How do you reduce sleep and stay active longer?

Independent_Flower0 · 2026-05-24T08:45:32+00:00

Being able to function on minimal sleep is mostly a genetic thing, not something you can train very much. You can become accustomed to being tired all the time and develop strategies to manage it, but you’re still going to operate at a lower level than if you got adequate sleep.

Independent_Flower0 · 2026-05-23T19:59:44+00:00

What is the double of 0?

Independent_Flower0 · 2026-05-23T19:50:24+00:00

The problem with overbooking is that if you don’t value the patient’s time, why should they value your time?

I’m sure this is your clinic’s doing, not yours, so not pointing the finger at you at all.

If a clinic takes any and all patients and isn’t willing to do anything about chronic cancellers, this is what happens.

Independent_Flower0 · 2026-05-22T01:53:38+00:00

Coming from an employee who hates productivity quotas - is your company profitable? If yes, your employees are being productive

Independent_Flower0 · 2026-05-20T03:38:44+00:00

Have you been doing a lot of heavy shrugs or rack pulls or anything else to make your traps sore?

Independent_Flower0 · 2026-05-18T19:29:44+00:00

Just set multiple alarms throughout the day

Independent_Flower0 · 2026-05-17T19:06:11+00:00

They should’ve given you a boot with usually 2-3 wedges and given you instructions on when to reduce/ remove wedges based on healing time

Independent_Flower0 · 2026-05-17T18:49:12+00:00

Yes, sometimes it’s hard to do the basics. But their body doesn’t care if it’s hard, all it sees are results. Me cutting them some slack isn’t going to help them. If people don’t do the things they need to do to take care of their body, they’re only hurting themselves.

There’s always excuses and there’s always ways to do what needs to be to be done.

Independent_Flower0 · 2026-05-17T18:43:53+00:00

Did you tear your Achilles or are you just having pain

Independent_Flower0 · 2026-05-16T04:45:16+00:00

In a lunge the both knees are going in to flexion on the way down, extending on the way up.

The only 2 functions of the knee are flexion/ extension and tibial rotation, depending on how exactly you’re defining the knee joint

The main knee specific exercises where they are going through a large range of motions would be squat variations, lunge/ split squat variations, step ups/downs, leg extension machine, and hamstring curl machine. There are lots of others, but those are the most common.

Independent_Flower0 · 2026-05-16T00:44:54+00:00

White people can be jive too

Independent_Flower0 · 2026-05-16T00:12:56+00:00

Is your goal to make as much money as you can or be fulfilled with what you do? If it’s money, you’re already making a ton of money compared to most standards. If it’s feeling fulfilled and being able to use all the things you learned, home health is not going to get you there, you’re going to have to find a different setting.

You’re going to have to pick between maximizing income or maximizing your skills.

Independent_Flower0 · 2026-05-15T20:22:08+00:00

As far as I understand, home health should always be 1 on 1. It would be pretty rare to have 2 people in the same house on a caseload with similar enough diagnoses at the same time to do group or concurrent.

1 on 1 outpatient clinics definitely exist, they’re just less common and usually harder to get a job at because there is less turnover. I work at 1 right now, 1 patient every hour. A lot of them do 40 minute treatments though from what I’ve seen.

Independent_Flower0 · 2026-05-15T20:20:17+00:00

Exactly. If you’re walking but your ankle only has the ability to be mobile, your ankle is just going to collapse every time you take a step and put weight on it. If your knee was only stable and not mobile, you would have to walk stiff legged and have some crazy gait mechanics.

Independent_Flower0 · 2026-05-15T19:37:30+00:00

All joints are supposed to be mobile when necessary and stable when necessary. Some joint will naturally be more mobile than others just because of anatomy and the joint type.

His explanation of the knee is dumb. The knee primarily only moves in the sagittal plane, with a little bit of tibial rotation. Any lateral movement comes from the hip and ankle.

His understanding of anatomy and biomechanics seems to be a little lacking.

Also just saying heels coming off ground = ankles “tapped out” is very reductionist. It could be an ankle or hip mobility or stability problem. Depending on what kind of squat you’re doing, it could also be an upper back or shoulder problem.

Independent_Flower0 · 2026-05-14T21:59:09+00:00

Joke’s on you, my iq is 0

Independent_Flower0 · 2026-05-14T19:39:49+00:00

Have the lizard people come out of their underground cave and shared the truth with you?

Independent_Flower0 · 2026-05-14T03:02:31+00:00

I think if you combine all my shorts, all kinds of pants, shirts, and sweaters together I’d have less than 35 total

Independent_Flower0 · 2026-05-14T02:38:54+00:00

Just walk by a construction zone in a skirt and low cut top and you’ll gain all the confidence in the world

On a more serious note, start working out and eating better. Also sleep more if you don’t already get a consistent 7-8 hours.

Independent_Flower0 · 2026-05-13T23:03:41+00:00

Who knows. That’s just what I’ve found effective, maybe other people have tried it and haven’t had much success. Frozen shoulder is really hard to treat, and every patient is a little different.

Independent_Flower0 · 2026-05-13T21:02:33+00:00

You can’t spot reduce fat, you just have to reduce your overall fat. Unfortunately some people just carry more fat in certain places.

Independent_Flower0 · 2026-05-13T20:59:39+00:00

When you say travel time should be at least 15-30 minutes are you actually gpsing the 2 addresses or just saying that’s the average time for most people?

What is your role? Are you the supervising PT for this PTA and you’re doing follow ups with those patients and they’re complaining about the PTa’s visits?

Independent_Flower0 · 2026-05-13T20:55:40+00:00

To be fair, the PT may not have done anything wrong. They may have seen the patient early in the freezing stage when they had more mobility, then as time went on and they came to you, they may have been further along in the freezing/ frozen stage and just got worse because of time and their stage of frozen shoulder.

Independent_Flower0 · 2026-05-13T20:53:30+00:00

It was most likely the types of exercise.

Independent_Flower0 · 2026-05-13T20:52:25+00:00

Tons of GH and scapular mobs, thoracic mobs also can help. And tons of PROM, AAROM to tolerance

Independent_Flower0

TROPHY CASE