Someone was fired last week. The rumor is going around that she was fired because she didn't smile. I don't know if that's true or not but in Texas it is legal. Here an employer can fire an employee for any reason, even if they make it up. Nor do they have to prove it's true. There are no laws preventing it. Maybe the woman smiled. Maybe she ...

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 ...

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 ...

There is new evidence in the physical therapy world that creates a paradox. The patients who benefit the most are the patients who receive the least therapy. Everything I read demonstrated that the more impaired patients made the greatest improvement when provided with the most intense therapy. This was true in the acute, subacute and chronic ...

Recently the Texas Board of Physical Therapy Examiners changed the requirements for license renewal. They continue to require 30 hours of continuing education but now therapists must include proof of that education with their application for renewal. Previously no proof was required. Compliance was monitored through random audits. Included in the ...

It's been several months since I was elected as a board member to the Southeast District (SED) of the TPTA. Another meeting is coming up this week. I have nothing to report. That isn't particularly surprising since I only have two responsibilities; the spring and fall student socials. Next month will be different. Meanwhile I've had time to ...

Last week I had a chance to visit with someone very knowledgeable about the PT world. We talked about the many changes in the profession over the years as well as what was yet to come. I enjoy talking to her because she has an unusual take on things. She caught me completely off guard when she said she expects insurances to stop reimbursing for ...