397 days - the shiner saga
Jan. 9th, 2012 10:29 pm[The following is a guest post by Mike, who figured that the ongoing story of Sophie's bump ought to be told.]
This morning Sophie woke up a little early and in a grouchy mood. As soon as I turned the light on I could see that the big lump on her forehead had not diminished overnight but had grown. Not only that, she now had an impressive, dark multicoloured bruise on her forehead and more bruising around her eye, and when she opened her eyes it was suddenly clear that she couldn't actually open one of them due to the swelling.
This responsible parent pondered. I could take her to nursery anyway and just warn them to keep an eye on her on the assumption that everything was okay, but then again, well, the swelling was awfully big and the eye thing was a bit worrying so ... yes, she should probably be checked out by the doctor. It was very unlikely that they'd find anything seriously wrong, but I couldn't really take her to nursery like that with a clear conscience.
One phone call to the surgery [N.B. for Americans: "the doctor's office"] later and she had a 9 o'clock appointment. The paediatrician took a good look, asked the usual questions (Vomiting? Nope. Loss of consciousness? Nope.) then pondered for a bit and decided that while it mostly looked fine to her the fact that Sophie was still a bit grouchy and fussy meant that she should be referred to the Chidren's Hospital. They'd probably keep her in for 24 hours for observation and do a CT. And did I need a letter for my employers so I could have the time off? I declined the letter (my employers wouldn't need a letter anyway), took the letter they gave me for the hospital, and headed for the tram stop. [Ed. note: At this point I was of course a bit frantic - my little girl in hospital for a whole day without her m[ou]mmy nearby for a reassuring cuddle??]
The Kinderspital seems to have been built at the point in the city of Zürich furthest from a tram stop, so it was a bit of a schlep. I found the emergency department, who knew we were coming already, did some paperwork and did an initial evaluation of Sophie.
After a short wait the junior doctor on duty arrived to take a proper look. Sophie had her blood pressure taken (with a teeny-tiny blood pressure cuff that went on her ankle), had her pulse taken (with a teeny-tiny sensor that attached to her teeny-tiny toesie-woesie), and was found to be generally normal (and quite cheerful). After a bit of poking and prodding the bump was declared to be very hard and therefore not the kind of thing there was any point in X-raying. Moreover, as far as she was concerned there was no need for observation in hospital as Sophie was happy and playful and flirting with anyone in sight, which meant that there was most likely nothing to worry about. They would be happy to keep her in for 24 hours if I really wanted them to, but I was happy to decline that offer. After all, if there's a medical position closest to "specialist in bumps and bruises on toddlers' heads", it's being an A&E physician at a children's hospital, so I was happy to trust her judgement over that of our paediatrician.
Feeling mightily relieved that she wasn't going to have to put up with a stay in hospital I took her to my office, where she ate some lunch, rampaged around and charmed my co-workers despite the massive shiner above her eye, and then we went home.
I was warned that while the swelling will go down gradually the bruising is likely to spread down her face before it clears up. Well, at least she's going to have something cool to show the other kids at nursery.
This morning Sophie woke up a little early and in a grouchy mood. As soon as I turned the light on I could see that the big lump on her forehead had not diminished overnight but had grown. Not only that, she now had an impressive, dark multicoloured bruise on her forehead and more bruising around her eye, and when she opened her eyes it was suddenly clear that she couldn't actually open one of them due to the swelling.
This responsible parent pondered. I could take her to nursery anyway and just warn them to keep an eye on her on the assumption that everything was okay, but then again, well, the swelling was awfully big and the eye thing was a bit worrying so ... yes, she should probably be checked out by the doctor. It was very unlikely that they'd find anything seriously wrong, but I couldn't really take her to nursery like that with a clear conscience.
One phone call to the surgery [N.B. for Americans: "the doctor's office"] later and she had a 9 o'clock appointment. The paediatrician took a good look, asked the usual questions (Vomiting? Nope. Loss of consciousness? Nope.) then pondered for a bit and decided that while it mostly looked fine to her the fact that Sophie was still a bit grouchy and fussy meant that she should be referred to the Chidren's Hospital. They'd probably keep her in for 24 hours for observation and do a CT. And did I need a letter for my employers so I could have the time off? I declined the letter (my employers wouldn't need a letter anyway), took the letter they gave me for the hospital, and headed for the tram stop. [Ed. note: At this point I was of course a bit frantic - my little girl in hospital for a whole day without her m[ou]mmy nearby for a reassuring cuddle??]
The Kinderspital seems to have been built at the point in the city of Zürich furthest from a tram stop, so it was a bit of a schlep. I found the emergency department, who knew we were coming already, did some paperwork and did an initial evaluation of Sophie.
After a short wait the junior doctor on duty arrived to take a proper look. Sophie had her blood pressure taken (with a teeny-tiny blood pressure cuff that went on her ankle), had her pulse taken (with a teeny-tiny sensor that attached to her teeny-tiny toesie-woesie), and was found to be generally normal (and quite cheerful). After a bit of poking and prodding the bump was declared to be very hard and therefore not the kind of thing there was any point in X-raying. Moreover, as far as she was concerned there was no need for observation in hospital as Sophie was happy and playful and flirting with anyone in sight, which meant that there was most likely nothing to worry about. They would be happy to keep her in for 24 hours if I really wanted them to, but I was happy to decline that offer. After all, if there's a medical position closest to "specialist in bumps and bruises on toddlers' heads", it's being an A&E physician at a children's hospital, so I was happy to trust her judgement over that of our paediatrician.
Feeling mightily relieved that she wasn't going to have to put up with a stay in hospital I took her to my office, where she ate some lunch, rampaged around and charmed my co-workers despite the massive shiner above her eye, and then we went home.
I was warned that while the swelling will go down gradually the bruising is likely to spread down her face before it clears up. Well, at least she's going to have something cool to show the other kids at nursery.
She is getting better and better at supported walking, and needs less and less support - Mike made a video for the grandparents a couple of days ago that shows off her newfound prowess with the little wheeled cart we got for her a few weeks ago. A week ago, just after the Würzburg trip, Sophie couldn't manage the coordination necessary to walk with the cart (which, unlike a parent, doesn't have a brake for when momentum starts to carry her away); about five days ago, suddenly, she could. She is still prone to falling, of course, and she really hates hitting her head on the floor (who wouldn't?) so we still have to keep a close eye on her through all these adventures.
