Thursday, April 5, 2012

Trauma and Tender Mercies

It all started Tuesday morning when I hurt my back at the gym. Not actually doing anything gym-like. I was lifting (with my legs I might add) to get Jane a drink in the fountain when I suddenly had electric shock go across my back and I knew I was in trouble. Thankfully I was able to see my chiropractor within a few hours. He said to take it easy and ice it several times through out the day.

Fast forward to 6pm. We had just finished dinner and I had un buckled Jane from her booster seat. Ethan was standing right next to her so I asked him if her could just lift her out, thinking it would save me from my aching back. I don't know why, but for whatever reason Ethan went behind her chair and suddenly yanked her chair away from the table. I don't know why, and he obviously didn't know she wasn't strapped but of course she went flying out of her seat and face first hit the floor, hard!

I immediately picked her up and turned her over and it wasn't good. She was covered in blood and I couldn't see some of her teeth on her left side and her front tooth was kind of pointing outwards towards her nose. I screamed really loudly and scooped her up and was kind of in a daze initially not knowing what to do. My first thought after my initial shock was to "call Alyson". Alyson lives a half mile away and is a good friend from the ward. I have other friends not far either, but the thought was clearly "call Alyson". I called her and she immediately answered and said "hey how are you?" I said "not good, come get my kids". She just said OK and I hung up. Well with all the screaming and commotion my neighbor told her daughter to come over and just check to make sure everything was alright. I opened my door and saw her and just said "Get your Mom". Her Mom came to the the door, and took one look at Jane and yelled for her husband. At that point maybe 30 seconds after I had called Alyson she was in my driveway ready to get my kids. She said we should call 911, but the hospital is so close and at that point my neighbors husband Mr. Allam was already running to his car to take me to the ER. I just ran to the car and jumped in the back seat knowing my kids were in good hands. Randall of course was still at work in the city and oblivious to all of this-thankfully. As we raced up the hill to the hospital ER just behind our house, literally within walking distance, my neighbor who is a very devote muslim, prayed quietly all the way to the ER. It was very comforting to me that he was praying for us as we rode to the hospital. I think that I was to the hospital with 5 minutes from the time Jane fell.

I ran in and they immediately took me back to the triage nurse. Initially I think they thought I was over reacting and the nurse said "did she fall and bite her lip?" I was so angry and up set at that and I was of course still crying. The nurse asked me what happened and I started to tell her but she stopped me and said "I can't understand anything you are saying, you have to stop crying." I was able to pull it together to tell her. After that they took us right back to a room and it wasn't long after that we saw our first Dr.

The strange thing was once left the house, Jane was completely quiet and calm the whole time, it was me that was a mess. I was glad that she was so calm, and yet scared at the same time. I knew she hadn't hit her head, but was still just very worried. The nurse was very sweet and remarked at how sweet and calm Jane was. They didn't want to clean her up at all because they thought then she wouldn't let the Dr's look her when they needed too.

The first Dr, checked her over and said that other than her mouth she looked good but it was evident we needed a dental resident to check her out. There wasn't one in the hospital so I had to wait for someone to come from home. It was now that I was able to call Randall while he was on the train home to tell him what happened. Mr. Allam my neighbor just decided he was going to stay with me. At first I felt a bit awkward about this but soon found it comforting to not be alone. It was also good because he asked me to tell Rand to text when he got to the station so he could pick him up. About 7:45 Rand was off the train and to the hospital. It was right after Rand came that the dental resident showed up. After palpating her face, the resident "Helen" said we needed to go up to the dental clinic to take some x-rays. Jane was a complete sweetheart. I sat in the chair and then Jane sat in my lap. Jane did everything she was asked to do, opening her mouth to hold the x-rays. Helen said that most children her age aren't cooperative and if these x-rays didn't work we would have to do a CAT scan. I was praying they would work, and they did. While we waited for the x-rays to develop, Randall gave her a quick priesthood blessing. The x-ray confirmed what I was afraid of. Jane had broken the buccal bone portion of her maxilla or the outer portion of her upper jaw bone. Not only was the bone broken, but it was dislocated. That was why that section of her jaw was looking so deformed and "pushed out". Of course with this news I was upset again. Helen said this was now past her abilities and we would need to call in an oral surgeon. Again, there wasn't one in the hospital so he needed to be called in.

When the surgeon came he confirmed what we already knew and gave us some options to correct or "set" the bone. We could go to the operating room and sedate her, which wasn't the best option and can be dangerous, we could give her morphine and then "papoose" her and then do the procedure or minor surgery she needed, or we could just papoose her and use local anesthetic to numb the area and just get it done. He told us the procedure would only take about 5 minutes total. We opted for the papoose and local anesthetic. I felt really mean for choosing this option knowing it was probably the least comfortable for her initially but would be the least traumatic and side effect free. I was really worried about giving her morphine and the side effects she may have from that.

After he was all set up and ready to go we strapped her in and he set to work. her arms were strapped but her little hands were free, so I held her hands and talked to her while he worked. Randall stood behind me just in case he got "woozy". No surprise Jane screamed and screamed and screamed. It was hard to stand there and watch and yet I was glad we could be there to try to comfort her even a little bit. The saddest part was a bout half way through she started calling out "daddy! Daddy". The surgeon was able to put the bone back into place mostly. He couldn't do it all the way because he was worried about damaging the permanent teeth buds that were already forming. She also had a laceration above the teeth that had to be stitched. The saddest part was after her procedure, the surgeon said that the piece was still very fragile and Jane couldn't have anything between her teeth or it could displace the bone. That meant no more binkies, sippy cups, straw or real "food". She could only have liquids and smoothie type consistency foods for while to let the bone heal and set. This part was devastating to me. Jane always goes to bed with a binkie, and now when she had gone through the most traumatic thing of her life there were no comfort items.

After it was done of course I cried again holding her and trying to comfort her. This was when Jane had the hardest time. She was exhausted, upset, probably hurting and hated that her face was numb. She was just flailing her limbs and trying to bat at her face. She kept wanting to go back and forth between Randall and me trying to get comfortable. They gave her some tylenol with codeine and she finally settled down and went to sleep. After we were discharged we called our neighbor again and they were there within minutes to pick us up and take us home.

When we came home Alyson was there and had come back with all the kids and gotten them settled and into bed. Dinner was cleaned up and put away. This was so nice. We were able to just worry about Jane and get her settled and into bed. We put her into bed with her little love-its and she didn't even ask for her binki. I was so grateful. I'm sure she was just to worn out to care. She sleep so well through the night, I however did not. I was awake so much of the night worrying and checking etc. She didn't even wake when the pain meds were supposed to have worn off so finally I woke her to give her some motrin and milk. I was worried that if I didn't she would waken the morning in horrible pain.

When she awakened in the morning she was her normal self. She was swollen a little but I think minimally for all that she was put through. When she was admitted to the hospital they wouldn't let her eat or drink in case she had to have surgery. When I went to change her diaper she was completely dry so I knew we needed to start pushing fluids. Thankfully Rand can work from home so he was home while I ran to get the essentials at the store. Other than wanting to eat certain foods, Jane was a total champ throughout the day. She was sweet and happy and crazy! In fact she was climbing everything just like normal and jumping off of things and giving me a heart attack. Yesterday I just followed her around like a puppy wishing she had a helmet with a face guard she could wear. At nap time she did ask for her binki but I just told her she couldn't because of her bad "owie". I gave her a baby to sleep with instead and she didn't even cry. I couldn't believe it.

The reason I write all this is to acknowledge and remember how blessed we were. As much as I was upset and we don't know if her teeth will stay in or not, or if the bone will develop correctly there I don't care. It could be far worse. I know there were tender mercies right and left. I asked Alyson later how she was to my house within seconds and it was because she was on the street just over from mine on her way back from the church after scouts. No one else could have been there that fast and Heavenly Father knew where she was and who to call. Thanks to our paper thin walls my neighbor knew there was a problem, and sent her daughter over. We often don't love the street we live on but we have now had 2 emergencies where it sure was nice to be so close, and our neighbors have been a blessing on many occasions.

Another thing that was so sweet is that you can imagine after it happened Ethan felt terrible. In fact I couldn't find him as I was running out of the house to the hospital. When Alyson got the kids in the car she suggested they all say a prayer for Jane. Ethan told her that he already said a prayer in his room. I was so happy and proud that prayer was his first instinct. I know that it could have been far worse than it was. Jane really is doing so well and other than me being a total stress case and low on patience at the moment, we are doing great. Alyson brought soup for lunch yesterday and our neighbors brought us dinner. I know our many prayers were answered and that we couldn't have been better watched over.

We go back to the surgeon to check on her progress tomorrow and see what else needs to be done, if anything.

7 comments:

  1. That made me tear up. It is so awful and I feel so bad that you are dealing with this right now but so grateful for the tender mercies! What a blessing to have people that you know you can count on and can be there in a heart beat. I am still praying for you guys and hopefully the surgeon says everything is looking good tomorrow!! keep me posted! love you!

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  2. I agree with your friend Jordan. So many good things happened during the emergency that tells us you were attended to by angels, including your friends, neighbors and hospital staff.
    When Melanie was age four, while we were living off base in the Philippines, she fell off the fence/wall onto her head on the driveway and started bleeding. We had no phone, Jim was not at home, so I loaded all six kids into the van and headed to the AF hospital, 20 min drive. She had a fractured skull and concussion, and after several days in the hospital for observation, she came home.
    Those memories flooded back today as I read about Jane. My mother heart aligns with yours, Ashli, and we pray for a good recovery. Love to you all...

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  3. How scary! So glad everything worked out for you, and that little Jane is coping well. I hope everything goes well in the next little while!

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  4. Wow! I'm SO sorry! I can't imagine how scary/stressful this week has to have been for you. But what a blessing that she's doing so well, and I'm glad so many things worked out the way they needed to. I hope the surgeon has positive news tomorrow! Hang in there!!!

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  5. so awful--I'm sure it will be one of those experiences that you look back on and wonder how you made it through. So grateful for tender mercies!

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  6. Heavenly Father knows our needs before we do. All we need to do is ask. Sometimes the answers come very slowly. This time the answers needed to come quickly, and they certainly did. Thanks for so many good people who became your helping hands.

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  7. This post made me bawl like a baby. A little late, but I'm glad I got to read the whole story in detail. You're such a strong, good mom.

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