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  • A Bridge from PTA to PT

    Last weekend I volunteered at the Texas Physical Therapy Association annual conference. I sat at the election table and verified membership numbers during the day. Later I helped count ballots. During the slow times, I spoke with one of the professors at a local PT school. She is in the process of developing a bridge program for PTAs to become ...
    Posted to Toni Talks about PT Today (Weblog) on October 22, 2014
  • I Am a Doctor of Physical Therapy

    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 remember their names. They certainly aren't going to remember the difference. Whether or not I ...
    Posted to Toni Talks about PT Today (Weblog) on October 15, 2014
  • Sometimes You Say the Right Thing

    Last week I wrote about my latest conflict at work. The others want to use capital budget to purchase a mechanical lift. I am opposed because mechanical lift transfers aren't functional. The patient is a passive participant. Last Saturday I was teaching a course in Florida. During the section on transfers I talk about mechanical lifts. I make the ...
    Posted to Toni Talks about PT Today (Weblog) on October 8, 2014
  • Promoting Functional Transfers

    My facility is looking at capital budget for next year. We've all been asked to submit requests for equipment. The process is pretty simple. We submit a list of items we desperately need. Later we're told we can have one or two of them sometime during the next year. Usually I limit my requests to more wheelchairs and wheelchair cushions. This ...
    Posted to Toni Talks about PT Today (Weblog) on September 30, 2014
  • Making the Right Rehab Choice

    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 about which one. In Houston there are several inpatient rehab centers. One specializes in ...
    Posted to Toni Talks about PT Today (Weblog) on September 17, 2014
  • Working in a Wheelchair

    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 wheelchair. The rest of us don't know what to think about this. She says her problem is walking ...
    Posted to Toni Talks about PT Today (Weblog) on September 9, 2014
  • Coordinating Our PT Requests to Congress

    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 reimbursement issues. At the end of the call, the facilitator encouraged everyone to keep ...
    Posted to Toni Talks about PT Today (Weblog) on September 3, 2014
  • I'm Always the Bad Guy

    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 explaining why the obvious isn't going to happen. It feels like everyone else is focusing on ...
    Posted to Toni Talks about PT Today (Weblog) on August 19, 2014
  • The PTA Student Who Only Wants to Do Orthopedics

    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 orthopedic clinic. I believe he had already lined up a job. I didn't think ...
    Posted to Toni Talks about PT Today (Weblog) on August 12, 2014
  • How Can This Be a Safe Discharge?

    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 him walk due to complaints of back pain. And he lacks insight into his limitations. The case ...
    Posted to Toni Talks about PT Today (Weblog) on July 30, 2014
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