General question for everyone???

May 5th, 2014

Ok ya’ll!  I am just 3 weeks post ATR and will still be wearing a cast for another 2 weeks (at least) BUT am going back to work at a trauma hospital in AZ as a surgery scheduler (light duty) May 12th. UNTIL I get back to FWB and can stand to walk 12 hour shifts and be able to really get around quickly when needed. I am a surgical scrub on third shift and am the only scrub on at night and have many many duties and some require running back and fourth between traumas and lifting heavy instrument trays. My question to you ALL is: when realistically do you think I can handle being on my feet for 12 hours ???


4 Responses to “General question for everyone???”

  1. Nicky on May 5, 2014 5:16 pm

    It is very tempting to go back too early, especially when you feel that your colleagues are having to cover your work or if you are loosing money. But you are of no use if you can’t do your job properly or if you re rupture. I went back to operating a couple of weeks after going into shoes. ( about 12 weeks post injury) I was on my feet for about 12 hours and it did get quite swollen by the end of the day. With hind sight I probably went back too early but I think it’s been ok. I did not have to carry anything though. Get some theatre shoes with a bit of a heel.

  2. normofthenorth on May 5, 2014 7:05 pm

    Much sooner if you get in a boot and get into a modern fast protocol. 5 weeks in a cast will kill a few weeks compared to UWO or one of the other two linked and summarized at a_b_.com/cecilia/protocols . The other key variable is whether you can take periodic elevation breaks or not. Even 5-10 minutes with your foot up (and maybe iced) can make a big difference. Otherwise, the persistence of swelling and discomfort from prolonged verticality is a crapshoot, with huge individual variability.

  3. janis on May 5, 2014 9:14 pm

    I am a paramedic and I was back to full duty after 14 weeks, with 3 days/week intensive PT starting at week 8. (not an ATR, though, I had Haglund’s deformity excision and achilles was split, repaired, and then re-anchored back to heel during the procedure)

  4. nwebber on May 7, 2014 12:04 am

    Thank you guys. Nicky I am out of PTO and EIB and need to go back. I will be going back to just scheduling cases for as long as I need before getting back in the operating room. Also there are many nights that YES I can stop and ice and or elevate my foot , thank goodness. Some nights might be worse and no I wouldn’t be able too. My poor leg is 100% atrophied after being in a cast and splint for a total of 5 weeks so far with 2 left before the boot. I really miss my real job and just can’t wait to get back to my life as a very active 36 year old. Ugh. I am not a patient person at all and this last 8 weeks has been testing me.
    Thanks again everyone for our advice.

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