If I had any doubt that patient-focused healthcare was a thing of the past, I don't anymore. Last weekend, a situation arose that showed me charging for services was more important than patient care. I work full-time at one facility and help out at another. The second facility is an hour drive away by highway. It fell to me because I'm the only ...

A friend of mine posted on Facebook today, ''I've maxed out my health insurance deductible, in-network bills are on them now.'' What an interesting state of affairs when we're tempted to congratulate someone for being unwell enough to warrant full payment for health care costs. My only fear is that we're in May. What if they hit their maximum ...

It's hard for me to believe it has been four years since I graduated PT school. I remember working as a student with physical therapists who had been practicing for four or five years and looking at them as a source of information and experience. Now that I'm on the other side of that spectrum, I still feel like I'm learning every day. As the ...

The American Physical Therapy Association (APTA), Alexandria, VA, announced in an April 30 press release that Indiana Gov. Mike Pence has signed HB 1034, granting Hoosiers direct access to evaluation and treatment by a physical therapist without a physician referral. Ensuring a patient's choice of which healthcare professional ...

An interesting article came out in the British popular press last week that states some chronic low-back pain can be cured by antibiotics. The writing is fairly clear that only certain cases would benefit from this approach and it includes links to the two scientific abstracts the article is based on: ...

Last week I described being warned not to make trouble by reporting the nurses watching the baby camera while at work. I've been thinking about that. Why would I be the troublemaker for reporting someone else doing something wrong? Shouldn't it be the other way around? You would think the person bringing it to attention would be thanked. I ...

I completed the first full week of my six-month clinical affiliation, and things are off to a tremendous start. This past week, I was assigned two patients of my very own who I'll likely see throughout their course of care on the inpatient rehab unit. It might not sound very monumental; however this is the first time that a patient has been ...

My newest thought project for this week is to better understand how physical therapist staffing is predicted for a new clinic. How does a new healthcare company or private practice facility estimate what kind of staffing it will need in a new location? My general understanding of private practice is that due to limited funds, staffing will start ...

I've spoken to patients from many countries and places around the globe. Sometimes it's like watching the movie Billy Elliot or trying to understand the lyrics of South African rap-rave crew Die Antwoord. I'm aghast, did they just curse? I wouldn't know because they speak so fast my mind can't keep up. It sounded like a curse word but there was an ...

There has always been some conflict between therapy and nursing. Each complains about what the other does or doesn't do. Last week I saw something that floored me. I went into the nursing office looking for a chart. I didn't find the chart. I did find three nurses watching someone's grandson through a web cam feed at his day care. It was on the ...