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Showing page 1 of 4 (31 total posts)
  • 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
  • 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
  • I'm Always the Bad Guy

    I'm noticing a disturbing trend. I'm always the one pointing out the bad news. I admit I do better with realistic than cheerfully optimistic, but it seems like it's always me pointing out the flaw with a plan. If I'm not pointing out the obvious, I'm explaining why the obvious isn't going to happen. It feels like everyone else is focusing on ...
    Posted to Toni Talks about PT Today (Weblog) on August 19, 2014
  • How Can This Be a Safe Discharge?

    This morning I was working on discharge planning with one of our case managers. A doctor was ready to discharge a patient and she had asked me for recommendations. I immediately said SNF. He wasn't able to safely transfer out of bed. I had yet to see him walk due to complaints of back pain. And he lacks insight into his limitations. The case ...
    Posted to Toni Talks about PT Today (Weblog) on July 30, 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
  • Sometimes It's Hard to Feel Sorry for Patients

    Last weekend I was describing a difficult patient I had worked with earlier in the month. It was someone with several chronic and out-of-control problems, obesity and medical noncompliance. I summarized my statement with, ''I don't feel sorry for him. He created his situation.'' I was immediately taken to task by someone who overheard some of ...
    Posted to Toni Talks about PT Today (Weblog) on June 18, 2014
  • She Loves Her Job

    I always enjoy talking to the therapists who come to my course. Last week I met a PT I'll call Dottie. I don't want to use her real name, but she reminds me of someone named Dottie. Dottie has been a therapist since back in the day. She graduated years before I even thought about PT school and is still going strong. Dottie is a home health ...
    Posted to Toni Talks about PT Today (Weblog) on May 13, 2014
  • Selection for Recognition

    Driving home from work today, I was listening to a podcast of a morning radio show. They were making fun of a man who had been given some awards because he had been contributing regularly to the organizations. Because it's a local show, I knew who they were talking about. I had to agree there was no reason other than money that the man was being ...
    Posted to Toni Talks about PT Today (Weblog) on April 29, 2014
  • ‘We're All Gonna Need Physical Therapy Soon'

    I spent last weekend at a horse show in San Antonio. Even though I had both show horses with me, there was still a lot of down time. Since everything is close quarters it's easy to overhear conversations. While I was waiting I was surprised to hear someone in the barn next to us say, ''We're all gonna need physical therapy soon.'' I wasn't ...
    Posted to Toni Talks about PT Today (Weblog) on March 25, 2014
  • ‘Passive ROM Is Not a Skilled Therapy'

    Let me clarify that statement before I go any further. I refer to performing PROM as the only treatment on patients who are sedated, minimally responsive, have significant neurological involvement and the like. I'm not referring to outpatient settings, PROM as part of an overall treatment, stretching and the like. I thought that argument was ...
    Posted to Toni Talks about PT Today (Weblog) on December 11, 2013
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