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Toni Talks about PT Today

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...
1 comments »     
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...
3 comments »     
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...
2 comments »     
What's the Purpose of a PM & R Doctor?
by Toni Patt
Until recently, I had never worked closely with PM & R (physical medicine & rehabilitation) physicians. When I worked at the "evil empire," I dealt exclusively with neurologists. Some were good. Some weren't so good. Either way, their purpose Read More...
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‘I Can't Wait Until I Can Walk Again'
by Toni Patt
Last Saturday, one of my patients at the SNF was a woman with left femoral neck and humeral shaft fractures. She'd undergone an ORIF to repair the hip and the arm was immobilized. She was NWB on both extremities. Like many of our patients, this was not Read More...
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Sometimes Even the Doctor is Wrong
by Toni Patt
I had a good laugh this morning. A doctor was ranting and raving that an order he'd written two weeks ago still hadn't been followed. The order was for a pressure-relieving shoe for a patient with a plantar wound. The doctor was very upset. He was making Read More...
1 comments »     
The Dangers of Stopping Warfarin
by Toni Patt
Over the last few weeks, the stroke service has had a run of patients who have had strokes after stopping warfarin therapy. The reason was usually to have an outpatient surgical procedure. Because warfarin thins the blood the surgeons have the patient Read More...
1 comments »     
Early Mobilization
by Toni Patt
In last week's issue of ADVANCE for Physical Therapy& Rehab Medicine , the cover story described a three-month clinical trial of early mobilization in the ICU. I wanted to cut it out and post it prominently at work. I think all medically stable ICU Read More...
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