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Toni Talks about PT Today

The Obesity Issue
by Toni Patt
Last week I heard a statistic about obesity in the United States. Currently 36% of all Americans are obese, with the number higher in the older population, according to a recent survey. I don't know if the number is accurate but it's probably close. That Read More...
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Do All Medicare Part A Patients Need Therapy?
by Toni Patt
Today the answer is yes, particularly if the patient is a resident of the facility who went out with a medical problem. Not only do these patients need therapy, they need to be on caseload as long as possible. It is the only way a SNF can survive. Years Read More...
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The Reimbursement Paradox
by Toni Patt
I wish someone could explain this to me. The baby boomers are aging. Each year, millions more of them will become eligible for Medicare. Instead of increasing funding to cover everyone at current levels, the government is decreasing the funding. Everyone Read More...
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The Skilled Nursing Facility Conundrum
by Toni Patt
Last week I was involved in a discussion regarding membership in the APTA. For once the topic wasn't new graduates but therapists who were members but no longer are. The question was, what would it take to bring them back in? What do they value? I responded Read More...
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Why Nothing Will Change at the APTA
by Toni Patt
In my last blog , I described my concerns that nothing will change with the APTA, expensive consultant group or not. I expect them to continue with the same message but repackage with new words. I see subtlety in their future. The reason I don't expect Read More...
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My Patients Are Sicker Than Ever
by Toni Patt
We're all well aware of the fattening of our patients. Years ago facilities rented bariatric equipment. Now they own it. Obesity compounds other medical problems as well as interfering with mobilization, and the trend continues. I've noticed another trend Read More...
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The Patient Is Always Right No Matter What
by Toni Patt
My facility has instituted a new policy: Keep the patient happy no matter what. Staff has been instructed to think of patients and their families as clients. Happy clients tell friends about their experiences. We want those friends to choose our facility Read More...
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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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What About the Rest of Us?
by Toni Patt
Last week, I went to a meeting of the Texas Physical Therapy Association Southeast District. Mike Conners, the TPTA president, was speaking. His topic was the future of physical therapy and increasing awareness of legislative action in the Texas congress. Read More...
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One of My Favorite Patients Died Last Week
by Toni Patt
Bob (not his real name) was one of our facility frequent fliers. His diabetes was out of control. His circulation was terrible. He had a BKA on one leg and the other leg needed one. He refused to wear his oxygen so was always SOB. Nonetheless he was always 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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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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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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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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I Am a Doctor of Physical Therapy
by Toni Patt
When I earned my DPT, I also earned the right to be called doctor. I must include the clarification that I'm a doctor of physical therapy. The same is true for doctors of pharmacology. I continue to find this amusing because most of my patients can't Read More...
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