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Toni Talks about PT Today

The Burden of Caregiving
by Toni Patt
I've been watching a familiar scenario play out over the past few weeks. The wife of one of my seriously ill patients has been living a dual life. She simultaneously stays at the hospital all day to care for her husband while racing home to raise three 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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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...
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Coordinating Our PT Requests to Congress
by Toni Patt
I'm now participating in monthly conference calls for advocacy for physical therapy. Participating might be too strong a word. I listen. Others report. As a result, I've learned that much effort is being put into eliminating the therapy cap and other 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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I'm Always the Bad Guy
by Toni Patt
I'm noticing a disturbing trend. I'm always the one pointing out the bad news. I admit I do better with realistic than cheerfully optimistic, but it seems like it's always me pointing out the flaw with a plan. If I'm not pointing out the obvious, I'm 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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How Can This Be a Safe Discharge?
by Toni Patt
This morning I was working on discharge planning with one of our case managers. A doctor was ready to discharge a patient and she had asked me for recommendations. I immediately said SNF. He wasn't able to safely transfer out of bed. I had yet to see 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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The Change Cup
by Toni Patt
The facility I work in isn't very large. We have a cafeteria that's only open a few hours at time. For lunch we have two entrees, soup or the grill. Just like everywhere else I've worked, we all complain how expensive it is. When you check out, there's Read More...
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Sometimes It's Hard to Feel Sorry for Patients
by Toni Patt
Last weekend I was describing a difficult patient I had worked with earlier in the month. It was someone with several chronic and out-of-control problems, obesity and medical noncompliance. I summarized my statement with, "I don't feel sorry for him. Read More...
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Gerichairs Are Not Recliners
by Toni Patt
This is something I've never experienced. The facility I work for uses therapy gerichairs as recliners for patient family members. For some reason, the facility has yet to invest in recliners that can be put in patients' rooms. When a family member or Read More...
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