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  • 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
  • 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
  • Horse Show or TPTA Conference?

    This afternoon I received the monthly email from the Texas Physical Therapy Association. It contained a prospectus for the upcoming annual conference and early registration. This is much smaller than the APTA's Combined Sections Meeting, probably not even a thousand people. But it's a good opportunity to be involved in what's going on here and ...
    Posted to Toni Talks about PT Today (Weblog) on July 3, 2013
  • Volunteering Update

    In past posts, I've expressed frustration at volunteering for various opportunities within the APTA and the Neurology Section. A few months ago, I was nominated for a position on the nominating committee for the stroke special interest group. The results arrived today. I wasn't elected. I wasn't surprised. One of the questions nominees were asked ...
    Posted to Toni Talks about PT Today (Weblog) on June 11, 2013
  • Finally Something I Enjoy

    Anyone who reads my blog with regularity knows the last year has been a struggle for me. I lost my beloved job. I was fired for being ethical. I encountered more than my share of unethical and self-serving people. During all of that, I hung on and kept going to work. Every so often I made a difference to someone, which kept me going. For the ...
    Posted to Toni Talks about PT Today (Weblog) on April 9, 2013
  • Time and Money

    Now that I'm home from CSM, I've had an opportunity to process all of the information. Most of the presentations were excellent. Those that weren't purely theoretical had a common theme. We have to maximize what we do because we're spending less and less time with patients. We have less time to spend because there isn't money to pay for our ...
    Posted to Toni Talks about PT Today (Weblog) on January 29, 2013
  • What Is a Physical Therapist Extender?

    Reading Jason Marketti's blog last week reminded me of a discussion we're having here in Texas. It's called RC-3 and is an amendment to the Texas Physical Therapy Practice Act. It proposes unlicensed individuals such as athletic trainers and massage therapists be used as PT extenders. These extenders are to provide care as directed by the physical ...
    Posted to Toni Talks about PT Today (Weblog) on October 9, 2012
  • Biting Off More Than I Can Chew

    Last week, I wrote about my experiences teaching my first CEU course. I mentioned how much work it was but didn't go into details. It took me nearly four months to finish, including two months of working at least an hour or two every night. Now I'm going back and revising the content. I'm beginning to think that is an ongoing process. In the ...
    Posted to Toni Talks about PT Today (Weblog) on October 2, 2012
  • The Future of Physical Therapy

    This morning I had a conversation with an OT who has as much experience or more than I do. I mentioned my frustration with employers desiring low pay over experienced therapists. I don't think my tDPT and geriatric specialization have made me more attractive to employers. If anything, they have made me less attractive. Having them makes me more ...
    Posted to Toni Talks about PT Today (Weblog) on May 3, 2012
  • PT and PTA Reimbursements Are the Same

    Jason Marketti made an excellent point last week when he responded to my post. He pointed out that in all but one state, reimbursement is the same for treatments provided by a PT or a PTA. On the surface, that makes sense. Our charges are treatment-based. If I perform gait training, I charge a gait. If Jason performs gait training, he also charges ...
    Posted to Toni Talks about PT Today (Weblog) on April 24, 2012
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