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Toni Talks about PT Today

My New Pet Peeve
by Toni Patt
We all have things that annoy us. I have a new one at work, the assisted ergometer. It can be used for the UEs or LEs and programmed to provide either resistance or assistance to whoever is working the pedals. To me it is a glorified restorator. What Read More...
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Don't Count These Patients Out
by Toni Patt
It's been a while since I've had more than a few geriatric patients on my caseload. Now that my caseload is all geriatric, I've had to readjust. It's a good thing I didn't forget the first rule of geriatric care. Elderly patients are people, too. They Read More...
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Plus-Size Therapy
by Toni Patt
Last weekend, the Houston newspaper ran a story about how local health care providers are struggling to cope with heavier patients. It praised them for investing in plus-size furniture, heavy-duty stretchers and toilets that can support extra weight. Read More...
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My Morning Coffee Group
by Toni Patt
I like to start work early; the earlier the better. Usually this means I start my day alone. I grab the first patient I find out of bed and get started. Not anymore. A few days ago, I was having trouble convincing a patient to come to therapy. In frustration, Read More...
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Very Acute Therapy
by Toni Patt
This week I found myself at an outpatient orthopedic clinic treating work-related injuries. The clinic was one of several in the area. They have agreements with many local industries to provide medical and therapy services to injured employees. The injured Read More...
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Brain or Brawn
by Toni Patt
Last week, I found myself following in the footsteps of a therapist who truly believed in hands-on therapy. No matter how hard I tried, I couldn't replicate his treatments. His patients were walking with only therapist-assist. I could barely get them Read More...
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Four an Hour is Three Too Many
by Toni Patt
Last Friday a former student of mine called. She is doing an outpatient affiliation now and is stressing out. She is having trouble keeping up. She has four patients every hour and is staying late to complete her notes. I told her not to worry. She knows Read More...
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Working on Rehab Again
by Toni Patt
It's been a while since I've had the opportunity to treat patients on our rehab unit. Usually I do evaluations. Someone else does the treatments. Today I actually did some rehab treatments. Not evaluations but 60 minutes of treatment in which I could Read More...
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Don't Touch That Patient
by Toni Patt
I had an unusual conversation with a nurse last week. I was in the neuro ICU preparing to evaluate a patient. I always check with a patient's nurse prior to doing so to make sure the patient is medically stable. Normally the nurses are very helpful and Read More...
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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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I Exercise At Work
by Toni Patt
At least once a week I have a conversation where someone asks me which gym I belong to. I've also been asked for the name of my personal trainer. I usually get a shocked response when I deny both gym membership and a personal trainer. I tell everyone Read More...
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People Watching and Stroke Risk
by Toni Patt
I am a people watcher. Last weekend at the zoo was no exception. I don't look for extreme fashion or hairstyles. Couldn't care less who is with who. I watch how people walk. I do gait analyses. I look for deviations on people who walk past me. Isn't that Read More...
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She Just Loves Her Physical Therapy Nurse
by Toni Patt
A friend told me this story last week. She and her husband were having dinner with another couple. At some point the wife mentioned her mother had broken her hip and was in the hospital. According to the woman, her mother loves her physical therapy nurse. Read More...
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The Results of Getting Involved
by Toni Patt
It's been several months since I was elected as a board member to the Southeast District (SED) of the TPTA. Another meeting is coming up this week. I have nothing to report. That isn't particularly surprising since I only have two responsibilities; the Read More...
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Therapeutic Hypocrisy
by Toni Patt
The annual Houston Marathon was a hot topic at last week's district TPTA meeting. Our leadership came under fire for providing free massages to the runners after completing the course. This practice has been going for several years and I have never supported Read More...
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