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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!
September 18, 2014 5:37 PM by Lisa Mueller of Raising the Bar in Rehab

I was plugged into the news last week in anticipation of the Apple event where the iPhone 6 and iWatch products were announced. I look forward to learning about new technology and have grown to look forward to the events hosted by Apple (and other tech companies) each year. What excites me about the new Apple line, more than the other enhancements, is the new HealthKit app.

I like things that make living a ...

September 18, 2014 4:13 PM by Jason Marketti of PTA Blog Talk

At what point do patients give up doing things for themselves? I've seen patients sit still while their spouse dresses them and combs their hair. One even admitted she brushes the other's teeth for him. I completely understand if the other person was incapable of assisting or was incapacitated in some way, but these are grown adults with functional limbs and they're aware enough to allow this to go on.

Some ...

September 17, 2014 3:51 PM by Toni Patt of Toni Talks about PT Today

I've previously mentioned my disappointing stroke patient. First he had a stroke. Then he had almost every possible complication. Finally he's doing better and getting ready to go to rehab. Everyone agrees he needs to go to rehab. Now there's disagreement about which one.

In Houston ...

September 17, 2014 12:25 PM by Dean Metz of PT and the Greater Good

There is currently a huge issue facing Britain as Scotland votes this week on whether or not to leave the United Kingdom. While watching a debate on the BBC this morning, I learned about something else that could have devastating effects on the National Health Service. That something is the EU/US Free Trade Agreement or the Transatlantic Trade and Investment Partnership. Interestingly, Alex Salmond, the first Minister ...

September 15, 2014 6:18 PM by Jocelyn Wallace of Striving to Be a DPT

Over the weekend, I attended the Florida Physical Therapy Association's Annual Conference in Orlando, FL. The conference ran from September 11-14, and it was a great few days.

I attended an interactive "Speed Dating" session where we got six 15-minute Q & A's with various PTs on different topics like Practice and Advocacy, the Chapter Caucus, the Assembly of Representatives, and two lectures. The first ...

September 12, 2014 2:31 PM by Allison Young of Life of a PTA

Over the past few years, I've written many-a-blog on the subject of patients refusing therapy. I've discussed different approach techniques and tactics, depending on the patient, which might help improve compliance.

This week, I was the recipient of (arguably) the most creative "decline" as to why a patient could not do therapy. As I approached this 80-year-old woman who was seated on the edge of her bed, ...

September 12, 2014 10:45 AM by Lisa Mueller of Raising the Bar in Rehab

I toured an outpatient rehab facility a few years ago and was brought into a room that was used mainly for storage, and sometimes for wound care. There was a smaller whirlpool in the corner and a moderate amount of wound care dressing supplies and handouts for patients regarding wound care pathologies, symptoms and treatments. The tour guide (a therapist at the facility) explained that wound care was an occasional ...

September 11, 2014 11:02 PM by Jason Marketti of PTA Blog Talk

Pay scales are all over the chart in the therapy profession, yet reimbursements in most states are the same whether a PT or PTA (and sometimes an aide) treats the patient. So, should the PT still make more than the PTA?

The argument over the higher education does not seem significant when there are PTAs with master's degrees working under a BSPT, as I have done in the past. And if education is the reason to ...

September 9, 2014 5:27 PM by Dean Metz of PT and the Greater Good

Even though I'm living in England and enjoy the national health insurance, I still follow what is going on in the USA insurance market. I read a disturbing article in the New York Times this week about ...

September 9, 2014 3:30 PM by Toni Patt of Toni Talks about PT Today

No, I'm not the one using a wheelchair. One of my fellow therapists is. She has chronic knee and ankle problems. It started out as wearing a walking boot, then progressed to a knee brace and either a walker or a wheelchair to get around. She chose the wheelchair.

The rest of us don't know what to think about this. She says her problem is walking across the facility. The distances are so great that walking ...

September 8, 2014 2:59 PM by Jocelyn Wallace of Striving to Be a DPT

Today, I heard from an old friend and realized that I'm having a hard time keeping up with relationships outside of school. Last week, I got home at 8 p.m. or later every night, even on Sunday because we had a fundraiser event! In sum, I'm on campus at least 50 hours a week. It can be so consuming that we often refer to our non-PT friends as the "real-life" friends, and I definitely miss mine!

In fact, I'm ...

September 4, 2014 3:39 PM by Jason Marketti of PTA Blog Talk

With today's technology, there's no reason for therapists to sit and wait for equipment to be delivered through a third party. When every therapy department has a 3-D printer, we can receive a 3-D fax that will print up the equipment we ordered. Knee braces, walkers, extra parts for broken equipment, you name it and we'll have it.

X-rays will no longer have to be a specialty for someone to come into the facility. ...

September 4, 2014 1:20 PM by Lisa Mueller of Raising the Bar in Rehab

I brought home a new dog last week -- a beautiful 2-year-old affectionate and sedentary English bulldog named Darcy. After a few years of talking about getting a pet, I decided to look more into some breeders and came across Darcy. We decided she seemed like the right pet for us and the right time in our lives to add both responsibility and joy to our lives.

Within a few days we were visiting with the owners, ...

September 3, 2014 5:01 PM by Toni Patt of Toni Talks about PT Today

I'm now participating in monthly conference calls for advocacy for physical therapy. Participating might be too strong a word. I listen. Others report. As a result, I've learned that much effort is being put into eliminating the therapy cap and other reimbursement issues.

At the end of the call, the facilitator encouraged everyone to keep talking to their elected officials. We were told our big ask this month ...

September 2, 2014 5:08 PM by Jocelyn Wallace of Striving to Be a DPT

One of my classes this semester is titled "Integumentary." The course covers a variety of topics related to the skin but is centered largely on wound care. In the first two days of the course we've learned dozens of dermatological terms, staging for different types of ulcers, wound and burn classifications and more. We've also seen a ton of shocking pictures. More shocking, however, is that I actually like it!

I've ...

August 29, 2014 4:21 PM by Lisa Mueller of Raising the Bar in Rehab

Over the past few weeks, I've noticed more videos of my friends appearing on various social media networks of themselves dumping ice cold water on their heads and nominating others to do the same. I didn't know much about how the trend started and after some reading (as well as the messages in each video), learned it was a fundraising effort to raise money and awareness for ALS.

Pete Frates, a former college ...

August 29, 2014 2:14 PM by Allison Young of Life of a PTA

I recently was looking for a good read at the library -- anything that would pique my interest and whisk me into a riveting story that related to my life in no way. As it turned out, I passed on the gritty crime fiction novels and historical fiction (my fave!) and picked up a book on caregiving for people with dementia.

I was immediately hooked as I began to read the no-nonsense approach techniques for caring ...

August 28, 2014 4:00 PM by Jason Marketti of PTA Blog Talk

Stay active, eat healthy, get plenty of sunshine and take colloidal silver. Okay, so don't take the silver, take something else, like, bitter cola. I think I could produce enough clinical evidence to promote either one though and patients would probably listen to me like I'm an authority on healthy living.

Isn't that part of what we do -- instruct patients on better lifestyle choices? And if I happen to have ...

August 27, 2014 5:56 PM by Dean Metz of PT and the Greater Good

I am involved with a networking group of rehab therapists (PT, OT, SLP) that's based back in the US. Earlier this week a member requested information on how to set up a fall prevention program. She was very enthusiastic about the need for such a program where she lived and was looking to start working in a private/home health sort of way. I can see a niche for that!

She admitted she had no experience in ...


Post written by ADVANCE guest blogger Rachel Wynn, MS, CCC-SLP

Let's start with a story that takes place in a SNF where I worked. The tight quarters of a small therapy gym and rehab wing allowed for easy co-treating and observation of my fellow therapists' treatment, which I found incredibly valuable as a new graduate. I noticed when a very gentle occupational therapist worked with a patient ...

August 26, 2014 4:17 PM by Toni Patt of Toni Talks about PT Today

Everyone who knows me knows how neuro-focused I am. It's easy to imagine me getting excited when a relatively fresh ICH patient was admitted to our facility. I felt like someone gave me a present. He'd had some complications postoperatively so he came to us prior to rehab.

As soon as I read the chart, I was already thinking of what I wanted to do. Not only was he awake, he was following commands. I teach ...

August 25, 2014 5:47 PM by Jocelyn Wallace of Striving to Be a DPT

While I'm happy to report that I finished my first semester with great grades and learned an enormous amount of information, I have to admit that I'm terrified for the semester that begins tomorrow. This time around, our classes include Medical Pathology/Pharmacology (combination course), Kinesiology and Biomechanics, Exercise Physiology, Clinical Skills I and Integumentary. For one course, we have 11 chapters of ...

August 22, 2014 10:12 AM by Allison Young of Life of a PTA

I've recently blogged about the potential closing of the long-term care/skilled nursing facility where I work. Although there has been no formal announcement from the administration, census continues to slow and hours have been cut from all departments -- for the exception of rehab. Due to the fact that we continue ...

August 20, 2014 6:28 PM by Jason Marketti of PTA Blog Talk

Stem cell research is not a new topic but can be controversial for some. Often it is the embryonic stem cells that get people upset, but there are other stem cells out there that research and biotech companies are looking into for healing and helping people recover from devastating illnesses.

As a purely scientific reading, stem cells are fascinating. You often have to put aside your personal and/or religious beliefs ...

August 19, 2014 5:20 PM by Toni Patt of Toni Talks about PT Today

I'm noticing a disturbing trend. I'm always the one pointing out the bad news. I admit I do better with realistic than cheerfully optimistic, but it seems like it's always me pointing out the flaw with a plan. If I'm not pointing out the obvious, I'm explaining why the obvious isn't going to happen. It feels like everyone else is focusing on happily ever after and I'm saying not during this admission.

This ...



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.