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ADVANCE for Physical Therapy & Rehab Medicine is thrilled to welcome you to PT Talk: Blog Community from ADVANCE! Our blog community offers interactive blogs written by PT professionals and our editorial staff. We look forward to hearing more about the rehabilitation field from your point of view. Blogs will discuss issues related to the field, current events and other fun & candid observations. We have provided a comment section so you can voice your opinions and submit feedback. Happy blogging!
July 24, 2014 2:44 PM by Lisa Mueller of Raising the Bar in Rehab

I went on a tour of a physical therapy facility recently. When documentation was discussed, the facility supervisor happily explained their new electronic documentation system and the ability to log in remotely and complete notes from home or any other location. My ears perked up. Documentation anywhere! Oh, the possibilities! But, as I thought about this idea further, I'm not sure the option is truly beneficial. ...

July 24, 2014 12:46 PM by Michael Kelley of PT on the Run

So this week, my dad had to have a GI surgery (I'll spare you the gory details) and he is currently in the hospital where he will stay for a few nights while he recovers. Due to his insurance, he had the surgery at one of my hospital system's biggest competitors, so while visiting him, I must admit I'm doing a bit of spying to see how things run there!

I should start off by saying all the staff I met at this ...

July 23, 2014 10:57 AM by Jason Marketti of PTA Blog Talk

Name: Theraman Walkis

Race: Human

Alignment: Lawful Neutral

Class: Therapist Assistant

HP: 96

Level: 18

Strength: 15

Intelligence: 14

Wisdom: 13

Dexterity: 16

Constitution: 13

Charisma: 17


Magic Items

Mordenkainen's Gait Belt of Walking, +2 Fall Prevention

Bigby's Gloves Against ...

July 22, 2014 5:43 PM by Toni Patt of Toni Talks about PT Today

As part of my leadership program, I attended the Texas Physical Therapy Association (TPTA) strategic planning meeting last weekend. The idea was to get newer and upcoming leaders to meet and mingle with people in leadership positions. We also got insight into how decisions are made and what is on tap for us in the future.

I loved it. I chose to participate in the professional development subcommittee. I think ...

July 22, 2014 4:41 PM by Dean Metz of PT and the Greater Good

I was asked that question last week by a board member of the NHS Trust in which I work. Rather a few members are making the rounds of different services to see how things are working (or not) and to assess if they are getting monetary value for those services. We were well prepared. We had the results of a yearlong audit showing excellent clinical outcomes and positive financial outcomes.

The board member ...

July 21, 2014 5:43 PM by Jocelyn Wallace of Striving to Be a DPT

One of my biggest strengths in PT school thus far has been my test-taking skills. Due to the extremely accelerated summer semester, there is simply no way to study everything to the extent you can in undergraduate studies. This means you can no longer out-study bad test-taking skills. Here are a few lessons I've learned so far:

Eliminate answer choices (creatively). Everyone has heard this strategy ...

July 18, 2014 3:27 PM by Allison Young of Life of a PTA

I have found there are a few skill sets PTAs might find useful in their careers that are not covered in the PTA program curriculum. The techniques relate mostly to skilled nursing PT, as that's been my setting since I graduated, but can certainly translate to home health or inpatient/acute physical therapy.

The first and most often demonstrated (during my typical day) is toilet transfer training. I would ...

July 17, 2014 3:38 PM by Lisa Mueller of Raising the Bar in Rehab

A few years ago, I had the opportunity to teach a continuing education course on early mobility with three other physical therapists. We met for several weeks, reviewing the content along with the training and presentation materials. It took a lot of thought and effort to review every detail of the course to make sure it flowed well and the learning objectives had all been explained thoroughly.

Teaching that ...

July 16, 2014 3:23 PM by Michael Kelley of PT on the Run

I've got a bone to pick with you outpatient therapists! When I first started working at the hospital, our inpatient office was right next door to the front office of our outpatient department. It was pretty easy to listen to some of the phone calls come in, and one of the most frequent things I'd hear that always bothered me was a conversation that went something like this:

Patient: "I need to come in for ...

July 16, 2014 11:43 AM by Jason Marketti of PTA Blog Talk

There are some therapists who are born to lead and bring a dynamic quality with them during evals and treatment sessions. Others are hesitant to make decisions and will prefer the "wait and see" method in regard to patient care. I have worked with both types.

Since I don't like to hold a PT's hand when discussing patient care and progression, those who are hesitant to make decisions can be frustrating to ...

July 15, 2014 5:35 PM by Toni Patt of Toni Talks about PT Today

A few weeks ago, a woman was admitted to our facility with a knee injury. She appeared to have ligamentous damage on top of arthritic deformities. She came to us for medical management and antibiotics prior to surgery. Before she was admitted, her orthopedist ordered a KAFO for the involved leg.

I'm not a big believer in KAFOs. In my experience they are bulky and uncomfortable. In this case the woman weighed ...

July 15, 2014 4:56 PM by Dean Metz of PT and the Greater Good

I've learned immense amounts about what my American PT colleagues are going through just to work these days. It disheartened me at first, inspired me next, and now has propelled me to think more creatively. I think it may be time to throw out the baby with the bathwater... and the tub... and the sink... heck let's just rip down the house! The SNF rehab model doesn't work! If owners can't make a profit without professionals ...

July 14, 2014 3:06 PM by Jocelyn Wallace of Striving to Be a DPT

One of my courses this semester has been cadaver lab. My school uses a unique format where a group of medical and dental students lead the lab on cadavers that they've dissected. Outside of lab hours, we have full access to the lab to study the bodies. With two weeks of this class left, I've been reflecting on the value of my cadaveric education.

Many of the schools I considered did not have cadaver labs and ...

July 11, 2014 2:06 PM by Allison Young of Life of a PTA

"I have a positive attitude and I surround myself with positive people. I eat cleanly and have a bowel movement every day -- it makes a difference (wink)."

This wise statement was given to me by a 98-year-old patient when I asked her, "What is the secret to aging gracefully?" This particular person did not use an assistive device, walked faster than me and had better posture than anyone I knew, regardless ...

July 11, 2014 11:58 AM by Lisa Mueller of Raising the Bar in Rehab

Medicare and Medicaid announced recently that ICD-10 will go-live on October 1, 2015, which is the third time the change has been delayed since 2009. CMS states that several factors impact the delay of implementing the updated coding guidelines: software, staff training, updating policies and guidelines, as well as paperwork to reflect the changes.

Several of my former classmates were disappointed with news ...

July 10, 2014 4:24 PM by Michael Kelley of PT on the Run

So I had a student start a couple weeks ago. You may recall I wanted to have a "student summit" this summer, but unfortunately it got bogged down in some administrative red tape. Needless to say it's been tentatively scheduled for this fall after my student's rotation is done.

Anyway, my student ...

July 9, 2014 8:32 PM by Jason Marketti of PTA Blog Talk

Since I follow the PT's direction in regard to patient care and treatment, I sometimes make suggestions in regard to modalities to facilitate the patient's recovery. Not every PT likes modalities and I respect that; however, if I see the OT providing treatment on a patient we are also seeing, and the OT is using modalities the PT doesn't agree with, what should I do?

I know OTs have different ideas and clinical ...

July 8, 2014 3:33 PM by Toni Patt of Toni Talks about PT Today

Last month I went to an onsite CEU course. Back in the day, I was a CEU junkie. I'd go not just for CEUs but if the topic sounded interesting. More recently I've had to cut back and limit myself to CSM. This year I got burned by the stroke course at CSM. Needless to say, I was a little nervous about ...

July 8, 2014 2:52 PM by Dean Metz of PT and the Greater Good

Two weeks ago I attended, and presented a poster, at a seminar on change within the National Health Service (NHS). We were asked to present because we had excellent outcomes in our service and we got them by doing things differently than other services had done. It was an enlightening day. The primary speaker, Helen Bevan, gave a fantastic presentation on how to effect change in the NHS. I want to share some of her ...

July 7, 2014 5:00 PM by Jocelyn Wallace of Striving to Be a DPT

The 4th of July left me with a four-day weekend and, with only one exam this upcoming week, I've had no idea what to do with myself. While not having to cram this past week was refreshing, I'm feeling worried because I didn't spend nearly as much time on school things as I should have. I could have used these days for staying ahead but I'm instead feeling behind since I only studied for a few hours today. The rest ...

July 7, 2014 4:26 PM by Allison Young of Life of a PTA

Summer is in full swing as we head into July. The kids are out of school, the sun is out (even in the drippy Pacific Northwest that I call home) and everyone has earmarked their week/s of vacation in the coming month or two. Working full-time in any job, really, warrants at least a week of mental and physical relaxation outside the "office." In the skilled nursing setting -- between efficiency scrutiny and challenging ...

July 2, 2014 6:04 PM by Lisa Mueller of Raising the Bar in Rehab

A friend of mine recently asked for my opinion about how much therapy she would need following a knee arthroscopy. I talked with her for some time about her symptoms and which PT clinic she was going to work with. She then told me she was worried the physical therapist wouldn't be able to help her within the 20-visit limit of physical therapy her insurance company had for her annual rehab benefit. I reassured her ...

July 2, 2014 5:19 PM by Michael Kelley of PT on the Run

For many in this country, the beginning of July is marked by celebrations of America's independence. Parades, BBQs, fireworks... it's all part of the annual celebration of this land we call home. But for those of us in the healthcare field, the beginning of July also signifies something else: new residents.

That's right folks, around the country, thousands of young, bright-eyed, newly christened "doctors" ...

July 2, 2014 4:14 PM by Jason Marketti of PTA Blog Talk

I moved, again. Every time I find a new place to live, there seems to be several steps to negotiate and this can cause some problems with me. There are days my joints do not want to move as fast as I think I can and I wonder how I will be in 20 years. And woe unto me if I break a leg because I'll have a heck of a time going up and down steps just to answer a door.

In hindsight, I should have listened to what ...

July 2, 2014 3:03 PM by Toni Patt of Toni Talks about PT Today

The facility I work in isn't very large. We have a cafeteria that's only open a few hours at time. For lunch we have two entrees, soup or the grill. Just like everywhere else I've worked, we all complain how expensive it is. When you check out, there's a small cup for pennies. The cup rarely holds just pennies. There are usually a few dimes, nickels and even a quarter. It's never empty.

At first I would drop ...



The ADVANCE for Physical Therapy and Rehab Medicine editorial staff will discuss issues in the PT profession, current events in health care and offer their opinions and insights.

Toni will be talking about the PT world as she sees it with 20+ years of experience as well as a student new to the world of post-professional education. She welcomes comments and responses. Anything is fair game!

With 12 years of PTA experience behind him, Jason Marketti is still learning and growing every day. He invites you to join him on his journey through the therapy profession and as a husband and father of three children.

Lisa Mueller is a physical therapist in Milwaukee, WI. She currently works in an acute-care setting with experience in general medical and critical care patients. With her BA in Spanish, Lisa treats a variety of patients each day.

Join Dean Metz as he ventures out of direct patient care and attempts to have a more widespread impact through public health.

PTA, mommy, runner, all-around chicken wrangler, kindergarten/4th grade art docent and professional juggler (no not really, but it sure feels like it sometimes).

Follow Lauren as she navigates her way through the DPT program at the University of Pittsburgh.

Karen Schiff, PT, will be documenting her progression as she pursues her transitional DPT, while juggling her work and family.

Mike Kelley is a physical therapist in suburban Chicago. He currently works in acute care, treating patients with orthopedic, neurologic and cardiopulmonary diagnoses. Outside of PT, he is an avid endurance athlete and has a passion for politics.

Jocelyn is a student at Nova Southeastern University's DPT Program in Ft. Lauderdale, Fla. Join in her three-year journey to becoming a DPT.