E.R.
Note to self: Add to list of 745,659 things that I must be vigilant about making sure the little man is not even close to touching. Ever.
Because then we wind up like this. 
All I was trying to do was make chili. I rinsed out the tomato can and placed it with many other sharp lidded aluminum cans in a paper bag on the floor next to the back door (Bad momma! BAD MOMMA!) where I collect my recyclables. No one told me that aluminum cans that have been opened need to be handled like rouge squirrels who take up residence in your attic. (You need to trap them and drive them at least 30 miles away.)
Along comes little man, he peers into the bag, as he's done a million times. Shiny metal objects momma! Pay attention! No, no- I say and shoo him along. He meanders off, but stumbles one step away from the bag, as he does a million times a day. Does he fall? Kind of, the bag of cans breaks his fall. Yes, the bag of recyclables with the open aluminum cans that apparently jumped up and lodged themselves in the inner forearm of my child.
I was surprisingly calm. Mostly because the little man was more pissed that I made him sit on my lap with a towel pressed into the wound than he was about the gaping hole in his arm. I wanted to take a picture of it and post it so you too would say- hmmmm. I think I would go the ER if that happened, but that just seemed icky.
I call the pediatricians office to see if there is any chance they will see me. It's 12:02. They are going to be at lunch for sure. Oh phew! They answer! They're getting the nurse! Click. They hang up on me.
I call back. Those biddies better answer the phone, they do. They go get the nurse. The nurse says if it looks like he could need stitches, they can't do stitches (What?!!? The Ped's office doesn't do stitches? I would do the freaking stitches if I had the right equipment. Is it too hard for my Ped to do? He can't do stitches? What good is he to me then? WTF???? OK. Focusing) so I should go right to the E.R. I say I can't tell if he needs them. Its not life threatening, but it's definitely worse than a scratch. There's a clear gap in the skin. Can they see him and tell me? Their "policy" is that they need to refer me to the E.R. If I don't feel comfortable with that, I can come in, wait until they can squeeze me in (since it's lunchtime, that's at least 1.5 hours from now) and if he needs stitches they will have to send me away to the E.R.
I call Mr B. Super busy Mr B. who's got this to offer: What do you want me to do? I don't know what it looks like. Do you need me to come home? This was a patronizing tone, not the very willing to drop everything and help tone. He's no good to me either.
I think for a minute. What's worse. Have the ER Dr's and nurses snicker behind my back for eating up hundreds of dollars of charges for a band-aid or leave it as is and deal with a hungry, tired, irritated toddler in the Ped's office waiting room for what could be hours, fighting off bacteria from all sides. I don't know what to do, I choose the E.R.
We arrive and get evaluated quickly. This I believe, is already worth the additional $75.00 co-pay I'm going to have to shell out above what I would have paid at the Ped's office. The triage nurse says he could need 2-3 stitches and do I think he would object to having his temperature taken rectally? She asked me that with a straight face. Yes, I say. he most definitely would. Under the arm is fine. It's their "policy" to take a rectal temperature with infants. Would he like it better if I did it rectally for him? Ah, no. Not only would he not like it but I'm sure my face started to lose color imaging the frightening decibel of screams that would shriek down the hospital corridors if I stripped him down and stuck a rod in his anus at this point. Under the arm is fine, I repeat. She tries to sway me one more time- It won't be as accurate. I'm starting to get edgy. I'm not a doctor, but I do know he doesn't have a fever and he is bleeding- why are you messing with me?
The doc shows up. She's about 20. Looks like she hasn't slept in 5 days. Looks at it for 3 seconds and tells the nurse to dermabond it. That's a fancy word for superglue. They tell me it's superficial. He won't need stitches, but if it had gone any deeper it would have. They super glue him, put gauze over that, put some sticky tape over that and then put some white sleeve looking thing over that.
Wrapped up like a mummy, with a day-glo sticker in his pocket that says Feeling Funky, he and I were on our way. For what I'm sure will be a $700.00 ER bill, of which I'm guessing we will pay almost all of, because we just changed insurance and have a new family deductible, I received treatment equivalent to that I could have put together for $8.95 at Walgreens.
When the nurse handed us the discharge papers I said thank you for being so kind. I really didn't mean to be a nervous mom rushing in here for a cut. She really was sweet. She patted my arm, told me not to worry, it's better to come in. The risk of infection is much greater for the little ones if left untreated and how was I supposed to know? I wasn't a doctor. She got that right.