Last night marked Alex's very first visit to the hospital emergency room. Before I go any further, let me assure you that Alex is just fine - he was, and remains, in good spirits about the whole thing.
My parents decided to take us out to dinner last night. We had a wonderful meal at the Outback Steakhouse in Longmont. Alex spent most of dinner taking each of us in turn on a walking tour of the restaurant. So at any time, the remaining three of us had a very nice conversation.
Anyhow, we had just driven home from the restaurant. I was sitting in the back seat with Alex and my Dad. I unstrapped Alex from his car seat and set him on the sidewalk while I got out. He ran across the yard towards the front porch as he often does, while I followed about a yard behind.
But when he got near the front steps, he tripped and fell forward, striking his forehead solidly on the stone face of the front steps. He started crying immediately, and I knew it was a pretty hard knock because of the sound it made. Still I hoped for an instant that all was OK. The blood ended that hope.
The offending stone stair I've heard many times before that head wounds bleed profusely. Now I believe it. Alex's forehead was bleeding all over the place. I rushed him into the kitchen to get a better look while Dana, Gene and Carla caught up with me to find out what had happened. It was definitely a big gash in his forehead, and we weren't quite sure if anything else had gotten smashed in the accident.
There wasn't much debate - we kind of all decided as a group to hop back in the car and head for the nearest hospital. We weren't sure if MCR in Loveland or Longmont United was closer, but opted for the newer, fancier MCR. In retrospect I now believe they're about equidistant, and probably equally well-equipped.
On the ride up to the hospital, Alex was upset, but gradually calmed down while me and Gene sat on either side of him and comforted him. Grandma and Dana had a couple of Starburst candies which they split into small pieces to give him, which greatly improved his mood. He was talkative and interactive throughout the 15-minute car ride, and we came to the consensus that he hadn't suffered any major brain injury. We also were able to feel his hands and face and figured out that nothing else seemed to be wrong.
After being admitted to MCR, we sat around for an hour or so talking in turn to a trauma nurse, a head nurse, and an administrative assistant. Everyone agreed that Alex needed a few stitches to sew up the gash in his forehead. By the time we got to the ER, it had stopped bleeding, but was still a big enough cut to need attention.
We had the presence of mind to keep his diaper bag with us, which had a small stash of toys, books and food. Alex had two of his favorite trucks with him the whole time, plus a great new truck book he got from G&G over Thanksgiving.
Here Grandma and Grandpa sit patiently and watch the patient
Alex was really happy and calm for most of his visit to the ER. He was really jazzed to meet all of the ER nurses. He said a big, friendly, "Hi!" to each of them as they came into the room.
The only times he got upset were when we had to keep him from scratching his forehead, and when the nurses gave him a topical anesthetic called "LET" (lidocaine, epinephrine and tetracaine) to numb the wound before the stitches. But once the clear liquid started doing its job he didn't even mind the wound at all.
The other tramatic moment came when the physician's assistant came to stitch him up. One of the nurses wrapped him up in a sheet, so that his arms were clamped to his sides. Then they laid him on the bed and put a surgical drape over his face. At this point Alex started to get very frustrated, and a little scared too. But me and Dana stood above him the whole time so he could kind of see us around the edge of the drape. We sang songs (very badly, I assume), and talked him all the way through the stitches. I was amazed at how efficient and practiced the PA was at doing the stitches. The whole team of 3 staff who attended were so professional and quick - as if they had practiced this all the time. Each one knew exactly what to do and never fumbled or stalled.
It only took a couple of minutes to stitch him up, and he was all set. They put a bandage on to keep his curious fingers away, and sent us home. We'll be back on Saturday to get the stitches taken out. Meanwhile we have to wash the wound twice a day with mild soap and water, and avoid getting it wet. That means no swimming this week for Alex and Ryanne. Bummer.
We were released at around 11pm and headed home. But we promised Alex more food and a video when he got home. So we had some yogurt and watched a Richard Scarry "Busy People" DVD. That really made Alex happy, and he didn't put up much of a fuss going to bed. But it was a very, very late night for all of us!
I think it's safe to say that Dana and I were freaked out and shaken by the experience. I feel rotten because it happened on my watch. I know that it will be a long time before I let Alex run off ahead of me -- even in our own front yard! Maybe this is how parents become super over-protective? I hope not.
Now here's the patient as of this evening:
Extreme close-up of the stitches:
We counted 6 stitches.