A Black Cloud

While at work today I got a call from the school saying K had been playing at recess and ended up falling at hitting her head on the sidewalk (she was playing some sort of zombie game and ended up under a pile of boys) She was bleeding all over and the school needed her picked up and thought she needed stitches.

Thankfully her nanny was able to pick her up and bring her to me at work, which is nicely right across the street from her ped, so that I could assess the situation myself and see what needed to be done. The poor thing had blood stained clothes, but thankfully the wound had closed itself off, and it was apparent that no stitches would be necessary.

However, when I was talking to her, she seems foggy. Told me she didn't remember how she hurt herself. Just seemed glazed over and sleepy. Her head took quite the hit with about an inch round, purple knot to the side of her head. Stitches were no longer my concern, but now I was worried about a head injury.

Took her across the street - a crazy experience as I had to right away get my patients covered by the other nurses on the floor - and had her seen. They did a full neuro exam and were slightly more concerned because the around the clock ibuprofen she had been taking put her at increased risk for bleeding. Her final diagnosis was a concussion. I get to wake her every four hours tonight and we have to have a quiet weekend at home. Tylenol will have to do for pain relief for the next 24 hours as well.

I really need the medical drama with her to quit!

Oh, and about an hour before this happened, I got a call from the children's hospital saying that after the doc reviewed her scans, he has moved her surgery two weeks up to November 16th. Of course the nurse in me wonder's why he suddenly wants to do it two weeks earlier, but I am trying to just see it as the good thing it is.