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Showing page 1 of 5 (44 total posts)
  • 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
  • My Disappointing Stroke Patient

    Everyone who knows me knows how neuro-focused I am. It's easy to imagine me getting excited when a relatively fresh ICH patient was admitted to our facility. I felt like someone gave me a present. He'd had some complications postoperatively so he came to us prior to rehab. As soon as I read the chart, I was already thinking of what I wanted to ...
    Posted to Toni Talks about PT Today (Weblog) on August 26, 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
  • My Little Old Man With the Brain Injury

    Currently I have an elderly gentleman with a traumatic brain injury from a fall. One version says he tripped over his dogs. Another says he had a seizure. Either way he hit his head on the way down, developed a bleed and had a craniotomy. The man was clearly ambulatory and functional prior to his injury. I'm not getting anywhere with him. It took ...
    Posted to Toni Talks about PT Today (Weblog) on August 6, 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
  • 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
  • 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
  • Request for Submissions

    It's that time of year again. The company that I teach for is requesting submissions for an education summit next year. I'm supposed to select a topic, describe what it is and why I think people would be interested. Then I submit that and five references no more than a year or two old. They try to present newer information. The problem is I can't ...
    Posted to Toni Talks about PT Today (Weblog) on April 8, 2014
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