DX: L4-5 fusion
TX:
Work hardening for RTW, strengthening, job simulation,body mechanics
       work simplification  4-6 weeks

Dottie, my very first patient of many
hurt her back at work
needs to return to the factory
to keep her family afloat
in her small town with few jobs.

Family comes first she confides
walking the path round the pond
steeling her pain during our first
two hours building her back.

I took her home with me causing
sleepless nights of worry.
Could I help her? Will she improve?
Gradually she taught me to leave it
at the door. No use fretting.

Six weeks later she made it…
hugging me, gifting me a
small white dog like my own.
He still sits on my windowsill
a Dottie badge of honor.