Stacks on stacks! You make money, now what will your money make?
- Having just driven up to Maine (half the US eastern seaboard) I was exposed to the population at large. While people-watching at rest stops, traffic jams and city streets, I started thinking about population health and the APTA’s “transforming society” aims.
My first reaction was “Ha, yeah right.” My second reaction was “Hahaha, yeah right.” Now, it’s not that we cannot treat any and all of these individuals within our scope in all movement, pain and return-to-QOL aspects, we certainly can. But “transforming society” is not as simple as treating patients. Continue reading
Code of Ethics: 2D. Physical therapists shall collaborate with patients/clients to empower them in decisions about their health care.
Empower: To give power or authority to; to enable or permit.
It comes down to this quite often. A patient tells me that they will need [Surgery, Meds, Injections] because a medical authority told them they need [Surgery, Meds, Injections]. Caveat: this is true sometimes, in my opinion.
Once this phrase is uttered by a patient an immediate response is made that includes describing patient rights. Continue reading
My first month off following graduation was spent interviewing for travel positions. I was looking for a way to pay off some of my six figure loan debt effectively, and travel PT provides that opportunity. I ran into some interesting situations during the interview process.
Many companies wanted to know what skills I could bring to the table (i.e. what hands on skills [i.e. what manual skills]). I may have fumbled Continue reading
Gaining access to a skilled physical therapist is extremely important and is one of the major issues we face as a profession and health care system. We are after Self-Referral… or Direct Access. Meaning, if a member of the community thinks they need services from a physical therapist, they should be able to directly access that service, and that therapist.
Here’s the problem: WE know who could benefit from our diagnosis, prognosis, interventions and thought processes… but the public often does not. If they don’t know what we do (other than “pain and torture” or “massage”) then why would they seek us out? Continue reading
I was recently at a company-wide meeting with all the PTs and as I looked around I got thinking…
An entire room of people who think differently, have different algorithms and thought processes, and are all going to be treating people who are seeking one thing: Physical Therapy.
It was a very crazy thought. How can this ALL be Physical Therapy? Certified Manual Trigger Point Therapists, Certified Mechanical Diagnostic Therapists, Certified Othopedic Manual Therapists. At first it is a bothersome idea, as in, they can’t all represent PT, or the PT that I envision. But perhaps that is short sighted. Isn’t that one of our greatest assets? Isn’t that a selling point right there? We are extremely varied in our approach… there is a therapist for every patient. There’s a PT for every pt.
We, in PT, are evidenced-based and research driven. We look for the Continue reading
Insurance: What an interesting concept
First off: Insurance is not a good deal. You pay money each month (bad deal), then you must trade your health to get the “benefits” (bad deal). To see any money back, to get “your money’s worth,” you need to use the system, and using the system means you are not independently healthy… so it’s a lose-lose.
Same goes for Life Insurance. Gotta die to get the moneyzz. Bad Deal. But I do it anyway… you too.
No one is !happy! with their insurance, right? Well, that might not be true; it all depends on your comfortability with risk. Some benefits may exceed your expectations even! It’s mostly in what you Continue reading
After a few weeks back in the out patient physical therapy setting I am re-confronted with the pathoanatomical-ness of diagnosis.
The battle for language and context of explanation rages on: full strength, full power, full speed. Whew, just trying to hang on. Daily I must combat the destructive thoughts of a fragile body, or a decaying joint, a shredded tendon, or a tear from here to there.
Sometimes it is very true. Others not. But trying to de-fixate an individual’s thoughts off of the negativity of their structures is unaided by visual proof that they are internally “disfigured.”
We’ve gone too long with this faulted and fragmented system. We’ve failed to listen to our patients because of a highly legislated, bureaucratized, and overly business’d system that has worn down our providers forcing submission to the system or withdrawal. We’ve failed to educate our health care providers correctly, teaching body systems as if there were only minimal connections between them leading to societal mis-conceptions of pain, aging, and the power of the mind and brain. Continue reading