Last Monday, Lucie was climbing on the back of a chair and took quite the tumble into our piano. Sometimes I'm not sure if a wound needs stitches or not, but this time..... it was more than clear. In fact, it might be the first time I've actually freaked out a little bit. (Ok, more than a little bit....I was totally shrieking at Tim to get upstairs RIGHT NOW!) Tim and I both drove Lucie to the ER and left the kids together until our friend Leigh could come over and get them. When we left Logan was sitting in the middle of the floor with his prayer box with chaos going on around him. Leigh later told me that he wouldn't leave with her without his prayer box...so sweet that one!
If you are a social media follower you probably saw part of this story somewhere. I ran into several friends this weekend, however, that had only seen one part of the story so I thought I would share the whole saga beginning to end.
Once things stopped bleeding (oh my, the blood for this one), we realized there were actually two cuts. This turns out to be important because that little tiny cut that they weren't even sure would need anything turned into the source of all sorts of headaches later in the week.
Lucie did a great job staying still and they were able to sew the larger wound closed with 3 internal/dissolvable stitches and 7 external ones. They decided to use glue on the smaller cut, which was fine with me, since I wasn't even sure if I would have thought that needed stitches if it was the only one. We made it home around 11:00 and everyone slept well.
All day Tuesday, Lucie was perfectly fine. She was, in fact, her normal spunky self and I had to try to keep her reigned in a bit! (No dear, you may NOT jump on the trampoline with those stitches in your head.) We all talked about the little miracles that had happened on the day before (Tomas' temperature sensitive medicine that goes bad in 15 minutes or less out of the fridge somehow didn't go bad in 6 hours on the counter!) and generally thought we had been through the worst and would go on to have a normal week.
I took Kylee to dance that night and we ran a couple errands and Tim stayed home and put the kids to bed. When I got home, however, Tim thought she seemed warm so we checked to see if she had a fever.
Of course she did.
I might have waited until the next morning to see how she was, if not for the "return to the ER" warning on every page of our discharge papers stating to come in for any fever over 100.4. So off we went. It was quick and they didn't seem to think that it looked too bad (I agreed), but since there wasn't anything else to explain the fever we started antibiotics. We were in and out in less than two hours.
The next morning, Lucie was feverish all day. In fact, even with tylenol, she was on the couch sleeping. Fevers up to 102.8, wouldn't eat, just sleeping, and refusing anything other than her medicine. She basically slept from when we left the ER on Tuesday until I brought her back on Wednesday afternoon. I called our pediatrician, hoping they would tell me it was ok, but no such luck...they wanted us back in the ER.
This is where the story gets crazy. First ER Dr. felt that it was for sure infected (it was now more swollen, was angry red around all the edges, and the dermabond section was puffed out and pussy underneath) but that we should do some extra work up for UTI and possibly strep just to make sure. She then wanted to dissolve the dermabond so that Lucie's wound could breathe and probably add a second antibiotic to cover for more things. They gave her a bigger dose of ibuprofen than I had at home and got her fever down and she even perked up a little and had a couple popsicles.
Then shift changed and the Dr we had seen the night before (and could see the changes in her) felt the same, except wanted to add the second antibiotic via IV in order to get it working more quickly. He also wanted to call down plastics for a consult. Well, Mr. Plastic Surgery came down and declared that her head was fine and there was nothing wrong with it. Suggested a virus or something else, but said the wound wasn't the problem. Absolutely said do not remove the dermabond because we needed to think about the scar long term and the cut wasn't the problem.
I don't think that there was anything wrong with thinking about the scar, but I do think that he undervalued my contribution to the conversation which I was not happy about. We'll get back to that in a minute.
After 1 dose of IV antibiotics, the decision was made that she needed additional IV antibiotics before going home so she was admitted for the night. She was really out of it, so this was hard but I could see that it was also needed. She was half heartedly coloring the same spot on her crown from the child life specialist the entire time. The two pictures below were taken twelve hours apart and you can see how little she finished!
The first time Lucie cried was when she heard she had to stay. I don't know if she was worried that I wouldn't stay with her or just generally scared and not feeling well, but she was so sad. It turned out just the activity of moving from the ER to the floor was too much for her. She was fever free when we left the ER. Yet when they had her stand on the scale upstairs she almost collapsed and started shaking. I carried her back to her bed, where her fever had gone back up again. It ended up spiking up to 104 despite all the meds she was on. It was a long night for mom, although I'm sure Lucie remembers none of it.
The third dose of IV antibiotics seemed to be the one that tipped the scales. Lucie perked up and slowly over the next few hours started drinking on her own and eating a little bit. She even went to the playroom and won a few rounds of bingo (I'm pretty sure she had no idea what bingo was before this).
Before sending us home, they wanted to decide which antibiotic she should be on and went back to the idea of the problem really being a UTI (because darn plastics insisting it wasn't her head).
Really you haven't lived life until you've attempted to get a 4 year old girl to pee in a cup......
It all seemed somewhat silly since she had now been on heavy antibiotics for a couple days, so I'm not sure what they thought they would find but we just went with it.
Surprise, surprise it was all normal and so home we went.
The first thing I did when we got home was follow plastics instructions for how to clean the stitches section of the wound and the ER's description of how to dissolve dermabond (bacitracin in case you ever need to know this). I guess I can't say that me taking the glue off (and the stitches out the next day) is what solved the problem. (Along with my repeated pleas to St. Kateri... who I have no particularly devotion to, but my kids have the Holy Heroes CD with the interview with the little boy with the skin infection/bacteria and she just kept popping into my brain.)
She was, of course, on big time antibiotics.
That being said, her stitches came out with puss strands attached to them. I don't mean scabby stuff, I mean gross snot looking things. Also the difference in both cuts 24-48 hours after everything was removed was huge. The small cut, particularly was quick to improve. A week post injury you would never know the drama and trauma in between.
She keeps us on our toes this spunky little sweetheart!
Labels: Lucia Marie