In the emergency room, she was triaged as #2 in the priority line--behind a guy who had fallen off a ladder, landed on his back and his feet were now tingling. Hmmm...I was OK with home going ahead of us. Throughout this very brief span of time, I had assessed (and googled) that M had appendicitis. The hospital personnel were a little skeptical of this mommy diagnosis as it is highly unusal for a 4 yr old to have appendicitis. Also, it is supposedly excruciatingly painful when the dr palpates (pushes down on) your belly if you have appendicits. When Mikah's belly was palpated, she just flinched. However, the x-ray showed an inflamed appendix. Just call me Dr. Mom. They wanted to operate on her in this small-ish hospital as after all, 20% of their surgeries are on peds. Umm, doesn't that mean that 80% of their surgeries are NOT on peds? Hullo? Also, um, they wanted to use instruments that were too big for her as they did not have pediatric sized surgical instruments. Hullo?! I insisted she be transferred to the children's hosptial int he city (Normally about a 2 hour drive with good traffic). The emerg doc did not like this and voiced his not-so-welcome opinion loud and clear to me.
The ambulance transfer was arranged extremely quickly (she was not stable enough to airlift as her appendix could have ruptured). With lights and sirens blaring we were off, while my precious little girl was stoned on 1.5 mg of morphone and clutching the gift bag that I had hurriedly grabbed at the gift shop. Shockingly, she still remembers watching Finding Nemo on the paramadic's cell phone during that ambulance ride. How?! I experineced a trauma in that ambulance as we drove down the shoulder of the highway all the way to the city. As we passed through neighborhood where I grew up, the ambulance had to come to a full stop as the cross traffic would not yield to it. Are you kidding? Where does anyone have to go that is more important than getting a patient to the hospital in the back of an ambulance. I will never forget looking out the front window watching the traffic drive in front of the ambulance, holding my breath that my precious girl's appendix did not burst. To this day, I have flashbacks when I hear sirens.
We made it to the Children's Hospital in one hour--during rush hour. She was under the knife within hours of her arrival. Discharged the next day. In between, she got lots of freezies, attention from child life specialists, volunteers, and lots of souvenirs to bring home including stuffed animals. I wish I could say that is the end of that chapter of her story, but alas, it was not meant to be..