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Toni Talks about PT Today

Treating a Difficult Patient
by Toni Patt
"I'm paying to be here and be taken care of. You will do what I tell you." It's bad enough we struggle for respect from physicians and occasionally other disciplines. I would say the majority of the population doesn't know what we do or the amount of Read More...
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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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An Instructor's Perspective on a CEU Course
by Toni Patt
While I was teaching last week, it dawned on me that I have a unique perspective on continuing education courses. I've been on both sides of the projector. When I teach, I'm not listening. I'm trying to remember to say everything I want to on a topic. Read More...
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Things You Hear at Work
by Toni Patt
Many years ago there was a television show called "Kids Say the Darndest Things." I think the same could be true of our patients and families. Over the last few weeks I've heard many things that make me want to shake my head. I was trying to help a man 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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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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My Disappointing Stroke Patient
by Toni Patt
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 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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My Little Old Man With the Brain Injury
by Toni Patt
Currently I have an elderly gentleman with a traumatic brain injury from a fall. One version says he tripped over his dogs. Another says he had a seizure. Either way he hit his head on the way down, developed a bleed and had a craniotomy. The man was 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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