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  • Offering a Therapist Recommendation

    ''I need therapy. Refer me to someone who knows what they're doing.'' This was an actual request to me last week. One of our CNAs has an Achilles tendon injury. She has been wearing a moon boot for a few weeks. Last week her physician ordered physical therapy for her. I wasn't much help for the request. I'm not in the loop of people who would ...
    Posted to Toni Talks about PT Today (Weblog) on March 18, 2015
  • No Lifting Rules

    I have a new thing to be upset about, mechanical lifts. Yes, they've been around awhile. Yes, we've all used them. It's pretty much a given that any transfer performed with one is not a functional transfer. Still, as therapists we managed to avoid their use and perform functional transfers. No lifting rules require a device of some kind. More and ...
    Posted to Toni Talks about PT Today (Weblog) on February 27, 2015
  • Things Have Changed Since I Went to PT School

    Lately I've been getting comments on my blog posts from people seeking advice about entering the PT profession, and asking how or why I became a physical therapist. The answers to both of those questions are complex. The medical environment today is significantly different from when I went to PT school 30 years ago. I like to joke that I went to ...
    Posted to Toni Talks about PT Today (Weblog) on February 18, 2015
  • An Instructor's Perspective on a CEU Course

    While I was teaching last week, it dawned on me that I have a unique perspective on continuing education courses. I've been on both sides of the projector. When I teach, I'm not listening. I'm trying to remember to say everything I want to on a topic. I have set examples I use every time but no two courses are the same. If I get distracted, I ...
    Posted to Toni Talks about PT Today (Weblog) on January 22, 2015
  • Making a Successful Case

    A few weeks ago, I expressed my frustration with our capital budget process. While I was gone, my coworkers submitted a request for, among others things, a stand lift transfer device. To say I was shocked was an understatement. Since that time I've campaigned against the thing. It doesn't promote functional transfers. It doesn't allow patients to ...
    Posted to Toni Talks about PT Today (Weblog) on November 12, 2014
  • 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
  • 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
  • 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
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