Bettina at the Bothin Burn Center waiting roomWe just came back from a great vacation to the Carolinas. We planned to visit family and friends, see some sites, and attend a beautiful wedding. There was one activity, however, that we didn't have planned in advance: the urgent care.
While visiting my cousin's house in South Carolina, Bettina decided to test the theory that a smoldering ash-fire is hot. There were no live flames since the slow vegetation burn hadn't been fed for awhile. Only a little rising smoke indicated that this was nothing more than a hill of grey ashes piled up high just like an autumn stack of leaves.
We didn't see it happen; all us adults were sitting together inside. However, the screaming told us even from there that something was seriously wrong. Three little footprints inside the ash-pile told us that Bettina likely jumped straight in middle then, after feeling the burn, stepped sideways out and then rolled to the ground where we found her. Quick cooperation brought all us adults together into a team: Paul carrying her into the house, me drawing a quick cold bath and removing her clothes, Jimee googling burn treatments and Barry flipping the yellow pages for hospital and urgent care phone numbers. It's uncanny how well everything came together.
We were lucky that the local urgent care was able to see her right away and was able to prescribe some serious pain meds. It was the first question I had upon entering and I repeated the request about every 3-minutes: "where are the pain meds!" She was wide-eyed and screaming at the top of her lungs in terror and pain....for nearly 2-hours straight! They helped us dress the wounds and determined they were not serious enough to keep her in the hospital - just off her feet. Good thing we traveled with the stroller!
When we got home, our pediatrician took a look and sent us to Bothin Burn Center in San Francisco. The doctor, Dr. Deweese (a burn reconstructive surgeon), is not a man with any bedside manner. In fact, I'm not sure he ever looked me or Bettina straight in the eye. He was direct, efficient, and, apparently knows his stuff. It's a good thing he has a great nurse! She knew everyone by name and her sunny and helpful disposition more than made up for his gruff ways.
The first month, we had a steady regiment of bathing her feet, trimming the skin, applying the salve and gauze, taping it off and putting a pair of socks over the whole thing for protection. Bettina calls this part "putting on the banjos (bandages)." Bettina was very sensitive about the handling of her feet and didn't want to share the bathtub for fear that someone would knock her wounds and hurt her. She started using her feet as a crutch for activities saying she couldn't do things because her feet hurt. The doctors assured us she was no longer in any pain. Perhaps just feeling a bit itchy with the healing. We let her complaints go for about 5-days, then told her she needed to start getting tough. I pretended not to hear her when I dropped her off at school, pretended not to worry when I dropped her off at gymnastics, and didn't let on that I was half-expecting a wince when putting on her ballet slippers. Would they be too tight? She danced, tumbled and played just like normal as long as I pretended everything was normal. A very complex mix of relief and anxiety.
It's been a couple of weeks now and, after a bunch of salves, creams and lots of rolls of bandages, Bettina's feet look much better. After weeks of trimming, they are no longer bubbled or wrinkled, and the grey-white skin has been replaced by fresh bright-pink skin. We need to be very careful with this new skin. I tell Bettina (who doesn't like the look of it) that it's skin that's just been born, so it looks different. We need to take care of it differently, as well. Lots and lots of sunscreen and socks for the next two weeks to boot.
At our last visit to the Bothin Burn Center, there were two other patients waiting, both in electric wheelchairs. One of them, a man in his early 30's, asked Bettina who she was visiting. She answered that she was there to see the doctor and asked me why his hand and arm were covered in a bandage. I answered, "The same reason your feet are in bandages, I guess." He then introduced himself. "My name's Ben. What's yours?" Bettina answered. "Did you get hurt?" he asked. "Fire," is all Bettina said. "Yeah, I guess we all know a little about that, don't we. Fire is bad, huh." "I jumped on fire," she answered. I saw a bond and an instant appreciation start to develop between this little kid and Ben as she started to tell him about her accident. There are fliers in the waiting room describing how Bothin Burn Center addresses all aspects of burn wounds, the emotional, social, recreational and even nutritional therapies burn victims may need. Even though we didn't make an appointment to cover these issues with the hospital, I could see that Ben and Bettina were working out their own. I so had wished I could somehow covertly record this moment. It brought tears to my eyes. It wasn't long before Ben was giving Bettina a tour of his wheelchair, allowing her to try all the buttons and sharing his burn story as well. Ben doesn't always need a wheelchair, just after his accident which happened a week before Bettina's. He will, thankfully, get better, just like Bettina, and will be able to give up his wheelchair as well.
We tease Bettina about her feet now. Grandma calls her Fire Foot and we talk about the lessons we all learned about staying safe, especially around fire. It has been an incredible learning curve as well as an opportunity to feel blessed.
