So this afternoon's trip to the surgeon did not go as planned. We arrived right on time to find out the doctor was running at least an hour behind. I immediately assumed it was due to him having an emergency surgery. Maybe I'm wrong; I didn't ask. But as someone who's child has benefited from this doctor and his emergency surgeries in the past, I was content to wait.
After a while, not sure how long, they called us back. The doctor's assistant told Thomas he'd be taking off the cast. Then T would get an x-ray, followed by the pin removal.
Cast off....check.
X-ray....check.
Pin 1, 2, 3....check. Assistant declares, "You're done!"
"Wait," I say, "He had four pins in there."
We both look up at the x-rays. Yep, four pins. (Moms don't forget details like that!)
From what I remember from the post-surgery discussion with the doctor, three pins is standard, but he didn't feel T's elbow was stable with the three, so he had to insert a fourth, pretty much opposite the original three.
The assistant wasn't prepared for a second wound area, so he cleaned everything up, and left for a minute to gather more supplies to retrieve that last one. When he came back in, he offered that that last pin had migrated so Thomas needed to have another x-ray to verify it's exact location.
Second x-ray....check.
Then, we waited, for quite a while. At this point, I'm thinking....OK, so this thing's really in there and he needs the doc to get it out.
Well, yes. He needs the doc to get it out. When the doctor came in, he examined T's arm and then informed us that the pin migrated so much that it's now fully enclosed in his arm. Not even a wound where it entered. The skin completely healed over it. So....only option, go back into surgery to remove it. That's where we'll be Thursday afternoon.
The doctor was very apologetic. Said it happens, but is rare. Wild. He even bends the end of the pins at a 90 degree angle after they're inserted to avoid this happening. Wild.
At the end of the appointment, I can honestly say I wasn't (and am still not) upset at all. (Well, upset for T that he has to go through surgery again, though this one won't be anything like the first. Just a tiny incision to remove the pin. They may not even fully knock him out.) Knowing what the outcome could have been had we not had such a skilled surgeon, this to me is a small complication. Aside from the pin that decided to go for a swim as we've described to Thomas, the bone looks beautiful. It's reset perfectly. The new bone has grown in perfectly. I just can't be caught up with the pin thing.
Thomas was a trooper again today. As soon as the cast was about to come off, he got scared. Think he realized his "safety net" was about to be taken away (and it was.) He does have some pain and the pin removal was more dicey than I was lead to believe, but he did amazing. He's all wrapped up again in a half-cast splint deal to keep everything protected until (the second) big day.
And we did go get frozen yogurt tonight as promised, even though he still had to eat it with his left hand. :)