
So up until yesterday I had never had stitches and never broken a bone. I'm actually not sure how, since I know I got the lump removed from my ribs and that didn't require stitches somehow, maybe they glued it up. But anyhow.
One of the things I most notice about my mind when it works (other than, you know, the big periods of it blanking) is that my micro-decisions are erratic. That's what worries me most about safety, honestly. I can sort bigger decisions out, but small short-term ones are especially necessary while driving and cooking: where do I set this down, what direction do I turn, do I touch this or get a hot pad, where do I look, how quickly do I move?
In this case I for some reason decided to hold a potato in my hand while cutting it. Unsurprisingly the knife went through the potato and, because I was slicing rather than wedging, went really deep into my thumb. I felt it-- I have a pretty advanced sense of "weird thing inside my body" -- and immediately clamped it, popped into the bathroom, wrapped it in toilet paper (I knew that was a bad idea at the time, toilet paper always sticks. I really should keep gauze, which does not stick, somewhere very very easy to get at because of course when I'm bleeding I don't want to go digging through first aid stuff), put pressure on it and popped my hand in the air.
I thought for maybe five minutes, got as far as googling "emergency rooms BC" and couldn't find the thing which says whether they're open or not, only what wait times are in the big ones. Then I thought fuckit, turned off the stove, tossed the roll of fencing wire out the back of the truck (it was loose because i was going to unload it, so I either needed to strap it down or toss it out) and drove to the hospital.
The wound itself was a really interesting experience. Whenever I took pressure off and peeled back the covering to try and look at it, a lot of blood came out. However it's really easy to put pressure on the ball of your thumb with your other fingers, and it's easy to elevate a hand. My hand and arm were pretty bloody from peeking, but it wasn't actively bleeding as I drove. That's good because I had a ten minute wait for construction on the way in (it's a 10-15 minute drive into town normally). I kinda wonder what the construction people thought because I drove with my hand on my head, since I couldn't hold it up muscularly and my head was a convenient resting spot.
The hospital was-- you know, I actually really like small town institutions. There's a fascinating juxtaposition between systems that are designed hierarchically, created for big-city high-throughput areas and indiscriminantly rolled out to the smaller locations, and the actual people in the small location who are the flexible elements in the system and generally roll with practicality. There are such diminishing returns in tailoring the systems for small locations - if you do a bad job only a couple percentages of people or metrics will be angry - that no one bothers. But it also means few people bother to enforce.
Anyhow, the hospital is also the regular medical clinic (closed on weekends, yesterday was Saturday), the labs, the community health location, etc. The emergency area shares a parking lot but has a seperate door. On that door it says, in permanent signage: go to the main clinic, doors are open.
Of course the doors are not open at the main clinic, it's only open daytime weekdays if that. So I ignore the sign, go in, look around at the three unlabelled doors that come off the airlock/vestibule thing, and choose the small one to the side that, I can see through the glass, looks like a waiting room. Already I'm picturing trying to navigate this with a crying child, active bleeding, or as a non-local.
In the waiting room there's one person in a chair, who leaves. There's a window with a computer type station behind it, like you'd expect for check-in, an ipad set up in a corner, and confusing signage ("press button for nurse" "register here" by the ipad, "go to main clinic, IT IS OPEN" (it is still not open). Eventually someone wanders by behind the glass and I say, "what do I do?" and she says "register over there" and points to the ipad station.
As always the ipad will not register my finger touch, so I stab at it a bunch of times and it pops up a sign "your call is in queue, if you hang up your spot in the queue will be lost" and I wait. I am impressed that they have managed to create a waiting line in a clinic with no other patients. That's some top-notch bureaucracy there.
It doesn't take many minutes to get through on the ipad. The person takes my medical card number, is silent a minute, and says, "you've spoken to the nurse"? I say no, and she says I need to do that first, and she hangs up.
I go back to the window and someone comes by and looks at me inquiringly. "I need to register" I say, and she says "no, you do that on the ipad" and, frustrated, I say "no, you told me to register there, I was JUST THERE and they told me to register here, and now you are saying to register there. What is going on?". Someone else walks up and sits down in front of the window and says something soothing, and after a minute says "ok, I need to take your vitals" and sticks a blood pressure cuff through the little window in the plexiglass, takes a thermometer and puts it in my mouth through the same window, and then clamps one of those thingers on my finger.
This is very weird, but there's not much else to do. I'm still holding a bunch of bloody kleenex around my thumb and keeping it elevated, it is still not actively bleeding. After a few minutes of taking and recording vitals the nurse behind the window asks me a bunch of questions, inputs them into the computer (it looks like she's new to this, no shade to her because I'm not in any clear distress but she is slow and needs to check in with someone else a couple times) and then says "ok, go register". I'm like: ??? And she tells me to go to the ipad.
So I go back to the ipad (there is only one movable chair in the room, so I bring the chair back and forth with me from window to ipad since 1) all the windows and ipads are at seated height and 2) I can't stand for long periods of time and am feeling kind of dizzy). I press the buttons, stabbing hard several times, and get into the queue again. I am now exceptionally impressed, they have somehow got me to wait in three consecutive lines even though there is literally no one else in the waiting room and none of those lines is to see an actual doctor.
It takes several minutes to get through the ipad queue, where the person on the ipad takes the same information that the nurse did (how long ago did you get the injury, how did you get the injury, what is your medical card number, what is your date of birth). It's hard to hear the ipad because there is somehow background noise in the hospital even though I can't see any people. The person on the ipad directs me on how to turn up the volume, which eventually has to acknowledge my finger on the volume button. "Ok, you can go now" the ipad says. "Go where?" I say, frustrated. There are no longer any humans in sight behind the window. "There should be a square room with chairs" the ipad says, and hangs up.
I sit in a chair in the empty waiting room. Someone comes in through the door from the outside and drops off a lab sample. Someone else is ?vacuuming?. The first person I spoke with pops her head out and says, very genuinely, "I'm sorry about misleading you earlier" and I am immediately charmed and feel bad for being frustrated, but she's gone before I can apologize in turn.
After only maybe 4 minutes a nurse pops out and takes me back to a room. I sit in a chair and she says "can I see the wound?" Of course the toilet paper is scabbed onto it by then, and it's a... you know a slash wound has lips, so even though the nurse brings saline to ease the paper off it tugs at the wound (painful) and the wound bleeds all over the little table in a puddle. The nurse says "I'm going to take you to another room, it will need sutures" and she brings me somewhere else, where she settles me in and, when I ask to lie down, she adjusts the bed/seat thing comfortably and is generally really nice. "I'll call the doctor in" she says, and leaves.
The way I understand it our hospital emerg isn't staffed overnight and on weekends, it's just doctors on call. On the other hand, the whole town is a 5 minute drive long. While I'm waiting I see a poster which lists "additional charges" for crutches, slings, and a couple other medical devices. Otherwise, though, I just ride out the wave of exhaustion from the adrenaline surge that got me there, notice that my phone is buzzing with a storm warning, and think that if the power goes out I'll just take a nap right there. It's comfy.
The doctor appears in maybe ten minutes. Given that the 10% of the people who come to emergency waiting rooms in the province wait 36 hours, I'm doing really well here: all my waiting has pretty much been administrative, not from overcrowding. He inevitably asks to see the wound, which is now covered in gauze but has still scabbed to the covering. I uncover it -- this hurts -- and it bleeds all over the pad the nurse put under it to catch the blood (she learns fast).
The doctor and the nurse confer a minute and go searching in the room for epinephrin(?) which they do not find. After several minutes of fruitless searching the doctor says to the nurse "if I stitch it up it will help stop the bleeding" and I guess what they were looking for was something to keep down the blood. In their search they have opened several of the wrong neatly tied packages, and though everything in the room is on neatly labelled shelves, the shelves are all labelled by use ("wound kits") and not by drug type. My blood, which had got on the doctor's gloves, is now in a couple places. "You must have hit an artery" he says, and I express surprise that I have an artery in my thumb. "They're all through the body" he tells me, laughing (he's not laughing at me, just generally a laughing sort of person, I'd say).
They pull out another pad to soak up blood, and then another, and put my hand on it. "You're ok with freezing?" the doctor asks, and I heartily agree. "This is my first stitches, please freeze me!" He does, and we joke about dentist freezing, that I'm a careful person since this is my first stitches, and just generally chat and laugh with each other while he freezes my finger (VERY WEIRD feeling) and stitches it up (VERY WEIRD even though I was frozen, there's some sort of proprioceptive sense that wasn't frozen but no touch sensation, VERY VERY WEIRD). I thank him, he thanks me (?) and heads out.
While the nurse is bandaging my finger she asks "how was that experience?" since she heard that it was my first stitches. "Really good" I tell her truthfully. My finger is still frozen, it's bandaged, and I walk out the door an hour after walking in, though hilariously 35 of those minutes were registering in three seperate lines.
Anyhow, I'm clearly not doing pottery, gardening, or much farming (wet poop) this weekend. I need to somehow get into the clinic to change the wound dressing Mon or Tues since I was told not to do it myself. My finger hurts, and I really can tell its elevation relative to my heart. I got my first four stitches. And I had a really good hospital experience, which is lucky: most people in the province don't, and if I'd been a couple hours later our emergency room would have been closed for the night.
Anyhow all that typing was done with lots of arm movement and my arms low, so I'm gonna lie back down, prop my hand on a pillow, and contemplate how cleanly I expect the wound to heal compared to if I tried to manage it at home. Also, dude, I wonder how many people died from flint knives while cooking.