When I first met Xavier in 2024, he was so different from where he is today,” said Lauren Ancuña, a speech-language pathologist at Lynn Rehabilitation Center.

At the time, Xavier communicated through pointing, gestures, and facial expressions. He had trouble saying his first name, counting, and reciting the days of the week. But slowly, he started to improve.

“I think his friendly personality and the fact that he never gave up really pushed him to where he is today,” Ancuña said. “He now participates in meaningful conversations with family and friends, and is learning to be very independent.”

Xavier’s mother agrees.

“He’s excited that he can say more words now,” Samantha said. “He can read a little, small words like cat and hat. He has really made progress beyond what they thought he would.”

While his speech and language recovery has been remarkable, Xavier’s biggest gains came through physical therapy.

At first, he was in a wheelchair, could only take small steps, and needed help with simple movements.

“His progress has been incredible, more than I could have anticipated,” said Kelsey Garcia, Xavier’s physical therapist. “He now is able to run, play basketball, jump. He was always very motivated, always making jokes – I love seeing him every time he comes back to the hospital.”

Garcia also credits the people around him for helping fuel his recovery.

“He has an incredible support system that I think played a large role in his recovery. His mom is amazing, and his dad is very supportive, too,” she said.

Samantha saw the transformation firsthand.

“They really pushed him and got him walking,” she said. “First with the cane, and then without it. He did really well with that.”

Xavier, now 26, continues to visit Lynn Rehabilitation Center for his speech therapy and neuro psychology appointments once a week.  He also participates in their outpatient recreational activities, including group therapy, adaptive golf, and aquatic swimming with the dolphins.

He and his family remain optimistic about his future.

“He’s progressed so much, and the staff were really supportive,” Samantha said. “Even to this day, he still goes to the eighth floor, which is where he was staying, just because he wants to see them all the time – they love him, and he loves them. He would not be where he is today without the treatment and care of everyone at Jackson Memorial and Lynn Rehabilitation Center.”