Showing posts with label traumatic fractures. Show all posts

The First Fracture Ever (Remembered)

I don't remember the pain or even which bone I broke. I don't remember how old I was or if I had started school yet, (but I think I was in elementary school). I don't remember what the cast looked like or how long I was in it for. For that first fracture I ever remember, I only recall what I was doing:


It must have been around summer time because I was laying on the mat my mom always used during the summer. Even if it was 90 degrees and muggy out this mat always felt cool against my skin. There could have been glimmering crystal clear water tempting me for a swim right next to me but it wouldn't matter - if the mat was out, I always stayed within its borders. 

On that particular summer afternoon it was no different. My mother had rolled out the mat at the end of our driveway and I was sprawled out on it. There were picture books stacked next to me and a few feet away the adults in my family were starting to set up a summer barbecue. I don't remember what my older brother was doing, he was probably riding his red bicycle around our cul-de-sac neighborhood or playing badminton with the boy across the street. My brother and the older boy used the jagged horizontal crack in the pavement that stretched across our street as a marker for the pretend net, whacking the little birdie over it for hours on end. 

Our next door neighbors that lived to the left of us had two kids, a boy and a girl - C and S. They were much younger than my older brother but they were somewhere around my age, and once in awhile they would saunter over to our driveway and strike up a conversation - timidly of course.
It was pretty obvious that my parents were fiercely over protective of me. Before they'd ever let me go play outside they always warned me to not play with the neighborhood kids unless my older brother was around, or they reminded me to always stay on the mat. I was only ever allowed to ride my tricycle up and down our side of the street, and that was only if an adult was outside watching me.
At the time I hadn't figured out what to tell other kids, I had only figured out that it was 'adult talk.' I knew that I had osteogenesis imperfecta and I knew that this meant my bones were fragile, that it was the reason why I was in a manual wheelchair, and it was also why I was so much smaller than other kids. But all of that information had only ever been spoken to adults. Even if I wasn't doing the talking, I had never seen another adult explain to a child, outside of my own family, what O.I. was or what it meant. And of course at that point I never had the occasion to inform another child my own age. But on that summer afternoon it was all about to change -- 

S, our neighbor's son, came over to our driveway and plopped himself down on my mat. He grinned at me, his mouth had a bright red ring around it from a cherry flavored popsicle he had just polished off. 
"Hi" I said shyly. I remember I looked around for someone in my family to either step in or tell me what to do, but I saw no one. 
"Whatcha doin'?" He asked me. 
"Just watching this caterpillar crawl around." 
"Oh. I like silk worms, ever seen a silk worm before? My Nana told me they spin real silk, you can find them in the trees and they just hang on this real thin piece of silk." He stood up and began searching for this silk worm creature in the apple tree that we were sitting underneath. I tried to ignore him and went back to watching the velvety looking caterpillar scrunch up its body and then stretch out again, fascinated by the blue, black, and green pattern that elegantly covered its entire body.
"My sister says you can't walk or stand" he suddenly blurted out. 

As if she heard her younger brother mention her name, C came whizzing up behind him on her bike. She folded her arms under her chin and rested them over the handlebars of her bike and looked down at me. The wind made the shiny pompoms that sprouted from either end of her bike's handlebars shimmer and rustle a bit, like they were beckoning me to hurry and answer. 
"So is it true then? You can't walk or stand?" S had now jammed his hands in his pockets and was rocking back and forth on his feet, his older sister cocked her head to one side and looked at me like you better answer his question. 

It has happened too long ago now so I don't remember what was going through my head, or my thought process. But I do vaguely remember my response. I tried to explain to them that I needed leg braces to help me walk and stand, that I can too walk and stand, so "no, it's not true that I can't." 
"Then show us. How come we've never seen you do it?" 

The next series of events are all a blur to me now, but I remember getting myself into a kneeling position -- one leg bent underneath me and the other leg bent at the knee, ready to push up just like my physical therapist and I had been practicing for months. But the only difference was that this time I was not in a physical therapy session, I did not have my leg braces on, I didn't have my walker in front of me, there was no one around except me and these two kids I was trying to prove wrong. I wanted them to see the truth. I wanted to show them how proud I was to have recently learned how to walk and get into a standing position. But then instead of wobbling up to a stand, I wobbled off balance and fell to my side, and ended up screaming for my mother. 
The only thing I remember after that was my older brother appeared on the scene, he looked at the neighborhood kids and said,
"See? Look, now look at what you guys did!" He glared at them and then was off running inside the house to get my parents. 


After that incident I learned at a young age that answering every curious question was never worth the pain that I could wind up in. I also became a bit precocious from then on, I grew up preferring to associate with adults - never believing that other kids my age would "ever get it." Or that they were simply too dumb and narrow minded. It took quite some time and many amazing friends in my life to allow me to trust kids my own age again, but this is also why I hold my friends close to me and why they know me so well. 


Kids will be kids:
  • I am sure that every parent reading the above story is freaking out, and probably promising themselves that they won't ever let their O.I.'er child out of sight. But c'mon now let's be real, don't make false promises
  • I have thought about this incident time and time again, and no I don't regret the fact that my parents didn't sit me down and tell me "this is what you need to tell kids your own age..." Even if they did that I'm not sure things would have been any different. I have a very stubborn personality and probably would have wanted to prove those two kids wrong anyway
  • At such a young age many children will probably find it difficult to understand why they need to be careful. "You'll get hurt if you try to do things other kids do" ... I challenge any one to tell that to a child without any wincing or tears
  • This was also a lesson in being confident in myself. I left the situation with a broken bone and a cast, but I also knew that it doesn't matter what the neighborhood kids thought of me - or quite frankly, what anyone does 
  • You can't be there for every minute or for every incident. I don't hate my parents for not having been around to tell the neighborhood kids off, and I don't resent my older brother for not having arrived on the scene earlier. The situation is what it is, and what happened happened -- that's it. But! You should know that I am able to have that mentality because Idid not grow up expecting my parents to be around 24/7 

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911 Fractures

Andrew, my younger brother, would later tell me my mother thought he was annoying me yet again when she heard my screams. “But I wasn’t doing anything. I was just sitting on the kitchen floor flipping through the dictionary – you know the yellow one? I was looking at all the pictures.”
Meanwhile in my bedroom I was face down on the floor with a pool of blood around my head, my wheelchair tipped forward onto me, and both of my legs had snapped in half. The events of this incident are choppy in my memory, like some mind-twist of a horror film the scenes cut in and out of my mind. When I really think about it I remember the fall (I can see it happening to myself): the front wheels of my wheelchair had hit something and I was lurched forward, still seat belted in, but by the time I had hit the floor my wheelchair was at a forward tilt two feet behind where I was sprawled. I screamed. I don’t remember who I was screaming for or what I screamed, but I made the loudest noise I could possibly muster; it wasn’t from the pain of my two broken legs, at that moment the pain hadn’t even registered to me yet, I screamed because I was totally freaked out by the endless amounts of blood that poured out of me. There was so much of it!

The next thing I remember my mother had rushed in my room and made a sickening groaning noise. Up until that point I had never had a fracture that involved THAT much blood (when my rod migrated and protruded from my skin there was just a little trickle); what happened after my mother came in are now just a blur. Suddenly I was on a pillow on her lap and my older brother had called 911. I could hear him just outside my room giving the emergency dispatcher the information “my sister she has Osteogenesis imperfecta, and she just fell from her wheelchair. There is a lot of blood everywhere…it’s a brittle bones disease.” Next I remember he was shouting at my mother “Mom! Mom! They said don’t move her spine or her neck, it might be broken!” But at that point I had recovered a bit from the impact of the fall. The pain from my fractured legs had begun to settle in, all I knew was that some part of my legs had broken – so searing and encompassing was the sharpness that I couldn’t pin point an exact location of the fractures. I also knew that no other part of my body was broken, or at least that my back and my neck were fine:
“No. My neck and my back are fine. It’s my legs. I broke both of my legs!” I hollered back out. It seemed only a few minutes while we waited for the ambulance to come. During that time I had never seen my mother look so horrified and confused while she had me on her lap, not even touching me because she was afraid of what other damage she might discover or cause.

When the emergency medical crew arrived they first cleaned up the blood and then shone a flashlight into my mouth and up my nose. “Where did all of this blood come from? Well she has braces on her teeth so maybe the metal cut her mouth when she fell? She’s not bleeding anymore though.”
“She was born with OI, it means she has brittle bones, it’s a very rare condition. This has never happened before. But she says her legs are broken, she knows when something is broken” my mother told them.
It was clear to me that my mother was being fiercely protective of me, not letting them touch or move me at all. The emergency crew moved around my room slowly, at that point they were all trying to figure out how to move me from my mother’s lap to the stretcher.  
“This is going to be a challenge guys, we’ve never come across this before.”

I don’t know whose idea it was but someone had contacted Dr. Shapiro, my orthopedic and surgeon. The phone was handed to one of the emergency personnel and I could imagine my doctor, who has known me since birth, catching him up on the fast facts of O.I.
“Alright guys, the doc says to not apply any pressure anywhere. We can’t use the head or neck stabilizer on her; he says to just use medical tape instead of straps or buckles. We can slide the board underneath the pillow that she is on now and then put that on top of the stretcher – he says we absolutely cannot touch her. The doc is going to be waiting for us in the emergency room at Children’s in Boston… alright so let’s do this slowly and steadily.”
At this point I don’t remember every lying so still or stiff my entire life. I was afraid to move, to breathe, to know what would happen and all I wanted was for Dr. Shapiro to make me better. I wanted to skip all of this stuff and get to the point where I could just pass out on the hospital table as the heat of the fiber glass cast was cooling against me.   

When we got to the emergency room at Children’s Dr. Shapiro trusted no one else to touch me but him. He took all of the tape off of my head and asked me what was hurting the most, he then ordered an x-ray machine to be sent into the room and took the pictures himself. He gently touched my hip area and when I whined he quickly backed off “Okay so it looks like there’s some soreness to the pelvic area so we should get a few pictures of that too.” After he looked at the x-rays it was confirmed that both of my femurs had broken and there was also some damage to my pelvic bone, my head had severe bruising and he when I didn’t cry out as he gently touched the bones in my face he knew all he had to do was focus on the lower half of my body. I was put under general anesthesia and when I woke up two bulky light blue casts were on my legs; I remember feeling the relief that it was all over now, the crisis had subsided and while usually I would be excited to get back to school – this time I just closed my eyes and fell into a deep sleep.

911 Fractures:
  • The fast facts of telling someone in an emergency setting about O.I.: it means she has brittle bones, there have been numerous fracture before, there is a specific doctor and hospital that she always goes to. This allows strangers to the condition to know what it is they are dealing with and where the end destination for them is
  • If possible it's important to keep awake. During the wait for the ambulance and on the ride to the hospital I remember that everyone was trying to keep me awake and conscious
  • In this incident I was in middle school and old enough to know what was broken, but this might not always be the case for younger children. Use your best judgment because you probably know the child the best! And if you're unsure it is probably best to have them be transported to a hospital right away so that x-rays can provide the confirmation for you
  • I was lucky  that my doctor was around at this time and I would advise the emergency team handling the situation to speak directly with the orthopedic doctor. Otherwise, now you know to that added pressure is not the way to go and should be avoided at all costs when transporting someone with O.I. Use tape! 
  • It was helpful that my family and the emergency crew remained calm. I probably would have been in far more discomfort and unable to focus on where I was most injured
  • Listen to the person who is injured
  • I don't know how my mother got me from being face down on the ground to being on my back on a pillow, but she did it - and the best thing about all of that is that I don't remember the transition so I don't remember how much that probably hurt
  • If there was a traumatic fall of some kind it will probably take a few minutes for shock to subside and for the person to connect with their body again - trust that the injured person will tell you where it hurts when the time comes!

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