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  • We're Not Going to Pay for That Brace

    A few weeks ago, a woman was admitted to our facility with a knee injury. She appeared to have ligamentous damage on top of arthritic deformities. She came to us for medical management and antibiotics prior to surgery. Before she was admitted, her orthopedist ordered a KAFO for the involved leg. I'm not a big believer in KAFOs. In my experience ...
    Posted to Toni Talks about PT Today (Weblog) on July 15, 2014
  • The SNF Rehab Model Must Change

    I've learned immense amounts about what my American PT colleagues are going through just to work these days. It disheartened me at first, inspired me next, and now has propelled me to think more creatively. I think it may be time to throw out the baby with the bathwater... and the tub... and the sink... heck let's just rip down the house! The SNF ...
    Posted to PT and the Greater Good (Weblog) on July 15, 2014
  • The Value of Cadaver Lab in PT School

    One of my courses this semester has been cadaver lab. My school uses a unique format where a group of medical and dental students lead the lab on cadavers that they've dissected. Outside of lab hours, we have full access to the lab to study the bodies. With two weeks of this class left, I've been reflecting on the value of my cadaveric ...
    Posted to Striving to Be a DPT (Weblog) on July 14, 2014
  • Geriatric Advice

    ''I have a positive attitude and I surround myself with positive people. I eat cleanly and have a bowel movement every day -- it makes a difference (wink).'' This wise statement was given to me by a 98-year-old patient when I asked her, ''What is the secret to aging gracefully?'' This particular person did not use an assistive device, walked ...
    Posted to Life of a PTA (Weblog) on July 11, 2014
  • Delayed ICD-10

    Medicare and Medicaid announced recently that ICD-10 will go-live on October 1, 2015, which is the third time the change has been delayed since 2009. CMS states that several factors impact the delay of implementing the updated coding guidelines: software, staff training, updating policies and guidelines, as well as paperwork to reflect the ...
    Posted to Raising the Bar in Rehab (Weblog) on July 11, 2014
  • Student and Patient Communication

    So I had a student start a couple weeks ago. You may recall I wanted to have a ''student summit'' this summer, but unfortunately it got bogged down in some administrative red tape. Needless to say it's been tentatively scheduled for this fall after my student's rotation is done. Anyway, my student has been doing well. This is his third clinical of ...
    Posted to PT on the Run (Weblog) on July 10, 2014
  • Modalities and Treatments

    Since I follow the PT's direction in regard to patient care and treatment, I sometimes make suggestions in regard to modalities to facilitate the patient's recovery. Not every PT likes modalities and I respect that; however, if I see the OT providing treatment on a patient we are also seeing, and the OT is using modalities the PT doesn't agree ...
    Posted to PTA Blog Talk (Weblog) on July 9, 2014
  • My Latest Continuing Education Course

    Last month I went to an onsite CEU course. Back in the day, I was a CEU junkie. I'd go not just for CEUs but if the topic sounded interesting. More recently I've had to cut back and limit myself to CSM. This year I got burned by the stroke course at CSM. Needless to say, I was a little nervous about this one. The topic was motor learning. It was ...
    Posted to Toni Talks about PT Today (Weblog) on July 8, 2014
  • Effective Agents for Change

    Two weeks ago I attended, and presented a poster, at a seminar on change within the National Health Service (NHS). We were asked to present because we had excellent outcomes in our service and we got them by doing things differently than other services had done. It was an enlightening day. The primary speaker, Helen Bevan, gave a fantastic ...
    Posted to PT and the Greater Good (Weblog) on July 8, 2014
  • Free Time in PT School

    The 4th of July left me with a four-day weekend and, with only one exam this upcoming week, I've had no idea what to do with myself. While not having to cram this past week was refreshing, I'm feeling worried because I didn't spend nearly as much time on school things as I should have. I could have used these days for staying ahead but I'm instead ...
    Posted to Striving to Be a DPT (Weblog) on July 7, 2014
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