I walked over to where they were, expecting to see a pretty bad scrape. I figured we would go home and clean it up really well and everything would be fine. Nope! That's not what happened at all!! As I bent down to look at his knee, amongst all the blood, I could actually see his knee bone. The bone! In my state of feeling surreal, I looked at the woman (who had so kindly come back (after driving past him) to make sure Ryan was ok when she passed him. Her name is Jessie and she lives in our neighborhood. Just on a different street. She had not lived there long at the time and we had not had the pleasure of meeting her. We know her now!) and said "Do you think we should go to the hospital?" I am sure she thought "What an amazing mother this is! You can see your child's bone and are debating on whether or not to go to the hospital?!"
This is what I saw when I got to him.
Except his knee was bent so you could see the bone even better than you can here. I drove to our house to tell the girls we were heading to the hospital. Jessie was kind enough to pack Ryan's bike up in her vehicle and bring it to our house. I ran in, told the girls (would have taken them with me, but they both had stuff going on that evening and I needed to try to call parent friends who could come get them and take them to the places they needed to go) and we headed to the hospital. Mike was working and ended up meeting us there about an hour after we arrived at the hospital. The technicians needed to get his knee cleaned out. This was very painful for him. They used bottles of saline that they sprayed directly on his bone and it was cold and burning. They did 5 large bottles and he dealt with the pain as well as he could. It broke my heart!! His eyes got watery, but he really never cried. So proud of how tough he was!!
Mike arrived along with one of his shift guys. That made it where there were two deputies in the room. An EMT who recognized them stopped by and asked if this was a dog bite. He didn't realize one of the Deputies was the dad and thought there was a law issue with this one. It is funny now, but we were in the throws of bad at that time. Once the doctor arrived (Dr. Kime) he cleaned the opening even more. Caused even more pain. He came to us with options. He could clean Ryan's busted leg right there in the ER or we could take him to the OR and he could put Ryan to sleep, clean and sew him up. We struggled with what we should do. If the OR was the route we went, Ryan would have to spend the night there and he really wanted to just go home. He kept looking at me and telling me that and pleading to let him go home. Dr. Kime told him it may be a little painful down in the ER where he wouldn't feel anything in the OR as he would be asleep. One of the nurses told us (when the doctor was out) that if it were their child they would go to the OR. Mike really wanted to go to the OR as he felt Ryan would be more comfortable. Dr. Kime said he would numb him and everything and felt he could handle it in the ER. Told Ryan how much pain he had seen him already withstand and didn't see why he couldn't handle this too. Ryan was ultimately the person who decided and he decided that he wanted to have this done in the ER so he could go home that night. Poor kid!! Dr. Kime also told us that if he got started and Ryan just couldn't handle it, we could move to the OR.
|Doctor cleaning out the area with more saline.|
|Doctor stitching up the opening|
Mike took these pictures as I couldn't leave Ryan's head and he was holding my hand as well as one of the technicians hands. Bad thing was, his hand was busted up too from falling. I am pretty sure I was holding tighter than he was most of the time. :)
After 5 hours and 24 stitches, he was able to come home. Was able to eat something since he missed dinner and his sisters were there to make over him. They had gone with friend's parents and I am so thankful they were there to help me out!!! Both girls had places to go that night and my fantastic friends really came through!! I have some great friends!! In addition to his stitches and brace, he also had a drainage tube sewn into his knee. This had to be monitored and emptied if it got too full. He missed three days of school because the doctor didn't want him going to school with the drainage tube and bulb with blood. Didn't want people to hit it by accident or anything. We didn't manage to get a picture of the tube.
|After arriving at home.|
Sleeping that first night was difficult. He had to go back every two weeks to see Dr. Kime at his office. They took x-rays each time. At the first visit, we discovered that there was still a small rock that ended up further down his leg than Dr. Kime had been able to flush out. Just a small piece. Dr. Kime put him on an antibiotic to take care of any infection it might cause and said that it will most likely surface years from now and remove itself. Also possible it will pass in another way or may just stay in there for the remainder of Ryan's life. Doesn't seem to bother him at this point.
|The little speck on his bone that is just above the ? top. It is just above and to the left. White speck is the rock. I am pretty confident it should be ok.|
He was released from coming to the doctor anymore on December 20. No more brace to wear!! YEA!! He was not able to participate in PE or wrestling or any real activity until January 2. It was a long 7 weeks for him! He was so glad to get back to working on walking and running again. It came to him pretty easily, but was weird for a while.
This is what his knee looks like today. It has healed very nicely. Several people have told us about different creams to use to make the scar less noticeable. As a 13 year old boy, he is pretty excited about having this scar. :)