Jody asked to hear more about my son's broken elbow. And since I really have been intending to write the story out...here is the long version.
Three and half weeks ago or so, my three yr-old son and my two yr-old son were jumping on a bed. At the time, we were staying at my mom's house. The night before my kids with their cousins had all been in there jumping around and basically going nuts. I think my little boys wanted to copy what they had seen. So, the first chance they got the next day, they were in the room jumping around. The door was open, but they were alone in the room. So, I cannot say what exactly happened. My guess is that Robert (3 yr-old) fell onto Brandon (2 yr-old) with his arm outstretched. He never fell off the bed, so that is all that makes sense. They'd only been in the room a matter of minutes when he then started crying in the most heart wrenching way I've ever heard. He is a rather stubborn little boy and doesn't shy away from crying and pouting to try to prove a point. But when he started crying this time, I knew immediately something was very very wrong.
I examined him carefully and his hand was becoming quite cold and pale. He kept pointing to his elbow and saying "hurt 'dare". So, only one thing to do that that point. I carefully loaded him into his car seat and drove to the nearby pediatric urgent care. I've been to Mendy's Place several times with my children. Most recent was for x-rays of my daughter's arm after she fell off her bike last winter. They are always busy and I usually have to wait a couple of hours to be seen. This was not the case this time though. Maybe because it is summertime but immediately after signing in we were taken right into see the triage nurse. From there, they took us right in and gave him a room. We had only long enough to search the TV for a cartoon for Robert to watch and the doctor was in to take a look at his arm. Ten minutes later I was carrying him over to radiology for his x-rays.
I was so proud of him as he stayed so still for the x-rays. There were a couple of angles that obviously hurt him to hold his arm, but he didn't move. Yes, I was there helping hold his arm, but he was so brave. They have digital x-ray system at the hospital, so by the time we were back to his room the doctor had already looked at the x-rays. He brought us over and let me see for myself what had happened. He called it a type-2 supracondylar humerus fracture. Um huh? He patiently explained that Robert had broken his elbow right above the condyle (which are the little nobby things at the end). Type-2 means it didn't break all the way through the bone. In the x-ray it looked a lot like a little pacman mouth had opened up in his bone.
The doctor explained that they had already contacted the pediatric orthopedic surgeon on call. There are a lot of blood vessels and nerves that run through that section of the elbow and so they have to be extra careful when putting humpty back together. Also, the break was right at a growth plate and that is always cause for concern. So, we went back to the room to wait for the surgeon to show. Only, that isn't how it happened.
No more than ten minutes later, very nice ER PA (the doctor) came in and explained that yes, Robert was going to have to have surgery. The surgeon had pulled up the x-rays on his home PC and already determined that Robert would need a couple of pins. So, even as ER doc was talking with us, the surgeons assistant arrived to begin prepping Robert. They had me draw an X on the arm that needed to worked on. I guess no need to pin up the arm that isn't broken. I think that X was the most exciting part of the experience for Robert. So, I whipped out my phone and took a picture.

My little boys loves everything to do with letters and numbers. So, later when he had his splint changed over to a real cast, that X was still faintly there and he was very excited.
Through all of this, he had completely enchanted the hospital staff. I don't say that just because he is my son. Look at this face...

It wasn't long and he was moved up to the third floor for surgery. Daddy arrived as we were in the final prep stages for the surgery. Thankfully Daddy was already on his way home from work. I arrived at the hospital shortly after 5pm. They were now taking him into surgery at 7:30pm. I'd never experienced such quick service at an Urgent Care or ER. We were blessed with the right doctors and very quick help.
For surgery, the anesthesiologist gave Robert a sedative and so he was feeling a bit silly when they wheeled him into the operating room. His nurse showed him a picture of a little blue bear on his pulse oximeter. She asked him what a bear says and he growled. This is cute, but what had the whole room laughing was that he also had the hiccups. So he'd GROWhiccupL. Everyone I spoke to who was in the operating room told me how funny he was.
Here is Robert post-surgery in the recovery room:

Picture phones are great aren't they?
Anyway, he had two pins placed to hold the bone together. It looked a lot like this:

That isn't his arm..those are the bones of a 5 yr-old with a similar problem I found online. I don't have any copies of his x-rays..I wonder if I could get one.
Robert stayed in the hospital overnight as the accident had happened so late in the day. His nurses were very kind and he was released to go home at 9am the next day. They didn't even make us wait around for a discharge, very impressive. He was sent home with the splint you can see in the recovery room picture. We went a week later to the dr's office where they took x-rays. They have the neatest x-ray machine at his dr's office.

Much like kitty in this picture, they place his arm under the machine and can see the bones moving around. They are able to position his arm just how they want and then snap the picture. It reminds me of watching cartoons as a kid.
He has to wear a cast until next Tuesday when we are hopeful it will be removed. Bath time will be so much simpler then. Here is Robert with his very green cast...along with Brandon..cohorts in chaos (complete with messy faces).

Labels: Kids