"I BROKE MY BONES!!! I BROKE MY BONES!!! AHHHHH! HELP ME!!!"
As I looked at her arm, I could tell that something was definitely "off" and gingerly felt it, only to conclude that the entire bone felt out of place and she'd "just" dislocated her elbow. (You see, we've had prior experience with both broken arms AND dislocation, so I'm an expert now.)
If you like Lilie's "Bee Movie" from many years past, you should have been with us that afternoon. I sort of hate myself for the difficulty of keeping a straight face when my girl is in pain, but my goodness . . . she is something to behold.
"OH, WHY DID I DO THAT? I'M SO SAD I DID THIS! AAHHHHHHH! IT HURTS TO BAAD!!!"
Apparently, the girls had been playing on the swing set and trampoline and our resident dare-devil had made the carefully calculated decision that she could jump from the top of the slide to the trampoline . . . but had slipped before she even took flight. It's only about a four foot drop to the ground, but she landed right on her arm.
My visiting teachers were awesome and took the mayhem in stride (also having trouble keeping straight faces). We'd finished school and since we didn't have anywhere to go for the rest of the day, I was still in my fleecy "aztec-looking" leggings and an oversized hoodie. (Hot.) They told me that they could watch my kids while I took Lilie over to the Ready-Care. With that (miraculously) in hand, I told Lilie we would go straight there, I just needed to change into some "real pants". She yelled, "YOU DON'T NEED REAL PANTS!!!"
Hazel was very concerned about her sister, but the other girls are quite used to hysterics, so while I was quickly changing, they started playing and giggling. Lilie then yelled at them, "Oh! HOW CAN YOU BE HAPPY AT A TIME LIKE THIS??!"
Both properly dressed, Lilie and I made a speedy exit.
When Lilie was tiny, while playing with her daddy, she'd gotten "nursemaid's elbow" -- which is a very minor dislocation that can easily happen in toddlers. The remedy is fast and gives immediate relief. I was imagining this dislocation to be about like that.
We arrived at the Ready Care with Lilie practically screaming, where they deliberated for 25 minutes on whether or not they could "squeeze her in." About 5 minutes after we finally got into a room, a nurse decided we should just go down to the ER. (eye rolling)
All this time, I keep thinking, "How big a deal can it be? Pop that thing back in place and put the poor kid out of her misery! The ER? That seems excessive..." Yes. I'm critical when I'm trying to not be worried.
Turns out REAL elbow dislocations ARE a big deal. Once we got into a room, they had to do an x-ray before all else. Had she broken anything, they would have just taken her into surgery. But, OH, the pain of positioning for those x-rays! She let everyone on that floor know that she was NOT HAPPY about moving her arm!
Poor girl. She was a wreck. She just kept saying, "Why is this happening to me? Why did I do this? AHHHHH! I can't do this anymore!!! My poor little arm!!!" She was given an IV (which she barely noticed) and administered morphine, which barely took the edge off the pain. They dimmed the lights and she started into a meditative "Oooooommmmm . . .."
With the IV and x-rays done, they were finally ready to put the bones back in place. Even with the morphine, she was going to be in a lot of pain, so they gave her a heavy dose of ketamine to drug her up and make her forget what happened next.
I was amazed at how hard they had to pull to get that humerus back in joint and SO thankful for modern medicine. After another x-ray they were able to splint and wrap.
| This is my favorite picture of the night. She was SO out of it! Her eyes were open, but no one was home. :) |
All told, Lilie's elbow was out of place for close to 3 hours. She is one tough cookie -- even when she didn't think she could take anymore. It took her more than an hour to come around - with great hilarity in the process. Before she was verbal, she made some awesome faces.
And once she could talk . . . SO funny.
Lilie? Lilie. Do you know where we are?
"Uuuhhhhhhhhhhh. Yeeaaaaaaaaaahhhhhhhhhhhh . . . H, H, Hooooooooooo. Dooooooooooocc."
Yeah. We're at the hospital. The doctor fixed your arm.
"Aaaaaaaaaaaaaaaaarrrrrrrmmmmm. Aaaaaaaaaaaaaaaaarrrrrrrmmmmm. Aaaaaaaaaaaaaaarrrrrrrrrrrrrrrrmmmmmmmmmm . . . . "
Does it feel like your head is full of fluff?
"YeeaaaaAAAAAAAaaaaahhhhhh!"
All while her poor little pin-point eyes couldn't focus on anything!
"Moooooomm! You have twooo eyes!"
Lilie, I always have two eyes. :)
"Ooooh! Yooou have FOOUR eyes!"
Then she started throwing up. Over and over. Darn morphine.
She was instructed to keep the splint on and report to the orthopedic surgeon in a week.
She's done well. The first five days, we were grateful for the hyrdocodone, but she's finally doing well with just some ibuprofen. Her elbow is still REALLY swollen and bruised and I've been extremely concerned that she still has very little feeling in three of her fingers. She can't bend her pointer finger or thumb at all.
At the ortho today we got a good understanding of why my concern is currently unfounded.
^^above^^ This is what her bones are supposed to look like (taken today).
^^ The above are the x-rays taken last Monday at the ER. ^^
Yikes!! Dr. Pennington said that to even dislocate your elbow, it has to tear the ligaments. With as badly as Lilie dislocated hers, all those tough little ligaments got shredded. She'll remain in this splint for at least another two weeks and then we'll reevaluate. Hopefully as the swelling goes down she'll regain feeling and mobility in her fingers. Until everything heals up, the risk of re-dislocation is high, so we'll only be doing some small bending exercises. Mostly just waiting.
Hooray for some fun bathing days in the weeks ahead and a creative Halloween costume! :)







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