reverse threading

the path back is the path forward


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old linoleum tile. [k.s. friday]

i’m generally a floor-noticer.

i, intimately, know the wood floors in our house. i know where they creak, where they are silent, where they are slightly uneven, where the floorboard gaps are smaller and where they are bigger. i know where the stains are and where there are holes that were drilled into the floor to install a christmas tree – a silly tale from decades before we lived here. i adore the wood floors in this house.

a year ago today i connected – for seemingly forever – with the floor at my place of employment at the time. i knew those floors well also, having been there for a full eight years…the stuff of old-building linoleum tiles, looking polished and shiny from time to time, committees always pondering the next waxing, the grungy it-needs-to-be-washed. we had a similar floor in our basement growing up, darker in color, but the same stuff. that floor at work used to bring me a sense of comfort, the recognition, the familiarity, the place.

that day was much the same. perfectly at home there and proud of the work i was doing, i was simply walking down the hall. it was unfortunate that someone had washed the floor and had not put up any signage to indicate that caution was needed, that the floor was wet, and, thus, i was unaware. i was almost at the office – where i was headed – when my feet slipped from underneath me and i fell, landing hard on my right hand. and now, that floor will ever be a part of me.

i’ve worked very hard to regain the use of my wrist since tearing my scapholunate ligament that day and i was up to 60 degrees of forward range-of-motion when they stopped covering treatment a few weeks ago. the mri, weeks after my communion with the floor, showed definitive tearing – a “high grade partial or complete tear” – and, just mere minutes into online research, the nih (national institutes of health) states “proper ligament repair is recommended within four to six weeks after trauma” which includes arthroscopic surgery, reconnection of torn ligament remnants and pinning. they continue, “….all intrinsic carpal ligaments tend to undergo rapid degeneration in as short a time as two to six weeks, after which primary repair may be difficult or even impossible and ineffective.” continued degeneration, serious arthritis, ever-decreasing range of motion are the hallmarks of an s/l tear gone untreated in a timely manner.

i suppose that there is a reason why the person-in-charge-of-the-paperwork just put the accident report in the drawer. i suppose that there is a reason why that form-in-the-drawer was a random incident form off the internet that the person printed and filled out without communicating with me about my fall, though there are specific proper-process official-wisconsin-employer forms also accessible on the internet. i suppose that there is a reason i had to do a little preemptive googling and let them know that sans-official-proper-process-timely-reporting there could be a steep fine for this [formerly] cherished place in which i worked. i suppose that there is a reason why they, then, a week later, decided to officially report my injury, ultimately pushing medical intervention coverage back and, also ultimately, in a snowball effect, delaying an mri until six weeks later. i suppose that there is a reason why the physician in my own town read the mri report and flippantly said, “i believe for the most part this should improve”, adding, “i do not believe i will be able to make her scapholunate ligament better than what it is right now,” and, though 3.6mm (my measured interval) > 2.0mm (normal interval), stated “i do not believe that these [results] are going to be clinically relevant.” i suppose that the froedtert hand specialist would disagree heartily with that local doctor when he told me, at a requested-second-opinion appointment, that this injury – the s/l tear (concurring with the mri) – should have been addressed at the very beginning, that lost time was irretrievable. he stated that these injuries are the bane of hand specialists’ existence and that months later – by the time of the second opinion – i had crossed over into territory where complete healing would be impossible. i suppose it would be naive for me to think that requiring an IME-outside-opinion-by-a-doctor-chosen-and-paid-for-by-the-insurance-company was on the up and up and designed for my health, well-being and long-term healing. i suppose abruptly ceasing treatment would, well, i don’t know; it can’t be anything good. i suppose it all didn’t really matter to the person-in-charge-of-the-paperwork back a year ago. i suppose it still doesn’t. it wasn’t that-person’s wrist. that-person wasn’t a lifelong professional musician. neither were those on the rest of the decision-making-committee. why would they care or be compassionate or concerned? perhaps those words were not in their job descriptions, though that seems preposterous considering the place of my employ. whatever-that-person’s-deal was, whatever-their-deal-was, it devastatingly got in the way of protecting me, their employee, from harm and from doing whatever was possible to aid me, their long-term-employee-aka-fired-employee-eight-weeks-after-the-fall-on-the-floor, to heal properly and to be able to normally use my wrist – an imperative for a musician – for all time to come.

i suppose there must be reasons. i just, for the life of me, can’t figure out what they are.

maybe someday, when i feel less indignant, less disheartened and far less disappointed, i’ll forget about those old linoleum tiles.

*****

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UNTITLED INTERLUDE from RELEASED FROM THE HEART ©️ 1995 kerri sherwood


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undefined texture. rising. [k.s. friday]

and so, september has arrived. and the texture of day for many is changed. fall is around the corner; the cooler mornings whisper that to us, ushering in – with little fanfare – the color transformation of leaves, the waning of the garden, the ultimate fallow of winter.

autumn is my favorite. and as i look to it, i see transition rising out of the horizon. undefined, but transition nonetheless. unfolding.

i got a letter a few days ago from the insurance company handling my wrist injury from falling. they have decided to stop my treatment. as of right now.

back in july they hired a physician to do an IME – which is the acronym for, ironically, “independent medical exam”. don’t be fooled by the word “independent” for when an insurance company chooses and hires and pays a physician time and again to do medical exam reports for the insurance company that wishes to stop paying for treatment, that physician is questionably “independent”. in an unsurprising result, the physician, who has not been the treating physician all along, gave them the verbiage they were looking for and BAM! they instantly wrote-a-lettuh to me discontinuing my medical treatment.

to say that i was disappointed would be to grossly underexaggerate the complex and intense emotions that came with opening that envelope. my own froedtert hand specialist and stellar OT, who both recommend continued treatment, have helped me make much amazing progress – as a professional musician who kind of uses my hands in lifelong work – and i am now able to bend my wrist to 60 degrees from the initial 20 when i started with them. it’s not the 85 – 90 degree forward range of motion of a normal wrist, but i guess the insurance company et al have decided it’s plenty. wow. and wow.

so the texture of my days will change as well. i’ll try to translate exercises and stretching my OT has done to home, without the benefit of specialized therapy center equipment or knowledge or her hands aiding my movements. and undefined transition will rise out of the horizon.

and we’ll see. things will unfold as they unfold. and summer will turn to fall. and fall will become winter. and we’ll see.

*****

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UNFOLDING from AS IT IS ©️ 2004 kerri sherwood


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range of motion. this journey. [k.s. friday]

41 degrees. the torture device doesn’t lie. 41 degrees. that’s my right wrist forward range of motion (also known as ROM). this is likely too much information for you, but it’s a big celebration for me.

after i fell late in september on an unmarked wet linoleum floor, much like the one in my growing-up-basement – the kind where, when waxed, you can’t tell if it is wet or just shiny from wax – my range of motion was measured at 6 degrees. i probably don’t need to point out that isn’t much. after a debacle with a flippant ‘specialist’ in my own town who didn’t acknowledge the torn S/L ligament, i found a completely nerdy-in-all-good-ways hand specialist in milwaukee who told me he concurred with the MRI and that he regrettably had to tell me it was “too bad” it hadn’t been addressed by the first doctor. “que sera sera,” i hear doris day singing in my head.

so now, tiny increment by tiny increment, i am getting it back. the hand center doctor told me that i need to be patient and that he expects, if all goes well, i will regain ROM at a rate of five degrees a month. he pointed out that five degrees in a month doesn’t sound like a lot, but that in three months that is fifteen degrees and that, hopefully, in six months it is thirty degrees. if you add 30 to 41 it is 71, which is probably the best i will be able to do with the injury i had and the time that went by without proper treatment. i am on a journey and i’m grateful to the healing team involved. to be at 41 degrees feels pretty amazing.

this device is called a stat-a-dyne. i’ve named it brutus. the company tag line is “stretching your range of possibilities.” between brutus and my OT they have gotten me way further than when i was on that shiny wet linoleum floor post-fall. i’ve used my hand as much as possible. i’ve worked with a brace on and played both piano and organ (and for those of you in the know about pipe organs, that is a very different hand-extension-process than pianos.) i’ve done normal household chores and climbed a mountain or two and pushed a vacuum and, just days before he died, i picked up my beloved babycat as you would a small baby, with my hands and not my forearms. i’ve cut wet carpet padding and i’ve sauteed shrimp and i’ve pepper-milled-pepper and i’ve washed dishes. i’ve just done it all without a lot of wrist-bending. this part of the journey will someday be amusing, i suppose. we’ll talk about how i compensated in all this and we’ll likely giggle thinking about the way i reached for my wine glass while sitting on the couch or the way i combed out my hair or tried to scratch a hard-to-reach spot on my back, the ways i have been right-hand-challenged.

modern medicine – outside of my town – has offered me a range of possibilities, a range of motion buffet. modern medicine has given me – in this part of my journey – a range of hope.

THIS PART OF THE JOURNEY from THIS PART OF THE JOURNEY album ©️ 1997 & 2000 kerri sherwood

*****

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