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  • My Disappointing Stroke Patient

    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 to us prior to rehab. As soon as I read the chart, I was already thinking of what I wanted to ...
    Posted to Toni Talks about PT Today (Weblog) on August 26, 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
  • Strategic Meeting

    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 into how decisions are made and what is on tap for us in the future. I loved it. I chose to ...
    Posted to Toni Talks about PT Today (Weblog) on July 22, 2014
  • My Latest Continuing Education Course

    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. Needless to say, I was a little nervous about this one. The topic was motor learning. It was ...
    Posted to Toni Talks about PT Today (Weblog) on July 8, 2014
  • Blatant Rudeness

    Usually when I go on a teaching trip, I have wonderful students. For the most part they pay attention. I get good questions. Some have fallen asleep because they drove three hours to get there. Others are obviously there for the CEUs. Last week I had someone who disrupted the class. I encourage questions and discussion with attendees. This time ...
    Posted to Toni Talks about PT Today (Weblog) on April 22, 2014
  • Request for Submissions

    It's that time of year again. The company that I teach for is requesting submissions for an education summit next year. I'm supposed to select a topic, describe what it is and why I think people would be interested. Then I submit that and five references no more than a year or two old. They try to present newer information. The problem is I can't ...
    Posted to Toni Talks about PT Today (Weblog) on April 8, 2014
  • Dosage Matters

    There were two common themes at CSM this year: dosage and intensity. Every clinical presentation I attended mentioned one or the other. Intensity was defined as how hard the patient is working. Dosage referred to the number or reps or duration in the case of a static activity. In both cases, more is considered better. Last weekend I worked at a ...
    Posted to Toni Talks about PT Today (Weblog) on February 11, 2014
  • I'm Not Alone

    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 everything we wanted to, but did unanimously agree there's more to physical therapy than ...
    Posted to Toni Talks about PT Today (Weblog) on October 22, 2013
  • Sharing Knowledge

    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. Sports therapists and trainers have been preaching it for decades. What's new is how the concept ...
    Posted to Toni Talks about PT Today (Weblog) on October 9, 2013
  • What's the Purpose of a PM & R Doctor?

    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 for being involved in the patient's care was clear. There was a PM & R service. From what I ...
    Posted to Toni Talks about PT Today (Weblog) on September 10, 2013
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