Well, I didn't say the first thing that popped into my mind 1000xs today which was "Mommy told you those shoes were dangerous" but man oh man did I think it. So here was my day, as I've already blogged, I spent a large part of this day on phone dealing with various specialists for Nico. After he finally took his nap, I told the boys we could go to the homeschool park day as I'm trying to work that back into our schedule. I had to go sign some paperwork for Jonathan's birthday party up at the clubhouse and then we all got into the car to go to the park in town.
We get there and, big surprise, the three big boys hardly wait for the car to stop moving before jumping out and heading to hook up with friends. I get Nico out and start changing his stinky pants. I am in the midst of this operation (which was made more difficult because stupid me was out of wipes and I was using dried out ones from the car *note to self, restock car diaper changing supplies*) when Christopher comes over and tells me that someone told him to get me because either Matthew or Jonathan is hurt. I look up, see Jonathan climbing on something (ok, obviously not him), continue to scan and see Matthew sitting on the ground with a crowd around him. I finish up Nico's diaper change as quickly as I can (not my best job ever, I'll admit) when another mom comes up and tells me I need to get over to Matthew quickly. I start putting Nico's pants on and she offers to take him but he'll have none of that. I go to put his shoes on and she tells me not to bother. Ok, my alarm bells are going off big time now so I grab Nico, his shoes, and my first aid kit and run over. I take one look at his wrist and know that my first aid kit doesn't cover this. His wrist is at an unnatural angle, almost definitely broken and/or dislocated. He tells me it hurts bad and it's dislocated and to please put it back in. I put an ice pack on his wrist and I told him I couldn't do that as it was beyond my skills and we were heading right to the ER. I left the first aid bag and told them to give him some pain meds, grabbed Nico and ran up to the car, calling MIL as I went to get her to head down and take over with the other kids. She showed up and took them all and Nico's seat while one of the dad's helped me carry Matthew over and get him in the truck.
I called ahead to ER to tell them we were coming with an almost definitely broken wrist, and that Matthew wasn't up to walking. I got to the Ambulance entrance and the nurses came out with a wheelchair, took one look at his wrist and called for a splint. They didn't want to move him at all without one. (8hrs later it's just now occuring to me that duh, I probably could have found a way to splint it a bit to make the drive more comfortable) I got him settled and parked the car.
They got him back to the ER quickly and then tried very unsuccessfully to put an IV in. They managed a baby one just enough to get some morphine into him but that was it and it had to be taken out. Over to Xray and we find out that he broke both bones in the forearm at the wrist with one break going through the growth plate as well as dislocated the entire mess. They called in the orthopedic surgeon to talk to us and he said it was going to require surgery to set and a pin to keep it together while healing. He then went to find out if they could the surgery tonight or it would have to wait til Friday. Thankfully, they were able to get Matthew in at 8p for what was supposed to be a 30-60min surgery depending on how the setting went. Mark showed up at the hospital at 8:30p and went to go find me some food since I hadn't eaten since lunch. Hadn't even realized I was hungry with everything else going on. 9p passes and still no word. 9:20p and I'm starting to worry why it's taking so long. 9:30p sees me calling the number on the wall to ask if they've heard anything. She puts me on hold and tells me that he'll be in recovery soon and to stay put. The orthopedist comes in to talk to me a few minutes later and show me an xray of his handiwork. Apparently it took so long because there is still a lot of baby fat at the wrist and the bone wasn't going into place properly and he was trying to avoid having to go in and set it surgically. And he succeeded in that, it just took longer. We went to recovery and were met by a very groggy and bleary eyed Matthew. He had a really rough time coming out of the anesthesia this time with it taking him over 2hrs before he was awake enough and not shaking to be released.
So he is cast up to his shoulder to keep him from twisting it or moving the bones in any fashion with a pin in his wrist. We have him on the couch tonight so he can have his arm up against the back and then on a pillow to keep it elevated and hopefully stable. They are going to be closely monitoring him for quite a while to make sure the growth of his arm won't be affected.
*******WARNING*******
Not for the faint of heart but here are the xray pics. If I can figure out how to transfer the pics from my phone onto the computer, I'll share the one I took of it at the hospital but in the meantime...
Here you can see that things are just not in the right place:

Here's the during surgery photo that they took to make sure everything was back where it was supposed to be. You can see where the pin is (it's not actually that long now, they trimmed it after this was taken):

We are finally home at just after midnight and Nico was still awake at Mark's parents. It's 1am and he's finally down and Matthew is set up on the couch and watching Muppet Show until he falls asleep. Hopefully we can all just sleep in tomorrow. I'm so not up for following a schedule.