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  • 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
  • Why I Became a PT

    I was asked this question on Sunday by someone who doesn't know me very well. I had to stop and think a minute before replying. The answer is I don't remember. I remember applying to PT school. I remember PT school. I remember deciding I liked acute care the best. Yet I don't remember why I made a decision that has shaped my life for many ...
    Posted to Toni Talks about PT Today (Weblog) on April 15, 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
  • You Can't Discharge Her, the Family Will Complain

    We've all had patients we've kept on caseload longer than necessary. Sometimes it's just one more day until discharge. I've occasionally kept patients on caseload because they wouldn't get out of bed unless I did it. When I worked in the ICU, I'd keep patients because I thought they were waking up. I can't say I've ever kept someone on caseload ...
    Posted to Toni Talks about PT Today (Weblog) on March 19, 2014
  • I'm Not Alone

    I just finished my first conference call as a member of the Advocacy Committee of the Neurological Section. It was very refreshing. The other members of the committee were voicing the same frustrations and experiences I do. We may not have accomplished everything we wanted to, but did unanimously agree there's more to physical therapy than ...
    Posted to Toni Talks about PT Today (Weblog) on October 22, 2013
  • Sharing Knowledge

    When I teach, I describe using mental imagery in motor learning and as anti-neglect strategy. One of the main tenets of motor learning is repetition or as I say, practice, practice and practice some more. The concept of using mental imagery isn't new. Sports therapists and trainers have been preaching it for decades. What's new is how the concept ...
    Posted to Toni Talks about PT Today (Weblog) on October 9, 2013
  • ‘I Can't Wait Until I Can Walk Again'

    Last Saturday, one of my patients at the SNF was a woman with left femoral neck and humeral shaft fractures. She'd undergone an ORIF to repair the hip and the arm was immobilized. She was NWB on both extremities. Like many of our patients, this was not a small woman. She was limited by bilateral knee arthritis and admitted she didn't walk much ...
    Posted to Toni Talks about PT Today (Weblog) on August 20, 2013
  • Continuing Education Should Be Evidence-Based

    I'm a peer reviewer for the Texas continuing education program. I review submissions for neuro, geriatric, acute and general so I get to see a lot what is being proposed for continuing education. Texas has a specific form that must be completed for each course submitted for review. It includes speaker qualifications, specific goals, a statement of ...
    Posted to Toni Talks about PT Today (Weblog) on March 28, 2013
  • What Do I Include in CEUs?

    Recently I took on another challenge, writing a CEU module. When I agreed to do it, I thought no problem. This is what I teach. I already have an outline and references. I can just fill in the words. After I started writing, I realized something. When I teach, I have lots of material to cover so spend little time on any one thing. The CEU module ...
    Posted to Toni Talks about PT Today (Weblog) on March 5, 2013
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