I got a call from the nurse at Carla’s camp. I feel like school/camp nurses should be contractually obligated to begin ALL phone calls to a parent with “Your child is FINE, but this is the nurse and I am calling because…” I mean, unless the child is not fine, but we are fortunately not going down that path today.
Apparently, Carla’s eye was bothering her. The nurse went through the steps she’d taken to relieve the pain: flushed the eye, applied a compress, looked at it. I didn’t have any other advice for her (am not a nurse) and we were about an hour out from the end of the camp day, so I said, “Okay, sounds like we should keep an eye on it. But I don’t think I should come get her early, do you?” The nurse said she didn’t think so.
I mean, things get into eyes, right? Dust and eyelashes and contact lens solution. And it can be irritating or painful, but you flush the eye and blink a lot and just… let it resolve.
This was my attitude as I went to pick up Carla from camp. Her eye was still bothering her. She kept it half shut and it was red and a little puffy. Otherwise, she was cheerful. She had no idea what happened to the eye! All of sudden, it just started hurting!
Just to be safe – you know, to consult An Actual Doctor instead of relying on my admittedly lacking Mom Skillz – I called the eye doctor on the way home. No answer at his office. The answering service said there was a Dr. C on call and took a message.
Carla and I went home and she lay on the floor and I gave her a compress to put on her eye. Boy, she’s really milking this, I thought affectionately/exasperatedly. I took a photo of her and sent it to my parents along with my (near) daily report of Carla’s activities.
Carla lay there for a long time. I looked at her eye. It was red, yes. But the pupil looked normal and she seemed otherwise fine. She’ll blink it out, I thought. She said, “I think I’m going to go swing,” and I agreed, feeling satisfied that she was Fine, and was done playing the Woe Is Me card.
My father called. He doesn’t often call out of the blue – my parents are schedule-a-time-to-talk folk. He said that my mom had read my email, and told him immediately that something was wrong with Carla’s eye. OVERREACTING MUCH, MOTHER? I thought, exasperated. She’ll blink it out eventually!
But my dad had a bunch of concerned-sounding questions. And while we were talking, Carla came inside from swinging – after maybe two minutes, which is Very Unlike Her – and lay back down on the floor and asked for another cold compress.
My husband was now texting me about Carla’s eye. He, like my dad, was asking a lot of questions in a way that made me nervous. Suddenly, my Wait Until You Blink It Out plan seemed foolish.
My dad said that I should call the on-call ophtho back if I hadn’t heard from him in 30 minutes. It had been… 45. So when I got off the phone – significantly chastened and now feeling kind of worried – I called him back. I waited around for a bit – 15 minutes, maybe? And then I texted my husband that we were going to pick him up on the way to the Emergency Room.
We have been to the Emergency Room a handful of times. Once, my husband sliced open his thumb (if you drop a glass dish in the sink, do not try to catch it in your hand is my hot tip of the day). Once, I was holding Carla’s hand while we were in Target and she sat down and dislocated her elbow. Once, I was working on a project with a friend and she sliced open her finger. There were a couple of other times: Carla’s cheek met a dog’s tooth (it was not a bite, it was a collision); I drove an ATV through a barbed-wire fence neck first; my father-in-law had sudden onset chest pains. It is never pleasant and it always takes a million years.
I had not even considered bringing something for Carla to look at/play with (see above re: Mom Skillz), so the three of us sat in the ER and my husband allowed Carla to play a video game on his phone.
Of course, her eye was starting to look SO MUCH better. The redness had faded, and she was looking at the screen of the phone with both eyes rather than keeping the one squeezed shut. My husband and I exchanged Significant Looks.
We only waited an hour. (In addition to forgetting about entertainment, I also forgot about FOOD [Mom Skillz!] and so it was now seven p.m. and none of us had eaten.) A resident checked Carla and did a full physical exam, which is pretty rare among doctors these days and therefore notable. She wanted to a) flush the eye and b) check it with a special dye to see if there were any scratches. But she needed to consult with the attending physician first and see if they needed to call in the on-call ophtho (presumably the same guy who NEVER called me back harrumph). The attending physician came in. She was cheerful and friendly and agreed with the resident’s assessment. She left. After more time passed, a nurse came in with saline solution and a special syringe. Carla required A Lot of Discussion and several demonstrations before she would allow the nurse to flush her eye with the solution. And then she would only do it for several seconds at a time. It was very cold, apparently. She and the patient angel of a nurse would count to seven out loud together and then take a break. It took ten million years to get 100 ml of saline into my child’s eye. Then we waited for awhile until the attending came back. After a lot of coaxing, she got some of the bright yellow dye in Carla’s eye, turned off the lights, and examined her eye with a special light. She didn’t see any scratches, she said.
Carla said her eye felt a little better! It was only when she looked straight ahead and blinked that it hurt. She was very cheerful. The attending was very cheerful. She said that someone would be in to flush Carla’s eye a second time, and then we could be on our way.
We waited another while. Carla watched a Disney show on Netflix. (There was a TV in the room, but it was off and no one had said we could watch TV. But… My husband just reached behind the bed and grabbed the remote and turned on the TV! I would never in a million years think to do that without explicit permission.)
A fourth person came in. She was a EMT, she told us, and she was there to flush Carla’s eye! Carla was much more amenable to the flushing this time.
After the EMT left, another nurse came in with our discharge papers and we left.
As we walked out, Carla started complaining that her eye still hurt.
The next morning when Carla woke up, her eye was still red and now it was all crusty. To be expected, after undergoing whatever trauma it had undergone. But she was still keeping the one eye closed and complaining of pain when she looked forward and blinked.
So I kept her home from camp and got her an appointment with her eye doctor.
He came in, flushed her eye, put the special dye in… But he said that he could see a bunch of scratches on her eye where something was irritating it. And he LISTENED to her when she said that she was fine when she kept her eyes closed or when she looked to the side, but that it hurt when she looked forward and blinked. Also – and this is a skill I deeply admire – the ophtho managed to listen to Carla and be sympathetic to her fears about being touched/having Things Done to her, while moving things along at a good clip. He did not allow Carla to stall and delay, he did what he needed to do. And it was all over SO FAST!
After MUCH (but efficient) COAXING, he flipped her eyelid inside out. And there it was, plain as day: a little speck of something, minuscule but visible even to my untrained eye. The ophtho used a swab to remove it. He and Carla speculated that it was a little piece of tree bark, although I have no idea how they came to that conclusion; it looked like dust to me. He gave her a prescription for an antibiotic (because of the scratches) and a special ointment and sent us on our way.
She was completely pain free by the time we reached the car.
The moral of the story is: ALWAYS HAVE THE DOCTOR FLIP THE EYELID. We could have saved SO MUCH time and money and trouble if we had asked the resident or the ER attending to just flip! the! eyelid! Or, even better, if we had thought to have my physician husband flip her eyelid himself at home!
Okay, okay. I am going to take a deep breath. This is why we have health insurance (thank goodness) and this is what money is for. Breathing. Breathing.
The secondary motto is DON’T UNDERESTIMATE EYE STUFF. Because even if you think it is just a dumb eyelash that will blink out eventually, maybe it is a piece of metal that could cause serious damage.
Meanwhile, the on-call ophtho never called us back. Never. I am still mad about it. My husband calls people back at 2:30 in the morning when he is on call. Because that is what it means to be on call. You take patient calls and you return them. The returning of the calls is a critical part. My husband suggested that maybe the ophtho wasn’t accustomed to getting emergency calls! And so he wasn’t paying attention to his phone! To which I say PAH. Even if my husband is delayed by doing a procedure or being with a patient, he calls patients back. Even if he gets a call from a patient that is frustrating in its non-urgency, he still calls that patient back. And I called this on-call ophtho TWICE! Still. Mad. About. It.
