We returned to the Childrens Burn Clinic yesterday morning for a dressing change and assessment. I was anxious about this. We'd been given the responsibility of keeping a dressing on a child for 5 days without being able to clean to change it. Had we succeeded? What surprises would we find.
We got the wraps off and the doc removed the silver foam gently. She inspected the wound and declared us healed.
Healed. Her exact word.
Looking at the red burn marks across WeeC belly and leg, I thought, "This word, it does not mean what I think it means." Slightly incredulous, I asked what she meant.
She explained that in 6 days, my lil wonder baby had grown new skin across the whole of the burn. What we see in that red expanse is a paper-thin new layer of skin, not actually a raw wound. It's still very very thin. But you can touch her without causing pain. Some folks take up to 4 weeks to regenerate after a burn, but our Wunderkin rebuilt in 6 days. Even the patch of third degree has generated a new layer of skin and looks pink.
Six days. Six f'in days. Kids are amazing.
Then came the BEST news. We could give her a bath. In fact we are supposed to bathe her twice a day to keep the new skin moisturized and supple. Then apply a layer of Aquaphor (the new Vasaline) and she's free. No additional dressings needed. She's free to be a kid again. Free to be messy. Free, OMG, to go to the pool (though maybe not swim for a week or two and use sunscreen diligently if her chest will be exposed to sun). The goal now is to keep it free of injury and work to avoid scaring as it continues to regrow for the next two months. The doc's parting words were, "And don't come back!"
I was giddy with disbelief.
Of course, WeeC thinks the doc is crazy too. After we applied the Aquaphor, she looked down at herself and cried out, appalled. "Messh, Booboo!" She did NOT want to see it! So we wrapped her back up in gauze, for her mental comfort. She laughed with happiness when we pulled out the special tight shirt she's been wearing over the dressings, mightily relieved that we understood her desire to keep this all under wraps still.
After a long nap, we took her first bath. She was a bit hesitant to see herself. But the kid loves waterplay and she hadn't been allowed any for a week. So the lure of her long lost bath toys overcame her aversions. Every time she'd look down in distress, I'd make a bit deal of doing a gentle poke and tickle. I wanted her to learn that she can touch her belly now and it does not hurt. It looks angry still, but it's safe. By the end of the bath, I could see her confidence in her own resilience building. If a toy brushed her belly, she didn't cringe. She might check it out, but she was learning to be comfortable with this new situation.
Her sister was still very firm in her desire to avoid seeing her sister's burn. I told her that was totally ok but that it might be a little harder to avoid, since we'd be taking two baths a day and putting the medicine on it. Know two things about BigE: she loves baths and she loves helping with medicines. I expected she'd end up drawn to a situation where she'd have to see this burn. In order for her to understand more about why it is different (even though it doesn't look much different), I made a pile of 6-9 leaves of torn paper towels and we had a quick chat about how skin works. The thick pile of paper towels is normal skin Thick, spongey, you can tickle or lightly pinch it and you feel it but it's not a big deal. I took away all but one layer and we talked about how it was at the start of the burn. WeeC had lost all the top layers, maybe even more, from the hot coffee. Over a week, she'd grown more layers back (putting two more towel layers down). But it was still red and tender because half of the layers (still in my hand) were missing. But over the next few weeks, she'd grow the rest (putting them down on the pile).
After our science lesson, BigE was more comfortable with the idea of her sister's wounds. After the bath, she materialized out of her room, ready to help put the medicine cream on. Once we got WeeC dried, her sister very diligently applied Aquaphor all over her torso and leg, helping her get better (and overcoming her fear of how bad her sister was hurt).
Can I just say, that was freakin' awesome!
... and so, we are one week later and somehow we are almost back to normal. Lots of baths and petroleum jelly in our future, but we were able to return to the pool to see friends last night. I would NEVER have believed it possible after a week, but thanks to the miraculous strength of children and the knowledgeable care of the docs, we have a happy dirty summer-loving child again.
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