Tuesday, March 14, 2017

Mother's Intuition

As I mentioned yesterday, I had a bit of an eventful weekend. I actually thought it was over, and then yesterday everything escalated.

It all started on Friday. I had plans to go out for martinis with Jessica, Renee, and Rachael for Jessica's birthday (I'm still not drinking for a little while, but I planned to get a mocktail or something). My kids were going to stay the night at my parents' house, since my parents hadn't seen them for so long while they were in South Carolina. Just before I was supposed to go meet my friends, we got a call from my dad saying that we needed to come pick up Noah because he got a splinter in his foot. (He had been sliding around in his socks on my parents' hardwood floor.)

It was weird, because I just couldn't imagine why my dad would call me over a splinter (my dad thinks duct tape is an acceptable bandaid--and that's when he doesn't have superglue on hand to glue his skin shut, haha); but, Noah can be a little dramatic at times, so I thought maybe he was just hurting and wanted to come home. When I went over there, I was hit with Noah screaming in agony and he wouldn't let any one of us near his foot. The bottom of his foot was a little bloody, so it was hard to see the sliver that he said was in there. He had pulled a tiny little piece of wood out, but he said there was something still in there.

When I got to my parents' house, I hadn't been planning on taking him anywhere but home, figuring I'd just clean up his foot and pull out the splinter; but after seeing the amount of pain he was in, I knew I wasn't going to be able to do anything. Jerry and I were debating Urgent Care or the emergency room. I would have felt like an idiot going to the ER for a splinter, so we chose Urgent Care.

I assumed it would be simple--they would numb his foot, remove the splinter, and all would be fine. Renee even picked me up from Urgent Care while Jerry stayed with Noah, and I met the girls for Jessica's birthday. About an hour later, Jerry called and said the Urgent Care doctor said we needed to go to the ER--I was NOT expecting that! I had Jerry pick me up so I could go with them, because I figured it had to be somewhat serious if the Urgent Care doctor sent us to the hospital.

Noah was calmer, because the Urgent Care doctor had numbed his foot to probe around for the splinter (later learned this was not a good idea). We went to the ER that I've always trusted and received good care from. I explained what happened to the nurse, who then explained to the physician's assistant. When the P.A. came to Noah's bed, he didn't examine Noah's foot--didn't even glance at him!--he just said, "Uhh, we're not in the business of digging around in people's feet. If the Urgent Care x-ray showed nothing, then nothing's in there. And if there was, it would come out on its own."

He made me feel like I was a complete idiot for taking my kid to the ER, even though the Urgent Care doctor told us to go there. I told the P.A. that Noah could feel something stuck in his foot, and could they please do an ultrasound to see if there was something there (I assumed that wood wouldn't show up on an x-ray, and they had done an x-ray already at Urgent Care). The P.A. dismissed me with, "Oh, an ultrasound won't show anything, either." He said he would order antibiotics and that we could give Noah Tylenol for pain.

I was furious. Our co-pay is $100 for an ER visit, and we didn't even get an exam!! I didn't even wait for the script for antibiotics or discharge papers or anything. Jerry carried Noah to the car, and we drove to another ER. Another $100 copay, but I wasn't going to accept what happened at ER #1. I knew that as soon as the numbing medication wore off, he was going to be in agony again.

At ER #2, they were much friendlier. Even though they pretty much said the same thing--that if there was something in there, it would come out on its own--they weren't rude about it and they explained why they don't probe around (risk of infection is high). I asked again about an ultrasound. They told me they'd do another x-ray, because if something was there, the x-ray would likely show it (and having a radiologist look at it instead of an Urgent Care doctor may help). So, they took an x-ray, and it showed nothing. They said there is nothing in his foot, but we should start antibiotics.

I can't tell you how frustrating it was that nobody believed us. I know my son better than anyone, and if he felt there was something in his foot, I believe him. But everyone just thought I was a crazy mom. The ER didn't even prescribe him pain meds--they just said to alternate Tylenol and Motrin. They gave him a boot and crutches to use until the splinter that they said wasn't there worked its way out. (If I look at it from their perspective, I can see why they weren't very concerned about a "simple splinter"--but I wish they would have at least humored me with an ultrasound. I did not feel like "waiting until it comes out on its own" felt right, when my child was clearly in so much pain.)

Noah was in excruciating pain all night; and the next morning, I called his primary care doctor to see if we could get something better for pain. She prescribed Tylenol 3, which helped him get through the weekend. I couldn't stop thinking about how we were treated at ER #1, so I wrote a letter to the director of ER to explain what happened. (Even if that physician's assistant hadn't wanted to remove the splinter by "digging around someone's foot", it was unacceptable for him to treat us the way he did.)

On Monday morning, I sent an email to Noah's primary care doctor with a photo of his foot, to see if she wanted us to come in for a follow-up.


(The dark spot by his toes is the original puncture wound from the splinter. The cut underneath is where Urgent Care poked around.)

I was surprised by her response: Take him to Mott Children's Hospital ER in Ann Arbor right away. She was worried about osteomyelitis and didn't like how his foot was looking. There was a snowstorm yesterday, and the last thing I wanted to do was drive all the way to Ann Arbor with the roads being bad, but his doctor was insistent and said she showed the photo to her colleague, who agreed. So, Noah and I headed up to Mott Children's Hospital.

The drive that normally would have taken about 55 minutes ended up taking 90 minutes! The roads were so bad that we were driving 35 mph on the expressway. When we got there, the visit began much like the one at Wyandotte. The staff was all very friendly and patient, but they told us the same story--it's not a good idea to dig around for a splinter because the risk of infection is high and they don't even know if there is a splinter in there. They said it will most likely come out on its own.

I wanted to tear my hair out, because I really just wanted someone to DO something for Noah--I felt so bad for him! Again, I asked about an ultrasound. They said they could do that, so we waited for an ultrasound. I went with Noah for the ultrasound, and I watched the screen like a hawk when she put the probe on his foot. Every once in a while, I thought I caught a glimpse of a line that didn't look "normal". I'm obviously not trained to read ultrasounds, but I'm pretty good at seeing things on them. When I was pregnant, I even knew my babies were boys before the ultrasound tech told me, because I could see for myself ;)

I said to the tech, "I swear I am seeing a splinter--that diagonal line right there. Is that normal?" She kind of half-smiled and said, "We'll have to wait for the radiologist to read the results." I took a quick photo of the part that I saw and thought was suspicious. I said, "I just want to feel like I'm NOT crazy. That looks like a splinter to me." The tech smiled again and said, "I don't think you're crazy." So I could tell she saw it, too (but she wasn't allowed to say anything about it).

See that diagonal line across the screen? That's the splinter that I was
told "wouldn't show up" on an ultrasound.
We waited for the radiologist to come into the room to confirm, and sure enough--there was a large splinter in his foot. I can't even describe the amount of relief I felt. The splinter looked large enough on the ultrasound that they called for a consult with an orthopedic surgeon. We waited a long time for the surgeon, because he was finishing up a surgery, but I was so thankful to finally get some answers and have someone that believed us!

The surgeon came in and examined Noah's foot. He said he couldn't feel anything, so if he tried to remove it, he wasn't even sure he'd be successful; but the alternative would be to wait a week or so and see if it surfaced or encapsulated, and then have it removed. I didn't want to have to go another week with Noah in so much pain, so we decided to have him try to remove it right then.

The next 30 minutes were terrible. The injection to numb Noah's foot hurt him so much, but I just kept thinking about how relieved he would feel when the splinter was out. Noah closed his eyes and held my hands. For most of it, he couldn't feel anything, thankfully. The surgeon eventually said that he doesn't think he would be able to get it, and that it was like "finding a needle in a haystack". I was super bummed that after all that, the splinter would still be in there. Noah agreed to one more numbing injection.

When the doctor got to a certain spot on Noah's foot, Noah flinched and yelled in pain. He said that was the spot where he has been feeling like the splinter was stuck. The next five seconds felt like an eternity, but the doctor must have grabbed the splinter because Noah screamed. I had marks on my hands from Noah's nails digging in to me. I turned to look at the doctor. I saw him holding up the splinter he'd just pulled out, and my jaw dropped.

It was ENORMOUS.



He had guessed it was about four centimeters based on the ultrasound photo, but it ended up being longer than my middle finger! It was about four inches long, and it had been stuck in Noah's foot all weekend. All the other doctors told us there was nothing there! I just couldn't believe my eyes when I saw it.

The surgeon gave him a couple of stitches and bandaged him up. He said it was the largest splinter he'd ever removed. We're continuing with the antibiotics, but now we know that he'll heal and not be stuck with an enormous piece of wood in his foot! I am so grateful to his primary care doctor for insisting we go to Mott, and for the staff at Mott who took me seriously (or at least humored me by getting the ultrasound I wanted). I think they were very surprised that it wasn't "just a little splinter" as well. Noah is so happy that he's finally on the mend.

While I was at the ER yesterday, I got a call from the Director of ER's #1 and #2 to follow up on the letter I sent. I just got off the phone with her this morning, and she was very kind. She agreed that the way we were treated at ER #1 never should have happened, and said that actions have already been taken with that physician's assistant (I'm assuming they probably talked with him about his bedside manner). I was happy with the way we were treated at ER #2, but I wanted her to know that the ultrasound I'd asked for would have shown the splinter--so I hope that the doctors won't dismiss it for other people in the future. I sent her the photos of Noah's ER visit yesterday, and she was shocked at the size of the splinter--she's going to show the pics to the staff that treated Noah. She also said she will make sure we aren't billed for those copays from Friday's visits.

So, I'm very happy with the follow-up. I understand that doctors probably don't choose to work in the ER to remove splinters, but where else were we supposed to go? It wasn't a tiny little splinter that could be removed with tweezers. And I can't even imagine the amount of pain Noah was in from that thing!

I'm so glad that Noah is finally able to get some relief. He's home from school today, because his foot is obviously sore, but he'll be fine to go tomorrow. Today, I've got to take Eli to Children's Hospital in Detroit to get fitted for his orthotics!

39 comments:

  1. Oh my! That is such a long splinter. It's good you found someone who finally listened.

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  2. Ouch! Thank goodness you persisted, that wouldn't have felt good to leave in there longer!

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  3. OUCH!! Poor Noah! But lucky to have parents who weren't going to back down when they insisted there was a larger problem :-) It is so frustrating when we are not taken seriously by medical professionals - we KNOW our kids and know what's normal "I have a boo-boo" behavior and "This is really BAD!" behavior. Hope he has a speedy recovery!

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  4. Doctor's at the ER can be so frustrating! A few years ago I had an issue with my eyes, they ballooned up out of no where and I looked like I had gotten punched in each of them. I went to three different ER/Urgent Care's over three days; I got three different answers as to what was wrong and no real help on how to treat it. I ended up alternating hot and cold compresses and by process of elimination figured out it was from a new eyeliner I was using. So much wasted $$$ and so frustrating!!

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  5. Poor kid and poor you...glad they got it out and he's on the mend. HOLY COW! That is a sliver!

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  6. Holy crap!! I saw your pic on Instagram but hearing this whole story makes it seem so much worse!! Poor Noah :( I'm so glad someone finally listened to you. I agree, ER doctors can be so frustrating. I understand they're busy but you just want SOMEONE to listen to you. Glad you followed your motherly instincts!!

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  7. Wow! That is some splinter! I'm sorry you had to go through all that before your son received proper care. It's good it didn't stay in his foot any longer than that.

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  8. I've had to get numbing injections near infected skin and it hurts like hell!

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  9. No kidding they're not going to charge you for copays - they're probably happy you're not suing! Good on you for taking care of your kid. It's hard when people treat you like a "crazy mom" but you know you are an expert on your own child!

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  10. an example of why you must be a forceful advocate for your own health care.

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  11. Mothers intuition is nothing to fool around with!! I'm glad you were insistent. We are our child's main advocate and I refuse to feel bad about doing everything I can to make my kid feel better. I've had a lot of useless visits to urgent care, including one time when they sent me home without an x-ray, saying that my daughter was fine and had just bruised her arm. I went back two days later and basically bullied them into giving her an x-ray...and it was broken. I go straight to ER most of the time.

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  12. You just passed me in the hallway at Children's. I'm the one with fuschia hair, lol. What an amazing story, and I hope your kiddo heals quickly!! Good for you for following your instinct.

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    1. How funny!! I must have looked completely lost. Because I was! Hahaha. Security guard was very helpful though :) I wish you'd have said hi! I'm nice, I promise.

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    2. You looked very worried and determined, so I didn't want to interrupt. I've learned that hospitals are not the best places for fangirling, lol! I hope your kiddo is feeling better!

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  13. This is such a terrifying story!

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  14. I'm so glad you were finally listened to! I stepped on a toothpick a year ago and half of it broke off in my foot, but the Dr. at urgent care poked around a bit and took an x-ray, and said there was nothing in there. Thankfully I'm not in pain, but I'm guessing it's going to come out on it's own one of these days... :)

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  15. ZOMG! That is GINOROMUS splinter.
    I am glad he got it out and that your son is feeling better. And good for you for keeping at it. Not only it is Mother' intuition, it being your own best advocate (and your kid's) in health care. It is sad that it has come to do that.
    Hope all is well and YOU are doing better too. xoxo

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  16. I am so very glad you followed up on the sub-standard treatment you received :) Wishing Noah a speedy recovery and what "bragging rights" he will have tomorrow in school!! :)

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  17. Hi Katie. I'm glad Noah is on the mend. On another topic, I wanted to let you know that I just watched "From Fat to Finish Line" today, and it was amazing! I'm glad you all did that documentary, and I'm glad I got to see it.

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  18. OMG, that is huge! So glad you got someone to listen to you. Poor Noah. I cut my finger on a food chopper 3 weeks ago and had to get 6 stitches. I had 3 pricks to numb my finger and those hurt so I can't imagine how much it would hurt with a sliver like that.

    My father is the same way with the duct tape. I tried scotch tape on my finger before I called my sister to drive me to urgent care when I couldn't get it to stop bleeding. Any time I see my father with duct tape on his fingers I know he has cut himself.

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  19. The exact same thing happened to me when I was a kid (sliding around in my socks on our hardwood floors) but luckily we could see the end of the splinter (it was THICK too). My dad pulled it out with surgical scissors/tweezers and it was VERY painful. It drives me crazy when doctors and medical staff are condescending or dismissive. People tend to know their own bodies and can tell when something is wrong.

    When I was 11 I fell and hurt my ankle roller skating. My mom took me to the ER and they said that since it wasn't swollen they didn't need to X-ray it. I was treated like I was being a baby for the amount of crying I was doing. They said it was a "slight strain" (basically, you're imagining it but we'll humor you) and gave me crutches and an ace bandage and said I would be walking on it in 3 days. 10 days later after trying with incredible pain to walk a few steps at a time on it because my parents were encouraging me to, my mom finally took me to get it x-rayed at an orthopedist. It was broken and took 4-5 months to heal. I have learned from this that I apparently don't swell much with injuries and try to keep that in mind. Things like this are why I have a hard time trusting medical personnel. So frustrating.

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  20. I CANNOT BELIEVE THE SIZE OF THAT THING!!!

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  21. What an absolute nightmare! That sliver is more like a stake. I'm sorry Noah suffered through that and you and Jerry too.
    My husband and I recently had to pin our 9 year old daughter down while a doctor injected her broken finger repeatedly to numb it before snapping it back into place. She screamed and cried and begged for us to stop the whole time. She's on the mend now,but we're all a bit traumatized by the experience.
    I hope Noah's foot heals soon!

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  22. Glad you wrote to those ER directors and it's good news to hear they actually payed attention to you.

    Great mom work taking care of Noah! I am sure it is a relief to have him on the mend.

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  23. Way to go Katie! That is a mom's intuition. Thank goodness you persisted. Noah is lucky that you are always in his corner, navigating and advocating for him. Speedy recovery to him too!

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  24. I get woozy just looking at that. Good job, mama. I'm sorry he had to go through so much pain to get proper care!

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  25. oh wow, I feel quite ill at the thought of that huge thing in his foot. Well done on being so insistent and getting it sorted.

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  26. I agree with the previous poster...seeing that on FB yesterday made me sick to my stomach for your poor, poor son!! :'( Just unbelievable! {{hugs}} to him!! And to you...I can only imagine the stress!!

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  27. OH MY GOSH!!!

    That splinter is friggin' huge!

    POOR BABY!!

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  28. OMG....that's just crazy!!!! Good job, momma!!!!

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  29. Oh my goodness, I am so glad that you were persistent. I almost just fainted looking at it. I am glad that he is feeling much better.

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  30. I still can't believe how you were treated, and the size of that splinter they finally found!! Wow! Can you imagine if you had left it in there? Talk about infection!! I don't know that I would have had the guts to be so insistent about having an ultrasound--glad you did though! During my husband's cancer battle, I have not been impressed with our medical care at all. After the Urologist missed the diagnosis for over two years,and was simply treating him for an enlarged benign prostate, thus didn't find it until the cancer had spread, and was Stage 4, and incurable, now we never see him when we go there for the monthly shots to try to fight the cancer. We "get" to see his nurse practitioner every three months, and after she quit a few months ago, we thought we were going to see the actual urologist at the appointment in January, but NO!! We saw nobody other than the nurse who gave the shots and changed his catheter. I wonder who will we "get" to see at his appointment in April? I wonder who is sicker than my husband (who was given 4 and a half years average life expectancy when he was diagnosed four years ago) that this Urologist actually does see???? So frustrating.

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  31. Same story of "it will work itself out"... They could see a little tip and thought it was a little sliver... My knew blew up after 2 days and my mom did the same thing - don't accept no for an answer! The little sliver was a triangle, tip up... surgery and 4 stitches later!! You are a good mom!!!!!!!!

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  32. Thank God that you insisted. Noah must have had unimaginable pains. I hope our physicians will save us more than dismiss us when we complain.

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  33. Mother's always know when something is not right no matter what ANYONE tells them. Good job!

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  34. Good for you for being persistent and being an advocate for your son. It's unfortunate, but sometimes that is the only way to make sure our families get the care they need. I work in the medical field and stories like this one are all too common. You did the right thing and I am so glad that your son is on the mend! Poor baby!

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  35. Ouch!!! Poor Noah - I hope he's feeling better! Good job, Mom!

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  36. OMG!!! that splinter is INSANE!!!!

    thank goodness you trusted your instincts and didn't back down!!!

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