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Toni Talks about PT Today

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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Wheelchair Races After Dinner in the Parking Lot
by Toni Patt
At the SNF where I work part-time, the parking lot behind the building is built on an incline with a bend about three-fourths of the way down. There is a curb along the entire length of the descent. Last weekend, a resident told me it's possible to descend Read More...
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I'm Not Alone
by Toni Patt
I just finished my first conference call as a member of the Advocacy Committee of the Neurological Section. It was very refreshing. The other members of the committee were voicing the same frustrations and experiences I do. We may not have accomplished Read More...
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Sharing Knowledge
by Toni Patt
When I teach, I describe using mental imagery in motor learning and as anti-neglect strategy. One of the main tenets of motor learning is repetition or as I say, practice, practice and practice some more. The concept of using mental imagery isn't new. Read More...
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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...
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Secondary Gains
by Toni Patt
If you work in physical therapy, sooner or later you're going to encounter a patient, friend or relative who is making secondary gains off the patient's illness. In my experience, this usually revolves around money or special attention. I have a patient Read More...
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Life as a CEU Instructor
by Toni Patt
Today's lunch topic was my life when I travel to teach. I realized no one really thinks about the person presenting the course. I didn't think about it until I started teaching. Usually my main concerns were signing in, getting the manual, and getting Read More...
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Horse Show or TPTA Conference?
by Toni Patt
This afternoon I received the monthly email from the Texas Physical Therapy Association. It contained a prospectus for the upcoming annual conference and early registration. This is much smaller than the APTA's Combined Sections Meeting, probably not Read More...
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What If It Happened to Me?
by Toni Patt
Every time I teach, I travel to different cities. Each course brings questions and stories about past and present patients. The general theme of these conversations is either to ask advice or describe a success story. Last week I heard something different. Read More...
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Volunteering Update
by Toni Patt
In past posts, I've expressed frustration at volunteering for various opportunities within the APTA and the Neurology Section. A few months ago, I was nominated for a position on the nominating committee for the stroke special interest group. The results Read More...
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The Baby Cam is Not Skilled Therapy
by Toni Patt
There has always been some conflict between therapy and nursing. Each complains about what the other does or doesn't do. Last week I saw something that floored me. I went into the nursing office looking for a chart. I didn't find the chart. I did find Read More...
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Finally Something I Enjoy
by Toni Patt
Anyone who reads my blog with regularity knows the last year has been a struggle for me. I lost my beloved job. I was fired for being ethical. I encountered more than my share of unethical and self-serving people. During all of that, I hung on and kept Read More...
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