First day back at the warehouse with mallet finger in a cast

According to the Stitch Fix timekeeping software, their human resource interface and their payroll, I am still on leave.

But when I got to the time clock, I was able to clock in without an issue and a supervisor and I discussed how best to put me to work at the Bizzy Hizzy.

The paperwork from my doctor still has not arrived, and my actual supervisor was out sick today.

But I was very grateful for the opportunity to have my first day back fall on a Sunday as Sundays are way quieter and less hectic.

We decided that I would pick a cart of Freestyle purchases and then fold and ship them— which would allow me to test my functionality in the two main areas of outbound, folding and picking.

A freestyle cart should take 40 minutes to pick, and it covers a good 3,000 plus steps, because it contains 80 individual items. My cart took 65 minutes, but it took me three to get started and another seven to deal with internet problems.

And I quickly realized that as the cart got heavier it got harder to steer to the left because my hand didn’t have a good grip on the left side.

At first break, I was at 98% of the required metrics in folding and shipping, but then I got a cart of shoes and ended up falling to 85% because it’s hard not to stick both hands in the envelope when you have trouble stuffing those shoes in there.

My direct supervisor emailed to check on me, so I gave him my full report.

He said not to worry, I’d be back at 100% before I knew it and he didn’t want me hurting myself. If anything changed or I felt pain, I was to let him know immediately.

The supervisor filling in for him also checked in with me periodically.

By the end of the day, I was over 90%.

I can’t help but wonder if the constant movement of all my other fingers makes my injured figure wiggle in my cast. If so, will that loosen the cast prematurely? Something to keep an eye on….

The latest in the saga

So I spent a good deal of today dealing with paperwork for my mallet finger— trying to get the info I need to return to work since my specialist doesn’t think I need short-term disability for my finger to heal. That I just need to not use the finger.

For info on my injury:

The original blog post on the incident is here.

And the follow-up medical stuff is here.

I had filed a FMLA leave request, which I thought would lead to at least a week or so of short-term disability since Patient First told me to anticipate potential surgery and eight weeks of healing time.

But the doctor avoided both of those with a cast.

I’m stuck in limbo between waiting for the specialist’s office to fill out the forms to release me from my FMLA leave and the accommodation form for Stitch Fix, and I never quite reached the point of short-term disability but had started a claim.

I called the medical forms office at my specialist, and it took a chunk of the day to verify that they won’t have my forms ready until potentially next week— which of course intensifies my need for short-term disability which is a different set of paperwork a doctor needs to sign.

With my work week starting on Sunday, even if my release form arrived Monday morning and Stitch Fix could work everything out for me to return Tuesday, at that point I’ve already missed 1.5 weeks of work.

And I’ve used a lot of my paid time off recently while I was accepting voluntary time off— so when this occurred I only had 20 hours of sick time.

I’m not complaining, but I am trying to plan my household finances.

And then my supervisor said to come to work Sunday and we’ll see what we can figure out.

The ups-and-downs of navigating this system where medicine has become such a business that everything is so complex even for someone as organized as I am is exhausting.

But luckily the teenager puts reminders like this on my iPad. “Have a good day and don’t kill anyone.”

As compensation for my draining day, the teenager and I went to Aldi in our pajamas planning to buy chips, get gas, and stop at Arby’s to try their new boneless wings. The commercial got me. Because I hate celery. Watch it here to understand.

But when we got to Aldi, and bought our chips, the car wouldn’t start.

So I got to call AAA. Or in my case, text AAA. The teenager was very excited because she never witnessed a AAA call before. Because she doesn’t remember when I locked the keys in the trunk when she was 2.

It was the battery, which George from AAA replaced. We left Aldi 30 minutes after we called. It was all super fast.

And then we met George again at Wawa for gas.

The teenager loved the whole process and wants to learn more about cars and car repair even more than she did a few months ago.

As for the winds, for six dollars I was pleased but the teenager noted they were all spice and no flavor. I enjoyed them but they were over-sauced and the two flavors did taste extremely similar.

Treating my mallet finger

It’s Tuesday and my life has been turned upside down by my “mallet finger” injury acquired Friday night, taking off my socks as I chronicled here.

I filed for short term disability leave based on what Patient First told me about the injury. Since my work week starts on Sunday, and the accident happened Friday night I thought it best to get the incident in the system as soon as possible.

With it happening on Easter Weekend, I was told by the doctor at Patient First to make an appointment with an orthopedic hand specialist Monday.

The doctor at Patient First explained that I had pulled the tendon out of my knuckle and that I needed a specialist to determine whether it would heal or if I needed surgery.

And I did my best to work around my enormous splint and changed the tape once Sunday night.

Even on Sunday night, I had no pain, minimal swelling and no bruising or discoloration. The nail was fine, too. And I was amazed at how the angle of the finger had improved.

Some recommendations came my way from friends and everyone recommended the same doctor at OAA Orthopedic Specialists. Unfortunately, he was booked into July. So I accepted an appointment with one of his colleagues, at an office 18 miles from my house. I called at Monday morning 8 a.m. and the only appointments they had this week were Tuesday at this office in the Allentown area.

That was today. The splint Patient First gave me is enormous— and I was very anxious to get not only news and a treatment plan, but also something more reasonable.

I filled out all the paperwork I could online, and headed out of the house for the 30-minute drive to the doctor. On Monday, I had already gathered my x-rays and reports from Patient First, a release of medical information form, my return-to-work form for the Stitch Fix Bizzy Hizzy and the FMLA/short-term disability insurance paperwork.

(I also tried to clean the Tupperware cupboard, loaded and unloaded the dishwasher and made an enormous homemade Crunchwrap with homemade tortilla chips.)

I cried all the way down the highway. I miss my dad, who passed away in December, and I’m struggling with a lot of life right now. And I snapped driving to the specialist.

But when I arrived— h*ly sh*t. The orthopedic office shared a plaza with the Lehigh Valley Hospital Cancer Center and the Steel Fitness Premier Facility. The scheduler told me they had free valet parking but damn I did not expect that. It was a big hospital facility.

I went in, read the directory and discovered my office was on the second floor. And when I got to the second floor, I saw about ten check-in/ receptionists. Damn.

One checked me in and I was told to proceed to waiting room seven. The whole arrangement vaguely reminded me of the Beetlejuice scene where the dead people wait to see their counselor.

But they moved me right along and I met my doctor very quickly. And I was told getting dressed and undressed is a common way of getting injured.

The doctor produced a brochure from a nearby drawer. And it was the same information from the same hand specialist professional organization I had found online.

He explains that there are two tendons in each finger, one running along the top from knuckles to fingernail, and another running under the finger. I overextended the top tendon at that tip-top knuckle, tearing it from the joint.

Because I did not damage or break free any bone, this means I don’t necessarily need surgery. That immobilizing the finger at the top knuckle will allow the scar tissue to reconnect the tendon. And then occupational therapy will get that tissue usable.

The mallet finger brochure

The doctor said there are three treatment options:

  1. Splint
  2. A surgically-placed pin
  3. A finger cast

He recommended the finger cast. For eight weeks. And that he will see me in four weeks.

Paperwork and work release proved to be more complicated. He simply gave me a note asking me not to use the finger and that I could return to work today. I don’t think that’s enough for the folks at the Bizzy. So I asked the staff to please fill out the two forms— the one for the Bizzy Hizzy and the one for disability insurance— and told them I had read the sign and would gladly pay the $10 per form.

They wanted fax numbers or for me to pick up the forms, but I’m not driving 30 minutes back tomorrow or whenever they get the forms done. I think I found the fax for the disability folks and finally reneged and let them mail the form to my warehouse.

They also told me the forms should be in my portal so when they are done I hope I can download from the portal and send them where they need to go. If that doesn’t work, I have to call the Bethlehem office and make arrangements to pick them up there.

The OAA office also called The Institute for Hand and Upper Extremity Rehabilitation (a mere mile away) and arranged for them to see me. When I arrived, they were on the phone with my insurance company.

The staff at The Institute were beyond friendly, and every staff member apologized for making me wait. But I was impressed at how smoothly they ran and how they managed to balance the walk-ins and the scheduled patients.

Even more impressive, they had a binder promoting the small businesses they have “interacted” with— I hope I can leave one next time. I forgot by the end of my visit.

The Institute has one main rehab room so I got to see other patients at work, and every therapist acknowledged me, and apologized that I was waiting. One therapist, fitting a patient with some sort of brace or sling, was chatting with me about my injury.

The casting process was fascinating as I had never heard of casting a finger before and the person helping me also explained my injury. In this day and age when medical professionals usually don’t explain things, I was amazed at how many people took time to explain.

Mallet finger cast

My finger was only 15 degrees floppy today, which is a huge improvement from Friday. BUT if anything bends the injured area of the finger that could start the recovery clock back to zero as it could tear the scar tissue (which is why the hand specialist recommended the cast).

I certainly don’t relish the idea of eight weeks in a finger cast, nor do I enjoy the paperwork hurdles I now have to jump, but I’m relieved to have moved on to the next stage of the process.

The staff at the Institute also commended me for seeking treatment right away, as most people wait a week or more to address it and that causes more stress and damage to the healthy parts of the finger and can make the healing process more complicated and less successful.

My professionals:

OAA Othopedic Specialists

The Institute for Hand and Upper Extremity Rehabilitation

Socks pose a threat

Good morning. As you may have seen on the post from the Parisian Phoenix Publishing blog, yesterday got a little crazy with F. Bean Barker needing a quasi-emergency vet appointment for a splintered toenail.

I did some housework, unpacked my Hungryroot box, read some of an old Harlequin and basically hung out with the dog while the teenager worked.

Now, with my cerebral palsy, I have a bit of an aversion to socks and shoes. They are hard to take on and off, and sometimes they make me fall. Just like “Agador Spartacus” in The Birdcage.

The teenager got home from her last dog client of the day around 8:30 p.m. Friday night, so I was happy to head to the shower and get to bed close to my regular work bedtime.

I had on my cute cat socks my neighbor gave me for Christmas which perfectly matched the baby blue sweater which had also been hers.

I had removed all my clothes and only had my socks left, and the shower was running. I slipped my left hand into my sock. It got a little caught around the heel. And oddly, I felt this enormous pop and thought I heard something.

But my sock was still on my foot.

So I swept that off and looked at my finger. Which was a little floppy past the last knuckle.

My finger fully extended

I laughed and hopped in the shower after screaming down the stairs, “I think I dislocated my finger taking off my socks.”

I kept laughing. Stress response. I didn’t even bathe because it became apparent there was something wrong.

Which made me laugh harder because I was removing my socks.

The teenager dragged me to Patient First. I have an official diagnosis of “mallet finger.” And if I chipped the bone I may need surgery.

I emailed my paperwork to my warehouse supervisor— as I can’t go to work until I see a hand specialist. And with the holiday tomorrow, that will need to wait until Monday before I can even find a specialist and make an appointment.

It looks like the prompt splinting of the injury may save me some complications later so here’s hoping.

More on this type of injury.