A Tale of Two Casts (Part 2)

And here is the continuation of A Tale of Two Casts...

If you need to read the backstory, I encourage you to read Part 1.

So, we were at Hapkido on a Tuesday in August, which is my least favorite month after February, and after the big kids class, but before the little kids class, Mrs. V allows the all kids to get out all the climbing stuff out and party hard on the mat for about 15 minutes. It's a way for her to build community between the two age groups, kids are together on the mat, and figuring out how to work and play together. It's a very cool time of day at the dojo.

During the big kids' class, my younger son had the opportunity to work with the teenagers one-on-one, and both of the teenagers are both black belts. For the record: my son caused his injury all on his own, as usual; there were no other people around. But, he was feeling incredibly confident because they worked on some really cool stuff. The school is set up so that students of all ages are constantly teaching and learning. So the black belts each taught my son some things, and then he worked with another student and taught that student some things, and basically Mrs. V has it so that a person's brain works as hard as the body. The set-up for teaching and learning is absolutely brilliant.

During the play time in between classes, my younger son got on the monkey bars...you see where this is going...that hang from the ceiling and are higher than the monkey bars at school. My family has been at the dojo since January 2011, before the monkey bars were constructed and hung, so my kid has been on these monkey bars a lot. He lost his grip and fell onto the mat. It was that simple. He landed wrong. And he knows how to land, because in addition to eventually writing, staring, producing and directing...and be the cameraman...for his first ever full-length film...for which he'll win ALL THE OSCARS...he's also going to do ALL HIS OWN STUNTS. Duh. Because that's what he does. I am thankful that his vestibular sense is mostly on point. Mostly.

Below is a video of both of my sons at Hapkido during play time between classes. My older child is knocking down the bag, because he is a sensory seeker and needs deep impact. My younger child is on the monkey bars, crossing back-and-forth for the THIRD time that day. This is during play time between classes at the dojo. And, no, this isn't video of my kid breaking his arm, because I'm not that parent. But, it does give you a sense of the type of shenanigans that go down on the mat between classes.

The problem is that, as he's learned a lot in his young life, physics works; he's named after the man who discovered the Universal Law of Gravity. So, bear with me because I'm not a physicist: when my son fell from the monkey bars and broke his arm, he had a little forward momentum when his hand slipped and caused him to fall. The result of the forward momentum caused him to not land directly on his feet, which would've allowed for him to do a back break fall, decreasing the chance of injury. But because of the forward momentum, his feet and fanny hit at nearly the same time and, out of plain old instinct when a person falls from about 8 feet in the air, he put his left arm down, since he was falling to the left, and that was that.

He immediately grabbed his arm, got up, made eye contact with me, bowed off the mat, and quickly came over to me. Mrs. V came over and she assessed his arm...she's very thorough in her triage since dealing with injuries is part of what she does in her profession as a Martial Artist and personal trainer. He could bend and straighten all of his fingers, and he could move his wrist back and forth. He could bend and straighten his elbow; he could move his shoulder. And thank God for all of his parts moving properly, because it looked to me as though it was gonna be uglier than it was...and because of all the shit my family's been through, I kinda panic sometimes.

The only thing that hurt him was rotating his arm from front to back--so basically turning his hand and arm over to show us the underside of his forearm. He didn't cry...because he's pretty tough...but I knew he was hurting. He agreed to sit on the bench for the little kid's class with an ice pack on his arm. This was very difficult for him because his older brother was on the mat. So...brotherly competition...do I need to even say anything about that? No. No I don't.

One of the adult Hapkido students, who is a wonderful man, took the time to speak with me privately and disclosed that once upon a time, one of his daughters sustained an injury that is called a buckle fracture, and basically, her bone wasn't broken in two pieces, but it was slightly bent and caused some pain. According to the Pediatric Orthopedic Society of North America, a buckle fracture "occurs when only one side of the bone is compressed and buckles but does not break all the way through."

So it turns out that my 9-year-old has a buckle fracture. We found this out on Wednesday morning when we went to the walk-in clinic. But we went to the Emergency Room first, on Tuesday night, because my concern was that because he was in so much pain when he would turn his hand over, I was worried that the growth plate was broken, since his BFF Miss C broke her growth plate in third grade. And I knew it wasn't a complete fracture, which is what my son sustained last year when he broke both his radius and ulna on the monkey bars at school.

Fuckin' monkey bars.

But as we were getting ready to go to the ER, we went into to the bathroom at the dojo, and my kid was balling. He is not a crier. Dude didn't cry in June 2017 when I picked him up from school and took him to the ER with his broken bones when he was 8. So, if he's ugly crying in the bathroom, at the dojo, he's hurting pretty badly. So, I took him, and the ice pack, to the ER, which is less than 5 minutes away from the dojo. My husband went to the dojo to pick up our older son, because taking him with his brother and I to the emergency room was a horrible fucking idea.

And the ER was packed. Like, crawling with people, ain't even gonna get to see the goddamn triage nurse for an hour, sit yo' ass down because the doc won't have time to see you for at least three to four hours, type of packed.

We checked in: Anderson...s-O-n at the end. No, there are two A's in his first name, NOT two S's in his first name. How many times do I have to spell his names? How many times can you misspell Anderson or Andersen or Andersson or...seriously? Oh for fuck's sake, lemme come around that goddamn desk and access Epic and register him myself. How goddamn hard can it be? Yes, he's been here before. His birthday is XX/XX/2009. What? What do you mean you can't FIND him in the system?! A-N-D-E-R-S-O-N. One S, two A's in his first name. Are you fucking kidding me right now? He was here last June...? For a broken arm...? No the other arm. Yes. He's a frequent flyer. Yup. He's had stitches in his chin, too. Why the fuck can't I just pre-register this child for the ER? I mean, I was pre-registered with each of my kids when I was pregnant? It makes sense to just pre-register some kids for the ER, and my kid is one of them. Yes. Mmm-hmm....s-O-n at the end. Yes, A-N-D-E-R-S-O-N. Yup. That's my guy! Well, I'm really glad you found him, too.... Goddamnit...I totally should've gone to the other lady doing registrations....

Buckle fracture; left arm

Jesustapdancingfuckingchristonagoddamncross, that was painful, but we got in. Praise be. Because when we went to sit down some young woman looked like she needed to borrow my bag to puke in it.

As we were sitting there, and my son calmed down, we were able to talk. So, I asked him compared to when he broke his right arm last year, how badly does this hurt? And he said not as badly. We agreed that, since the waiting room was so packed, that it would be quite some time before they'd call him back. He said he was hungry, and I told him that I couldn't feed him because whenever they get him back there, they'd give him medicine to relieve the pain and we certainly don't need him throwing up. We agreed that it was a better idea to go home, get a fresh ice pack, some Tylenol and some dinner, and get to bed at a reasonable hour, and that if it was still hurting in the morning, we'd call our doctor's office.

So, we checked out. We didn't even stick around for the triage nurse. We did go to the other lady who was at the registration desk and formally leave, because I don't need CPS on my ass for eloping from the ER with a kid with a broken goddamn arm. Right?

Oh snap! Kinda. It didn't completely break in two.

Anyway, so home, dinner, Tylenol, ice, bed. Woke up the next morning still hurting. Called our doc's office...and they were closed for a training...of course. So we went to the walk-in clinic and were seen pretty quickly. X-ray revealed that he had a buckle fracture, and so the doc put a splint on it and said he would put in a referral to the orthopedic clinic. But he didn't. And yes, I've already had a very long discussion with the folks at Patient Experience since the very first part of my hospital's Vision Statement was not upheld: "...will achieve excellence, and provide quality, value and safety in everything we do." The physician completely failed my pediatric patient by not speaking with him about his injury and defaulting to me, when my kid is completely capable of explaining himself. Also, the doc did not make the referral to the Ortho clinic. Oh, and he totally judged me for giving my kid Tylenol and not Advil. No, really. So, three strikes means I make a phone call. And, yes, I also let the Patient Experience lady know all about how the lady in the ER couldn't find my kid in the system. I learned that usually the walk-in clinic docs don't ordinarily make referrals to the orthopedic clinic, but that since the x-ray revealed my kid needed to be seen, the referral should have been made. But this doc, and his sanctimonious tone regarding me administering Tylenol and not Advil...he's probably the type of man that also feels free to make decisions about my uterus, so I'll refrain from commenting further.

Annnyyywwwaaayyy...

My kid wore the splint on his left arm for a week, which, of course, I know from experience is standard. During that time we went to the county fair and partied pretty hard. He did the rides he felt he could; we were thankful that the carnival staff even let him on.

My boys, partying hard at the county fair!

And the following Tuesday after his injury, we went to see Orthopedic Surgeon Dr. M, who, fortuitously, is part of our Hapkido family. She and her son have been part of the dojo for many years, and she knows our family dynamic and is pretty familiar with our family health history. I was anticipating a partial cast; my son was thinking that he'd just stay in the splint. And Dr. M is fantastic because when she examined him, she talked with him like he was a person who is capable of understanding what she was saying, and she said that she really felt, since he's a rather rambunctious young man, it was better to put a cast on his arm for a few weeks to prevent it from breaking further. Because, as I stated in Part 1: prevention works.

Left: 2018 buckle fracture on the left arm. Right: 2018 mega fracture on the right arm

Here's the deal as to why my kid is in a short-arm cast, which I'll all the Half-Assed, Half-Arm Cast. This is probably the first thing my family has ever done half-assed. So, the way this buckle fracture thing works, the bone is weaker in that area, and even though the doc at the walk-in clinic said being in a splint for 3-ish weeks is acceptable, Dr. M said that if my son were to punch a bag, or to wrestle with his brother and take a hit to his arm, the risk of his arm breaking is higher and then he'd have to wear a cast for a longer time. And no matter how old a person is, it's easier to wear a cast for three weeks than eight weeks. And given that Dr. M has spent years of her life helping people heal their BONES, we chose to listen to Dr. M and get the cast. My son was true to himself and chose purple, which has been his favorite color since he was a toddler. Last year he chose blue, because he experienced peer pressure and thought that boys were supposed to like blue. I know this because in discussion about choosing his cast color last year, he said "no, Mom, blue because all the boys like blue." Bless his heart.

He's not in any pain, and really, with this break, his ego is not his amigo. We're letting him be a kid, taking reasonable risks with his extra-curricular activities. He's learned that a Half-Assed, Half-Arm Cast is easier to manage than a Full-Assed, Full-Arm Cast.

He's able to be on the mat at Hapkido, supporting other students by teaching, and of course he's also learning a lot. He's able to do some Hapkido, but Mrs. V said no rolling, no throwing any punches, and no throwing people. He is able to do some techniques. He is able to do all of his kicks. But no bokkens, until his cast is off. And bokkens are his thing, so that's a bummer.

He is able to be on the soccer field and practice a little. He's mostly doing drills. His Dad is the assistant coach, and my husband played soccer for 20 years, so he and the head coach, who is also a Mom of one of the players, are putting some tight reigns on our son. Our 9-year-old is not permitted to play scrimmage because he certainly doesn't need to be taken down or tackled by another player. Any 1:1 work is against his head coach, because she's a bad ass and can hand him his ass in a nice way, without taking him down or causing further injury. We all know the other 9-year-olds on the field have no such discipline.

He'll start fourth grade on Tuesday with the cast on. He's carrying a black sharpie with him to get signatures, of course. The cast is scheduled to come off on Tuesday September 11th at 8:30 in the morning by Dr. M. His first soccer game is scheduled for September 15th, and we all anticipate he'll be on the field and capable of playing. I anticipate that the purple cast will be added to the art project that he'll create with the two blue casts from his right arm.