As I reported earlier, I ran into a tree about a month ago. I was diagnosed with a ruptured lung (pneumothorax) and a couple broken ribs. The treatment was a chest valve to help the lung reinflate, and 4-6 weeks off the slopes to let the ribs heal.
At first the ribs hurt like hell, especially the first couple days. But after 3 weeks they had mostly healed, and I started walking further. My ankle hurt a bit, something else I had injured in the crash, but it was getting better. At 4 weeks, I went out on the hill, stuck to the bunny slopes, and I didn’t seem the worse for wear.
A week after that, I went out again on a couple days. My ankle was bothering me, so the first day I didn’t do much, coming home after about 90 minutes on the slopes. Two days later, I stayed out a bit longer – about three hours.
Two days after that – my stomach started hurting, around 2pm, a couple hours after lunch. At first the pain was minor, but it continued to escalate. After 20 minutes I called it quits and my roommate took me to the hospital. Checks in the ER didn’t reveal anything, including a portable x-ray. It took a CT to diagnose the problem.
Turns out my spleen started bleeding. The timeline is weird – normally the spleen starts bleeding after trauma, not after trauma then a couple days of rest.
That night sucked ass. If you’ve ever had trauma like this, or maybe dental surgery, you know they ask how the pain is on a 1-10 scale. Mostly my pain was at 4-5, even on pain meds, but I had short bouts of pain that were much worse. My first horrid attack was at 10pm – excruciating pain that lasted for about 20 seconds. I continued to have these short attacks of bad pain. Sleep wasn’t really possible, just short naps while the meds blocked out some of the pain.
I was better on Sunday, with only a few bad attacks. One on Monday, none on Tuesday or later. I walked around a bit, gradually got off pain meds (Dilaudid) and muscle relaxants (Valium), etc. On Sunday I could barely breath in half a liter, on Tuesday I could do 2-3L in a breath.
One of the pains that I had when I went into the emergency room was shoulder pain. I didn’t know if this was an old injury resurfacing or what; turns out, if your spleen ‘hurts’, your body registers it as shoulder pain.
Now shoulder pain freaks me out. I drove to the grocery store today, and closing the car door sent a jolt of pain through my shoulder. Too much extension on the shoulder? Or did leaning over compress my spleen enough to cause pain? Trying to nap brings up similar issues: does my shoulder hurt because of the way I’m resting on it, or am I compressing my spleen again?
Plus my stomach hurts. Gas pain? Constipation? Pressure due to blood pooling in my abdomen?
I’ve been miserable for a couple days. The pain isn’t bad; fear of pain is crushing. Every little pain spasm brings the fear that I could have aggravated the rupture again. The “upside” is that most of these symptoms should resolve in a week.
If you like snowboarding (or skiing) through the trees, I suggest you take a look at my post on snowboarding dangers. When they say there’s a chance for serious injury or death, this is one thing they’re talking about. (Plus tree wells.) Risks can be managed, and I did a poor job of managing risks that day. Take a lesson, don’t ride when fatigued, work up to denser trees, and ride with a friend.






