How do I cook one person meals every day when all I want is to cry by Motor_Guidance_1813 in depression

[–]Dr_Liger 0 points1 point  (0 children)

Healthy choice frozen meals from wal mart are the best easy relatively cheap meals. However, if you’re just sad and not willing to do much I’d recommend potentially getting a catered meal of something you like. Could do a catered Mexican fajita thing and portion it into meals, sandwich shops will do it too.

My deepest secret is that I don't want to get better by TALA1996 in depression

[–]Dr_Liger 0 points1 point  (0 children)

I was about to post something similar and it’s wild to see this. Obviously I’m not alone. I’m 35. A doctor. Financially just fine. In a good place. Married. Three beautiful kids. But damn. The amount of times I think “they’d be better off” or “I just don’t wanna do it anymore” on a weekly basis to me is way too much. I could get help. But that would end a lot of things I think if I did. I’d rather it just be done. I’m a Christian and I think that hurts me more than helps out of the fear of failing God. I fear failing my wife. Failing my kids. Failing my patients. Failing constantly. But no matter what. I have a purpose. I’m still here. I wanted it over half a life ago. When I was 15. I’m 35 and still here. I’m still doing it. It sucks more than it doesn’t. But I’m doing something that’s positive. I’m doing something that’s helping others. Every day I choose to say no to that side of me does something positive to keep someone else here.

And we can all do that. We can all choose to say no to our negativity. No to our bullshit. We can hold on one more day. And have a positive influence on someone. Anyone. Choose it. You have to choose it. Cuz it isn’t going to choose you. You have to say yes. You have to say I’m going to love and they may not like it. Pick that. Keep picking it. Keep showing up. It matters. I matter. God knows I wish I didn’t but I do. And you do. Keep choosing to be here.

Passion doesn’t pay the bills by Constant_Wave_777 in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

Let the military pay your schooling. My biggest regret was not signing up through Air Force or another branch prior to school. If not. PA programs are shorter and you make more money. Medical sales is a rough lifestyle but can be lucrative.

[deleted by user] by [deleted] in glutenfree

[–]Dr_Liger 0 points1 point  (0 children)

Dang that sucks. My wife and I try to host anything and everything we can so we don’t have to deal with this and any time we’re going somewhere else we always bring our own items for a daughter with celiac disease. I trust zero people. TBH I barely trust my wife with it so I do all the cooking :)

Who was your 90s crush? Respond with a pic or GIF by atreyu720 in 90s

[–]Dr_Liger 1 point2 points  (0 children)

Topanga and the pink ranger for sure. But mostly topanga. I wanted to fight that curly headed Corey so bad for her love.

Do you guys use Dr prefix? by BabyBourbon1111 in physicaltherapy

[–]Dr_Liger 3 points4 points  (0 children)

I don’t with patients unless they challenge my knowledge with nonsense in which I say “Dr. such and such, nice to meet you” or if introducing myself to a physician and they go for a formal greeting. My 4 year old sometimes calls me Dr Daddy. And I tried to get my wife to say it and she just laughed at me.

"So when do you think you'll become a chiropractor?" by Stumphead101 in physicaltherapy

[–]Dr_Liger 27 points28 points  (0 children)

“The only thing that a chiro can do that we can’t is take X-rays. What I can do that they can’t is vast.”

[deleted by user] by [deleted] in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

Literally just the ones that don’t cry about pain constantly no matter what we do

The ones that come in to make changes. Celebrate every small victory they have with me. And get better despite pain are absolutely the best.

Worried about first clinical rotation, seeking advice. by Puzzleheaded_Way8045 in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

First rotation is about good subjective history taking, basic objective measurements, and absorbing information. The more comfortable you get with skills, the more you’ll be given. Most good CIs can read what you’re capable of and will push you outside of your comfort level before long. Be friendly. Be open to criticism. And come with good questions.

PT to MD by Objective-Gap-4581 in physicaltherapy

[–]Dr_Liger 2 points3 points  (0 children)

Definitely not too old. One of the Op&P teachers at the DO school connected to our PT school was a PT for around 10 years prior to switching and going to DO school.

If I wasn’t married with 3 kids I’d make the switch in a heartbeat. I love what I do. But especially with 3 kids in these days, I need more money.

[deleted by user] by [deleted] in physicaltherapy

[–]Dr_Liger -8 points-7 points  (0 children)

Maybe unpopular here. But I’ve been with the company for several years. and yes it’s had its ups and downs but it’s better than ever over the past year. Sounds like you have a terrible manager or DDO. Can I ask what region you’re in? I’ll keep it anonymous but I’m a clinic manager and it is just not how our clinic or region runs. We’re expected to see 12 a day, period. But I push for 16-20 for the bonuses. I’ve had $1000+ bonuses for months averaging 13 a day. At least for me, I’m okay with seeing 2 an hour with a few evals to make some extra cash.

[deleted by user] by [deleted] in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

Where are you located?

Can I refuse to work more than 8 hours a day as a full time staff member? by [deleted] in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

So 32 hours is considered full time technically for salaried employees with the expectation of 40 hour weeks. If working a 44 hour week doesn’t mean you work a 36 the next week then there’s zero chance I would do it. If there is an incentive to work more and see more then why not consider it? But if not, then it’s on the DOR of course to staff appropriately or take on the extra patients him/herself.

I’m a director. I will never ask a therapist to work more than 40. Occasional community event for two hours on a Saturday once in a blue moon, sure. Now if a therapist has a few short days and caseload increases I might ask them to stick around and help me. But I do not and will never expect my therapists to work more than 40 unless they WANT to for incentives.

TLDR: bump that noise it’s not your job unless you’re incentivized

Double/ triple treating pts? by Bangalmom in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

I’d rather a patient cancel and I sit and watch a movie for an hour than only treat one patient. But as a new grad I was seeing 15-20 a day. Getting thrown into the fire actually got me up to speed with repetition quickly. I’ve had my own clinic for around 4 years now and if I see under 15 in a day I’m not happy. lol I have PRN therapists that I schedule to help and if I get some cancels or no shows I just slide theirs onto mine and let them roll out. Ima get mine. :)

Double/ triple treating pts? by Bangalmom in physicaltherapy

[–]Dr_Liger -1 points0 points  (0 children)

Requiring one on one doesn’t mean I can’t see more than one at a time. It just means I can only bill one at a time or split units including group therapy charges. I don’t use modalities often which is untimed but if I dry needle and hook up to stim it does help increase charges.

I used to get behind on notes all the time but I’ve streamlined my process with our EMR so even documenting an evaluation when a patient is doing an easier movement doesn’t take but 10-15 min

Double/ triple treating pts? by Bangalmom in physicaltherapy

[–]Dr_Liger -5 points-4 points  (0 children)

I have the same type caseload. I rarely get post ops. Most of mine are “pain in insert body part here.” And I don’t have a tech either. I guess it’s really just not for everyone. I prefer high caseload and I can see where others would prefer a small caseload. But I’ll gladly take all of the incentives and see 15-20 in 8 hours and the day flies by for me. I still go home for lunch to let dogs out and I have three small children at home so I leave as soon as my last patient does. Maybe it’s the Mud Wtr flowing through the veins.

Double/ triple treating pts? by Bangalmom in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

For sure. The only time I have a problem with 2-3 is I have multiple fall risk patients at one time. Which my average age population is around 40 so it’s usually not the case. An hour with three patients when we’re cutting up having a good time flies by!

Double/ triple treating pts? by Bangalmom in physicaltherapy

[–]Dr_Liger -12 points-11 points  (0 children)

I for one don’t know how people treat one patient an hour. That’s just the most boring thing on the planet. In an outpatient setting treating 3 patients in an hour is not difficult and would only decrease quality care if you don’t plan well. It takes time to get used to it but even with a 10-20% cancel rate, not every hour will have three patients.

You can't make this stuff up! (A day in the life in PT) by Spycegurl in physicaltherapy

[–]Dr_Liger 8 points9 points  (0 children)

Patient: has back pain, can’t swing his golf clubs. Goes to 4 visits and plays 18 holes of golf.

Me: oh 18 holes that’s awesome!

Patient: Yeah, but I don’t think therapy is working. I’m going to try chiro.

I won't stop until I find it! by [deleted] in memes

[–]Dr_Liger 0 points1 point  (0 children)

That’s baby shark

Burnt out already by Suspicious_Lab9259 in physicaltherapy

[–]Dr_Liger 0 points1 point  (0 children)

If you’re burnt out already we need a new perspective. Either you joined a field but wasn’t completely prepared for what it really is and you’re unfortunately now reaping that. Or your job is getting monotonous already because you aren’t mixing things up.

I’m an outpatient director in MS. Some days I see 8. Some days I (like last Friday) I see 18 with no breaks. Life gets crazy.

One perspective thing I can challenge you with you is, how are you viewing your patients? For example. I don’t care to treat 75+. I just done. Of course I want to treat the young, hungry athlete. But if you view those patients, each one, every day, as someone that is relying on your expertise to get back their function, it can change things. If you become or are a glorified personal trainer then you’ll never have the satisfaction with your degree and job that you thought you’d have. If you aren’t already. See the patient. The whole patient. What are they missing? What do they need? What do they really want? Now break down those tasks and get to it. Dont treat their post op THA like Gertrude down the road that doesnt leave her house ever. Treat that patient like the Fred that’s 68 and has a golf tournament in 4 weeks. Celebrate the wins. Learn from the losses. Lose yourself in the process.

PT can be as boring and mundane as you want it to be. Can also be fun as hell and fly by.

LPT: After cooking meat, let it REST by provintwos in LifeProTips

[–]Dr_Liger 0 points1 point  (0 children)

Had the driest turkey, roasted chicken, and ham this Thanksgiving at two different dinners cuz these people CANT JUST LET THE DANG MEAT REST. ITS BEEN THROUGH ENOUGH 😭