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Discussion Starter · #1 ·
Possible sprain on 20 mos old ds' foot. I hope no little bones are broken. I really don't know. We have no insurance, dh recently got laid off, what to do? I will take him to ER if I think it becomes necessary to get x ray, but does anyone have advice or suggestion that would help me avoid that or to find out if it is? We are really struggling financially as it is, I just sent the info to CHIP for coverage and of course this happens now before our application is finished being "reviewed".<br><br>
He was jumping up and down and fell down holding his foot and crying HARD. At first he couldn't put pressure at all, and now an hour and half later, he can stand up on it, but cannot walk AT ALL. If he tries to take a step he collapses and cries (and ds is not a kid that cries easily). So, we see no bruising, no swelling yet, but it definitely hurts and he cannot walk - which is going to be a problem. I really don't know what to do...he is scared as well. I just don't know how to treat it - please help me if you do!!!
 

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Discussion Starter · #2 ·
I looked a bit online and now think it sounds like a stress fracture. Which I guess we'll get a better idea as the day goes on and if he can walk more on it or not, because it says that will heal on its own if given rest and ice. We have a family event today though, my family is going to freek out seeing him like this and asking me a million questions. I will probably just tell them that I took him to ER already - they don't know dh lost his job yet either. oh boy.<br><br>
Any suggestions on how to deal with a super active 20 mo old that cannot walk. He is bugged out by it for sure.
 

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Gosh mama, I'm sorry. I'd start by putting a light pressure dressing on it. You could use gauze or an ace bandage if you had one. As for keeping him occupied...<br><br>
Let him wrap you up in a roll of toilet paper.<br><br>
Finger paint<br><br>
Homemade playdough<br><br>
Let him wet pieces of paper and throw it at the bathroom wall over the tub (you may want to put a towel down to catch it so no clogs)<br><br>
Paper snowball fights. Crumple up a bunch of pieces of white paper<br>
and lob them around the room together. Set up some boxes or baskets<br>
to practice throwing into or just throw at each other.<br><br>
Colored salt. Take an empty spice jar and fill with some salt or<br>
sugar. Add some food coloring and have the child shake shake shake to<br>
color the salt. When colored, let her paint a design with a<br>
paintbrush and water or glue and then shake the salt over the top to<br>
color the design. Do two or more colors for nice pictures and color<br>
mixing lessons.<br><br>
Let him poke things with toothpicks. Sounds lame, totally<br>
enthralls small children. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Find anything properly squishy (but not<br>
too) in the fridge or fruit basket and just show him how to stick a<br>
toothpick into it. It's a great tactile busy game and very satisfying<br>
if you find something with just the right squish. You can also do<br>
this with anything from biodegradeable packing peanuts to cheetos,<br>
which I hate to tell you are the same thing.<br><br>
give ds a bowl of water to play with ( read: dump out) and then add a pile of salt and a pile of flour and a plastic spoon. Let him play and make a mess. you will end up with a watery sort of playdoh that gives him tactile<br>
stimulation and allows him to explore. Then throw him in the tub<br>
and rinse him off.
 

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I agree with the ace bandage. Though an ankle brace would be better. If you go to the ER with a broken bone, don't they have to treat you, even without insurance? Or is that only bleeding kind of emergencies? My 2 year old broke her arm last year, and she wouldn't use it at all. Of course the ER didn't even diagnose it. They said they couldn't see anything but if she continued to not use it, to see an orthopedic. They looked at the same xrays the hospital had taken, and said it was an obvious fracture. The PA at the ER didn't see ANYTHING. So for broken bones, I wouldn't go to an ER anyway. Even if it's a stress fracture, you have to keep him off it to let it heal, don't you? And if it hurts him, he'll stay off it. Whereas if you put an ace bandage on it, he'll use it more, and then it could actually damage it, no? So if thre was no way you could see a doctor, then I'd say leave it alone so that he doesn't use it, and then it will heal faster. But I really think you should see a doctor.
 

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Discussion Starter · #5 ·
thanks for all the input mamas. We've agreed to just wait until tomorrow (monday) when we can speak to a doctor on the phone and see what he/she has to say. Later today we are going to my grandparents' 66 yr anniversary dinner/gathering and I just know my poor gramma is going to be so upset to see ds like this. Its upsetting to me, and she is going to worry herself to death over it. oMG. well, I have to lie a little I guess, to ease her little old mind.<br><br>
My poor baby boy. I hate to watch him try to walk on it. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> So, you guys agree with me that we should not encourage him to walk, right? Thats what I thought, too, because I really think its a stress fracture. But dh isn't convinced. We'll just wait to see. I really don't want to go to the ER and I am a little afraid thats what the doc will say to do, but if we wait too long- they're gonna wonder why we didn't do anything about it either, yk? ugh. dilemmas.<br><br>
Thanks for responding. I may use some of those fun play ideas, too. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> Although now he is napping, TG.
 

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Wow, this same thing happened to us right after my DH got laid off. DS jumped off the arm of the couch and still couldn't walk the next day. I did end up taking him in but I took him to the pediatrician's office instead of the emergency room. They gave us a "prescription" to get an x-ray at the hospital's radiology dept. MUCH, much cheaper than the emergency room, plus no waiting. All in all, I think it ended up costing less than $200 counting the after hours fee at the ped. office (it was a Sunday). It turned out to be a waste though--his foot wasn't broken and all the dr. did was wrap it tightly in an ace bandage<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment">.
 

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Discussion Starter · #7 ·
<div style="margin:20px;margin-top:5px;">
<div class="smallfont" style="margin-bottom:2px;">Quote:</div>
<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">
<div>Originally Posted by <strong>springbabes</strong> <a href="/community/forum/post/10778642"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Wow, this same thing happened to us right after my DH got laid off. DS jumped off the arm of the couch and still couldn't walk the next day. I did end up taking him in but I took him to the pediatrician's office instead of the emergency room. They gave us a "prescription" to get an x-ray at the hospital's radiology dept. MUCH, much cheaper than the emergency room, plus no waiting. All in all, I think it ended up costing less than $200 counting the after hours fee at the ped. office (it was a Sunday). It turned out to be a waste though--his foot wasn't broken and all the dr. did was wrap it tightly in an ace bandage<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/redface.gif" style="border:0px solid;" title="Embarrassment">.</div>
</td>
</tr></table></div>
all good to know. thnks
 

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Do you know about COBRA-- you are covered for a certain time period after a job loss by law. You have to check your state's law, though, to see if you still have some sort of insurance.
 

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Discussion Starter · #9 ·
The cobra period is over unfortunately. Last week. Of course. Thats why I quickly signed up for CHIP. But, they wrote a letter saying we need more info now, so that got our app review prolonged even more. Ugh.<br><br>
And, yeah, I agree with you on the 2nd idea
 

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To be honest After what we went though with my 4yo this past summer I would take him in. My son jumped from the back of DH pickup truck(NO it was not moving - he was just standing on it) and when he landed he seemed to fall. We though he had broken his foot/ankle so we took him in. They did xrays didn't see anything - but in small kids it can be hard to pick up breaks that are fresh so they had us come back the next day. This time they xray his leg as well - sure enough they was a stress fracture up the large bone in the leg. They said casting was not nessesary BUT in the under 8 crowd they put a fiberglass walking cast on to "slow them down". Aperantly if will feel just fine in about a week(and DS did) and if the happen to run or jump on it then they can shatter the bone with the impact. DS wore the cast (3 casts really - he wore them out) for 4 weeks. and then needed a little physio after to get him walking properly again (after walking in the cast). I'm glad we did the cast because DS would have been jumping on it. I'm not sure about down there but here althoug we don't have to pay for the medical treatment we do pay for casts and it was only about $25 for the cast - so it's cheap insurace against worse damage if you ask me.
 

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I would second the talking to your doc and asking for a rx for an xray. I think that in most cases chip will be retro and your visit will be covered. I would try to go into the office look as if I had no idea that we had no ins, perhaps they will not know until after the fact and you can resubmit with the new insurance.<br>
When our dd was 18 months old she was sitting on a kitchen chair (the low kind that goes around a table), in my parent's living room when she fell forward and landed with her hands breaking her fall. She cried a bit and then settled and seemed fine for the next few hours. Later that day she was playing on the floor and I noticed that she wouldn't place much weight on her arm. We took her to the er and thankfully the xray tech on realized that she had a buckle fracture and we were sent to the Ortho immediately. The ortho doc was surprised that the tech had picked up on the fracture, he said that most times the break is overlooked until there are other signs of trouble. The doc placed a cast and though she was an escape artist and actually ended up on their wall of fame and in their procedures guide for how to keep a cast on a toddler who is very good at taking them off. (One time it was in the checkout line of the store!! She slid it off and it went flying about 15 feet away, I had to go retrieve it and leave the store) She removed the cast 4 times before we invented a way to keep it on, before that the staff at the office asked if I was taking it off of her. At least I was validated when she took it off about 10 minutes after they put it on and handed it to the Doc !!<br>
I had a fractured hand once and had xrays at the local ER, they released me and told me to do the dishes to help it. They called the next day and told me that the doc who had read the xray had missed something and I should go to an orthopedic doctor, the instant I went into the exam room the nurse looked at my films and set out the supplies for the cast.<br>
I have also sworn that I had a broken foot or other body part and it wasn't so. I am pretty sure that most large local hospitals have policies that children will be seen even if they don't have insurance. We have always just made arrangements for the bills. I hope that your lo feels better soon.<br>
Laura
 

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Discussion Starter · #12 ·
OP here. I truly believe he's alright now. He walked on it all day yesterday, not without a small limp every so often, but for the most part not like something anyone else would have noticed. And, today even better so far. Would you guys agree that everything is fine then? We kept him off it for the first two days completely and slowly he walked on it since then, little by little, as he felt more comfortable probably. My aunt said maybe it became bruised on the inside where it wouldn't be visible...I didn't know if that was even possible, but I feel like if it were truly anything "broken" where a cast or something would be needed - he wouldn't be walking fine. And, for anything else like a small stress fracture or sprain, it'd heal on its own anyway with a little rest - and we've followed his cues in that sense, so I guess I just need a little reassurance.<br><br>
thanks to everyone for all the input, it really helps in times like this...<img alt="" class="inlineimg" src="/img/vbsmilies/smilies/rocks.jpg" style="border:0px solid;" title="mdc rocks">
 

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Sounds to me like he fine, I would go by what he wants since he can't really tell you directly. I would watch him a bit and if he seems to have any other trouble I would call a doc, but unless it looks like a problem, I wouldn't worry.<br>
This is coming from a mother who is taking her 2.5yo into the ENT tomorrow to check his nose after he slammed it into the wood floor on Saturday to make sure that it is functioning normally !!! I have never done this before but he is our weird child and if something could ever be funky... he will do it and do it well!!<br>
I am very relaxed about stuff like this with my older kids though and so is my doc, the almost 5yo has had 5 concussions and he has never been to the ER for any, we have monitored at home and he has been fine.<br>
I hope your lo is back to his old self soon !<br>
Laura
 

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eeek..... double post, sorry!!!
 
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