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Toni Talks about PT Today

Offering a Therapist Recommendation
by Toni Patt
"I need therapy. Refer me to someone who knows what they're doing." This was an actual request to me last week. One of our CNAs has an Achilles tendon injury. She has been wearing a moon boot for a few weeks. Last week her physician ordered physical therapy Read More...
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No Lifting Rules
by Toni Patt
I have a new thing to be upset about, mechanical lifts. Yes, they've been around awhile. Yes, we've all used them. It's pretty much a given that any transfer performed with one is not a functional transfer. Still, as therapists we managed to avoid their Read More...
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Things Have Changed Since I Went to PT School
by Toni Patt
Lately I've been getting comments on my blog posts from people seeking advice about entering the PT profession, and asking how or why I became a physical therapist. The answers to both of those questions are complex. The medical environment today is significantly Read More...
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The Criteria for Our Priority List
by Toni Patt
Last weekend I was at a horse show, which means I was off on Friday. One of the things I do is manage our list for who gets out of bed over the weekend. We start the list on Monday, adding names as the week progresses. We have a tech who works the weekend, Read More...
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Making a Successful Case
by Toni Patt
A few weeks ago, I expressed my frustration with our capital budget process . While I was gone, my coworkers submitted a request for, among others things, a stand lift transfer device. To say I was shocked was an understatement. Since that time I've campaigned Read More...
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I'm Not Going to CSM Next Year
by Toni Patt
For the past few weeks, I've been receiving email reminders that early registration for the 2015 APTA Combined Sections Meeting (CSM) is underway. Separate emails inform me of how to reserve housing. Another batch tries to entice me with the various topics. Read More...
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Sometimes You Say the Right Thing
by Toni Patt
Last week I wrote about my latest conflict at work . The others want to use capital budget to purchase a mechanical lift. I am opposed because mechanical lift transfers aren't functional. The patient is a passive participant. Last Saturday I was teaching Read More...
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Promoting Functional Transfers
by Toni Patt
My facility is looking at capital budget for next year. We've all been asked to submit requests for equipment. The process is pretty simple. We submit a list of items we desperately need. Later we're told we can have one or two of them sometime during Read More...
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Making the Right Rehab Choice
by Toni Patt
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 Read More...
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Working in a Wheelchair
by Toni Patt
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 Read More...
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The PTA Student Who Only Wants to Do Orthopedics
by Toni Patt
Last month we had a PTA student at my facility. The other PT was his CI because while schedule facilitates time at the barn, no one else wants to start work at 6 in the morning. From the beginning, the student made it clear he planned to work in an outpatient Read More...
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Strategic Meeting
by Toni Patt
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 Read More...
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We're Not Going to Pay for That Brace
by Toni Patt
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 Read More...
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Just Do What the Family Wants
by Toni Patt
Earlier today I had a conflict with a demented, agitated patient's wife. She wanted me to get the man out of bed with a gait belt and hoist him over into the chair. I declined, stating I didn't feel comfortable doing that and it wasn't very therapeutic. Read More...
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Blatant Rudeness
by Toni Patt
Usually when I go on a teaching trip, I have wonderful students. For the most part they pay attention. I get good questions. Some have fallen asleep because they drove three hours to get there. Others are obviously there for the CEUs. Last week I had Read More...
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