Dr. Rehab
Los Angeles, CA
Female, 31
I'm a practicing PT with a Doctorate for the past 4 years now. Although it may not seem like a long time, I have gained extensive knowledge and experience in various PT settings. I've worked anywhere from outpatient therapy, home health, aquatic therapy, inpatient rehab, and private clients. I now also instruct on an online prep course for graduates seeking to pass their National Board Examination. PT is a very rewarding job, but can also SUCK, which explains my quest to find the ideal situation
Generally speaking, I'd have to say that the most common problem is low back pain. Seems like just about everyone has, at one point or another, experienced some sort of back pain. We are a society now that's glued to our computer or TV screens, which equates to a lot of sitting time. Add on poor posture and a weak core, and you've got back issues!
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I understand that insurance companies are trying to protect themselves from those that abuse the system. And I'm not saying there isn't abuse of the system or that there aren't those that wouldn't take advantage of their insurance benefits if given the chance. I'm also only speaking from personal experience and have seen first-hand the difficulties of getting benefits for those that I truly feel need it. Blue Shield was one of those companies who required a secondary authorization for PT services. They would often cite that the national average to evaluate and discharge a patient was a total of 8 visits, which is very short. I wish insurance companies would understand that PT is also very much a wellness and preventative care service that can really limit the amount of surgery or other high costing medical procedure that's really costing the insurance companies. Why not spend less money on services that can improve a patient's health and well-being through PT education, rather than wait till it's so bad that they need high costing medical procedures?
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I have heard of laser treatments, but know they are not as common as your typical therapeutic modality, such as heat, ice, traction, ultrasound, electrical stimulation, just to name a few. The use of therapeutic modalities are most effective in the acute stages of your injury, and can be used as a supplement to treatment to aide in tissue healing. However, it should never be used as a major part of your therapy. PT is most effective in conjunction with manual therapy (joint mobilizations), therapeutic exercises, and patient education. It's also the PT's job to inform you of these treatments and explain why they think you would benefit from it. Whether you are seeing your Physician, Dentist, Optometrist, etc., never be afraid to ask questions about your treatment plan or decision. It's your body and your health, and it's always a good idea to play an active role.
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It's really a shame when I hear that someone's PT experience was pointless or ineffective. Hearing that leads me to two possible conclusions; a) your therapist was not doing an effective job in identifying your needs and addressing those problems, b) your therapist was trying to keep the schedule full. Both are unacceptable. It is our ethical duty to treat patients until they have reached their max rehab potential, and discharge them to an independent home exercise program. The other scenario is if other issues have come up or there has been a decline in function. This would then lead to referral back to the physician for further follow-up. Half of PT is also patient education, so you know exactly what's going on in your body so that you are able to make the right choices in maintaining the benefits received during your skilled treatment sessions. I'm wondering what it was about your sessions you felt were pointless and ineffective. I don't know of PT's who keep patients on just to stay busy, but those that do, just bring our profession down. Like in any business/industry, there are always those bad eggs who ruin it for everyone.
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Hospice Nurse
How did you feel with the passing of your first patient?
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Do you think tablets are just a fad?
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Is the new Oculus Rift thing as cool as everyone says?
That's a good question! There really isn't one population that is harder to work with than some others. It's really dependent on someone's personality. There are elderly people who are sweet and do what we educate them on. And then, of course, we come across the stereotypical grumpy old man who thinks exercise is pointless at their age. From my experience, athletes are fun to work with since they are dedicated to their profession, which requires them to be in the best shape possible. I, personally, find it difficult to work with the pediatric population. But that's only because I don't have a lot of experience with kids in general. They need to be motivated, encouraged and entertained in a way that is pretty foreign to me. Asking me to keep the attention of a couple of toddlers for even a few minutes is like the blind leading the blind. The good part about PT is that you can work with just about any population you like and feel comfortable with. There are fantastic pediatric PT's who love kids, and kids love them. Same goes for any athlete, elderly, neurologic, and orthopedic client you may come across.
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This is one area that I don't have a ton of experience in. Where I'm located, most veterans go to the veterans hospital for their treatment. I initially had an interest in working with amputees and being a part of helping them learn to walk again. I haven't quite had the chance to check out that part of PT yet. I would think that most veterans have tons of motivation to improve with strong work ethics and determination. However, there is the psychological aspect (i.e. PTSD) that I'm not particularly experienced in that I'd imagine would cause some difficulties. But it sounds like a challenging and interesting scene to pursue next.
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No romantic relationships for me since I was already engaged by the time I started practicing PT. Having a romantic relationship with a person that is still your patient is frowned upon, for professional reasons. To be honest, I really don't know if there are any real ethical or legal ramifications to that. I guess I didn't pay much attention to the rule book about this issue. However, I do know of colleagues that are now in serious relationships or are even married to their former patients. I have developed friendships with many of my former patients/clients over the years that I still keep in touch with. PT really is a profession where you can get to know a person rather quickly in a short amount of time. It has been great for networking and also benefiting from their services. I've enjoyed the perks of legal consultation, haircuts, getting into clubs, attending movie premieres, and many more. Even if you don't become friends, many PT's will often get gifts or other small tokens of appreciation for all the time spent together. Another reason why PT can be so rewarding and satisfying :).
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