New Year's Eve = Savanna tumbling/rolling down the stairs in our new house. No, she hadn't been drinking, and her fall was rather graceful actually.
It was darker, a new place - our first night in the house, she thought she could hold the rail and so did I - but there she went before my eyes, tumbling...rolling all the way down the stairs and landing on the hard tile at the bottom with a splat. I screamed, my aunt screamed - Savanna got up herself and cried a scared cry, probably more due to all the screaming and my panic attack. I kept hugging her and saying "are you ok, are you OK" - and through her sweet little scared tears she'd say "okaaayyyyyy.... okkkkayyyyy..." God - rip my heart out of me! I poked her and lifted her arms, legs, felt for knots on her head - everything appeared fine, no injuries at all other than everyone being scared to death - and the GUILT, and me replaying it constantly in my head.
The next day was fine, but the morning of the 2nd she woke up very whiny. The whining got worse and worse, developed into a painful cry. She wouldn't let me put her down, she wouldn't walk, she'd hunch herself over and touch her tummy if we'd ask "what hurts?" So... off to the ER because we were so afraid that something inside her got knocked sideways during her tumble.
We took her to an adult ER - didn't even think to take her to Children's Hospital. The adult ER was a mistake - the Dr. focused on the fall, was convinced she had some "slow internal bleed" even after the ct scan and Xrays came back normal. She was insistent, downright pushy, that we take her to Children's after 5 hours of being with her - it was "trauma" this, "trauma" that - trauma was her favorite word. She even wanted us to take her in an ambulance - we drove her ourselves - an ambulance seemed ridiculous at this point. From the beginning I mentioned simple constipation as a possible culprit - but she wouldn't entertain any of that - not even for one second even after the scans came back normal. Savanna was in a TERRIBLE mood after all the poking and prodding and xrays - and they hadn't let her eat or even drink ANYTHING for hours, so we didn't eat either. When we asked if we could just take her home to "observe" her at home in her own environment, the ER doctor would say "well, she's not being her normal self is she? She woke up screaming in pain, didn't she? I wouldn't want her walking around with a broken pelvis, would you?" - Well, no she NEVER woke up SCREAMING IN PAIN, and of course she isn't her normal self after going through everything she's been through at this ER and do broken bones hide from CT scans?? Are you serious - why would she be her normal self, this isn't a normal morning for any of us? But we felt like we'd be abusive parents if we didn't go to Children's - we already had to have an interview with social services because Savanna had fallen down the stairs. Hubby even got into a small argument with the ER doctor about why we needed to go to Children's after everything came back normal... she called our pediatrician and convinced him that we should go to Children's - she won, we went - mostly against our gut instinct that Savanna was fine.
Luckily the doctors at Children's were - what is the word - more reasonable, less panicky, smarter, nicer? They immediately ruled out any issue from the fall. Saw from the xrays that her "bowels were full of stool", but you can't ever be sure if pain is from constipation in a small child who can't talk - so more "observing". They sent a trauma surgeon in right at the time they were about to do a catheter to check for a UTI because all other tests came back normal - at this point my eyes felt like they were bleeding - he said "don't do that, just bag her." I said "what does that mean?" He said "it means we're not going to do anything else invasive to her because I think she's had enough and we need to just leave her alone. I think she's fine. Feed them all." And sure enough - after she had some food in her belly, apple juice - we all got food in our bellies - she perked up/we all perked up, she started playing and wanting out of my arms. I got her popcorn and a balloon. Then she pooped hard pellets, and she started dancing and singing and walking up & down the hallways & didn't even want to sit down anymore. They were about to admit us into a room but I had them call the nurse to show her that Savanna was back to normal - so FINALLY, an end to the real "trauma".
13 hours of pure hell and a semester's worth of college for a poop. Much better than a lacerated liver, huh? As I told hubby "doctors have to start with the worse case scenario or people can die" - but I think this ER doctor went a little overboard. She even rolled her eyes at Hubby when he asked her a question, and he called her out on it - she checked herself, realizing that as a doctor - no question is a dumb question when you are speaking to parent's of a toddler in pain.
Lesson: Take your kids to Children's Hospital, and follow your gut because no one knows your child like you do. Our gut was to have her checked out at the Er, but then when everything was fine, we wanted to take her home - and I think maybe we should have.
I talked to our own pediatrician about it later - he said "better safe than her having a broken hip, right?" - and I said "sure, but wouldn't a broken hip have shown up on the ct scan - and her bowels being full of stool?" He paused in confusion... and said "yep." He reiterated that our lesson in this is to go to Children's. I know that first ER doctor didn't fully tell him the situation - she went into her panic mode with him too but I'm sure all dr's will agree with each other in that observing is the best thing for a toddler who can't speak.
However - Savanna went through more trauma in those 13 hours of being "observed" than she did in the 15 seconds tumbling down the stairs. I tell you hearing the words "Savanna is going to have a very bad morning. We need to do a Ct scan to look for a slow internal bleed" - will make you have a very, very bad day.
C'est La Vie... all's well now.
Happy New Year?
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