“Hey buddy, wake up sleepy boy… who am I?”
Just a few hours before, during a rather benign shopping outing at a local home improvement warehouseouse, our boy took an unfortunate fall from the edge of the shopping cart on which he was leaning. Despite my best efforts to catch him, the back of his little head met abruptly with the cold concrete floor. A lengthy crying and screaming episode ensued and it took my wife a good while to get him partially calmed down. But, after awhile, his upset subsided and we went about our day.
That evening, after returning from a visit at his grandparents house, the boy approached me, his flush face moistened with his own saliva. “Daddy, I just spit up a little, but it’s not a big deal.” I asked him to show me where, and he directed me to a small puddle of partially digested strawberries (which he’d enjoyed during the aforementioned visit with the grandparents). My mind immediately returned to the skull-jarring incident earlier that day. Thankfully, our health care provider offers a type of “speak to a nurse and she’ll tell you whether or not you need to go to the ER” service, so I grabbed the phone and gave them a call.
After a brief explanation of the problem and confirming for the nurse that he was, in face, lucid, responsive and not having trouble standing or rotating his head normally, he threw up again. This time, the volume was substantial and I communicated as much to the nurse, to whom I was still speaking.
“Yeah, you’d better take him to the ER, just to make sure.”
We’d only ever taken him to the ER once before, and it ended up being a non-event. This time was different, though, as my wife was at work and I was in charge of two little ones. I made quick arrangements to drop our youngest off with her grandparents, pick up my wife and head to the Emergency Room.
“Fill out this form, then have a seat and we’ll call you when it’s your turn.” Obediently, the form was completed and returned and the waiting game began. Approximately two hours later, our name was called and we followed a member of the staff back to the innards of the ER where we were to await a doctor, or something resembling one.
“When are they going to come fix me up?”, he’d ask every so often. “I’m not sure, buddy - soon, I think.”
It wasn’t long before a nurse showed up to take his “vitals” and more carefully assess the situation. Aside from the fact that it was now several hours past his usual bedtime, all signs were pointing to coincidence. He was aware, in a good mood and more than willing to share all manner of minutae with the staff (centering particularly around the age of his younger sister and how much Bob the Builder enjoys, oddly enough, building).
“He looks like he’s doing well. You should keep his diet simple for the next 24 hours; bread, water, apples, bananas, that sort of thing. Oh, and you’ll need to wake him up every two hours. If he has a concussion and his brain is swelling, he’ll have a hard time communicating simple bits of information that would normally be easy for him.”
“So, what, we just wake him up and ask him who we are or something?”
“Yeah, that’d be fine. Just something to show that he’s aware of who he is and who you are.”
A short while later, he’d been “simply” fed and was destined to enjoy bi-hourly orientation tests for the remainder of the night.