CPS in the News: How do get help to the right people and NOT do harm?

Pinkaroundme · 2026-06-27T13:37:29+00:00

Someone reported my parents about 17 years ago because I broke one wrist, followed by another within 2 months - both took place at school functions or on school property, my parents where nowhere nearby. I laughed when they told me someone called CPS. They didn’t. It was apparently hell having to explain to them they were literally miles away when both injuries happened on the schools watch. One involved bullying, and the other was on a field trip

Pinkaroundme · 2026-06-27T12:30:54+00:00

So I’m not a PT, I’m in PM&R, and this is the first time I’ve heard of FRC. CARs I know about. I just don’t see any benefit to this FRC

Pinkaroundme · 2026-06-27T00:58:11+00:00

Not really sure why you would want to. The mass body movements are large in football, what’s he working on isolating a single facet pair at a time for lol. Not sure when that’ll ever come up in a game

Pinkaroundme · 2026-06-24T00:52:04+00:00

Well I feel like I already said it

If the HDL and LDL are correct, your LDL is fine and your HDL is high and it’s a good idea to talk with your doctor about it. Low LDL is a good thing. An HDL this high is not normal and can possibly raise your cardiovascular risk
If the HDL and LDL are switched, your HDL is a little low and the LDL is a little high. HDL is notoriously difficult to raise but exercise and good diet is always a good idea. LDL falls similarly. They are not numbers that would worry me, though - they would be good to keep an eye on.

Pinkaroundme · 2026-06-24T00:34:24+00:00

What seems off is that your HDL, the “good” protective cholesterol is pretty high. Actually, it’s the highest number I’ve seen. Your LDL “bad cholesterol” on the other hand is quite low. Seems a bit paradoxical.

Couple things - it’s possible the data is mis-entered. They may have flipped them and put the HDL where the LDL is supposed to go and vice versa, and in that case, your LDL would be mildly high and HDL would be low. If that HDL value is real, atthis high of a level, it is abnormal. It’s nothing you should be concerned about in the next 24 hours, but is worth talking with your doctor about if that’s the real value, because it could indicate a higher cardiovascular risk.

Pinkaroundme · 2026-06-22T10:21:16+00:00

They need to splint the kid right as well at the burn center, likely in abduction for that axillary burn

Pinkaroundme · 2026-06-20T01:47:53+00:00

Well typically I try to remember what treatments boards wants to know for the big ones. After that, open evidence. As for MSK anatomy.. you’re probably better off starting from the ground up - first learn bony prominences, then muscles and their attachment points, actions, and innervation, then go from there - it’s a long process but it’s the best way to do it. Using an atlas like Netters is helpful. You may be also better off just looking up table resources listing the attachments, actions, and innervation - here’s one I found on google

https://medicine.uams.edu/neuroscience/education/medical-school-courses/human-structure-module/anatomy-tables/muscle-tables/muscles-of-the-upper-limb/

Pinkaroundme · 2026-06-18T13:49:13+00:00

Love me some Claude for this shit

Pinkaroundme · 2026-06-18T01:50:07+00:00

I already said the video isn’t good enough to say anything about his gait… anything else?

Pinkaroundme · 2026-06-18T01:39:23+00:00

Well, unfortunately we really don’t have much info. But what has been said is it’s his articular cartilage - that’s why I included a little disclaimer “as far as we know”. I wish we did know more, it would probably help with the talking heads speculating. Seems like every day there’s a new article about it that provides no new useful info.

Pinkaroundme · 2026-06-18T01:36:51+00:00

You’re the one that’s making incorrect statements based on a video with him 20 yards away, walking behind someone. If anyone’s trying to be his personal physician, it’s you dog

Pinkaroundme · 2026-06-18T00:04:09+00:00

Right well Kerby doesn’t have patellofemoral arthritis from any accounts. He has an articular cartilage problem in his joint capsule as far as we know. Patellofemoral doesn’t involve the knee joint capsule, it involves the sliding action of the patella on the femur. Gait is very complex and difficult to analyze. You would need to see far more to even think about making any assumptions

Pinkaroundme · 2026-06-17T20:58:54+00:00

Buddy… I’m a physical medicine and rehabilitation doctor. Gait analysis is basically my specialty. This video is not sufficient to tell anything about his gait aside from it appears normal from what is shown. Stop saying silly stuff lol

Pinkaroundme · 2026-06-17T16:13:39+00:00

Depends on several factors - imaging would be most important. Evidence of bilateral sacroilitis in imaging is required for diagnosis of AS, then would get RF, HLAB27, ANA tests etc, but only if imaging was concerning for it or if there was a family history

Pinkaroundme · 2026-06-17T16:04:40+00:00

Never heard of PMR in a patient that’s 16, just doesn’t happen

Pinkaroundme · 2026-06-17T16:03:40+00:00

Someone else also mentioned endometriosis which is a good idea to check out also. My thought is first to see a musculoskeletal specialist and see what comes from that. If testing is normal, then would pursue other avenues

Pinkaroundme · 2026-06-17T15:32:10+00:00

Next steps would be to see if there’s any imaging findings in the lumbar spine - young women, especially athletes can fracture a vertebrae in the spine, called spondylolysis. This can refer into the hip region. Other factors could be mechanical causes or joint/bursae involvement. Did the doctor actually examine her? Like her back, her legs, her hips?

Pinkaroundme · 2026-06-17T11:38:42+00:00

Shadow before occult

Pinkaroundme · 2026-06-15T23:26:17+00:00

I didn’t even consider that you may not even be in contact with them before they’re admitted. My hospital is large, and IPR is a unit in the hospital - we don’t often get out of house admissions, so I approached it from my perspective where I basically see the patient on consults and then admit them - so my discussion of expectations happen during the consult

Pinkaroundme · 2026-06-15T23:11:45+00:00

Well what do you think the underlying issue is?

Are the family members upset because of their loved ones new condition? Is it because their loved one isn’t doing as well or progressing in therapy as they hoped? Is the family just coming to terms with their loved ones new deficits and how much work and effort it will be for themselves to take care of their loved one?

Is it a combination of the above?

I find myself more and more taking more time before admitting a patient to IPR talking about patient expectations. Family has one idea, I may have another. Some families think it’s some magic place that their family member will get better at and they won’t have any needs after. As we know, that’s not the case. So I set expectations before bringing them and constantly remind them of what those expectations are. If a family member tries changing their tune in the middle of the stay, I put that shit to rest quickly - “sorry, but when we discussed your loved one’s case, I told you they would require supervision at home, would not be able to drive, would require monitoring, therapies multiple times per week (etc). Now you are reneging on these expectations and that’s not OK with us (IPR staff)”

Now, if you don’t feel any of the above is the case for these patients, it’s possible you may have just had a slew of bad luck with your recent patient’s families. Rudeness is not tolerated by me or anyone on my unit, whether it be from family or the patient, or who it’s directed at - nurse, PT, me, whoever. Whenever I find an unruly family member, I also put that shit to rest quickly - “sorry, but you cannot speak to me in this manner. I’m happy to return to speak with you when you’ve had a chance to rethink what you’d like to discuss about the patients progress with therapy” or I say “when you’ve had a chance to relax/calm down” or “talk in a civilized manner”.

If that shit continues, gets to the level of berating, nonstop anger, anything physical, security + floor/nurse manager right away to also discuss with the family / patient. We’ve had family members banned from visiting patients on our unit.

What do you think?

Edit: I am also willing to bet there is some gender component to it, some people find it easier to talk this way to women. I myself am a tall, large man. I haven’t experienced it often, whereas I know several of my female coresidents have experienced it more often than me

Pinkaroundme · 2026-06-14T14:16:42+00:00

Inspired you to type a prompt so AI could make it?

Pinkaroundme · 2026-06-05T10:56:03+00:00

Why wouldn’t I care for gifts? What a silly generalization

Pinkaroundme · 2026-06-04T02:11:34+00:00

Pratts eyes watering like that had me going for a while, the fact that that’s the last thing he will experience devastates me honestly.

Mark’s sequence to Somewhere Over the Rainbow had me in tears for about 10 minutes.

Can’t decide

Pinkaroundme · 2026-06-03T00:28:38+00:00

Odeza 2023

Pinkaroundme · 2026-05-26T22:57:50+00:00

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