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Showing page 1 of 4 (39 total posts)
  • Sometimes You Say the Right Thing

    Last week I wrote about my latest conflict at work. The others want to use capital budget to purchase a mechanical lift. I am opposed because mechanical lift transfers aren't functional. The patient is a passive participant. Last Saturday I was teaching a course in Florida. During the section on transfers I talk about mechanical lifts. I make the ...
    Posted to Toni Talks about PT Today (Weblog) on October 8, 2014
  • Promoting Functional Transfers

    My facility is looking at capital budget for next year. We've all been asked to submit requests for equipment. The process is pretty simple. We submit a list of items we desperately need. Later we're told we can have one or two of them sometime during the next year. Usually I limit my requests to more wheelchairs and wheelchair cushions. This ...
    Posted to Toni Talks about PT Today (Weblog) on September 30, 2014
  • Making the Right Rehab Choice

    I've previously mentioned my disappointing stroke patient. First he had a stroke. Then he had almost every possible complication. Finally he's doing better and getting ready to go to rehab. Everyone agrees he needs to go to rehab. Now there's disagreement about which one. In Houston there are several inpatient rehab centers. One specializes in ...
    Posted to Toni Talks about PT Today (Weblog) on September 17, 2014
  • Working in a Wheelchair

    No, I'm not the one using a wheelchair. One of my fellow therapists is. She has chronic knee and ankle problems. It started out as wearing a walking boot, then progressed to a knee brace and either a walker or a wheelchair to get around. She chose the wheelchair. The rest of us don't know what to think about this. She says her problem is walking ...
    Posted to Toni Talks about PT Today (Weblog) on September 9, 2014
  • The PTA Student Who Only Wants to Do Orthopedics

    Last month we had a PTA student at my facility. The other PT was his CI because while schedule facilitates time at the barn, no one else wants to start work at 6 in the morning. From the beginning, the student made it clear he planned to work in an outpatient orthopedic clinic. I believe he had already lined up a job. I didn't think ...
    Posted to Toni Talks about PT Today (Weblog) on August 12, 2014
  • Strategic Meeting

    As part of my leadership program, I attended the Texas Physical Therapy Association (TPTA) strategic planning meeting last weekend. The idea was to get newer and upcoming leaders to meet and mingle with people in leadership positions. We also got insight into how decisions are made and what is on tap for us in the future. I loved it. I chose to ...
    Posted to Toni Talks about PT Today (Weblog) on July 22, 2014
  • 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
  • Just Do What the Family Wants

    Earlier today I had a conflict with a demented, agitated patient's wife. She wanted me to get the man out of bed with a gait belt and hoist him over into the chair. I declined, stating I didn't feel comfortable doing that and it wasn't very therapeutic. She insisted. I apologized and told her I would assign the patient to someone else tomorrow who ...
    Posted to Toni Talks about PT Today (Weblog) on May 7, 2014
  • Blatant Rudeness

    Usually when I go on a teaching trip, I have wonderful students. For the most part they pay attention. I get good questions. Some have fallen asleep because they drove three hours to get there. Others are obviously there for the CEUs. Last week I had someone who disrupted the class. I encourage questions and discussion with attendees. This time ...
    Posted to Toni Talks about PT Today (Weblog) on April 22, 2014
  • Bariatric Patients are Nationwide

    One of the benefits I get from traveling is talking to therapists in different parts of the country. Things are not the same all over the country but there are a few recurring themes. We all agree that our patients are getting bigger. I started including trunk exercises for the obese patient because I was asked that question in every ...
    Posted to Toni Talks about PT Today (Weblog) on February 25, 2014
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