It’s All Fun and Games Until…

A friend and former colleague is fond of saying “everything’s fine, nothing is broken.” Everyone’s fine, but Dawnise’s wrist is definitely broken – we’ve got pictures to prove it.

…Rewind to Tuesday…

We’d picked up Kamran early that morning, and brought him home into quarantine for a couple hours before we put him back in the carrier for his initial check at our vet, a short walk from the flat.

We were a bit over half way there when Dawnise tripped, going “ass over tea kettle” as the saying goes, twisting her ankle and landing mostly on her left wrist. She got up feeling a bit nauseous and convinced me to carry on and keep our vet appointment while she caught her breath at the bus stop we were just a few feet away from.

She texted me a few minutes later that she was going to head home to ice her wrist. By the time I got home with the cat she’d applied ice, and took some ibuprofen.

I suggested we seek medical attention, she demurred and insisted it was probably just a sprain and would be fine in a couple days. But, she said, if it didn’t get better, she’d reconsider.

By Thursday it was clearly not improved. She called our GP, but after listening to their hold message do its best to tell us to go away and use the internet, we pivoted to their electronic consult system instead. We described the symptoms, the event, the treatment steps taken, the time lapsed, and the current status. The doctor called Dawnise back that afternoon and referred her to UCLH radiology for an X-ray.

Dawnise left this morning in time to arrive at the radiology department when they opened at 9am. By 10 they had taken the x-ray, read it, confirmed a fracture, and walked her up to the emergency department (ED). I went to join her after our grocery delivery arrived at 10am. Neither of us were sure what to expect, and we settled in for a potentially long wait.

They called her back in about another hour. The doctor showed us the x-ray and talked us through it. She had a radial fracture and a small bone chip in her left wrist, and the joint was slightly compressed from the impact. They’d need to put it in a cast, and before they cast it they needed to “manipulate it” (fancy way to say “pull on her hand”) to improve bone position.

It was going to hurt, no two ways around it. They’d give her a codine tablet ahead of time, a local anesthetic injection (a hematoma block) and some “air and gas” (nitrous) while they worked.

We went back to the waiting room for a few minutes while they got set up.

True to the Doctor’s word, the shot clearly hurt. And despite the local injection and the laughing gas, the manipulation was clearly not Dawnise’s favorite thing ever. The whole thing couldn’t have taken more than a couple minutes, but it felt longer, and I was just the observer – staying out of the way while they worked.

They finished setting the cast, got her setup with a sling, and sent us back to the waiting room for a few minutes until they could take another set of x-rays to see the new bone position.

After the new set of x-rays we went back to the waiting room one more time until the doc could review them.

When he called us back in he showed us the new pictures (they basically looked the same to me, if I’m honest) and said the positioning looked good.

He explained that the hospital would send the before and after x-rays to the fractures team for a consultant to review. Early next week we’d hear back with one of three outcomes. If the set looked good to the fractures consultant she’d stay in the temporary cast for two weeks and then be re-cast for another month. If they were concerned about what they saw, they might call her in for an in-person consult. If they were really concerned about what they saw, they’d call her in to discuss a surgical fix. The ED doc said he thought surgery was unlikely, but not impossible.

A short stop at the hospital pharmacy to collect some pain medication, and a detour to get bagels from our favorite bagel bakery, and we were home around 2pm.

Everyone she dealt with was great – competent and pleasant – including the GP who called her back in response to the initial consult request. The ED was busy, but not slammed, and no single step today seemed particularly lengthy or inefficient.

Dawnise is doing ok – definitely uncomfortable and when the hospital drugs wear off we expect it to get a bit worse before it starts to get better, but it will get better.

Hopefully neither of us get whacked with her cast while we sleep.

Fingers crossed.

Here We Go Again

The Universe has presented us with a cat, and we’re in the rough and sometimes infuriating first few days of integrating a new cat into the house.

Since losing Oscar in late October we’ve occasionally talked about if and when we might look into adopting another cat. We had a “near miss” a couple months ago. We were in contact with someone with a rescue they needed to place. Someone else had responded first, and we thought the important thing was that the cat find a home, not that the home be with us, so we were happy to let the right thing happen.

Since then I’d researched a few London animal shelters, and in the process learned that adopting a cat in the UK is different than our experiences in the US. There’s a strong cultural bias that cats are hunters and need access to the outdoors. We live in a flat several stories above street level, so “access to the outdoors” is problematic – even ignoring our concern about the mix of cats, foxes, and cars in the middle of London.

There are some shelters that focus on placing “indoor” cats. Many of those shelters only consider cats that are elderly, immnuocompromised, or physically incapable of living the “free range life.” On top of that, COVID put a damper on “come to the shelter and meet some cats,” resulting in most shelters asking you to apply, and them match making you with a candidate cat or two.

Ultimately, we weren’t really thrilled with the prospect, so we hadn’t taken any steps or submitted any applications, though we were slowly convincing ourselves that was the path forward.

Then the other day Dawnise saw a post on nextdoor from a local neighbor who was looking to re-home their cat. They were moving countries and couldn’t bring him with. Dawnise reached out and arranged a meet-and-greet.

On the day of the meeting I was stuck in a work crisis, so Dawnise had to go without me. She met the cat (and the humans). He (the cat) was a street rescue from a charity in Abu Dhabi. He’s about three years old, has a gentle friendly disposition, and he and Dawnise got along pretty much immediately. She arranged for us both come back the next day, so I could meet him too. Our meeting went equally well, and his humans decided that out of the people who’d expressed interest they preferred he go with us.

So we had agreement in principle to adopt a cat, and a plan to pick him up once we could schedule a vet check up for him.

And we needed to figure out a name. When he was adopted from the charity that rescued him he was named Lucky. We tend to choose human names, and neither of us loved the name Lucky.

I had joked for a long time that if we got a dog we should name it Loki – after all, what could possibly go wrong naming a dog after a god of mischief? Since Loki was acoustically similar, our first thought was to try that. But neither of us loved that name either.

The morning before we were scheduled to pick him up we were still thinking about names. We had the thought to see if we could draw on his origin and his current name. So I started looking for names that meant approximately “lucky” in Arabic…

And we found Kamran.

The internet told us it meant “blessed” in Arabic and “fortunate” in Farsi. I’m always skeptical of using words I don’t understand – and was concerned that we were essentially giving him a tattoo of random characters that someone told you means something. So we asked a friend, who relayed the ask to friends who were native speakers, and they confirmed that Kamran was a name, not commonly used in general speech, and didn’t mean anything terrible. That seemed good enough.

So Tuesday morning, bright and early, we picked up Kamran and brought him home. Dawnise and I went into quarantine with him for a few hours before taking him to the vet for a once over. He got a clean bill of health, caught up on his immunizations, and when we got home we started gently introducing him to Ivan.

So now were in the phase where two cats try to decide if they want to attack each other, play together, or ignore each other. There’s some occasional growling, occasional hissing, and hopefully over the next few days there’s less of each.