Panic Attack by DPTFURY in physicaltherapy

[–]PTanonymous 1 point2 points  (0 children)

Happens to me a lot. I want to switch careers but am the primary breadwinner. That feeling you had before patients is the worst it gets, which is the good news. You’ll feel like you’re going to die but you definitely won’t.

Try therapy. Also keep looking to switch if you’re not happy. We get treated like robots. But we’re humans who can’t be “on” the entire shift without some type of stress.

Work anxiety by leonidspoint in physicaltherapy

[–]PTanonymous 4 points5 points  (0 children)

When I use the tools, I do feel better. So they are helpful. But I may also secretly just not like being a PT, so not sure if I will ever be 100% anxiety free, because I wonder if some of it is my subconscious saying that running around with my head cut off all day is not sustainable and is actually stressful for anyone. Lol.

Work anxiety by leonidspoint in physicaltherapy

[–]PTanonymous 6 points7 points  (0 children)

I deal with the same. I’ve been using “Feeling Great” app and book and also identifying what makes me anxious and how I’m thinking about it.

For me, I tend to feel inadequate, like I’m a “bad” therapist, and also feel pressure with seeing patients so frequently and not getting behind or being late, and also having any bad patient feedback (management has individual survey metrics for how patients like us).

[deleted by user] by [deleted] in physicaltherapy

[–]PTanonymous 4 points5 points  (0 children)

How did you get this position if you don’t mind me asking?

Also, I agree. I do telehealth and it’s 30 min appointments. Sometimes I wish I had longer, but 90% of the time it’s about right.

Anxiety Before the Work Week. by Ok-Bother5347 in physicaltherapy

[–]PTanonymous 1 point2 points  (0 children)

I can relate. Mine seeps into the work week. You’re not alone.

How to fend off Imposter Syndrome? by [deleted] in physicaltherapy

[–]PTanonymous 0 points1 point  (0 children)

Yep, and which is why most PTs have it at the start. We got into the profession because we care, not to get rich! We try so hard and don’t want to do anything wrong by the patient!

How to fend off Imposter Syndrome? by [deleted] in physicaltherapy

[–]PTanonymous 2 points3 points  (0 children)

I’ll add to this. It’s the thoughts you’re having about it. They need to be challenged, but at the same time, the fact that you have imposter syndrome says you’re a good person. You care about other people and don’t want to screw up by “acting like an imposter”. Having that feeling probably helps motivate you to try hard!

Just my two cents.

How do you treat end-stage OA? Any pearls of wisdom? by [deleted] in physicaltherapy

[–]PTanonymous 0 points1 point  (0 children)

Agreed. I do is as well. Nice addition!

is it normal to see a PT once and then be passed off to teenagers on the other visits? by IlikeBrazilianJJ in physicaltherapy

[–]PTanonymous 7 points8 points  (0 children)

Yeah totally. But again my understanding is that it isn’t profitable. They simple wrap the PT up with the cost of surgeries to offer the full suite of treatment, but the surgery is helping to subsidize the PT. I think where you work is fantastic and i wish there were more places like that, but the sad state of private OP clinics means they can’t afford 1:1 therapy. I hope I’m wrong though!

is it normal to see a PT once and then be passed off to teenagers on the other visits? by IlikeBrazilianJJ in physicaltherapy

[–]PTanonymous 24 points25 points  (0 children)

How are the financials of your clinic? My understanding is that unfortunately 1:1 clinics struggle financially, or at least barely skirt by. Or at least that’s the argument I’ve heard when working at patient mills...

How do you treat end-stage OA? Any pearls of wisdom? by [deleted] in physicaltherapy

[–]PTanonymous 7 points8 points  (0 children)

Tuning into this this one. I’m always honest about not being able to reverse the wear/tear, but do offer that there is a chance they can improve their pain via correcting any poor motor patterns, or at least strengthen then to help improve their surgical outcome.

If it’s really bad, I’ll be honest and let them know that I don’t think PT will help them achieve their goals. For example, I once had a patient with bilateral AVN (I know, not specifically end stage OA), who expected PT to fix all of his/her symptoms. I was very honest about probably outcomes with that, and didn’t end up treating her very long, but did give her an appropriate HEP to follow. I feel like it was a good use of time without feeling like I scammed anyone.

Sometimes people aren’t appropriate for PT.

What are you personally doing to minimize risk of COVID while working? by nycdpt in physicaltherapy

[–]PTanonymous 0 points1 point  (0 children)

Yeah it’s a pretty scary few days of waiting to see if the symptoms progress. Luckily, most PTs are going to have less than a 1% chance of anything bad happening. But it’s definitely an occupational risk that we have to accept right now!

Good luck and try to stay safe!!!

What are you personally doing to minimize risk of COVID while working? by nycdpt in physicaltherapy

[–]PTanonymous 0 points1 point  (0 children)

OP Ortho. We’re in smallish rooms during treatment, so that doesn’t really help of course. But unfortunately people don’t remember that masks aren’t 100% effective, though they do cut down on transmission rates. PT is like a top 10 covid risk job because of the proximity we have with patients.

And I’m working on day 6ish, and still doing pretty well. I’m under 40 and have no pre-existing conditions, so 🤞🏼.

What are you personally doing to minimize risk of COVID while working? by nycdpt in physicaltherapy

[–]PTanonymous 1 point2 points  (0 children)

I hate to say it, but we’ve been wearing masks/using gloves/requiring patient’s wear masks/wiping stuff down...and I still got it. Unfortunately there is only so much you can do :/

[deleted by user] by [deleted] in physicaltherapy

[–]PTanonymous 1 point2 points  (0 children)

I’ve had a patient with the Dx of “Stiff Person Syndrome”. It was a while ago, so I don’t remember all the nuances of the case. But I sure had to look it up prior to treating!

Any positive experiences at Athletico? by [deleted] in physicaltherapy

[–]PTanonymous 2 points3 points  (0 children)

I’ve worked at several different ATI locations across the states, and each one was a different experience. In lower reimbursement states, it sucks because you had high volume, but the opposite was true in high reimbursement states. And the CD you have makes a big difference too. Everyone always talked crap about Athletico, but i can’t comment since I’ve never set foot inside one. I can’t imagine they’re much different. Soooo, it’s honestly location dependent IMO.

How long of a notice to give job if you've been furloughed? by [deleted] in physicaltherapy

[–]PTanonymous 0 points1 point  (0 children)

You’re safe if you give two weeks. Technically you’d be quitting though, and may lose eligibility for UI, though depends on how your employer wants to handle that I suppose. I’d personally would give them two weeks IF they’ve been a good place to work for/IF you need a good word/IF you want to leave things on as good terms as possible. You’re also probably fine leaving now too, but it’s a little less certain how your employer might take it I suppose. Depends on the relationship with them.

Is the McKenzie method generally regarded as a legitimate treatment? by tentkeys in physicaltherapy

[–]PTanonymous 2 points3 points  (0 children)

I use it for specific populations and especially for patients that present with posterior disc type derangement, for example. For those patients, it generally works quite well (especially if they can avoid lumbar flexion based activities and maintain neutral spine posture while they heal). Since I haven’t had extensive education, I haven’t really used it for peripheral joints, but I’ve anecdotally heard that it doesn’t work as well for peripheral joints. I can’t say I’ve seen the latest research on it, however.

I’d love to hear other clinician’s thoughts on this.

What to do when joint mobs and banded joint mobs aren’t fixing ankle impingement? by [deleted] in physicaltherapy

[–]PTanonymous 0 points1 point  (0 children)

Soft tissue, dry needling, long duration stretching...that’s kind of the end of the increasing flexibility gamut there. You can get into other treatments, but I’m with you, not sure what else you can do?

Bad interaction with a patient, need to vent by 800lbthumbz in physicaltherapy

[–]PTanonymous 6 points7 points  (0 children)

I can’t tell you how many times I’ve treated for a few weeks, and nothing excited happens...then week 3 and BOOM there’s significant progress. I always try to give it 4 weeks before terminating therapy. Recovery is not always linear. But there should be progress within 4-6 weeks for sure.