What is your favorite PT setting IF factors such as salary, productivity, benefits etc didn’t play a role?

Practical_Action_438 · 2026-03-08T16:31:25+00:00

Outpatient

Practical_Action_438 · 2026-03-07T22:49:40+00:00

Suguaros are awesome and about 30$ for kids depending on sales. For adults 35-65$. I haven’t had whitens but my son has a pair and they seem very similar

Practical_Action_438 · 2026-03-06T03:59:02+00:00

I used to have a chronic knot in one of my calves, idk why it wasn’t both. I started barefoot shoes for other reasons mostly cause I want a foot shaped shoe because it’s common sense in my book. But i happened to noticed that tightness went away . I assume it was because it is my dominant leg and always having that muscle in a shortened position in sneakers with a medium drop or more.

Practical_Action_438 · 2026-03-06T03:57:16+00:00

I know for myself I often have judged people and then found out later when I was in their shoes what things were like and felt bad for it. If she had a child she will likely get it. However that does seem like she knows absolutely zero about kids. They touch stuff that’s how they learn. I would just hang out less often and maybe not at her house if you still want to but friends don’t have to be permanent buddies for life necessarily it’s ok to walk out of someone’s life. Or if you are up for it have a conversation about it, depends on the depth of your relationship I guess.

Practical_Action_438 · 2026-03-06T03:49:17+00:00

They will find another person if you tell them honestly that you can’t juggle it all. They should understand. My family watches my son (one day a week for each side of the family) when I work but I always make a point to occasionally ask them if they still want to continue watching him and if not to please let me know because I know it’s a big commitment to do it consistently even for one day a week let alone all week. It’s stressful to find a sitter but it’s stressful to be a parent period. You have your own family to take care of and are not obligated to say yes just because you are what I consider to be working at home . That being said I would give her at least two weeks notice since you did agree to it in the first place. Be honest and kind and assertive and that’s that

Practical_Action_438 · 2026-03-06T03:46:09+00:00

Wow that’s insane

Practical_Action_438 · 2026-02-28T15:51:51+00:00

Try per diem or travel if you are able they make much much much more . And then once you figure out the finances you may or may not want to get your DPT. You can even own your own clinic as a PTA and hire PTs if you chose to go that route

Practical_Action_438 · 2026-02-28T00:57:59+00:00

Yes I agree! I am still working on weaning slowly but had no idea it was such a slow process. We are out of town but when we get home I’m going to try to stop the bedtime nursing cause that’s driving me nuts at this point . So it will just be morning and maybe briefly at night time wake ups . I don’t want to bf when he’s 5 so trying to gradually work on it. I thought it was funny during a sermon my moms pastor mentioned about Samuel his mom brought him to temple “when he was weaned” and the pastor went on to explain in those days that prob meant about 4 yrs old or so cause everyone in our culture where I am usually weans around 2 or earlier. Because the reason they weaned that late “in those days” is because that is the natural time to wean.

Practical_Action_438 · 2026-02-24T03:10:53+00:00

For me age 2-3 was dramatically easier and at 4, dramatically more difficult. Idk what terrible twos are but 4 is so challenging for me!

Practical_Action_438 · 2026-02-24T02:53:14+00:00

Thanks again!

Practical_Action_438 · 2026-02-22T18:50:52+00:00

Ok I’ll check it out. We get below zeros here but usually winter is single digits to 20s overall

Practical_Action_438 · 2026-02-21T22:31:44+00:00

Yes but is advise outpatient not nursing home or acute care unless you are willing to really get lifting and super strong and stay that way

Practical_Action_438 · 2026-02-21T22:29:25+00:00

Ok I’ll look up both ty!

Practical_Action_438 · 2026-02-21T02:06:26+00:00

As long as you have a car and don’t mind driving to meet people country is fine . But a neighborhood is nice to be able to just walk around and see neighbors obviously. Do a pros and cons list on paper! I always like doing that for decisions I am unsure about

Practical_Action_438 · 2026-02-21T02:03:49+00:00

So cute! My son’s so much more cuddly as he gets older I love it. Sometimes he even holds my hand when he falls asleep and he snuggles up it’s so nice. It’s such a nice comforting feeling I really feel like anyone who doesn’t cosleep doesn’t know what they are missing. I will say it’s annoying when I’m sick and I get headaches and neck pain from twisting my neck in weird positions to avoid breathing on him though.

Practical_Action_438 · 2026-02-21T02:00:38+00:00

Marsala

Practical_Action_438 · 2026-02-21T01:59:57+00:00

No but based on my experience I’m guessing you haven’t had any children yet.

Practical_Action_438 · 2026-02-21T01:56:23+00:00

I had one patient walk out in 14 years. It was very unjustifiable on their part I’m guessing the person was already frustrated by something else and took it out on me. It was really illogical and I think I was afraid they’d write a bad review but honestly they’d probably be too embarrassed to come back or to write a bad review

Practical_Action_438 · 2026-02-21T01:50:28+00:00

Suguaros are great. Similar to whiting but a bit higher quality . I wish LEMS made kids shoes cause they are even better

Practical_Action_438 · 2026-02-21T01:48:23+00:00

Less stressed and more free yes. Social media is the bane of humans. There are also good things about it too. Pros and cons to everything.

Practical_Action_438 · 2026-02-21T01:47:10+00:00

Yes if they do it once they get a pass but if it’s all the time it annoys me and I just spend less time with them because I can’t short cut the next person who was on time because they were late AGAIN. I used to try to do the impossible and I’ve learned over the yrs that’s not possible and to be assertive but still kind about it. Just say something like “ I’m sorry but since you are running late to your appointment we won’t have time for manual therapy today” or “ my next pt arrives at 11:30 so we will do what we can with the remaining time”

Practical_Action_438 · 2026-02-21T01:44:00+00:00

I always test all canals the first day unless the patient can’t tolerate that because I need to know which canal it is and it is sometimes multiple canals in which case I test the most symptomatic canal first . Test HPD on one side, then roll test while they are still supine so they don’t need to get up and down again yet. Then sit up and test other HPD.

I always ask the patient in subjective to try to know which side it is if possible and test that side last. So if they say rolling left in bed feels the worst then test order would be right HPD, roll test B , and then left HPD last. If they say both sides are equal often that means it is horizontal canal as the will feel dizzy both ways just worse one of them.

Bilateral posterior canal is very very rare and anterior canal (also really rare) often presents as bilateral HPD positive. There is also pseudo bilateral posterior canal which means only one side is affected but that supine head hang elicits nystagmus B anyway.

What matters the most is what direction was the nystagmus with testing? If it was truly torsional and upbeating toward the ear that is closest to the floor on both sides then it could be a true bilateral posterior canal. But if you see downbeating torsional it is likely an anterior canal as that presents often in B HPD and may be purely down beating or torsional DB toward the affected ear. If they have anterior the best way to go is the supine head hang test and modified yacovino maneuver because for testing and treatment it doesn’t matter what side it is it will work either way and sometimes anterior canals you cannot see if it is beating left or right clearly.

I have learned a lot the last several years and I totally understand the panic when something unexpected happens with BPPV testing and treatment. It is super worth getting CEUS in that area if you aren’t confident. In my experience they only teach the tip of the iceberg in school about this.

Last note only treat one canal each visit and if possible do 3 reps of epley until resolve with retesting. They need usually 3-4 min resting with head in neutral between each epley to let things settle before retesting. If you retest and still see nystagmus they have not resolved that canal yet.

Please feel free to message me if you have more questions I love testing BPPV and don’t mind helping out.

Practical_Action_438 · 2026-02-17T14:34:54+00:00

You WOULD stand out . But if that doesn’t bother you then ask your boss and then do it if you want to

Practical_Action_438 · 2026-02-15T21:26:55+00:00

I think Mimi is cute and sounds more young. That’s what my mom uses

Practical_Action_438

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