Last Saturday CutiePie had her first trip to the ER. I always thought our first drive-as-fast-as-I-can trip to Children's Hospital would be FPIES related. I always kinda imagined the puking and the gagging and then the IV's and meds and explaining FPIES a million times to doctors who don't know what it is. Well, apparently all nurses, doctors, med students, EMTs, and registration personnel have no problem recognizing that a little girl screaming her head off with a towel soaked with blood and a fingernail hanging on by only a thread needs attention!
We were on our way out the door Saturday to go meet some friends for dinner. Daddy was taking the dog outside and CutiePie was standing by the front door watching him. BigBrother decided to go out with Daddy and in the process of going out the door, closed it on CutiePie's left thumb. Ensue screaming. And bleeding. So. Much. Bleeding.
We started off by going to our local Children's Urgent Care, but they told us we would need to go ahead and go to the ER, that her injury was more than they could handle. They did go ahead and take x-rays so they would be ready by the time we got downtown so that was helpful. So we bundled back up into the car and headed downtown. Can I stop here and just brag a moment about our local Children's Hospital ER? I have been less than thrilled with my experience with other departments, but their ER was wonderful. They took us right back when we got there and a wonderful EMT got CutiePie's vitals and oh-so-gently cleaned off her hands and bandaged her finger as best as he could. (CutiePie hates to have her hands messy, so the bloody mess was almost as disturbing to her as the painful finger!). Once she got her "hop hop" bandaid and a dose of Tylenol, CutiePie told me she was ready to go. She kept pointing at the door and telling me "bye bye" and "go go." But her finger looked ROUGH. Really grossly nasty rough. And painful. And bloody. The ER doctor wanted a hand specialist to come look at it and the x-rays showed she had fractured the tip of her thumb as well, so it ended up being something that needed much more than a bunny bandaid!
CutiePie ended up needing to get an IV (tough cookie didn't even flinch while it was being put in!!) and be given several doses of Ketamine (sp?) to make her out of it enough that the orthopedic surgeon could remove her nail, suture the cuts underneath, and then replace the nail and tack it into place to keep the nail bed open to heal. It took about an hour of her being pretty much asleep for them to fix it. Nine hours after smashing her thumb in the door we were finally able to leave the ER all bandaged up and with a prescription for some heavy duty antibiotics to keep infection at bay. We have to go back on Friday (Me and Daddy's wedding anniversary!!) for the hand specialist to unwrap the bandages and make sure it is healing.
I am happy to announce that CutiePie did great with all those different medicines and seems to be doing fine tolerating the antibiotics as well. With FPIES you never know what is going to bring on a reaction, and with so much new stuff in her system I was really afraid it was going to mess up her gut again. But she's doing fine! In fact, the biggest obstacle we're encountering with her healing is getting her to be calm enough and avoid injuring it again. She isn't exactly the most graceful toddler in the world. It is still sore and CutiePie walks around all day asking me to kiss her hand, but we haven't needed to give her anything for the pain. Right now we are just praying that on Friday we can unbandage it and it will be healing nicely and we can go back to life as normal. The surgeon did say that her nail may never be "normal" again - it may grow back with waves or bumps or just look a little different than it should but her thumb shouldn't loose any function (which is great since CutiePie is left handed!). The biggest concern is just avoiding infection especially with the fractured bone underneath the cuts.
I've been a mom for almost five years now and up until this week haven't needed the ER for ouchies (twice Big Brother had to go to the ER being sick, but never for ouchies!). Here's hoping it's another five years (or never) before we need it again!!