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  • Team-Based Care

    Over the past few months, I've heard more and more about the patient-centered medical home (PCMH) model of healthcare. I typically think about healthcare models in the silos my physical therapy clinical rotations were centered on: inpatient, outpatient, or a skilled nursing facility. The idea of healthcare facilities as a ''home'' elicits a ...
    Posted to PT and the City (Weblog) on March 14, 2014
  • What Do Scores Really Mean?

    The National Health Service was in the news again this weekend, and not for good reasons.  The children's hospital in Bristol has a high mortality rate. The medical director of NHS England, Sir Bruce Keogh, has ordered an independent review of the matter, which is remarkable in that normally investigations have to go through numerous levels ...
    Posted to PT and the Greater Good (Weblog) on February 18, 2014
  • How Sick Is Too Sick?

    When I was a student, I did a clinical rotation at a children's hospital. Now anyone who has worked with kids before or even has kids of their own are well aware of the fact that kids can be, well, germy. Very, very germy. Needless to say, six weeks into that clinical rotation, my immune system finally gave in and I came down with strep. I hadn't ...
    Posted to PT on the Run (Weblog) on January 29, 2014
  • Hospice PT

    These last few weeks, there has been a particularly troubling story in the news about 13-year-old Jahi McMath. For those unfamiliar with her story, here is an article from CNN, which provides a synopsis of what has taken place over the past month. Briefly, in early December, McMath went into a California children's hospital for a surgery to treat ...
    Posted to PT on the Run (Weblog) on January 8, 2014
  • What's Your Tipping Point?

    In the year I was back in the US, a very important paper came out here in the UK; the Francis Report, which details the failings of one institution in caring for its patients. This report is having ripple effects through the entire country in terms of lots of bureaucrats creating lots of forms and ticky-box exercises to ensure their Trust doesn't ...
    Posted to PT and the Greater Good (Weblog) on January 7, 2014
  • PT in the Great Outdoors

    I work in a hospital, and like most people who work in hospitals, once you step through those doors in the morning, you generally don't have time to go outside again until you're leaving in the afternoon. I remember in PT school it seemed like any hospital we visited, the PT gym was always in the basement (it's amazing there isn't an epidemic of ...
    Posted to PT on the Run (Weblog) on September 12, 2013
  • Future Care

    I've read about social security running out of money, reduced reimbursement rates, a decrease in the number of qualified providers, quicker discharges and supposedly better recovery after surgery. Where does this leave everyone? Social security has to be there to provide care for the blind and disabled; a reduction in reimbursements will always ...
    Posted to PTA Blog Talk (Weblog) on April 3, 2013
  • I Don't Know Much About Politics

    Really, I don't know that much. Politics to me is complicated and deceiving, and by not knowing which reports to trust or even believing any candidate will follow through with his promises, I find myself avoiding the issues more often than not. But as I've grown older and recognized how these elections will ultimately impact my life, profession, ...
    Posted to PT and the City (Weblog) on August 23, 2012
  • Friendships Abound

    During this summer ''break'' from school, I have come to realize how appreciative our patients are. I have the best days only because I am lucky enough to hear the praise of our patients about the staff at our facility. Even on the most difficult of days, where a patient calls to ask (again) why haven't I tried ultrasound and pelvic traction to ...
    Posted to Transition to Rehab Management (Weblog) on July 12, 2012
  • Combining PT and ST

    Lately I've had the opportunity to work with a wonderful ST. We bounce ideas off each other. We've even managed to co-treat a few times. In the course of working together, we've observed that improvement in one discipline carries over to improvement in the other. Although we're somewhat of a unique pairing, our combined efforts have had great ...
    Posted to Toni Talks about PT Today (Weblog) on June 26, 2012
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