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Toni Talks about PT Today

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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My Latest Continuing Education Course
by Toni Patt
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 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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Request for Submissions
by Toni Patt
It's that time of year again. The company that I teach for is requesting submissions for an education summit next year. I'm supposed to select a topic, describe what it is and why I think people would be interested. Then I submit that and five references Read More...
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Bariatric Patients are Nationwide
by Toni Patt
One of the benefits I get from traveling is talking to therapists in different parts of the country. Things are not the same all over the country but there are a few recurring themes. We all agree that our patients are getting bigger. I started including Read More...
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Agitation or Aggression?
by Toni Patt
Recently we had an elderly man on caseload with a diagnosis of advanced dementia. It was obvious he was in the later stages of the process. He couldn't follow commands. His swallow was diminished. He was disoriented times three and demonstrated poor motor Read More...
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Dosage Matters
by Toni Patt
There were two common themes at CSM this year: dosage and intensity. Every clinical presentation I attended mentioned one or the other. Intensity was defined as how hard the patient is working. Dosage referred to the number or reps or duration in the Read More...
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Well-Meaning Relatives
by Toni Patt
The first thing I heard when I got to work Monday morning were tales of the well-meaning relatives. We all know the type. They try to help but only make things worse. Or, with the patient's best interest in mind, they interfere with just about everything Read More...
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Therapy Can Do That
by Toni Patt
I think we've all reached the conclusion that cutting staff to save money means therapy will be asked to do even more with less. The unspoken expectation, at least in the places I've worked, is that therapy will fix everything. We're the ones who help Read More...
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My Visit to the Emergency Room
by Toni Patt
Last week while I was in New Jersey to teach seminars, I was involved in a motor-vehicle accident. I hit my head on the steering wheel, was taken to the emergency room and diagnosed with a concussion. During the time immediately following the accident, Read More...
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