Well, I no longer have to wonder when we will have that inevitable first ER visit with River. It was Sunday night, and it was scary.
Before I freak anyone out, let me assure you that he is okay.
Okay enough to run in the sprinkles for a long time this afternoon. He's doing good.
Sunday afternoon, the boys were playing in the backyard while my mom and I chatted in the living room. We could hear them out the window. Nothing wild and crazy. And then there was a clonk followed by River's screams. He had fallen off the side of the deck and landed head-first on the concrete pavers.
We rushed out there, found the monster goose-egg on his head, and I held him until he calmed down. He was acting kind of strange. Dazed. And then he shook it off and played in the dirt with Liam until dinner time. He gets quite a few bumps on the head. Most of them with significant goose-eggs thanks to his
vWD. He seemed fine.
After going to bed a bit early, he awoke an hour or so later, screaming and holding his head. And then he started vomiting. And vomiting some more. At this point, I told my mom and Gabe that River needed to go to the ER. Something was really wrong.
We packed up River, the diaper bag, and his medication, and my mom took us to the ER while Gabe stayed home with Liam. The hospital is just two blocks away, so within a matter of minutes we were rushed back and with the doctor. He ordered a CT scan and gave River some zofran to help with the vomiting. Despite everything going on around him, River slept through most of the ordeal, another sign that this was not his average bump on the head.
The results from the scan showed that he didn't have any swelling or bleeding. Huge relief.
He does have a concussion. And, it turns out, a double-ear + sinus infection. And they still sent us back home. We had to get up every 2 hours throughout the night to make sure that he would respond to us trying to wake him. He did.
And then yesterday we went to the pediatrician for a followup and some x-rays. He was stable, albeit a bit woozy and out of sorts. My mom stayed with us all day. It was a huge comfort to have the extra help.
We went back to the pediatrician one more time this morning. Everyone was happy to see that River is so much more himself today. Happy. Playful. Still a bit wobbly, but definitely on the mend.
The whole ordeal was scary, but it could have been so much worse. I spoke with River's blood disorder specialty nurse in Little Rock this morning, and she said we did everything right, going to the ER when we did, but next time I need to insist that they start an infusion of his factor medication before they do any tests or scans. Just in case he does have a bleed. And I need to insist that the doctor call the hematologist at Children's. The staff at our small-town hospital took excellent care of River, with all the urgency that the situation demanded, but I had to give the doctor information about vWD. Apparently, that's to be expected at just about any hospital except ones which specialize in bleeding disorders.
Now I know more for next time. Unfortunately, there is certain to be a next time. But at least it won't be the first time again.
In the meantime, we are still keeping a close eye on River for the next few days. Swelling could occur up to 5 days after the accident.
But mostly, I am just enjoying his happiness. And planning a deck rail for Gabe to build this weekend...