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  • The Obesity Issue

    Last week I heard a statistic about obesity in the United States. Currently 36% of all Americans are obese, with the number higher in the older population, according to a recent survey. I don't know if the number is accurate but it's probably close. That is a scary number for PTs since the majority of our patient population falls into the older ...
    Posted to Toni Talks about PT Today (Weblog) on December 16, 2015
  • Do All Medicare Part A Patients Need Therapy?

    Today the answer is yes, particularly if the patient is a resident of the facility who went out with a medical problem. Not only do these patients need therapy, they need to be on caseload as long as possible. It is the only way a SNF can survive. Years ago, what I refer to as ''back in the day,'' we had the same scenario. We were encouraged to ...
    Posted to Toni Talks about PT Today (Weblog) on December 3, 2015
  • The Reimbursement Paradox

    I wish someone could explain this to me. The baby boomers are aging. Each year, millions more of them will become eligible for Medicare. Instead of increasing funding to cover everyone at current levels, the government is decreasing the funding. Everyone will still get funding but with less coverage. As physical therapists, we know the aging ...
    Posted to Toni Talks about PT Today (Weblog) on September 23, 2015
  • The PT Job Search Continues

    This week I thought I'd follow up on my friend's job search. She graduated the same year I did and lost her job last month. I'm tracking her progress because the plight of experienced therapists seeking work is completely overshadowed by how new grads are doing. As of last Friday, she had three interviews. Within three days, one told her no. It ...
    Posted to Toni Talks about PT Today (Weblog) on September 16, 2015
  • The Skilled Nursing Facility Conundrum

    Last week I was involved in a discussion regarding membership in the APTA. For once the topic wasn't new graduates but therapists who were members but no longer are. The question was, what would it take to bring them back in? What do they value? I responded by describing how a SNF functions. Fix that chaos and they'll return. SNFs are unique. ...
    Posted to Toni Talks about PT Today (Weblog) on September 2, 2015
  • Why Nothing Will Change at the APTA

    In my last blog, I described my concerns that nothing will change with the APTA, expensive consultant group or not. I expect them to continue with the same message but repackage with new words. I see subtlety in their future. The reason I don't expect change is simple. The same people will still be in charge. No one is stepping down from a ...
    Posted to Toni Talks about PT Today (Weblog) on August 19, 2015
  • My Patients Are Sicker Than Ever

    We're all well aware of the fattening of our patients. Years ago facilities rented bariatric equipment. Now they own it. Obesity compounds other medical problems as well as interfering with mobilization, and the trend continues. I've noticed another trend that doesn't seem to be getting attention. Our patients are sicker than they've ever ...
    Posted to Toni Talks about PT Today (Weblog) on June 10, 2015
  • What About the Rest of Us?

    Last week, I went to a meeting of the Texas Physical Therapy Association Southeast District. Mike Conners, the TPTA president, was speaking. His topic was the future of physical therapy and increasing awareness of legislative action in the Texas congress. He touched on all the usual topics: direct access, reimbursement for outpatient services, ...
    Posted to Toni Talks about PT Today (Weblog) on March 6, 2015
  • I'm Not Going to CSM Next Year

    For the past few weeks, I've been receiving email reminders that early registration for the 2015 APTA Combined Sections Meeting (CSM) is underway. Separate emails inform me of how to reserve housing. Another batch tries to entice me with the various topics. Naturally I go immediately to the neurological section and see how many courses will ...
    Posted to Toni Talks about PT Today (Weblog) on November 4, 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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