The Saga Continues…or Cast 2.0
Over the past few days, I’ve noticed my cast was really loose. It caused me a LOT of pain because I could move my hand in there. My hubby told me to call the doc, because I might need a new cast and its better than going the four weeks and doing it wrong.
So I call and the receptionist tells me if the cast is loose, I need to come in. So I go, and the nurse wants to ask the doc’s opinion. She leaves me for a bit, then comes back to take the cast off, because I’m going to get a new one anyway. She wanted to ask the doc about splinting instead, so I could have it be tighter.
I’m in the middle of washing my arm – feels so good! – when he comes in. He seems annoyed my cast was off. Then he goes into explaining how they don’t have a full arm splint and why I needed the cast with my arm bent, to prevent looking at my palm, and to prevent the side-to side motion of the wrist. I told him I understood that, but that there was a lot of play in my cast, which hurt when unscrewing the lid to the milk jug, etc.
I was shocked at his look of shock.
Doc: “You’re not supposed to do that!”
Me: “Well, I didn’t pick up the jug, I was just taking off the lid.”
Doc: “Doesn’t matter, ANY action of the wrist, even small ones, won’t allow it to heal, and I can’t send you to the hand surgeon until we’ve proved this treatment didn’t work.”
(Basically, even if he thinks this won’t work, he’s gotta do it first.)
Me: “I have no problem wearing the cast, it’s just that it was so loose that it allowed for the side-to-side motion.”
Doc: (somewhat mollified) “Okay, then I’ll see you back in a few weeks.”
But now I’m kind of mad because no one told me I couldn’t do ANYTHING with this wrist. The lady who put on my first cast even told me she’d give my fingers some room to grab things… True, she’s not the doctor, but it would have been nice if someone (re: the doc) outlined what was expected in the first place. All he told me was it would be hard, I’d need people to help out, and I’d have lots of physical therapy after.
SIGH
So, doc leaves, and the nurse puts on cast #2, and all the while I’m thinking the doc just chewed me out (dramatics added for effect) for doing the right thing by coming in and changing my cast. Even the nurse said sometimes the arm shrinks in there, swelling goes down, etc., causing the cast to get loose. I just feel like the doc thinks I’m whiny. The splint wasn’t even my idea and he marches in there as if to tell me I will wear this cast, by gawd… (again, dramatics added). And I was a little miffed that he couldn’t see the evidence of my loose cast for himself because the lady had already taken it off. It was like he thought I was being whiny and there probably hadn’t been anything wrong with it.
I understand his decree of total rest, I do. But if I’d been TOLD THAT in the first place, I might not have had so many issues.
Still would have needed a new cast, though.
I decided to go purple with the new one. But I’ve still got glitter! It’s much skinnier than my first one and it feels SO MUCH BETTER! Oh my gosh, night and day difference. Can’t move anything around in there.
Doc’s probably off some place shaking his head that his patients are dumbasses. LOL Or maybe he woke up on the wrong side of the bed. He *was* wearing a full suit, whereas the other times I’ve seen him, he was business casual. Maybe he was stressed about something. Maybe I just blew it all out of proportion. But I’ve got news for ya, doc. NO ONE wants this wrist healed more than I do.
And that’s a fact.
I did notice that while my elbow was somewhat tender, I could bend it all right once I was out of the first cast. But my wrist – forget about it. It hurt to just hold it while the nurse prepared the new casting material. My ulnar side was much more swollen that it had ever been. This does NOT bode well for getting the cast off in 3 weeks…
My daughter said, “Wow, Mommy, your arm looks much skinnier in that cast!” I said, “I wish the rest of me looked skinnier.” One of the nurses going to lunch in the parking lot snickered as she overheard me. LOL
Anyways, here’s to doing/holding/carrying/twisting/lifting absolutely nothing until February 9th. For all intents and purposes, I’m one-handed. And yes, I’m typing one-handed right now. Yes, it IS a giant PITA.
Pic of purple cast:

~~Becka




Becka,
Well, your Dr is both wrong and right. He is wrong in that there is no splint. There is an above elbow splint called a “sugar tong” which is just about as restrictive as a full arm cast. However, it would be made of plaster—heavy, full arm cast is better. Anyway….yeah, don’t do anything with your injured wrist. IMHO, the twisting motion is the worst. Otherwise you don’t have a chance at all of avoiding surgery.
My hunch is you’re probably going to end up with surgery anyway. AT this pt if you aren’t feeling better…then methinks you’ll need it.
As for me, my first post op appt was last thursday. Dr said i surgery went well and i had a big tfcc tear as was indicated on the MRI. I got my splint changed out for a black full arm cast….will also get my casts updated as my swelling goes down.
Do you facebook? I’ve posted some pics there of my surgery, casts, and post-op wrist pics…
Nate
Nate, I knew there was a full arm splint but he made it sound like they didn’t have any on hand.
Yes, I do have FB: http://www.facebook.com/rebecca.goings