Announced by Andrew’s young friend, Pierce, in a breathless and upset tone, as the two boys burst into our living room on Saturday afternoon: ”Mack hurt Andrew’s dad a lot and my dad’s fixing him now. It’s looks really bad, but I didn’t see any bone.”
Hmmm. Coming from a seven or eight-year-old kid, you’ve got to wonder. The dog probably scratched Scott, and Pierce’s dad, who happens to be an EMT, is probably putting a Band-Aid on it. However, when Pierce continued to tell me the details, I decided should probably call Scott and see what was up.
I called and got his voice mail.
The boys had run back outside, so I figured maybe I should drive over to their house (just a couple doors down) and see if Scott needed me to do anything. The Honda was in the driveway, but the Honda keys were gone. Rats. Okay, so I’d walk over there. Just as I headed out the door, Scott called.
“Are you okay?”
(slowly, as if he were a bit light-headed) ”Yes, I’m okay.”
“The boys said the dog bit you. Do you need me to come and get you?”
(again, slowly, not his usual speaking voice) ”Yes, that would be good.”
“Do you have the Honda keys?”
“Uh. . . yes, I have them right here.”
“Well, I can’t come get you without the keys. I’ll run down and get them and then drive the Honda over to get you.”
“No, Michael said he’d bring me, but we have to go to the E.R. to get stitches.”
“Okay, as soon as Michael brings you home, I’ll take you.”
I quickly changed clothes, grabbed a few things, and met Michael at the door. Michael was very, very apologetic, and offered to take Scott to the E.R. or to follow us there. I told him we’d be fine, and off we went.
There were spots of blood on Scott’s jeans, and blood seeping through a long gauze bandage that Michael (or maybe his wife) had wrapped around Scott’s upper arm. I asked if they’d cleaned the wound, and he said no, that they had just wrapped it up and said it would definitely have to be stitched. He was talking better now, and his color was good. I was glad of that, because Scott has a history of fainting at the sight of blood, especially his own.
On the way, he told me what had happened. He had gone to their house to invite them to a home group we’d be hosting the following night. Michael’s family has two dogs, a large dumb brown female named Molly and a Great Dane named Mack. Mack is quite enormous and quite dumb. He used to run loose all over the place digging up the neighbors flowers and tomatoes and stuff, so months ago, Michael installed an underground electric fence and put him on a shock collar.
Now, Jessica runs and prays on Coffee Road every morning, and Mack is a real nuisance to her. He tries to chase her, and he’s especially obnoxious if he’s off his shock collar. She either carries a big stick (like a brookstick) to beat him off, or she carries rocks, which she has to throw at him to persuade him to leave her alone.
So, when Scott went into their yard Saturday afternoon, both dogs were out, and he called to Pierce to “call his dogs off.” Pierce called to them, and they followed him up onto the porch. They were almost into the house and Scott was following them toward the porch, when Mack turned around and attacked Scott.
He’s so big that he didn’t even have to jump. He started biting at Scott’s chest and then grabbed his arm, biting down hard and slinging the arm back and forth like a piece of meat. Scott was trying to beat him off and finally got free. Michael heard the commotion and came out to help Scott into the house, at which point Scott was just about to faint. Seeing Scott’s condition, Michael called 911, and they were just about to dispatch an ambulance when Scott pinked up a bit.
Being an EMT, Michael was thankfully not unnerved by the extent of the injury, which was pretty severe. He and his wife wrapped it up and Michael drove Scott to our house, along with many apologies and assurances that Mack would be put down.
Dreading the probable wait at the E.R., we opted for Urgent Care (also located at Skaggs Hospital), where we were immediately given an “Animal Bite Report” form to fill out. Before I had even completed the form, a nurse came and got Scott. It was the quickest we had ever been served at Urgent Care.
Vitals were taken and Scott was seated in a throne-like chair in the treatment room. He had a very pleasant nurse named Noemi, who was a native of Puerto Rico and had arrived in Branson some 11 years ago via New York.
Dr. Max Goodwin, who moved here from southeast Iowa a couple years ago, came in and introduced himself. He’s the director of the clinic, so we figured Scott would get great care.
To this point, no one had actually seen the injury, and to get to it, the gauze Michael’s wife had applied would need to be cut off. As Nurse Noemi approached with scissors, Dr. Goodwin said, “I think you’ll need to cut his shirt here, right up the middle, to get to it.” I was stunned. Scott would be appalled to have his favorite Cardinals T-shirt sliced. However, it turns out that the good doctor was joking. He’s a big Cubs fan. = )
Once the gauze was removed and all could see what Mack had done to Scott’s arm, I was shocked and much more than slightly embarrassed. I had never seen such an injury in my life. It was huge. It was shaped like a very large mouth. It was deep. It was raw flesh, and I could not conceive of any way it could possible be sewn back together. (Update: I had mentioned in an email that it was 7″ by 2″, but I am pretty sure it was actually more like 3″ wide.)
I asked the doctor if I could take a picture of the wound before he sewed it up. He looked at me like I was crazy and said, “If you want to, I guess so.” I wanted to. I did.
Scott was asked to roll onto his right side to give the nurse and doctor better access to the back of his left upper arm. Scott can’t lie on his left side right now, because his four broken ribs are all on the left, so I guess it’s a good thing Mack attacked his left arm instead of his right. Once thus positioned, the fun began.
First, Scott got to endure a series of injections to deaden the area, and since the area was so large, it took a LOT of injections. Next came the cleaning. A lot of pink soapy liquid was poured repeatedly over the whole mess, and then it was all swabbed quite a bit with sterile gauze. Watching that, I realized that if they hadn’t deadened it, he would have been in agony as they cleaned it. It made me think of what all those Civil War soldiers went through.
Then the stitching began. It was quite the needlework project, let me tell you. I couldn’t see so well from where I was sitting, so after the first stitch was in, I moved around to the other side of the room where I could see Scott’s face and rub his right hand and head.
It took Dr. Goodwin a long time to sew him up. We got to the Urgent Care at 2:45 PM, and they took him in less than five minutes. There were maybe 15 or 20 minutes of preliminaries, and we left at 4:10 PM, so it’s fair to say the stitching took about an hour.
It was a long, dog-leg (no pun intended) shape, and partway through, the doctor asked me to go out in the hall and call a nurse in, so that she could hand him additional sutures. I guess he had under-estimated how long the incision would end up being. When he finished, he measured the end result: 13 cm (about 7 inches). He had put in 13 stitches, purposely widely spaced because he said the risk of infection with dog bites was very high, and if it became infected, part of the incision might have to be re-opened. Widely spaced sutures would make that easier to do.
Noemi slathered on some antibiotic ointment, covered it with a Telfa (non-adhering) pad, and wrapped it with Coban (that stretchy, tan, mesh-looking stuff that sticks to itself). Dr. Goodwin brought us a prescription for generic Augmentin (antibiotic) and told us to change the dressing twice a day, washing the wound with warm soapy water, letting it air dry, for the first three days applying Neosporin, then covering it with a clean Telfa pad, and wrapping it with Coban. We were also to find out immediately whether or not Mack had had all his immunizations, and if not, to call the police.
While the doctor was out writing the prescription, Nurse Noemi quietly handed me several Telfa pads and the rest of the roll of Coban she had used, and told me to put them in my purse. I did, with much appreciation, and we were good to go.
At the checkout desk, we were unsure how to pay. Normally, we’d have them run it through our insurance and then pay the balance remaining, but in this case, it would seem that the medical costs would be Michael’s responsibility. In fact, a couple people had told us that his homeowner’s insurance should pay it. We had Scott’s Blue Cross card with us, but we didn’t happen to be carrying any proof of Michael’s homeowner’s insurance. For better or worse, we sent it to our insurance, and hopefully Michael will reimburse us, or his insurance will reimburse Blue Cross, or something. (Note: I do think that in the past 18 months, Scott has gotten his money’s worth out of his VERY expensive Blue Cross policy – the policy that he has complained about and has wanted to cancel for some time: an ambulance ride; a dislocated hip and subsequent reduction; a serious concussion; a night in the hospital; all the follow-up appointments, X-rays, and physical therapy from that ski accident; four broken ribs; and now a severe dog bite. I’m glad he still has the insurance!)
We headed to Walgreens to get his antibiotic prescription filled, and while waiting I learned that although Urgent Care may have access to 6″ wide Coban, mere humans cannot buy it; at least not at Walgreens or Wal-Mart. I did manage to find a Curad substitute for the 3″ by 8″ Telfa pads, so we bought those and the drugs and headed home.
Now it’s Tuesday, and this morning Scott went to his family physician, Dr. Salmon, for the follow-up exam that Dr. Goodwin ordered. We are very thankful that there is no sign of infection and it’s all healing nicely. Dr. Salmon thinks we should now apply Neosporin only to the suture holes (not to the incision itself), and he plans to take the stitches out on Friday and replace them with Steri-Strips.
Meanwhile, we have heard nothing from Michael or his wife, and they didn’t come to the home group. We have assumed that Mack is no more, but Pierce told Andrew yesterday that, “We took Mack to Uncle Shane’s house. He’s gonna stay there for a while and then come back here.” I am sincerely hoping that the seven-year-old doesn’t have his story straight.
Update: Tuesday night May 17, a friend emailed me this post from Michael’s facebook:
“He was trying to play with ***** and ***** got scared and raised his arms up jerking one of them out of mac’s hold causing a laceration. Mac is at a friends house right now playing with lots of kids. Never shown aggression. Don’t know of a Great Dane that has though……Maybe thinking of taking him to a trainer and then bringing him back…..”