I can testify to that. I didn't even bleed, but I had to have surgery, albeit just day surgery, to fix/clean up the injury.
:O) sorry about your fall, ladders can be dangerous, when I am up high (3 steps) I am terrified. If I fell I would be yelling....Help I have fallen and can’t get up...even my dog wouldn’t know, she’s deaf...poor girl..:O) GG