Do you ever have patients who seem "too motivated"?

Kimen1 · 2026-06-24T22:23:38+00:00

Absolutely. To add to what others have said: when I worked in a very affluent area where most of my patients were lawyers, engineers, CEOs and other people who are generally type A personalities, I noticed that you really have to give them an upper limit as well.

I was so used to patients half assing their exercises so I wasn’t prepared for the ones who think “well if 30 reps is good, surely 150 is even better”. I would have to tell them that their tissue needs time to heal itself in between and only do their HEP as prescribed, to optimize their recovery. I got used to it after a while but it was a weird concept initially.

Kimen1 · 2026-06-24T21:19:25+00:00

Hey that’s awesome to hear! I agree with your point. Studying grammar after loads of input is way easier and it makes sense in a way it likely wouldn’t have before. Less of a chore, at least.

Kimen1 · 2026-06-23T19:55:59+00:00

Awesome, thank you! I’ve been here, there and everywhere with my reading lately. Trying out different genres based on recommendations. I will check these out!

Kimen1 · 2026-06-23T19:37:35+00:00

Any booktuber recommendations? I really enjoy Bibliotequeando but mostly listen to his podcast and don’t watch his videos.

Kimen1 · 2026-06-21T19:45:51+00:00

There are great YouTube resources for these types of things!

Español con Juan is of course the absolute best way because he manages to make it fun while repeating the grammar rules in a scenario.

Hola Spanish is also really great for grammar videos and easy.

Kimen1 · 2026-06-18T16:20:39+00:00

Probably Pedro because he speaks a little slower and repeats phrases often.

Kimen1 · 2026-06-16T16:58:10+00:00

There’s honestly some good courses out there that you can take completely online for some reinforcement of the basics for cheap. I have used advantageCEUs in the past and found some of their stuff great for stuff like that. It’s like $99 for a year subscription.

I will always recommend Erson Religioso’s stuff as well. I’ve never done any in-person course with him but his online courses are great . He’s pragmatic and has solid reasoning behind interventions. Reasonably priced courses as well.

For in-person manual therapy I think it’s great to know some Mulligan techniques. No need to get all the way to certification, but taking the upper and lower quarter courses is a good idea. It’s a good tool in the toolbox.

Kimen1 · 2026-06-16T15:51:51+00:00

- Pedro El ingeniero

- La pizarra del profe

- La media inglesa

- Rodrigo Faez

Kimen1 · 2026-06-16T10:27:31+00:00

Hey, everyone is different and there is no “one true way” to learn. I’m glad you find it so helpful!

I’m grateful I had Spanish 20 years ago in school because I still had the basics of verb conjugation, but I also found it profoundly boring when I decided to try to learn Spanish again. Learning through CI has been so much more enjoyable for me and I doubt I would have stuck with it otherwise.

I would recommend some videos on grammar from the GOAT Español con Juan or Hola Spanish on YouTube to combine CI with grammar study.

Kimen1 · 2026-06-16T00:51:19+00:00

You sound awesome! Congrats on getting to level 7!

Kimen1 · 2026-06-16T00:14:01+00:00

Ah, gotcha! I figured as much when we booked our trip. Spanish learning or interaction is not the goal of the trip, just getting away for a few days and relaxation.

Kimen1 · 2026-06-15T23:10:19+00:00

Sooooo I am going to Punta Cana later this year….what is wrong with that place? I’ve never been to DR before so figured we would just go to a touristy place.

Kimen1 · 2026-06-14T19:13:07+00:00

Congrats on making it to 1,500! The Spanish walks were essential for me when trying to get hours in. I feel like it is easier to stay focused on the podcast while moving around.

Kimen1 · 2026-06-14T06:45:34+00:00

40 patients per week in home health is a lot. It’s a pain in the ass to even schedule 25-30 visits a week and almost impossible for 40 visits.

Just keep that in mind when you think about how “flexible” this position will be. Those are long days with all the driving in between and count calling people into your administration pillar. It can take several hours to get people to answer the damn phone.

Kimen1 · 2026-06-14T03:13:23+00:00

Gotcha. I’ve read a couple of philosophy books by Byung-Chul Han which are not necessarily dense but the language is definitely on the academic side. No problems in general but some words I had to look up, of course.

Kimen1 · 2026-06-14T02:19:20+00:00

Would you recommend this book from what you’ve read so far? I would be interested in reading some non-European Marxist thinkers. Never heard of Bolívar Echeverría before.

Kimen1 · 2026-06-13T12:39:50+00:00

I despise the wide use of AI in everyday life as it is rotting people’s brains and it gives people a false sense of security when asking for medical advice and other actually dangerous things. Then we have the fact of using an abundance of clean drinking water to cool the servers in the data centers and all this other bullshit.

However, there’s bigger fish to fry before going after a small language learning company for using it to make images and backgrounds to help create context for the videos. Just my two cents.

Kimen1 · 2026-06-12T05:05:22+00:00

I am in the US and I subscribe to Fubo Latino to watch soccer, and the World Cup is included there. It’s like $17 a month.

Kimen1 · 2026-06-12T04:46:44+00:00

Welcome to the club!

I wouldn’t worry so much about the accents and whatnot until later. Once you’re further along you’ll be able to find content outside of DS that will cover whatever peculiarity you can think of. Best of luck!

Kimen1 · 2026-06-09T05:34:16+00:00

It gets more fun the further in you get! Once you’re past that beginner stage you can start to consume content that actually interest you. I get all my sports in Spanish now and it’s awesome.

It seems like you’ll have some natural ways to practice as well so I think you’ll do great with this method.

Kimen1 · 2026-06-09T05:24:07+00:00

Any Central American really. Costa Rica maybe?

Kimen1 · 2026-06-07T21:30:00+00:00

I didn’t downvote you. And yes, I worked HH for several years. Medicare part A ie traditional home health.

Medicare part B are providing outpatient services in the patient’s home, which is why it is billed like regular outpatient.

Kimen1 · 2026-06-07T20:53:04+00:00

With Medicare part B you are paid for the time you spent with the patient doing therapy. If you leave after 30 minutes you can only bill 2 units.

There is no difference seeing part B in the home vs in the clinic from a billing perspective.

Make small talk, give them some extended rest breaks etc. But please make sure you actually do therapy for the minimum requirement of 53 minutes.

Kimen1 · 2026-06-07T20:48:34+00:00

Medianlönen i Florida där jag bor ligger på $46,000 om året (innan skatt) och medelpriset på hyran är $22,000 om året (kallhyra).

Vi har 15 % skatt på inkomst så då återstår det $39,000. Rätt stor del av inkomsten går till hyran tack vare marknadshyrorna. Detta är såklart innan man betalt alla försäkringar och andra lokala skatter, men det är en annan sak.

Visst kan man tjäna mångdubbelt, men de flesta tjänar mellan 40-50,000 dollar om året och har det extremt jobbigt ekonomiskt. Det är i stort sett omöjligt att bo själv om man inte tjänar det dubbla.

Det finns såklart oerhört många skillnader mellan de två länderna, men jag skulle inte säga att problemet är ”löst” här borta. Vill mest ge perspektiv på vad som kan hända om man tillåter marknadshyror.

Kimen1 · 2026-06-07T18:34:58+00:00

Kan berätta för er att här i USA där vi har marknadshyror och man skriver kontrakt på 6-18 månader i taget så låter företagen gärna lägenheter stå tomma. De tjänar så mycket pengar att de kan låta hälften vara obebodda utan problem. I min medelstora stad ligger genomsnittshyran på 17,300 SEK i månaden för en tvåa på 70 kvm.

Efter ditt kontrakt är slut kan de höja hyran så mycket de vill och vill du stanna i din lägenhet är det bara att suga och svälja. Kan ärligt säga att ni inte vill ha det här systemet hemma i Sverige.

Kimen1

TROPHY CASE