[Before I begin, she's fine!]Josie had an adventurous evening in the local emergency room today... and I've got the hospital band to prove it. Apparently they don't offer wristbands to toddlers who are screaming and writhing in pain???
On our way out of IKEA today, Josie was holding Daddy's hand and somehow twisted or slipped a little or something (Andrew didn't notice anything out of the ordinary) and was immediately in obvious pain. She was clutching her left arm with her right and wouldn't budge for anything. Getting her into her carseat, I knew something was seriously wrong. We ran home to drop the kids off and to grab a few essentials (cookies & milk... and Bear of course) and headed to the emergency room. I was sure her arm was broken, but Andrew texted me while we were checking in to say that he thought it was a dislocated elbow (aka "nursemaid's elbow"), based on
Wikipedia's description. Yes, it gives the example of a parent tugging on the arm of an uncoopertaive child, and no, that's not what happened.
Anyway, back to the ER. Once Josie was in her stroller and got comfortable with her arm tucked into a blanket, she was relatively content. She
loved watching all the people (there are some interesting folks in the ER, let me tell you) and even watched a bit of a NASCAR race on TV. She was all decked out in her ballet slippers & tutu, and got several comments about what a happy ballerina she was. As long as her arm didn't accidentally move, she was completely fine. But if it did move a bit, or the stroller got bumped, she would start screaming in pain.
When we got into the triage room, the nurse agreed that it sounded like nursemaid's elbow. Apparently it was the second one she'd seen today on a two-year-old, so she went and found the doctor who'd treated the other tyke earlier in the day. Dr. Rob came in and did some crazy maneuver to pop the elbow back into place. He warned that it would hurt A LOT but that Josie should be feeling better immediately.
He was half right.
It obviously did hurt A LOT but she felt no relief when he was done. After letting her calm down a bit, I tried to get her to move the arm and she seemed to be in even more pain than before. As we waited for the doctors to decide what to do next, she cried herself to sleep in my lap, after telling me several times that she was a sad ballerina. Totally broke my heart.
The next step was getting 2 x-rays (ouch!), which yielded no answers. The doctor was more convinced than ever that it was nursemaid's elbow, so he tried the manuever one more time (ouch!). And just like that, the whole ordeal was over. Within 30 seconds, Josie started hesitantly moving her fingers, then raising her whole arm. Before long she was walking around the triage room yelling at all the nurses that she was all better.
Somehow all that added up to 3 hours. I swear, that place is like a time warp. Walk in, blink your eyes, and you're another day older. Thankfully, we were in and out compared to most people. One poor mother came rushing in with a boy (who looked about Josie's age) who was just coming out of a seizure. Naturally, she was freaking out and they were both rushed into a room immediately. A little perspective on the situation at hand was nice... as worried as I was for the little boy.
A $100 co-pay and 1 vanilla milkshake later, we were home safe and sound. Josie might be sore for a few days and she's supposed to go in for a follow-up visit with her pediatrician in 2 weeks. Other than that, she should be good as new. Personally, I'm hoping she'll sleep in a little bit!